Rhinoplasty are surgical operations performed to reshape the nose by changing the structure of cartilage and bones. Conditions that require rhinoplasty can change the appearance of the nose, make breathing easier, and sometimes both. The upper portion of the nose structure is bone, and the lower portion is cartilage. Bone, cartilage, and skincan be intervenedthrough rhinoplasty. The critical point is the experience of the surgeon and the medical team who will perform the operation. An experienced surgeon will inform you in detail about whether nasal aesthetics are suitable for you and their consequences.
Rhinoplasty can change the size, shape, or proportions of your nose. Restoring injury deformations, correcting birth defects or improving some breathing difficulties are among the conditions that require rhinoplasty. During rhinoplasty planning, your surgeon will create a special operation plan for you, taking into account your facial features, skin structure and what you want to change. Rhinoplasty is one of the most common types of plastic surgery performed by women and men all over the world and the success rate is very high under the supervision of experienced surgeons.
When is rhinoplasty performed?
Rhinoplasty operations are performed for two different reasons in terms of aesthetics and function, but surgery is a whole for the surgeon. As patients can apply only for aesthetic problems, but need for surgery may arise due to breathing problems. Breathing problems are those that decrease life quality and pose many health risks. The surgeon decides on the method and process of the patient's operation with a similar procedure for both reasons.
Who can get rhinoplasty surgery?
Anyone who is psychologically and physically healthy, who wants to correct the shape of the nose - due to physical or breathing problems - can have rhinoplasty surgery. It is important to complete growth in young patients. The age at which growth has been completed is between the ages of 16-18 for girls and 17-19 for boys.
Preparation process before rhinoplasty
The planning process of plastic surgery operations is different from other operations. Especially in operations that are not related to breathing but to improve the appearance of the nose, the surgeon should define what the patient wants very well, inform the patient in detail about the possible outcomes, and design a plan to minimize the possibility of disagreement. Each operation carries risks, but clarification of the expectations about the appearance is important in aesthetic operations.
First interview: In the first meeting with your surgeon, she/he asks questions about your reasons for surgery and what you aim for, and tries to get information. Your medical history, medicines you use, and previous surgeries are very important information at this stage. People with certain ailments - such as a clotting problem - may not be eligible for aesthetic surgery.
Examination: At this stage, your doctor will request a detailed analysis and examine your condition along with your physical examination findings. The analysis also includes your facial features, nose, bone and skin structure. As a result of this analysis, the surgeon arrives at conclusions as to whether the changes you want are suitable for your facial structure, the strength of your cartilage, how the procedure to be performed will affect breathing.
Decision stage: Your surgeon takes photos of your nose from various angles. These photographs are very important both for evaluating the post op period and for anticipating the results of the intervention with the help of some utilities. These shots, along with a nose x-ray, are also important in terms of planning the way the surgeon will follow during the surgery. However, as we mentioned above, the most important part for you is that you will see the most realistic image about the goals and outcome of the surgery through these photos at the very beginning. Thus, you will be able to see if the look you are looking for is suitable for your face; you will have a chance to discuss it with your doctor; and you will be able to express your expectations clearly. Such a clear communication before plastic surgery, is very important and necessary for all stages of the operation.
Post-operative care planning: The rhinoplasty operation does not always require hospital stay. But you need to plan a relative or someone to get help to take you home after the operation. You can get specific information about your post-operation care from your doctor, but you may need a companion for at least a few days.
Are rhinoplasty operations easy?
Rhinoplasty is a difficult area because the nose is a very unknown organ. Your surgeon intervenes in a closed box. Cartilage, skin and bones are different parts that make up a whole, and the healing period of each may differ from each other. Your personal characteristics also among these differences. Studies show that revisions are possible even for operators with very high success rates. Here, patient's expectations, openness in communication, surgeon's experience, and medical possibilities are among the factors that affect success.
How are rhinoplasty operations performed?
Each of the rhinoplasty operations are unique operations because the anatomical structures, goals and problems of the people are different from each other. The surgeon does not look at any operation with a standard eye; rather, she/he analyses and plans the stages of each in depth for that case. What kind of anesthesia the operation requires is also a point that your doctor will decide by comparing it with your goals before surgery. The surgeon selects one of the options of sedation, local anesthesia or general anesthesia before the operation and shares it with you. She/he also informs you of the situations you will encounter upon this decision.
Your surgery can be performed as open or closed surgery.
Open rhinoplastic intervention: Open surgery is preferred for patients who want a comprehensive change in their nose. Your surgeon provides access to your nose through an incision on the bridge between your nostrils or through an incision on the nose. She/He makes a series of interventions that will vary depending on the addition or removal process. Cartilage from your nose or ear can be used for a small addition; for larger changes, on the other hand,she/he can transplant cartilage from another part of the body or use implants. After the desired changes are completed, she/he performs the closing process by placing the skin and tissue pieces in place. The recovery period of this surgery is long and swelling may occur on the face. Afterwards, you may need to stay in the hospital for a day or two, and at least one week of care.
Closed rhinoplastic intervention: In the closed rhinoplastic method used for patients who do not want a big structural change in their nose, the surgery is performed through incisions made in the nostrils. In this method, which heals much faster than open surgery, swelling and bruising are also less, as well as the visible scar.
How is care after rhinoplasty?
Whether the operation is open or closed affects the care process. Generally after the surgery your doctor may place a plastic or metal splint on your nose. Thus, while your nose heals, it retains its new shape. Also, tampons can be placed in the nostrils to stabilize the septum. Depending on the type of surgery, after being under care for a few hours, you may need to stay in hospital for one or two nights or return to your house.
With the effect of both anesthesia and operation, you may be tired, blocked, and your reactions may be slow. Depending on the situation, your doctor will decide how long someone should accompany you. You may need to use your medications for possible pain. At the same time, your doctor takes necessary precautions and tells you what to do against the risk of bleeding. You may need to avoid heavy physical activities, excessive chewing, facial movements that require a lot of facial expressions, using glasses, sunbathing for a few weeks after surgery. Your doctor will give you a detailed list on this issue.
Rhinoplasty can affect the area around your eyes, and temporary numbness, swelling, or discoloration may occur in your eyelids for several weeks. In rare cases, this may take six months and mild swelling may take even longer. You can apply cold compresses or ice packs to reduce color fading and swelling; and if you face such a situation, your doctor will inform you about the necessary precautions during follow-up appointments.
Follow-up care is important after rhinoplasty. By staying in touch with your doctor, and not missing your control appointments, you can complete the process. When you return to normal daily / working life also depends on the course of care period and your doctor's recommendations.
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