COSMETIC NOSE SURGERY

tr-flagaesthetic nose surgeryNose is an important unit that affecting the facial features both aesthetically and functionally; and rhinoplasty is a procedure for reshaping the nose. Cosmetic nose surgery can correct a variety of conditions including an over-sized nose, a hump on the bridge, an undesirable shape of the nasal tip or a narrow or wide span of the nostrils. Cosmetic nose surgery can also be used to correct for breathing problems caused by narrow or partially obstructed nostrils and nasal airways. Aesthetic and function cannot be divided in nose surgery. Therefore, successful nose surgery should provide both a natural shape in harmony with whole face and relieve the breathing.

During the consultation, the changes that you would like to make in your appearance should be discussed. Because the appearance of your nose is a matter of personal perception and preferences, you will need to discuss your concerns in detail so your surgeon can determine the appropriate alternatives. The expectations which are unrealistic or targeting the perfection may cause the person to be disappointed. So the people who expect the better nose shape with harmony, but not perfect result would be satisfied after surgery.

In our clinic, nose surgery is not done as standardized; the procedure is designed specially for each individual. Realistic expectations, healthiness and psychological status of the individual are the important factors for the nose surgery candidates.

facial analysis

Facial analysis before surgery

The factors affecting the result are:

  • Age: Aesthetic nose surgery should generally be delayed until after age 17 for girls, and 18 for boys
  • Skin thickness of the nose
  • Vertical axis of the nose
  • Nose size
  • Previous nasal surgery
  • Quality of wound healing

During consultation, your nose is examined in detail both internally and externally by your doctor. Possible extra problems (sinusitis, nasal polip etc.) can be determined during examination. 6 distinct poses of your nose are photographed. These pictures are used for computerized imaging. Computer imaging is a very useful adjunct to visualizing what you may look like after the procedure. While not a guarantee of results, it is a great benefit in preoperative planning. Skin cuts are made inside the rim of the nostrils, so the scar remains invisible inside the nostrils.

Rhinoplasty

Rhinoplasty is done in a hospital, and general anesthesia is preferred. Operating time depends on the surgical planning; it takes 2 hours in general but on rare occasions it may take longer. You will most likely be able to go home the day after rhinoplasty but if you feel good you may be allowed to go home a few hours after surgery. At the end of the rhinoplasty a splint is applied over the nose and the nostrils are packed lightly with medicated gauze. Rhinoplasty causes swelling and bruising around the eyes, and a little blood oozing from nostrils. Slight pain is usual but can easily be controlled with medication. The nasal packing is removed 1-3 days; splint is removed 7 days after surgery. A tape bandage is applied following week. The bruising disappears within 7 days. Most of the swelling subsides within 7 days and nose gains almost similar to its actual shape. You should be able to return to sedentary work after a couple of days but it takes one week to return to work life except heavy activities. The rest of the swelling which is imperceptible resolves gradually within 6 months and the nose gains actual shape. You should keep your nose against to bumps and sun exposure at least 2 months. It is recommended that you not to use eye glasses for two months.

Rhinoplasty will provide significant improvements in the appearance of the nose for the vast majority of patients although, in occasional cases, a secondary correction that should always be considered may be required.

Op. Dr. Nazmi Bayçın


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