Rhinoplasty (nose job), is one of the most performed surgeries to change the shape and size of the nose, or to improve its function. There are many application methods and techniques. Repair of shape disorders, correction of breathing problems and birth defects or aesthetic reasons are main reasons. Commonly arched nose, low nasal tip, asymmetry in the nose, curvature and breathing problems are corrected. Jaw or neck shaping can be done simultaneously with rhinoplasty. All surgeries carry risks such as infection, bleeding, or poor response to anesthesia; however, complications are rare.
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Rhinoplasty is a plastic surgery procedure that involves reshaping and improving the function of the nose. It can be done for aesthetic and functional reasons. Aesthetic rhinoplasty changes the appearance of the nose; functional rhinoplasty is to improve the airway of the nose to facilitate breathing.
Nose aesthetics is highly individual. The techniques to be used by the surgeon are customized depending on the patient’s anatomy, age and desired changes.
The nose is fully accessed, and then given the desired shape by lifting the skin with a small incision through the nose or the bridge between the nostrils (columella). It is suitable for patients requiring extensive remodeling. Problems such as arch formation on the back of the nose, the width or low tip of the nose and and the nose length can be dealt with more appropriately with this method. The traces are hidden in the natural curves of the nose. Puffiness occurs and recovery time is long.
Surgery is performed with incisions made through the nostril. It is used in patients who need small adjustments in nose structures. Advantages include no visible signs of scarring, less swelling, less bruising, less pain, shorter recovery time, very little bandage used.
If an inexperienced surgeon has performed the first procedure, a second operation may be necessary to correct the problems and meet the patient’s expectations.
Nose tip is reshaped without affecting other nasal structures. Open or close approach is available.
Injectable therapies can be applied to provide a more pleasant appearance on the nose, providing temporary effects lasting up to a year. A combination of dermal fillers or removal of fat from the patient can be carried out. A specialist plastic surgeon can reshape the nasal tip with the help of a filler that he/she strategically injects at certain points and improves the symmetry of the nose.
Results cannot be guaranteed, there are risks to consider. Rhinoplasty can improve the shape, size and symmetry of the nose, but cannot achieve perfection.
Remember that everyone’s face is asymmetrical to some extent; it is important to have realistic expectations. A qualified plastic surgeon will explain what is possible within the scope of his art and help you to reshape your nose in a way that looks natural.
Rhinoplasty is a whole; figure and function should be considered together and the solutions should be evaluated together.
Patients who apply for rhinoplasty may also have breathing problems such as snoring and sleep apnea. A number of tests is done to identify the nasal anatomy. Removal of plugs in the deflected septum, one of the causes of respiratory distress, is done, and if there is growth in the flesh called concha, it is reduced.
Rhinoplasty is not a standard surgery, it is customized. The most important questions to ask yourself concern your motivation and goals for surgery. Risks, recovery time and costs should be considered beforehand. You may need to consult a psychologist to discuss the psycho-social effects of your new appearance.
Once the operation is decided, your doctor should explain exactly what techniques he/she recommends what he/she will do. The changes are very small but can make a significant difference in the appearance and function of the nose. It should also be considered whether additional surgery is required. In some cases, jaw enlargement can be performed at the same time with rhinoplasty. This is because a small jaw will create the illusion of a larger nose.
Rhinoplasty is a challenging operation; it does not have a standard sequence, it is adapted to the needs of each patient. Unpredictable risks are likely to occur as in all operations. It is not usually painful; the day after surgery, most people rate their pain from 0 to 4 over 10.
Rhinoplasty requires sedated local anesthesia or general anesthesia depending on the surgeon’s preference and the patient’s condition. Two main methods are used: open and closed. Depending on the area being operated, the technique may vary. Procedures may take 90 to 180 minutes.
You will be kept under surveillance for a few hours after the operation, you will not be able to breathe through your nose, you will be given a mild pain medication. If everything goes well, you will leave the hospital the same day; if it is a complex procedure, or if you have health problems that need to be monitored, you may need to stay in the hospital for 1-2 nights. For the first few days due to anesthesia, memory blurring, impaired judgement, slowing down of reaction time may occur; you can’t drive for a few days.
Someone may need to stay with you for 1-2 nights to help with your personal care. In most cases, internal dressings and splints remain for 7 days and you should have a pad under your nose for 12 hours.
Surgery may go wrong sometimes and the results may not be what you expect. If you have severe pain, unexpected symptoms, call your doctor as soon as possible. To reduce the risk of bleeding and swelling, it is recommended to do the following for several weeks:
At first you may not see any corrections, don’t worry: it may take 1 year to fully understand the outcome of the surgery. The bruising and swelling of the first 1-2 weeks usually decreases after 10-14 days, but may take several months to fully heal. Sutures and splint are removed after 1 week. You will feel better day by day, be able to do most of the activities after 1 week and be able to do all the activities after 4-6 weeks. Most rhinoplasty patients can return to work or school in 1-2 weeks.