The results from the surgical intervention to transform the current appearance to a more pleasant appearance highly depend on the length of the operation and the patient’s health status. In this operation, most of the incisions are made in the interior, not in the outer part of the nose, without any post-operative damage to the external tissue. Depending on the operation, it may be possible to place a tampon in the nose, which could be removed the morning after the operation, depending on the patient’s condition. In this case, physicians will make the final decision. Most patients’ greatest concern is severe pain and bruises after surgery. It is necessary to clarify that this is completely wrong information as rhinoplasty is a painless operation and any bruises will recover quickly. You can visit the physician for minor pain and solve this problem in a short time with painkillers.
In this article, we objectively address what you need to know about rhinoplasty. Rhinoplasty takes a seperate place among other plastic surgery operations. Those who decide to undergo a rhinoplasty should first receive information about the effect of the nose shape on the overall facial structure. By modeling the desired nose type on the computer before the operation, the expected results can be demonstrated. The nose, which is located in the middle of the face, should be located at a certain angle between the features of the face in order to provide a desirable appearance. With the golden ratio, the angles of the nose can modify the overall appearance of the face. The nose is not a complementary feature, but rather a paramount factor to the beauty of the face. Rhinoplasty can eliminate the incompatibility of the nose with the other features.
Is Rhinoplasty The Same for Everyone?
Just like fingerprints, everyone’s facial structure varies. Since the shape of the nose is directly proportional to the facial structure, this proportion is different in every man and woman. It is important for those who wish to undergo surgery to have clear expectations. The nose structure should not be incompatible with the face. For this reason, the desirable nose structure may not create the expected effect due to the different facial structure each person has. With the correct planning of the rhinoplasty, an operation is carried out in a way that can create a fitting result. The experience of the plastic surgeon is also very important in obtaining the desired result. Surgeons who have experience and an aesthetic point of view are at a level to meet the expectations of the patients.
What is Rhinoplasty?
Surgical intervention that is performed due to deformities in the nose area, cosmetic reasons, and a number of functional issues that make breathing difficult is called rhinoplasty. Alternative intervention methods have been developed along with the developments in today’s medical world and the studies aided by technological advancement. With these operations, the improvement of function and the enhancement of appearance are both made possible. The width of the nostrils can be adjusted and the necessary reduction in size can be performed. Deformities in the nose area can also have negative results in terms of health. Patients who have difficulty breathing through their nose during sleep can visit physicians with the complaints of dry mouth and severe bad breath. With rhinoplasty, all these problems are eliminated in a short time. As mentioned earlier, there are many alternative methods and these methods are being developed more and more every day. Your physician will guide you in determining the best method and provide you with detailed information about the process. Rhinoplasty is only introduced as a nose reduction surgery, but this is one of the biggest known misconceptions. There is also a nasal augmentation surgery and again it is included in the category of rhinoplasty operations.
Who Can Undergo Rhinoplasty?
Rhinoplasty is peformed for people who want the nose to be significantly compatible with their facial features. Candidates who wish to undergo a rhinoplasty:
Structurally, it can be distinguished as those who experience deformity as a result of nasal injuries or those who have difficulty breathing. Candidates who have the least risk in undergoing rhinoplasty are people who are in good health and prepared for possible risks. Those with a nose that is disproportionate to their face. Those with a bridge on the nose. Those with a wide nose. Those with a crooked, protruding, or wide nose tip. Those with an excessively narrow and excessively wide nostril can be categorized as those who have difficulty breathing due to problems with the septum.
The age group is not considered as a criterion for candidates who are eligible for rhinoplasty. Rhinoplasty, which is mostly recommended for people who are over the age of 20, may cause adaptation problems in patients in a more advanced age. It is more difficult to adapt to rhinoplasty for those over the middle age. Therefore, the ages of 18-35 are considered the ideal age group for rhinoplasty operations.
Examinations for Rhinoplasty
As with all plastic surgeries, candidates should be evaluated not only in terms of appearance but also psychologically. The approach to patients who hold very high expectation, who have psychiatric disorders, and who are not emotionally balanced should be handled differently than normal candidates or should not be performed at all. If there are people who want to undergo a rhinoplasty, health problems should be evaluated by the surgeon before the operation. The most important way to avoid problems in rhinoplasty is to perform the operation meticulously. A professional approach should be demonstrated to rhinoplasty candidates at the preoperative stage as well as during the surgery.
Types of Rhinoplasty
As the nose is one of the most important parts of the face, it is an element that directly affects the appearance. Rhinoplasty applications can be performed to achieve a desirable nose. Rhinoplasty, which increases in popularity day by day, differ from each other. There are, in fact, different types of rhinoplasty. A positive outcome could be achieved by performing either surgical or non-surgical methods.
In the surgical rhinoplasty performed by entering under the skin structure that covers the nose, the excess bone and cartilage in the lower part of the nose are removed. In some cases, the surgeon prefers to use bone or cartilage grafts to reshape the nose structure. A new appearance of the nose is obtained by putting the skin back on the reshaped structure. The nose can be smaller, larger, narrower or wider as a result of rhinoplasty performed in accordance to the wishes of the patient.
Closed rhinoplasty is considered the most performed method of rhinoplasty. It is preferred due to the short duration of the surgical procedure, no scarring, as well as a low risk of swelling. It is performed by creating an incision in the nose and altering its shape.
The surgical incision techniques used in open rhinoplasty are the same as closed rhinoplasty, but an extra incision is added to the tissue that separates the nostrils from the nose on the outside. With the incision made in the structure of the columella tissue, the surgeon can completely scrape the skin over the nose and see the intranasal structure clearly.
Is rhinoplasty dangerous? Although there is no harm in undergoing rhinoplasty, there are certain factors to be considered. With a successful healing process, the success rate in rhinoplasty is considerably high.
Rhinoplasty operations performed under local anesthesia are carried out by determining the most suitable nose shape with the patient. After 2 to 3 hours of operations, the size of the nose can be altered and the nostrils can be reduced. The nose has an aesthetic value as it is one of the most prominent features of our body, and in some people this aesthetic value can be lost due to deformities in the nose. The main purpose of the nose reduction surgery is to enhance the appearance and to give the nose a more desirable shape. Patients do not feel any pain after surgery, and this is undoubtedly one of the biggest pluses of local anesthesia. Some swelling and bruising may occur especially under and around the eyes after the operation, but this shall not be a concern. In a month after the surgery, a marked improvement in the shape will also be visible, but the actual recovery time has been determined by experts as 6 months. It is not recommended to wait for a result immediately after a rhinoplasyu surgery. It takes almost 6 months for the nose to reach its true shape. Patients who are impatient want to achieve results shortly after the operation, but it is important to know that this is not possible.
People who want to have a more prominent nose can also undergo nasal augmentation surgery. With a surgery called augmentation rhinoplasty, the size of the nose is increased to a certain extent. Damage to the the nose, poor nose development, damage to cartilage can make the nose look smaller, which can be visually undesirable. The main goal in nose enlargement surgery is to find the correct ratio and perform the enlargement procedure. Computer-aided simulations are employed before the operation, where the final results can be shown to the patient. In people with thin skin structure, this surgery can be performed much more easily, but thick nose skin is known as one of the issues that makes the operation difficult. It is important for the skin to attach to the cartilage. If success is achieved in this regard, a smooth operation will be performed. Patients who are not satisfied with the small nose or the structure of the nose can also visit physicians for nose enlargement operations. Nasal augmentation surgeries are carried out smoothly and successfully as a result of the correct measurement of the ratio and a simulation of the end results.
Reduction and Enlargement
One of the biggest known misconceptions about rhinoplasty is that these operations are performed only for the goal of reduction. As we mentioned in our previous article, nasal enlargement is also possible with rhinoplasty. A nose that is small or damaged in an accident can bother patients. Fatigue, dry mouth and bad breath caused by breathing problems are also one of the most important factors that motivates patients to find treatment. With the reduction and enlargement operations, you can get rid of these problems in a short time and continue your lives normally. It is worth noting that rhinoplasty is not only about reduction of the nose and providing a better appearance, but it is a rather special operation that addresses a wide range of problems. In fact, researches reveal that millions of people visit the doctor for nose enlargement operations every year.
How is Nose Rhinoplasty Performed?
Depending on the condition of the patient and the decision of the surgeon, rhinoplasty can be performed in two different ways. It is possible to obtain a better appearance after either closed or open surgeries. In open surgery, a reverse v-shaped incision is made at the tip of the nose. In closed surgery, which is usually preferred, incisions are made inside the nose instead. With the videoendoscopic techniques, monitoring the inside of the nose has become much simpler and the operation is performed and completed in the interior of the nose. Conditions such as cartilage deformation, nostril problems, and nasal droopiness are resolved with a short operation. One of the biggest advantages of closed surgery is the use of silicone splints that make breathing easy during the surgery. Nasal bands are also one of the supportive products used. After the rhinoplasty, the patient stays in the hospital for one night and could be discharged the next day, depending on his or her condition. In addition to the short duration of the operation, the fact that the hospital stay is not very long is also a known advantage.
Which Surgeons Perform Rhinoplasty?
Those who perform plastic surgery are definitely specialists in plastic surgery. ENT doctors cannot take part in plastic surgery and do not have the needed expertise in this regard. This is an opinion shared amongst plastic surgeons. Only plastic surgeons perform rhinoplasty. The opinion that exists among ENT doctors is that rhinoplasy can be performed by ENT specialists. While this is a topic of debate, there is only one fact, and that is that plastic surgery should be performed by specialists.
Success Rate of Rhinoplasty
We can say that the success rate in rhinoplasty operations has increased a little more in recent years. With the development of the medical world and technology, interventions can now be done much more easily, which positively affects the success rate. The success rate in these operations may vary depending on the skin structure of the nose. As mentioned in the previous part of our article, if the skin of the nose is thick, you will experience a more difficult operation and intervention may be a little more troublesome. Such problems will not be encountered with thinner skin, because intervention becomes much simpler. Increasing the number of surgeons and developing operation alternatives is one of the factors that affect the success rate in rhinoplasty. You don’t have to worry because you will be kept under control by a specialist and the necessary details will be provided to you before and after the operation. One of the most important factors in increasing the success rate is undoubtedly the surgeons’ self-development and the proper use of the simulation application. With this application, it becomes much easier to estimate the post-operative results and plan accordingly. We can say that technology is one of the advantages provided to the medical world.
Undoubtedly, something that draws the attention of many patients is the non-surgical procedure. These operations, known as rhinoplasty or injection rhinoplasty, take about 15 minutes and offer long-lasting, although non-permanent, results. It is possible to correct the volume deficiency in the nose area without surgery. This intervention may be preferred in cases where reduction of the volumetric density present in the nose bridge area is needed. It can be employed for repairing noses with asymmetrical structures. Nonsurgical intervention plays an effective role in reducing post-operative problems. In cases such as bruising and damage after an accident, deformations can be eliminated in a short time with non-surgical intervention. With the new advancements, the number of alternative treatments employed in rhinoplasty has increased to a certain extent, which has a positive effect on the success rate of operations, as we have mentioned earlier.
Surgical Methods in Rhinoplasty
There are 4 surgical methods used in rhinoplasty. The first of these, as commonly known, is open rhinoplasty. Another technique is closed rhinoplasty, which is the method that surgeons use and prefer the most. The third rhinoplasty technique, which was developed and delivers great success, is a modified technique. As we mentioned at the beginning of our article, new studies emerge every year and the success rate increases. Closed technique is one of the most common and successful technique as of now, but all of the techniques mentioned above allow for a smooth process if performed by experts. Let’s look at the details of these techniques together in the text below and examine how the operation works.
In this surgery, an incision is initially made made in the columella. It is necessary to open the skin in here by stripping it from the tip of the nose. Any modifications to the bone and cartilage can only be achieved this way. One of the biggest disadvantages of the open technique is the presence of an incision scar. Apart from this incision scar that will appear at the bottom of the nose, the operation does not have any disadvantages and is carried out smoothly. The biggest advantage of open technique is that it offers a chance to fully modify the nose. The nose can be reshaped and controlled. It is a short operation that may cause a little pain in the nose and under the eyes directly afterwards. (Very low probability) In the closed technique, this pain is almost non-existent which is one of the most important reasons why the closed technique is preferred. The mentioned disadvantages will not occur in every patient. In fact, some patients can even get rid of the incision marks.
The closed technique, which is one of the most common methods among surgeons, has many advantages. One of these advantages is undoubtedly that it does not involve any incision marks. The incisions become invisible because they are made from the inside of the nostrils and do not bother the patients. The biggest shortcoming of the closed technique is that it does not allow for complete reach to the tip which limits the interventions made in this area. Therefore, it is not possible to apply closed technique in patients presenting with deformation in the tip of the nose. It is unfortunately not possible in this technique to reshape the nose tip with stitches. The advantages of the closed technique are that it does not cause pain. The pain experienced by the patient after the open technique is not present in the closed technique, allowing for a smoother operation.
The nose is a structure that varies from person to person, but it also has its own characteristic feature. Therefore, every need is evaluated differently. Because there are different requirements for everyone’s nose, the price varies with various factors. Rhinoplasty, for the first time, is more affordable than revision rhinoplasty procedures. Revision rhinoplasty, that is, the second or third aesthetic operation that is carried out for the correction of bad results from previous surgeries. Because it is difficult as well as time consuming, it directly affects the price. The sites in the nose where the rhinoplasty will be performed as well as the total number of sites affect the price. As the number of surgical areas such as upper-outer side cartilage, nasal bridge, nasal bone, nostril and tip increases, the price increases too. Another factor that determines the price for rhinoplasty is the surgeon. With qualified and experienced surgeons, the price of the rhinoplasty increases. Since the surgeon’s professionalism will increase the percentage of success, the variability of the fee is considered normal. Those who want to undergo surgery have the chance to choose their sites for their own preferences without being limited to a single place. By considering the details such as price, surgeon and hospital quality, ideal choices can be made easily.
Which Hospital Should Be Chosen for Rhinoplasty?
For those who want to undergo a rhinoplasty, prices and the hospital where the operation will be performed should be highly considered. It is possible to reach a nose as desired by undergoing an operation that yields a very high percentage of success, especially in hospitals that have doctors who are famous for their rhinoplasty operations.
Your surgeons will share with you which details you should pay attention to before the rhinoplasty. Before plastic surgery, you need to pay extra attention to your health and it is particularly useful to avoid diseases such as the flu. You should stop taking aspirin and drugs that have similar ingredients or have similar effects, about a week before surgery. It is necessary to give your doctor the necessary information if you perceive a disease such as the flu or if you have these diseases before surgery. It is recommended to reduce cigarette and alcohol consumption as much as possible, and even quit these substances at least 2 weeks before the operation. Smoking has a specially negative effect on the healing process and can delay it. If the surgery will take place in the summer, you need to be protected from the sun’s rays. You can also get your face ready the day before the surgery. For this, a mild cleaning with anti-bacterial soaps will be beneficial. Again, the day before the operation, it is recommended to sleep well and to arrive to the operation in a fit condition. Share all the questions that you have in mind before the surgery with your surgeon and make sure you receive all the answers. In addition to being physically ready, you need to be mentally ready for the operation. The psychological problems you will experience may harm you after surgery as well as before surgery. You can also get psychological support before surgery. Many patients can lie on the operating table with great fear and anxiety, as they cannot remove the questions in their head. With proper psychological support, any concern could come to an end and the patient will experience a smoother process. Unfortunately, the known misconceptions related to rhinoplasty affect patients negatively and we can see that many patients tend to avoid the surgery due to this false information.
Necessary Examinations Before The Operation
There are two important aspects, psychological and physical. The questions related to the process as well as any other questions you have in mind should be answered professionally by the surgeon before the examination. In the examination phase, the current nose structure is first examined. The technique to be employed depending on the thickness of the skin of the nose is determined by your surgeons. Details such as whether there is a bridge in the nose, whether it is tilted to the right or left, the location and structure of the nostrils are examined to the finest detail, the recommended technique is determined, and information regarding this technique in conveyed. Endoscopic and the intranasal examinations are performed subsequently. Questions such as whether there is a growth in the nose, the condition of the nasal valve, which has an important place in breathing, and whether there is any allergy are answered during this stage. The changes to be made will be shown on the computer after the examination and it becomes more and more clear what kind of nose structure you will have after the operation.
In physical examination, the structure of the nose, the shape and placement of the nostrils, as well as the thickness and thinness of the nasal skin are checked. In this examination, the technique that will be applied and how it will be performed are mostly determined.
Computer Work and Planning
In the work to be carried out digitally, you are presented with the kind of intervention to the nose structure and how the nose will look after this intervention. With this application, which is also names virtual surgery, the questions in the patient’s mind are answered and they do not encounter any surprises after the operation.
Taking Face Measurements
Measurement in front of the mirror, which is one of the most standard but most preferred methods, is carried out by the experts. It is also common for the patient to lift the tip of the nose with the fingertip and to make this determination with the help of a ruler. The modern method is carried out digitally, and choosing surgeons who use this technology will also make the process easier. The photo taken before the operation is digitally modified and the interventions necessary to reach the ideal size are determined. A digital calculation is made using special formulas and clearer results are obtained. Some high-level programs reveal the necessary measurements in a matter of seconds.
Simulation practice is one of the procedures performed before the rhinoplasty operation. Since the application has a developable structure, it is a highly functional application. Before the operation, the patient’s photograph is taken and integrated into the application, and the results after the operation are clearly demonstrated with this simulation. It can be said that the success rate is quite high and it gives one-to-one results in some patients. The process begins with the transfer of the newly taken pictures to digital media, and the desired nose structure is then presented on the screen after the operation thanks to the application. Many patients are anxious before the rhinoplasty surgery, but thanks to the simulation application, the patient will be able to see the expected results and relaxe a little. The application has been used for more than 10 years, but as it has been developed, as we have just mentioned, it becomes more useful and more accurate with its new versions every year. For the simulation application to give a more realistic result, clear and newly taken photos should be used. This practice has recently made the job of many surgeons easier, but more importantly, it accurately and clearly responds to the questions in patients’ minds. With the application that answers the questions such as “how will my nose look after surgery?” or “how will my results look?”, we can see that the patients are psychologically relieved.
Determination of Ideal Dimensions
Ideal nose sizes are determined by the shape of your face and the positions of other features on your face. In addition, it is possible to determine the ideal size from the following items. The area where the nose starts with the under-eye bone is considered. Another region is considered as the distance between both nostrils. Equality of these two areas has an important share in determining the ideal dimensions. 1.6 times the length between the tip of the nose and the point called stomion should be equal to the length of the nose. The distance between the columella and the tip should be 19 mm. An amateurish assessment of these items will not yield accurate results, so we think it is useful to leave the job to surgeons. After determining the ideal size, a technique is determined depending on your nose structure to make this measurement concrete. The ideal size should definitely be determined in order to enable the nasal structure to adapt to the facial area.
Each pre-operative physician needs to agree with the patient and get approval from the patient for the postoperative process as well as the operation process. The physicians sign a document after communicating the process to the patient, and the patient declares that after this stage he accepts the surgery with his own consent. Before the rhinoplasty operations, there is a condition of agreement with the patient and after this condition is fulfilled, the patient has no right to object. After the acceptance of the details such as the problems that may be experienced in the surgery, how the surgery works, the physicians also share the responsibility. It is also important to answer and eliminate any pressing questions so that patients feel more comfortable. Unfortunately most of the patients approach these types of operations with prejudice, but after the doctors make the necessary explanations, it turns out that this anxiety and prejudices are unnecessary. Patients take on a much more nervous approach, especially after booking the surgery date, and physicians have a great responsibility to eliminate this uneasiness. It is one of the most important duties of physicians to relieve the patients psychologically and to convey the details of the process.
Although general anesthesia is the most preferred anesthesia method in rhinoplasty operations, some physicians may also use local anesthesia. Both methods of anesthesia can be used for rhinoplasty operations, and those who will make the decision are surgeons. Anesthesia examination is of great importance in this context, because if a short operation will be performed, local anesthesia becomes much more effective, but in longer operations, general anesthesia should be preferred in order for the patient to be more comfortable. Along with the anesthesia examination, blood tests are performed to ensure the safety of the surgery, and the blood test results as well as the measurements are examined. In some cases, the surgeon may need an ECG or a lung x-ray, and in such cases, the examinations must be completed. The main purpose of this examination is to determine how the patient will respond to anesthesia or whether it is appropriate or not. The decision of anesthesia is made by the surgeon, and as mentioned above, local anesthesia is much more effective in short operations, whereas in long operations, general anesthesia is employed.
General Health Status of the Patient and Examinations for the Treatments Received
One of the duties that physicians must perform before the operation of the nose surgery is to check the health of the patient and to determine the process accordingly by checking the previous treatments. If there are some problems related to the patient’s health and if these problems can prevent the surgery, it will of course be risky to make an operation decision at this stage. The previous treatments may also have a negative effect on this surgery. For this reason, it is of great importance that physicians perform the necessary examinations and ensure that the most suitable conditions for surgery are provided.
Sharing the Medicines Used with the Physician
Before each surgery and even every examination, physicians definitely ask their patients what medications they use. The reason for this is to prevent an allergic reaction and to examine the effect of these drugs on surgery. When you visit physicians for rhinoplasty, you must share the medicines you use. If there is a possibility that the medications you use may have an adverse effect on the operation, the use of this medication is stopped or the operation is performed after the necessary course ends.
Matters to be Considered Before Surgery
It is imperative that all analysis and health screenings are carried out completely before the operation. Diseases such as the flu before the operation are unfortunately a big obstacle for surgery and if you suffer from such diseases, you should share this with your doctor. It is useful to make extra efforts to avoid these diseases especially before the surgery. If you have any medications that you forgot before surgery or that you did not share with your doctor, you should definitely notify. A medicine could have a negative effect on the surgery. Blood-thinning foods and fluids should not be consumed before surgery. Medicines such as aspirin should be discontinued if used, at least 10 days before the day of surgery. Herbal teas can have a negative effect on bleeding, so it is recommended to discontinue herbal teas 1 week before the day of surgery. Menstruation does not constitute an obstacle for surgery, but your physicians will provide the necessary information after anesthesia in order to achieve a healthy result. You need to pay special attention to your sleep the day before the surgery in order to have a healthier outlook as well as a more calm body before the surgery.
Nutrition Before Surgery
You need to pay extra attention to your nutrition and health before surgery. You should stay away from blood-thinning foods and fluids, as this can have negative consequences during surgery. Try to consume the foods recommended by your doctor regularly and get rid of alcohol and cigarette consumption at least 10 days before the surgery. Acidic drinks and dense foods are also among the foods that are not recommended to be consumed before surgery. You need to stay away from food that will adversely affect blood clotting time, whivh your physicians will advise on. Foods containing vitamin E, tutsan, licorice root, ginger, garlic, blueberry can be consumed in the preoperative period.
Should Smoking and Alcohol be Stopped Before Rhinoplasty?
It is recommended to quit alcohol and smoking weeks before nose surgery. While alcohol increases the risk for anesthesia, smoking is shown as one of the factors that trigger this risk. In addition, it is stated that cigarette consumption causes late closure of the wounds. The pressure and negative effect of alcohol on the liver can also cause problems on the day of surgery, so physicians strongly emphasize that alcohol and smoking should be stopped weeks before surgery in order to avoid any risks. It is recommended that smoking and alcohol should not be used for a long time after surgery as well as before surgery. In order for the healing process to become healthier, you should pay extra attention and stay away from these substances.
Determination of Surgical Technique and Planning
We have already mentioned that there are many alternative and suitable techniques for the operation. It is of great importance to determine these techniques, together with the nose structure of the patient. The methods to be applied on a nose with thick skin and a nose with thin skin are different and after the necessary analysis is done, the technique to be employed is also determined by the surgeon. After the technique is determined, some information about the technique is conveyed to the patient.
Items and clothes that need to be taken to the hospital
When coming to the hospital for surgery, it will be useful to take clothes that will be easier to wear with you and make you more comfortable. In addition, clothes that are easy to take off are recommended, especially for women. Don’t forget to take off your contact lenses. Sleepwear or shorts-style nightgowns that will make you comfortable, despite the possibility of staying in the hospital, will also be suitable.
Do not eat orally until your doctor approves after the rhinosplaty. After your doctor has approved, you can be fed orally. There may be bruises on the over-eye and under-eye areas, but these bruises should not concern you. To prevent this situation, ice treatment will be applied and the method of treatment will be explained to you. For the swelling to heal in a much shorter time, a high form of lying is recommended, so it will be in your favor to take a lying position with two pillows. The face and nose area should not be touched hard after the operation. The post-operative teeth-brushing action should be done much more carefully with softer touches, especially to the anterior tooth area. It is recommended to stay away from solid foods for a while as this will be healthier for your teeth. Patients should be careful to not get hit in this area for a while as the mouth and nose will be very sensitive. However, the lying position should also be on your back for a certain period of time. Unfortunately, the pressure to be applied on the nose area if lying face down will affect the healing process negatively and harm the patient. One of these damages manifests as severe pain.
You have to be mentally and physically ready on the day of surgery. Of course, you are not expected to be very comfortable when you step into a different environment and more importantly such an alarming environment, namely the operating room, but if you reach this comfort mentally, the surgery will be much smoother for you. You should be ready with comfortable clothes recommended by your doctor. In addition, it is imperative that your tests have been made and presented to the doctor. After your meeting with your anesthesiologist, you are taken to the operating room and the process begins.
Pain and swelling may occur after the operation, but these problems do not reach the level of concern and are among the requirements of the operation. Pain and swelling can make you feel much more clearly especially in the winter months or this will be felt more clearly in the smallest intervention to the facial area. The pain may occur when the patient walks for a long time after the operation or if he is standing for a long time during the day, but the medications recommended for use in ice treatment and doctor control will relieve your aches. Avoid using medications other than the doctor’s recommendation and don’t forget to get approval from your doctor for the medications you will use. Pain and swelling disappear and the patient’s daily life returns to normal after a period of 1 week. During this period, it is also useful to hold the face area much more carefully.
Medicines to be Used
The drugs that we will share with you shortly are the ones that many doctors recommend to the patients after the surgery, but it is still recommended to take the medicines you will use from your own physician. The use of antibiotics is not recommended by every specialist, but some doctors may recommend oral antibiotics. Antibiotic that will be used for 5 days will make the patient feel comfortable. Pain is not have the same level in every patient. While some patients have also experienced no pain, taking into account the possibilities, anti-inflammatory drugs can also be used. Some patients may face allergic reactions after surgery, which is related to the weakness of the patient’s body. Antihistamic drugs can also be used to prevent these problems and to take measures against them. As we mentioned at the beginning of our article, these drugs should never be used without surgeon advice.
If you are wondering what kind of a nutrition program is waiting for you after the operation, you can take notes and at least have an idea. You need to choose soft foods that do not require hard chewing and can be put into the mouth more easily. Unfortunately, the foods that require you to apply pressure with your teeth will also damage the nose area. In this period, make extra efforts not to be constipated, because going to the toilet frequently will also increase your pain, which can negatively affect the healing process. Fiber will be your biggest helper. Stay away from cigarette and alcohol consumption for a while. Make an effort to increase fluid consumption. It is useful to stay away from caffeinated beverages because these beverages can cause pain to increase and are shown as one of the factors that delay healing.
Depending on the open and closed technique, the appearance of scars will also vary, but of course this is not the only detail. Depending on the skin structure, the visibility in the scars may increase or decrease. If you have thick skin structure, the visibility of the marks will be a little more, but in the thin skin structure, these marks become invisible. The technique and working style performed by the surgeon is also a major factor in the visibility of the scars. The more enormous the work done, the more visible the marks will become. Since these scars appear slightly in the lower part of the nose, they have dimensions that will not affect you aesthetically, but it should be noted that they still exist.
Expectations and Psychology
As with any surgery, a large number of patients cannot be psychologically ready prior to rhinoplasty operations. Surgeons have a great responsibility at this stage to eliminate the questions in their minds. Thanks to the simulation application, the expectations are met to a certain extent, because with this application, it is clearly revealed how the nose structure of the patient will be after the operation. The patient does not face any surprises after the operation. It is also possible to relieve the patient mentally by sharing with the surgeon. If the patient’s questions are answered accurately and the operation process is conveyed clearly, mental preparation for the operation will be easier.
Complications and Undesirable Results
There may be some complications in every surgical operation, but the more professional your surgeon is, the more possible you can avoid these complications. It is possible to encounter the same issue in rhinoplasty. You do not encounter a major risk or problems in this surgery, but possible problems are listed below. Postoperative infection may occur, but it is not an issue to worry about because this problem can be resolved in a short time with medication and necessary intervention. Nose bleeding that may occur after the operation is also among the possible complications. Problems that may arise from anesthesia are also considered as possible risks. Vascularization and stiffness in the nose are also among the possible complications.
There are a few complications after rhinoplasty, and functional complications are among the problems that worry the patient. Instead of intervening in the complications that occur, you can get help from your surgeon and eliminate these problems in a short time by visiting for post-operative check-ups.
Post-operative infection does not occur in every patient. This problem can be faced in weak bodies that respond more to allergic reactions. Along with drug treatment and interventions, the infection problem will be eliminated. If you encounter this type of situation, it will be sufficient to visit the surgeon. After investigating the true cause of the infection, they will tell you in detail what to do for treatment.
A shadow v-shaped shadow trace in the nose region will be the clearest image of the deformity. Such a problem may arise after rhinoplasty, but it is also worth noting that this is a rare problem. The absence of cartilage in the cartilage region is one of the most common causes of this problem and it can manifest itself more clearly after surgery. This problem, known as inverse v deformity, is one of the most worrying problems for patients. Pinched deformity is also one of the problems that may occur and in this problem, an image as if the tip of the nose is pinched with a latch can be formed.
During the surgery, the nasal bone and cartilage tissue are intervened in to a certain extent, and the same interventions apply to the subcutaneous tissues as well as the bone membrane. These interventions can cause post-operative edema and post-edema blood may also affect the under eye. This is the main reason for bruises, but there is never a worry. These bruises disappear spontaneously after a short time and the pain that may occur with the ice treatment is minimized.
Problems such as nose drooping and collapse, which are known about the rhinoplasty surgery, are now a thing of the past. With cartilage support and cartilage advances, it is also possible to strengthen the nose area as if strengthening a building. The action called nose drooping is actually considered to be the most natural operation of the post-operative process. The raised nose reaches the targeted level after a while and the collapse that may occur during this time can make the patient uneasy, but as we have already mentioned, this collapse is actually a target level and is not a concern.
The postoperative psychology is also important. Changes in the structure of the nose after the operation and an image that does not meet the expectations of the patient can cause psychological traumas. In this context, simulation is very important because the patient can see the nose that he will have after surgery and get himself ready for it. In psychological trauma situations, both surgeon and psychologist support are of great importance.
After the plastic surgery, some complications can occur depending on your body structure. Poor skin structure responds to these operations with infections, and some patients may also have allergic reactions. In such cases, you can get help from your doctor and make the process positive in a short time with drug treatment. There are no complications to worry about and the problem will disappear with interventions. Infection and allergic reactions are among the most common complications. Hemorrhages can also be observed but are much less common than the complications mentioned.
Failure To Obtain Expected Image
One of the biggest concerns of the patients who undergo or will undergo a rhinoplasty operation is that the expected image cannot be obtained. Although this is a low probability, it may be possible depending on the nose of the patient with the surgeon who will perform the operation. In case the expected image cannot be obtained, extra intervention is performed with some operations. Most of the patients are impatient about this and expect the expected image to be formed quickly after the operation, but this is not possible. A certain period of time is required for the nose to reach the desired image. During this time, nose drooping will occur, and it is useful to know that this is the natural course of the post-operative process.
Alienation to the New Nose Shape
It is of course not an easily acceptable situation for your long-standing feature to suddenly change and appear in a completely different way, but a pleasant and more aesthetic appearance will be waiting for you, so you need to prepare yourself psychologically. Alienation to the new nose shape is possible in some patients, and the patient may remain alien to his new nose for a long time, but as we have already mentioned, a more aesthetic nose awaits you and being aware of this detail is also of great importance.
Nose Revision Surgery
Nose revision surgery is one of the operations performed on patients who cannot reach the desired image as a result of rhinoplasty. With this surgery, the errors and deficiencies of the related nose surgery are corrected in a short time. As with surgical interventions, there are also non-surgical interventions for revision, but those who will decide are the relevant surgeons. Revision surgery is an important savior and regulator for desperate patients. The success rate in this surgery is quite high and with the revision work to be carried out, it is more possible to reach the desired nose in the operation. Therefore, patients should not think negatively immediately. Leaving your worries aside and entrusting yourself to the surgeon will definitely be in your favor.
Is Nose Revision Surgery Difficult?
The basic principle in revision nose surgeries is shaping of missing cartilage tissue and bone tissues. This action is possible with pieces of cartilage taken from different parts of the body, but it should be noted that this may vary depending on the technique and surgeon to be applied. It is also worth noting that it is not a difficult operation (for patients), but if there is a serious loss of bone structure, the duration of the operation can be much longer than normal. In the event of serious loss, the tips of the rib bones are generally preferred. Together with the cartilage tissue to be taken from here, the parts needed for the tip of the nose and the back of the nose are obtained. Different techniques may be applied depending on the patient’s condition and surgeon in revision operations, but we can say that this operation is not a difficult operation in general. It is of course a difficult process for physicians, but the patient does not feel this difficulty in any way and it should be noted that their fears are unfounded.
Conditions Requiring Nose Revision Surgery
Nose revision surgery is performed to eliminate some problems that occur after nasal aesthetics and to achieve the desired nose structure. Curvature of the nose structure, asymmetry disorder in the nose tip area, pointed image of the nose tip, nose bridge, protrusion of the cartilage.
Nose revision surgery will be needed if such conditions become an issue after surgery. The surgeon will provide the necessary information on this matter and will share details about the operation process with you.
Additional Parts Used in Revision Operation
If the rhinoplasty does not give the desired success or result, we need revision surgery. One of the attachments used in this operation is cartilage and it is also worth noting that it is used in simple operations and small interventions. In difficult operations, physicians generally prefer cartilage parts. With the revision surgery, the problem in the nose structure is largely corrected, so there is no need to worry too much for the problems that occur after the operations.
Cartilage can be removed from the rib in revision surgery, and many surgeons also prefer this. Although it is a risky action, the success rate is very high. After the operation, which started with an incision on the chest wall, there may be some scarring in this region and it is also worth noting that the incision marks are not disturbing. This intervention also has a number of side effects. Although it is not seen in every patient, pain may occur in the chest area or long-term swelling is among the side effects of the operation.
We can say that physicians have different preferences to obtain the cartilage grafts used in revision surgery. The priority is usually ears, and the operation begins with the cartilage to be removed from the ear. An incision is made from the front of the ear or, optionally, from the back, to obtain a piece of cartilage. The first thing that people think of is the aesthetic disorders that can occur in the ear area. The operations performed show that this possibility is very low and does not require any aesthetic concern.
Is there a scar after surgery?
If there is no surgical intervention, it is not possible to leave a scar after aesthetic operation. This is one of the biggest pluses of closed surgery, and it should be noted that many surgeons preferred this method in the new period. The nose tip constriction will not be able to say the same thing for your operation because the incision scars are obvious and an aesthetic concern can be felt. It is not very common to see a scar in revision surgery, but after the incision in the chest area, there may be a slight scar in this area and this is one of the common conditions. Whether there will be any traces after the operations is largely dependent on the success of the technique and surgeon. If you get help from specialists, the scar problem will disappear and an extremely perfect surgery will take place.
Can a Resting Report be Received After Surgery?
After the rhinoplasty operation, a 1-night hospitalization can be provided depending on the condition of the patient. While this is normal, the duration of rest can be extended depending on the patient’s pain or different problems. If your doctor deems it appropriate, you can write a report about this problem. It is also possible to get a rest report, because after the operation, if you are expecting a sensitive process and working in a job where you will always be standing, it will be much more suitable to get this report.
Things to watch out for after surgery
Severe pains after surgery are not very rare, but it is necessary to be prepared for mild pains that may occur and during this period, you can sign a smooth healing process by using painkillers regularly. Splint and stitches correspond to 1 week. Complications such as bruising or swelling are possible, but it is useful to know that there is no worry. You need to stay away from intense and tiring work for 2 to 3 weeks. It will be in favor of the patient, especially not staying too much. Sunlight is also one of the factors that can be harmful after surgery and patients should stay away from the intense rays of the sun for 8 weeks.
After surgery, patients need to regulate their sleep patterns in the best way possible. Headaches and mild pains in the face area are among the factors that negatively affect this pattern, but you can use mild painkillers and get advice from your doctor. The sleep pattern is of great importance in the healing process and physical wellness as well as a healthy mood will make this process easier.
The foods you will consume in everyday life positively affect the mental balance as well as physical balance. Rhinoplasty operation is not a very difficult operation. As mentioned above, it will be an easy operation for patients, but it is not possible to talk about the same convenience for physicians. The operation does not present a painful process, but you need to be more careful about this process after the operation. The foods you will consume should be fibrous foods, and it is especially beneficial to avoid foods that will cause constipation. Frequent visits to the toilet and constipation are one of the factors that negatively affect the healing process. Soft foods will make it easier to chew, and it is recommended to consume these foods especially after surgery.
Cigarette and Alcohol Consumption
The harm of cigarette and alcohol consumption to body health is obvious, but you need to pay extra attention to these two substances after your surgery. If you want the recovery process to get faster, you need to stay away from alcohol and cigarettes for a long time. This advice is given before surgery and you should do the same after surgery. Alcohol and cigarette consumption in the 1-week period after surgery will make the recovery process more difficult.
Use of Eyeglasses and Nose Accessories
Unfortunately, the use of eyeglasses during the 6-month period will adversely affect the process. Experts recommend completing the 6-month healing process to ensure that accessories like glasses and goggles can be used without any damage to the nose area.
Comfortable clothes when coming to surgery will be your biggest advantages in the postoperative period. Especially when getting dressed, you should choose loose and comfortable clothes that will not bump into your face area.
Rhinoplasty is the most ideal method for those who want to have a more desirable nose that it can be realized quite easily by using modern techniques. It consists of an important whole, before and after nasal aesthetics, with the operation stage and after. The healing process after rhinoplasyu is generally the most curious process for those who want to have aesthetic surgery. After the surgery is performed, the healing process cannot be accelerated with the help of drugs and external interventions. Recovery from rhinoplasty takes place after a certain period of time and is based on the need to be patient. The full recovery of the aesthetic surgery of the nose varies from 6 months to 2 years. Although anxiety is observed in patients before the operation, the process after the operation is much more comfortable. After 6-8 hours in the hospital after the operation, patients are discharged after this process and sent home. Some patients are discharged one day later. Nothing can be eaten and drunk in 4-6 hours after rhinoplasty surgery. It is necessary to consume juicy foods to be fed during the early recovery period. Pain is not severe after surgery. In cases of mild pain, vomiting and nausea, this can be controlled by using medications recommended by your doctor. In the 2-day period after the operation, you can see mild blood in the nose. The doctor’s control is carried out on the 10th day after the operation. The swelling and bruises on the face decrease within 3-5 days.
Things to Consider in the Healing Process:
- During the healing process after rhinoplasty, it is necessary to protect the nose from impacts. Blows to the nose can damage the nose.
- After aesthetic surgery, it is necessary to be protected from the factors that may cause trauma such as nasal nipping and hand-blown movements.
- Mouth should be open during sneezing. Applying this as a reflex is a very important detail to prevent damage to the nasal structure.
Starting Post-Surgery Activities
It is possible to be discharged the day after the operation, but in some patients this period can be up to 2 days. About a week later, the patient continues his daily life from where he left. This does not mean that you will be able to easily perform all kinds of activities. 1 week may not be enough for actions such as heavy lifting, long standing, doing sports, sexuality, and the surgeon who performs the operation will share this time with you in more detail.
After the 1 week recovery period, the patient can start doing his daily work, but as we mentioned above, it is too early for actions such as sexuality and heavy lifting. Your surgeon will give a clear time in this regard, and the period of time during which you can perform your daily work completely will be specified along with the regular checks.
Although it is stated that you can carry out daily tasks after 1 week, the 2-week timeframe is much more reasonable. If you are working in a job with a light pace and have the opportunity to sit and rest during the day, you can start work after 2 weeks. For heavy-duty patients, this period is set at 3 weeks.
For simple activities such as walking, listening to music and joining friends, you need to wait 1 week after surgery. For dancing, drinking alcohol and standing for a long time, it is better to wait 3 weeks. If you are already experiencing pain and feeling weakness in the face area after 3 weeks, you can delay your social life for a while and get medication advice from your doctor for your pain.
Do not rush to play sports, because any action that raises blood pressure after surgery will negatively affect the healing process. You can walk, but running at a gentle pace or choosing alternative sports actions will harm you during this time. It is recommended to start light sports after 2 weeks.
Although there is no clear information about swimming sports, many experts say that a 2-month period will be enough for this. It will be correct to stay away from swimming for 2 months, but as we have always stated, the physician who performs the operation will give a much more accurate and clearer advice on this matter.
Actions that increase blood pressure can cause sudden bleeding if performed after rhinoplasty surgery, which negatively affects the healing process. Experts say that a 4 to 5 month period must be left behind in order to do heavy sports and they are making serious warnings about this.
You can start light sports about 2 weeks after surgery. You can walk or move the dick running at low tempo. Apart from that, cardio work, such as heavy lifting or long-distance running fast, will unfortunately increase blood pressure and cause bleeding.
Long-term trips during the 10-day period after the operation will cause you to be physically damaged. As in the sports action, the increase in blood pressure easily in the travel action may cause bleeding. Experts state that the waiting period of at least 10 days for travel is ideal.
Check-ups and Completion of Healing
Depending on the operation and the patient’s condition, the discharge time can vary from 1 to 2 days. Some swelling may occur in the facial area during the first 2 days after the operation, but it is possible to restrict this swelling with ice treatment. If leaflet use was performed during the surgery, it must be removed after 2 days. The tape placed on the nose will be removed after 1 week. Lack of sensation at the tip of the nose returns to normal after an average of 2 months. During the 3 to 4 week period, your nose will get a certain look, but the full recovery period covers a period of 6 months. During this time, following the doctor’s recommendations and using your medications regularly will also make the process positive and make recovery faster.