Rhinoplasty

Nose aesthetics (Rhinoplasty) is an operation performed to correct or reconstruct the appearance of the nose. Apart from aesthetic purposes, rhinoplasty is also performed for the correction of structural disorders that lead to breathing problems. It is an operation that is often performed to treat nasal fractures.

With rhinoplasty, the size, shape and angle of the nose can be changed.

Currently, rhinoplasty surgery gives extremely successful results due to the sophistication of the techniques used.

When is Rhinoplasty Necessary?

Rhinoplasty is necessary in the following cases;

•   When the patient has aesthetic concerns.

•   In cases where various functional disorders cause breathing problems; such as septum deviation, nostril narrowing.

•   Sinus problems.

•   Fractures of the nose.

•   In the case of a cleft lip (along with other operations).

•   In severe facial burns (since severe burns can lead to nasal blockage).

At what age can Rhinoplasty surgery be performed?

Rhinoplasty surgery can be performed at an age where the development of the nose has been completed. If it is done before this age, the result of the operation will change, as the nose will continue to develop, and another operation (revision) may be needed.

Rhinoplasty surgery can be performed starting at the age of 15-16 in women and at the age of 17-18 in men. But it can be done at an earlier age in special cases that affect a person's health.

Rhinoplasty Examination

Examination is one of the most serious steps in rhinoplasty surgery. It is of great importance for the patient's satisfaction after the operation that the patient and the doctor understand each other thoroughly about the expectations and results. Therefore, all the details should be discussed during the examination.

In order for patients to fully express themselves, it may be useful for them to note down what is on their mind before coming to the examination. So that they can share every point with their doctor without missing any.

During the rhinoplasty examination, before and after photos of patients who have previously had a rhinoplasty are examined to provide a clearer idea in the patient's head. With the help of a computer, the patient is shown what can be done, and what kind of shape would work best according to their face anatomy. In short, the surgical process, the techniques to be used, and what things are to be expected after the operation are explained.

How is Rhinoplasty Performed?

Rhinoplasty surgery is an operation that is usually performed under general anesthesia. The patient is discharged on the next day after a control. The duration of surgery is on average 1-3 hours depending on the case.

Since not every technique is suitable for every situation, the doctor decides how the operation will be performed and which technique will be used depending on the patient's condition.

The operation can be summarized as reaching the area related to the surgical incision and making the necessary corrections, then closing the area and supporting it with a splint from the outside.

Additional cartilaginous tissue may be required during surgery, which can be taken from the patient's ear or ribs; synthetic tissue can also be used.

Rhinoplasty has ceased to be a feared operation due to modern techniques and the characteristics of the materials used.

Nose Aesthetics (Rhinoplasty) Techniques

The techniques used in nose aesthetic operations (Rhinoplasty) are equally successful. However, the surgeon will use the technique that the situation requires. For example, the open technique is usually preferred for nose tip shaping and the closed technique is preferred for problems in the nasal dorsum. Nevertheless, as a result of all the evaluations, the technique that the doctor considers advantageous may be different.

In rhinoplasty operations two techniques are used, the open and the closed technique.

Rhinoplasty Surgery with Open Technique

Especially in cases of serious nose tip problems and severe deformities, rhinoplasty surgery is performed with an open technique. The open technique is more preferable when it comes to functional disorders. With this technique, the nose's condition, cartilage and bone structure can be seen comfortably, and the measurements and the intervention can be made much more clearly.

In the operation, an incision is made in the outside of the columella, between the nostrils, the tissues are elevated and, after the necessary operation is performed, they are closed again. Although a very small scar remains on the tip of the nose after surgery, this is barely visible and does not cause discomfort.

Rhinoplasty Surgery with Closed Technique

Rhinoplasty surgery with a closed technique is usually performed in patients who do not have many functional problems but have problems such as a nasal hump. In the operation, intervention is provided by the endoscopic method by entering through the nostrils. However, there is not as much control, as not all structures are clearly visible.

Which one is the best? The open technique or the closed technique?

The question of whether it is better to have an open technique or a closed technique in rhinoplasty surgery is among the questions that bother the patients the most. Both techniques have their own advantages and disadvantages. The technique is determined as a result of the doctor's preference according to the situation of the case. The technique used is not the only factor that ensures success in rhinoplasty. The patient's attention to the necessary care in the postoperative process also affects the result.

Advantages of Rhinoplasty with Open Technique

The advantages of rhinoplasty with open technique are as follows:

•   It provides a clear view of the operation area.

•   Problems are perceived more easily.

•   The doctor has more control.

•   Bleeding is more easily mastered.

•   The intervention is performed more millimetrically.

Disadvantages of Rhinoplasty with an Open Technique

The disadvantages of rhinoplasty with an open technique include;

•   A very slight scar remains at the tip of the nose, but this scar does not pose a problem for the patient, as it is not obvious.

•   The operation time is longer than with the closed technique.

•   Edema resolves later than with the closed technique.