Nose Aesthetics (Rhinoplasty)

What is Nose Aesthetics (Rhinoplasty)?

Rhinoplasty, known as “rhinoplasty” in the medical literature, is a surgical operation performed to improve the shape and size of the nose.
It can be applied to correct both aesthetic and functional problems.
Since the nose is located in the center of the face, it greatly affects the appearance of the person.
Therefore, rhinoplasty not only improves physical appearance, but can also boost an individual’s self-confidence.
It is also preferred to correct functional disorders such as breathing problems.

Why is Rhinoplasty Performed?

The reasons for performing rhinoplasty can be divided into two main groups: aesthetic and functional reasons.

Aesthetic Causes:
- The size of the nose is disproportionate to other structures on the face.
- The tip of the nose is low, raised, wide or narrow.
- Arched appearance on the dorsum of the nose.
- Asymmetrical shape and size of the nostrils.
- Deformities in the nose after previous traumas or surgeries.
Functional Causes:
- Congenital nasal structure problems.
- Difficulty breathing due to nasal deviation (curvature of the nasal septum).
- Sinus problems
- Respiratory problems such as snoring and sleep apnea.

Who Is Suitable for Rhinoplasty?

Rhinoplasty can be performed for individuals who are in good general health and are physically and mentally fit for surgery.
This surgical procedure is usually applied to people aged 18 and over.
Because at this age, nasal development is largely completed.
However, in some cases, rhinoplasty can also be considered for younger patients, especially when there are serious breathing problems.

Rhinoplasty is suitable for people who meet the following criteria

Individuals who are not satisfied with the appearance of their nose and want a more balanced facial profile.
People with breathing problems.
Those with congenital or trauma-related deformities in the nose.
People who have had rhinoplasty surgery before but have not achieved the desired result (revision rhinoplasty).

Preparation Process Before Rhinoplasty

The process before rhinoplasty is very important for the success of the surgery.
In this process, the patient’s expectations should be clearly understood and preoperative planning should be done carefully.

Examination and Consultation:
- A detailed interview is held with your doctor before the surgery.
  At this stage, the current condition of your nose is evaluated and the desired result to be achieved after surgery is discussed.
- Factors such as the internal structure of your nose, bone and cartilage structure, skin thickness are examined in detail.
Visual Planning:
- With the help of digital simulations, you can get an idea of how your nose will look after surgery.
  This is important for both the patient and the surgeon to approach the results more accurately.
Health Assessment:
- You should be in good general health before the operation.
  People with some health problems may need additional tests before surgery.
Preoperative Instructions:
- Patients who smoke are advised to quit smoking in the preoperative period.
  Because smoking can negatively affect the healing process.
- Blood thinners and supplements should be stopped a few weeks before surgery.

How is Rhinoplasty Surgery Performed?

Rhinoplasty surgery is performed under general anesthesia and takes an average of 2-3 hours.
The surgical technique varies depending on the needs of the patient and the structure of the nose.
There are two main rhinoplasty techniques: open and closed rhinoplasty.

Open Rhinoplasty
- In open rhinoplasty, a small incision is made in the skin between the nostrils and the skin of the nose is lifted to reveal the cartilage and bone structure underneath.
  This technique gives the surgeon more visibility and is preferred for complex nose reshaping procedures.
Closed Rhinoplasty:
- In closed rhinoplasty, all incisions are made through the nostrils.
  Since the skin is not lifted, there is no external incision scar.
  This technique is preferred in simpler cases and minor corrections.

Recovery Process After Rhinoplasty

The recovery process after rhinoplasty may vary from person to person.
However, in general, patients can return to their daily activities within a few weeks after surgery.

First Postoperative Days:
- Mild pain, swelling and bruising are normal for the first few days.
  Painkillers given by the doctor will help you relax during this period.
- The splint placed on the nose is removed after 7-10 days.
- Keeping your head elevated for the first few days can help reduce swelling.
- Full recovery can take several months, but it can take up to a year for the full results to show.
Things to Watch Out For:
- It is important to protect your nose against impacts in the first weeks after surgery.
- You should avoid exposure to extremely hot water, heavy exercise and sunlight.
- You should avoid wearing glasses for as long as your doctor recommends, because glasses can put pressure on your nose.

Rhinoplasty Risks and Side Effects

As with any surgical intervention, rhinoplasty has some risks and side effects.
These risks are usually low but can be minimized if the patient follows the surgeon’s instructions.

Risks
- Infection
- Bleeding.
- Anesthesia-related complications.
- Failure to achieve the desired result and the need for revision surgery.
- Nasal congestion or breathing difficulties.
Side Effects:
- Swelling and bruises.
- Temporary lethargy.
- Mild pain and discomfort.

Results After Rhinoplasty

The results of rhinoplasty surgery are usually permanent.
The new shape of the nose is clearly visible after the healing process.
However, in the postoperative period, it may take a few months to a year for the nose to take its final shape.
The results after rhinoplasty should be aimed at achieving a natural and balanced appearance that is compatible with the person’s facial structure.

THINGS TO DO AFTER RHINOPLASTY SURGERY AND INFORMATION

You will be sleepy following the surgery.
You will be given additional medication to keep you comfortable.
Your sleepiness may disappear 6-7 hours after surgery.
You may feel tired the next day.
You may feel nauseous after surgery.
It should pass within 6-8 hours.
If it persists, you may be given medication for nausea.
It may be helpful to avoid heavy foods and drink plenty of fluids.
Sleep with 2 or 4 pillows, with your head up.
Do not turn your head more than 45 degrees.
If you move more, you may cause curvature in your nose.
Follow this rule for 3 weeks after surgery.
Cold gels or ice applied to the eye area and cheeks will reduce swelling and bruising.
It is normal to have a runny nose mixed with blood for the first 3 days.
To prevent bleeding, keep your head up when standing up and bending forward.
Avoid vigorous blowing and heavy lifting for the first week after surgery.
The nasal cast is kept in place for 5-10 days.
The plaster should be removed by the physician.
Do not play with the cast.
You may find it difficult to get up in the morning the day after surgery, but try to do your light daily activities.
Your nose may be blocked within 3 weeks after surgery.
Do not try any methods other than washing and sprays recommended by your doctor.
Take the painkillers you will be given after meals.
Avoid very hot foods, especially in the first week, as the steam from very hot foods can increase bleeding and nasal congestion.
Do not chew very hard foods in the first days following surgery, prefer softer foods.
Sneezing does not harm your nose.
However, it can cause nosebleeds.
If you sneeze a lot, you can stop sneezing by closing your eyes, tilting your head slightly forward and pressing your tongue firmly against your palate.
If the sneezing feeling does not go away, sneeze through your mouth.
Be careful when brushing your teeth and do not damage your nose.
Do not do sports or have sexual intercourse for 2 weeks after surgery.
You will be given antibiotics, although infection after nasal surgery is very rare.
Call me when you think that you have tenderness in your nose, redness, general and local temperature increase (fever).
Swelling and bruising on your face may increase the day after surgery.
You can reduce edema by using a high pillow.
Swelling may occur on your face 3-4 days after the surgery.
Most of the swelling will decrease within 2-3 weeks, but in some cases, the swelling may last 12-18 months.
After the cast is removed, the skin of the nose can be gently cleaned with a mild soap or vaseline skin care lotions.
Bruising after surgery can last up to 2 weeks.
They usually disappear after the 10th
disappears after the 10th day.
If it lasts longer, concealer makeup can be applied.
You can wash your face without getting the dressings wet.
For 1 week, do not wash your hair, if you have someone to help you, you can wash your hair like you would wash your hair at a hairdresser.
Do not wet your nasal tampons and external dressings.
Avoid long phone calls and social activities for 2 weeks.
For 1 week, avoid excessive laughter and exaggerated facial expressions.
For 1 week, avoid wearing tight clothing (avoid sweaters, T-shirts, and sweaters with stand-up collars over the head)
For 6 weeks, avoid the sun and sun rays, otherwise it will take longer for the swelling on your face to resolve.
Do not swim for 1 month as this can cause trauma and infection.
Care should be taken when holding a baby or child, as this can cause an unintentional impact.
Before 3 months, do not wear heavy glasses such as sunglasses.
After 1 month, light glasses can be worn.
You can wear contact lenses 2 days after surgery.
The tip of the nose will be a little numb for the first few weeks after surgery.
This is normal and will improve as the nerve fibers heal.
Full recovery will be in a few months.
Check-ups at 1, 3 and 6 months and 1 year should not be interrupted.
Call your doctor for any questions that you think are important.