Nose aesthetics, the most preferred operation among aesthetic surgeries, is performed for a beautiful nose that is compatible with the face and who likes his surroundings. In recent years, natural-looking noses that can fully fulfill the functions of the nose have been preferred in rhinoplasty. Before having rhinoplasty, it is crucial for the person to question their expectations, to express what they want correctly by consulting an experienced doctor, and then to decide together with the doctor the most suitable nose structure and surgical method for him.

What is rhinoplasty?

Rhinoplasty is an operation performed to create a nose compatible with the whole face and the person, with an ideal breathing function. The most important task of the nose is breathing, that is, respiratory function. The main aim is to protect and improve this function in the best way. Rhinoplasty is an operation that is applied both visually and in terms of health.

Who is rhinoplasty applied to?

In general, aesthetic nose surgeries are performed because the nose shape is not liked visually.

Rhinoplasty can be applied to anyone who demands the nose if their health condition is suitable. Can perform nasal aesthetics due to complaints such as arched nose, long nose, low nasal tip, size of the nostrils, or asymmetry. With aesthetic nose surgery, your nose size can be increased or decreased; large nostrils can be reduced, change the shape of the nose tip, and correct the nose’s angles with the forehead and lips. During this procedure, cartilage and bone curvatures that cause breathing problems can also be updated. Apart from this, nasal aesthetic surgeries are also performed to correct the deformity that develops due to various traumas such as multiple accidents and impacts. Or, as a result of these traumas, reconstruction of the nose may be required.

A guide to finding the right doctor for functional and natural rhinoplasty surgery

The person who will have rhinoplasty usually chooses between a plastic surgeon and an otolaryngologist. Functional surgery of the nose is basically in the field of otolaryngologists; Although rhinoplasty seems to be in plastic surgery, it can be performed by experienced surgeons in both branches. The patient who decides to have rhinoplasty should correctly express what he wants to change in his nose. The doctor should give the patient comprehensive information about which procedures can be applied. In this regard, by using the existing technological 2D and 3D visualization tools, the physician can show the patient how the postoperative appearance will be approximate. A plastic surgeon also provides a comfortable solution for breathing problems in the nose. Here, the patient’s preference is essential.

Does rhinoplasty cost?

The price of rhinoplasty and the price of non-surgical rhinoplasty is one of patients’ most frequently asked questions. This fee varies according to the hospital where the operation is performed and which doctor does the procedure. It has an average price of between 1000 USD and 20,000 USD worldwide.

What are the rhinoplasty methods?

In general, the techniques used in rhinoplasty are divided into two as an open technique or closed technique surgery. Surgeries performed with open and closed techniques have advantages and disadvantages depending on the situation.

What are the rhinoplasty methods?

In general, the techniques used in rhinoplasty are divided into two as an open technique or closed technique surgery. Surgeries performed with open and closed techniques have advantages and disadvantages depending on the situation.

Open Rhinoplasty

Advantages:

Since open rhinoplasty surgery is performed by seeing the nose’s bones, cartilage, and muscles, there is an incision starting from the inside of the nose, the invisible part. That incision continues from the inside and comes to the nose’s tip and the nose post region. There it crosses to the opposite side in the form of a broken line, usually in a gull-wing or a w sign. In other words, the visible part is approximately an incision of 2 mm in the natural part of the nose. This incision scar then becomes invisible.

The advantage of open rhinoplasty is a much higher dominance of the nose. It is performed with millimetric measurements by seeing each part. If a tissue is to be added there, it is an operation performed by fixing and stitching the tissues there, with hand-eye coordination at every stage. This aspect is often preferred.

Disadvantages:

Open rhinoplasty takes a little longer than closed rhinoplasty. In some cases, edema at the tip of the nose may take a long time. However, when it is considered an approach globally, it is the most preferred method. It is a very safe application. Significantly while shaping the bones, being seen with the eye increases control and can provide safer movement. There is practically no significant pain in rhinoplasty procedures. The first question many patients ask is, “Will I have a lot of pain?” The first sentence after the operation is mostly “I have no pain.” However, mild pain relievers can be used after the procedure.

Preparation:

Rhinoplasty operations do not require any special preparation. It is vital to know the patient’s expectations, determine the wishes, and inform the doctor correctly. The most important practice is the pre-operative strategy, planning, and communication part. However, it does not require any special surgical preparation. According to the rule that is valid for all surgeries, if the patient is using blood thinners, he should stop as advised by his doctor, and if he smokes, he should give up this habit before the surgery.

Postoperative:

The most crucial point to be considered after rhinoplasty is not to experience any extra trauma that will affect the shape of the nose. It is important not to lie on your side for a certain period or protect your nose from possible pressure, not to wear glasses for the first 1-1.5 months after the operation, and not to press your hand to the nose.

When should it be done?

For rhinoplasty surgery, bone development should generally have stopped. In general, the nose shape or skeletal development stops in girls around 16-17. From this period on, there is no obstacle to the operation. The person’s wishes, thoughts, and personality structure should also be settled. If there is a disturbing deformity in the nose, it can be done with the decision of the patient and family before the age of 18.

Risks?

Complication risk in rhinoplasty operations is not related to open or closed procedures. Some complications specific to the person, not the method, may develop.

After rhinoplasty, complications such as nasal collapse, nasal tip drop, nasal asymmetry, and bruises that do not go away for a long time can be seen. However, experienced surgeons must perform rhinoplasty, follow the patient’s doctor’s recommendations, and protect the nose from trauma after the operation.

The patient is presented with an informed consent form before surgery. Patients need to read this carefully and ask questions about themselves and the process before signing.

The surgery is performed with general anesthesia. This application is exceptionally comfortable for the doctor and the patient. As the patient receives general anesthesia, it is generally recommended to stay in the hospital overnight. You can return to daily life the next day. However, it is recommended that the patient spend 2-3 days at home after the surgery. Pain is usually not felt. Sometimes there may be some swelling after the 2nd day, but the node returns to an acceptable level the next day. There may be no bruising, or it may look like a half-cm make-up on tiny eyes. In the open technique, I can say that the bruising is a little less since it is possible to control all the vessels by seeing. It is not the open or closed technique that is decisive. Depending on the surgical method used by the surgeon, the situation may change depending on the nature of the surgeon.

An open rhinoplasty technique can be preferred, especially in operations performed by seeing some parts of the nose, adding new tissues, or making some changes on it. However, we can choose the secure method in patients who are suitable for closed rhinoplasty. These two methods are not rivals of each other. After evaluating the patient’s nose and face structure most accurately, whichever technique needs to be applied is preferred.

An open rhinoplasty technique can be preferred in patients with advanced deformity, or a history of previous aesthetic operations called secondary surgery. The most significant advantage of the open rhinoplasty technique is that it provides the surgeon with a comprehensive view and application opportunity.

Closed rhinoplasty

What is closed rhinoplasty?

Closed rhinoplasty is a rhinoplasty technique made by cutting the inside of the nose. It is performed without lifting the nose with incisions made from the inside of the nostrils. With a scalpel, an incision of approximately 3-4 cm is made from the inside of the nose, not from the wing. In this way, the cartilages and bones of the nose are reached. In this area, the skin has removed the place to be intervened; then, bone parts are removed if the bone is taken. Or, if cartilage parts are to be removed or added, these procedures are performed. This incision is then closed with sutures.

Advantages:

Closed rhinoplasty takes less time than open rhinoplasty. Things to consider beforehand are the same for both approaches. If blood thinners and aspirin are used for a different reason, they should be discontinued for a certain period before the operation by consulting the doctor. Only the surgical approach is different between closed or open rhinoplasty.

Since the tip of the nose is not opened in closed rhinoplasty, the recovery time may be a little faster.

Disadvantage:

While it is possible to perform some operations inside the nose by directly seeing and measuring the nose in closed rhinoplasty, this is not the case in closed rhinoplasty. For example, in the closed method, it is not possible to stop a bleeding vessel, but in open rhinoplasty, it is easier to control if there is bleeding in the boat by seeing that vessel. This also reduces the formation of bruises. A certain amount of bleeding occurs in all standard surgeries. Or there is already some bleeding when there is an incision. In closed rhinoplasty, if the person performing the surgery is not well-versed, risky results and complications are slightly higher. The learning curve is more complicated since closed rhinoplasty is performed by feeling the cartilage, vessel, and muscle structure in the nose. Open rhinoplasty is also done visually, so the learning curve is a little easier.

Closed or open rhinoplasty is not a process that the patient should question. Closed or open rhinoplasty is a matter for the surgeon to decide which surgeon will achieve the best and most successful result. In other words, it is a preference that directly concerns the surgeon.

Dark-skinned, black, or thick-skinned people have a risk of over-appearing surgical scars. Edema may be more in individuals with thick skin. Also, it takes longer for the inner cartilage shape to appear. People with thin skin get results a little easier.

Piezo rhinoplasty

Piezo rhinoplasty is not a surgical method. The surgeries in which an ultrasonic bone cutter, a piezo device, is used are called “piezo rhinoplasty.” It should not be presented as a magic touch in nose surgery.

The feature of the ultrasonic bone cutter is that it does not damage the soft tissues during cutting. However, since you insert a large device into the nose, you must remove all skin and tissues. This may cause more edema. It is an approach that does not provide an ideal nose shape but is used when necessary.

Type plasty

Type means tip. Surgery involving the direction of the nose is called “typlasty.” Aesthetic treatment is applied only on the 1 cm part of the nose from the tip.

In general, typoplasty surgery is performed with minimal trauma to the nose. There is no interference with the bones in any way. Tip plasty is applied only to patients with problems at the tip of the nose. So it is not a surgical method. For example, if there are problems such as flatness, separation, and lowness at the tip of the nose, it can be corrected. It takes a relatively shorter time than conventional rhinoplasty surgeries. Processing time is approximately 1 hour, depending on the application. There is usually no bruising or pain. Return to daily life is faster. Tip plasty can also be performed under local anesthesia in operating room conditions.

Secondary nose surgery

Rhinoplasty surgeries are operations that do not accept mistakes. Every mistake made is self-evident. In general, one may not understand these errors due to edema in the first postoperative period, but they occur after a while.

Secondary rhinoplasty surgery accounts for more than 1/3 of rhinoplasty. As rhinoplasty operations become widespread, secondary operations are increasing day by day.

Secondary nose surgeries are more complicated than the first surgery. There are two reasons for this. Both the anatomy of the nose has changed, and resources such as cartilage, which is essential to give the nose the necessary shape during the surgery, may not be sufficient. Tertiary operations can be even more difficult. These operations must be performed by specialists who have the required surgical experience and are especially experienced in this field.

Laser rhinoplasty

Laser treatment can be used on turbinates. It is an application applied to shrink the inner nasal meats.

In the laser device, laser energy is given into the nose with a fiber optic probe. This process allows the nasal concha to shrink from the inside and is used only for this area. It is a safe application that takes about 10 minutes.

Profiloplasty

Profiloplasty is surgery performed by paying attention to the forehead, nose, and chin angles to beautify the person’s profile image. In profiloplasty, attention is paid not only to nose surgery but also to the angle between the forehead and the nose, the forward or backward position of the lower jaw or the tips it makes with the lip, and the rise of the lip with the nose. For example, the back or forward position of the chin can sometimes be corrected with fillings and sometimes with prostheses. The best results are obtained if the angles made by the lip with the nose and the lips with the chin are also considered.

Is there an age limit for rhinoplasty?

Since it is foreseen that the musculoskeletal system will complete the adequate development of the rhinoplasty surgeries, it is expected that the children’s bone development will be completed. Rhinoplasty is based on the development of bone and cartilage structure, with no age limit. However, prominent ear surgeries, which end their result more quickly than the nose, can be performed even at the age of 6, considering the child’s psychology. Although there is not exactly an upper limit in plastic surgery, anesthesia and postoperative complications may increase in advancing ages. However, aesthetic surgery can be performed if the patient does not have different ailments that prevent him from receiving anesthesia by looking at his general condition.

Can nasal concha and nasal congestion operations be performed at the same time as rhinoplasty?

Structures called concha, nasal flesh, provide heating and humidification of the air inhaled through the nose. Enlargement of the concha, that is, hypertrophy of the concha can also be confused with diseases such as adenoid and septum curvature.

The nasal concha, which is located in three rows on the sidewalls from front to back in the nasal cavity, especially in the lower part, can usually grow due to allergic reactions or secondary causes of septum curvature. Problems that cause nasal congestion, such as nasal concha and septum curvature, can be corrected simultaneously with nasal aesthetics.

Can rhinoplasty and major ear surgery be performed at the same time?

Rhinoplasty can be performed together with prominent ear and other facial aesthetic operations, depending on the physician’s preference.

Can plastic surgery be applied to arched noses?

Turkey’s nose structure is close to the Persian nose family. Usually, the complaints also come from the arched nose. In patients with an arched nose, after the excess of bone and cartilage forming the bridge of the nose is filed or removed, if the part that we technically call the roof is opened, it is closed again by breaking it with chisels, piezo-electric systems, or chainsaws to complete the roof. Recently, can correct arched noses with techniques in which the nose height is completely reduced without rasping the arch in patients with appropriate arch height.

Are arched nose, nasal bone, or nasal reduction surgeries complex operations?

Rhinoplasty surgeries are generally not very painful surgeries. However, the most common misconception about rhinoplasty among the public is that rhinoplasty is painful. Due to the bruises and swellings that occur after the surgery, people believe that rhinoplasty operations are painful and troublesome operations. In the past, the rhinoplasty buffer relationship used to scare people. Problems experienced during tampon removal after rhinoplasty have been replaced by unbuffered rhinoplasty surgeries. Since the tampons used in the past were of a cotton structure, they would stick to the inside of the nose and cause bleeding. Silicone tampons used today do not cause such problems. Swelling and bruising after aesthetic nose surgery;

• The technique used in surgery
• Age, gender
• It varies according to the patient’s bone and cartilage structure.

From the doctor’s point of view, one of the most challenging operations in plastic surgery is rhinoplasty. Compared to other aesthetic operations, since the nose is an organ that can be seen and evaluated by everyone, its results can be seen and considered by everyone.

In technical terms, rhinoplasty is complicated plastic surgery. Of the person, skin, bone, and cartilage structure differences can complicate the surgeon’s work. It is necessary to be more careful in patients with thin and delicate skin, bone, and cartilage structures.

In cases where the nose skin is fragile, one can quickly notice all kinds of technical errors from the outside. Insufficiently supported cartilages can also cause asymmetries during the healing process.

Likewise, cosmetic surgeries of patients with thick skin are complex. In patients with thick skin, beautiful aesthetic lines are less visible from the outside. The difficulty in rhinoplasty is due to the difference in the patient’s bone, cartilage, and skin structure rather than the curvature of the nose or nasal bone.

Can septum deviation be corrected with plastic surgery?

The septum is the part that divides the nasal cavity into two, consisting of cartilage in the front and bone in the back and covered with a cover called mucous. Septum deviation, that is, this cartilage or bone part in the midline of the nose is tilted to one side, is one of the causes of breathing disorders. The curvature here can be anterior or posterior. Whichever side is curved, the passage on that side narrows and causes difficulty in breathing.

Nasal concha and septum curvatures can be operated by a plastic surgeon simultaneously with rhinoplasty.

Can rhinoplasty be performed under local anesthesia?

Rhinoplasty surgeries can be performed under general anesthesia as well as technically under local anesthesia. When rhinoplasty is performed with local anesthesia, one should consider that being awake may cause different problems. The fact that the patient is restless, afraid and the surgeon does not feel comfortable reduces the quality of a delicate surgery such as rhinoplasty. Performing rhinoplasty operations with general anesthesia is more comfortable for the patient and the surgeon.

In which cases should rhinoplasty be performed?

Rhinoplasty is an operation that is applied both visually and in terms of health. In general, aesthetic nose surgeries are performed because the nose shape is not liked visually. Apart from this, nasal aesthetic surgeries are also committed to correcting the deformity that develops due to trauma. Can perform nasal aesthetics due to complaints such as arched nose, long nose, low nasal tip, size of the nostrils, or asymmetry.

How should a rhinoplasty doctor choose?

The person who will have rhinoplasty usually chooses between a plastic surgeon and an otolaryngologist. Functional surgery of the nose is basically in the field of otolaryngologists; Although rhinoplasty seems to be in plastic surgery, it can be performed by experienced surgeons in both branches. The patient who decides to have rhinoplasty should give an idea about what he wants to change in his nose, and the doctor should give the patient an idea about what can be changed. In this regard, the physician should use the available technological 2D and 3D visualization tools to show the patient how the postoperative appearance will be approximate. A plastic surgeon can also solve problems with breathing in the nose. Nose aesthetics is more complex than functional surgeries. Both branches can handle two trades. Here, the patient’s preference is essential.

Can nasal concha and nasal congestion operations be performed at the same time as rhinoplasty?

Structures called concha, nasal flesh, provide heating and humidification of the air inhaled through the nose. Enlargement of the concha, that is, hypertrophy of the concha can also be confused with diseases such as adenoid and septum curvature.

The nasal concha, which is located in three rows on the sidewalls from front to back in the nasal cavity, especially in the lower part, can usually grow due to allergic reactions or secondary causes of septum curvature. Problems that cause nasal congestion, such as nasal concha and septum curvature, can be corrected simultaneously with nasal aesthetics.

What is nasal tip aesthetics?

Nasal tip aesthetics is a surgery in which the cartilage at the tip of the nose is shaped. By shaping the cartilages in the direction of the nose, the angle of the nose and lips can be increased or decreased.  Can thin the end of the node. Nostrils can also be intervened while performing nasal tip aesthetics. This process; is a preferred method for patients who do not have a belt but have a low nose tip, have problems with their nostrils, or have an extensive nose tip.

Can rhinoplasty be performed under local anesthesia?

Rhinoplasty surgeries can be performed under general anesthesia as well as technically under local anesthesia. When rhinoplasty is performed with local anesthesia, one should consider that being awake may cause different problems. The fact that the patient is restless, afraid and the surgeon does not feel comfortable reduces the quality of a delicate surgery such as rhinoplasty. Performing rhinoplasty operations with general anesthesia is more comfortable for the patient and the surgeon.

Is non-surgical rhinoplasty possible?

Non-surgical rhinoplasty presents some problems in itself. The most commonly used methods in non-surgical rhinoplasty are as follows.

Nose filler

It is a non-surgical rhinoplasty method that can be applied to inconspicuous nasal arches. Although it seems to be an advantage for patients who do not want surgery, its effects are not permanent. In cases with a nasal angle, filling the nasal root with filler material can make the nose appear flattered, and filling applications can be made in irregularities on the tip or back of the nose. Complications related to filling materials are among this technique’s risks, which should share with the patient. Although the filling materials’ reliability today is better than in the past, the risks and surgical complications that may encounter are not to be underestimated.

Nose tip botox

Botox can be applied intramuscularly to the tip of the nose, which is the junction area with the lip. As the muscle relaxes with the effect of Botox, a relative rise is achieved at the tip of the nose. As with nasal botox, its effect is short-lived, but its applicability for each patient and its results in terms of patient satisfaction are at the discretion of the individual.

Nose lift with thread

It is a procedure applied with suture thread used in surgeries. As with other applications, I doubt that it provides long-lasting permanence.

Can only nasal tip lift aesthetics be performed?

It cannot only lift the tip of the nose, but it can also perform operations such as reducing the wide nose tip. In such procedures where the nasal ridge is not intervened, the height of the nose tip, lip angle, and the shape of the nose tip is corrected.

Rhinoplasty before and after

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