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          What is Nose Aesthetics (Rhinoplasty)? To Whom Can It Be Done?

     Rhinoplasty (rhinoplasty) is a surgical operation performed to change the shape of the nose. Nose  It has a structure covered with skin consisting of bone and cartilage tissue. It has an important place in the respiratory system. Rhinoplasty surgery; Correction of birth defects and deformities that occur after any injury It is done to change the physical appearance of the nose or to correct some breathing problems.


         How is Rhinoplasty Done?

        Rhinoplasty is the process of shaping our nose and is achieved by performing procedures on the bone, cartilage tissue, skin layer or all three. During the preoperative preparation period, your physician will examine the patient's face  It evaluates the characteristics of the nasal skin, what the patient wants to change and their expectations. A specific surgery plan is made for patients who are deemed suitable for nose surgery. Rhinoplasty surgery is usually performed under general anesthesia. Very rarely, it can be performed under local anesthesia. As with any major surgical procedure, risks such as infection, bleeding, and an adverse reaction to anesthesia always exist. In addition, there are specific risks in nose surgery. Among these; Difficulty in breathing through the nose, permanent loss of sensation in and around the nose, uneven appearance of the nose, asymmetrical nostrils, pain, color change or permanent swelling, permanent bruises under the eyes, scar, septum perforation, discharge of brain fluid from the nose. These are deaths due to brain inflammation (encephalitis). Detailed information about these risks is given to patients by your physician before surgery.

       In your pre-operative examination, whether you are suitable for rhinoplasty, which technique can be used and what should be done afterwards are discussed.  In addition, the patient's medical history is revealed during the interview. The most important question in the meeting with your doctor is about the patient's motivation and goals for surgery. Your physician will clearly explain to the patient who wants rhinoplasty what the surgery can and cannot gain. After this, if you have nasal congestion, it will collect information about your allergy history, previous surgeries you have had and the medications you constantly use. Patients with coagulation disorders and bleeding disorders are not suitable for rhinoplasty. Before surgery, the physician will perform a complete physical examination, including laboratory tests such as blood tests. Also  He will share with you the pathological findings present in your intranasal examination.


       After the examination, it is possible to determine which changes should be made and how physical characteristics such as skin thickness or cartilage durability at the tip of the nose may affect the results. It will give you information about which pathologies in the respiratory tract can be corrected by the procedure to be performed. Afterwards, photographs of the patient are taken and the surgeon works on these photographs beforehand. In addition, the physician will use these photographs during before and after evaluations and for long-term examinations with reference during surgery. 

    When the aesthetic measurements of the patient's face are evaluated, other parts of the face, such as the chin, are disproportionate  It is discussed with the patient and, if necessary, additional surgeries are planned in the same session. If the patient does not request correction for other parts, the patient is informed how important the face is for the appearance of the nose and his/her expectations are changed accordingly. It is possible to leave the hospital 1 day after the surgery. After discharge  It is important to have someone to help you get home. Memory loss, slow reaction time and difficulty making decisions may occur in the first days after anesthesia. Therefore, it is necessary to have someone to assist the patient during the first two nights of the patient's rest after discharge.


        Preparations Before Rhinoplasty


       It is necessary to avoid especially blood thinning medications two weeks before the surgery. Only medications approved or prescribed by your physician should be used. However, if there are medications that you need to use constantly, you should share them with your doctor who will perform the surgery. Herbal remedies, natural remedies and supplements should also be avoided. It is necessary to quit smoking or take a break. Smoking slows down the healing process after surgery and increases the chance of infection.

        What Happens During Nose Surgery


       There is no regular algorithm for rhinoplasty surgery. The procedures to be performed are personalized and their order is determined by the physician. Depending on the procedures to be performed in the surgery, the anesthesiologist decides which type of anesthesia will be applied after consultation with the surgeon and the anesthesiologist. Local anesthesia with sedation is usually used during outpatient treatment. Its effect is limited to a specific area of the body. The medical team injects a pain-relieving medication into the nasal tissues and sedates the patient with medication injected into a vein through an intravenous line. This does not make the person sleep, but it makes them drowsy. During general anesthesia, the drug, that is, the anesthetic, is administered by inhalation or  It is taken through an intravenous line placed into a vein in the chest. General anesthesia affects the entire body and ensures that the individual remains unconscious during the surgery. A breathing tube is also required for general anesthesia. During rhinoplasty, surgical intervention is performed through a small external incision made inside the nose (closed technique) or between the nostrils just below the nose (open technique). With the open technique and when necessary, small permanent scars remain in the procedures performed on the nostrils. The form of the nasal bones or cartilage can be changed by the surgeon in various ways, depending on how much nasal tissue should be removed or what additions should be made, the nasal structure and the available material. If the wall between the two holes of the nose, that is, the septum, is crooked or twisted, it can be corrected by the surgeon to improve breathing. For minor changes, the surgeon may use cartilage taken from deeper parts of the nose or the ear. Larger changes may use implants, ribs, or cartilage from other parts of your body. Once these changes are completed, the surgeon places the nasal skin and tissue back and closes the incisions by sewing them with sutures. The patient is monitored by the medical staff during the recovery period after the surgery.

        After Nose Surgery


        The tampons placed in the nose to prevent bleeding are kept in the nose for one to seven days, and then your doctor removes your nose tampons when he deems it appropriate. Your doctor will remove the splints he made to support the nose during the surgery within an average of 10 days and may apply a second splint if necessary. To reduce bleeding and swelling after rhinoplasty surgery, it is necessary to rest in a position where the head is higher than the chest. Breathing through the nose may cause swelling or because the tampons placed during surgery block the hole  It may get difficult. In the first days following the operation, it is common for mild bleeding as well as for mucus and accumulated blood to continue to flow. To absorb this drainage, a small piece of gauze can be taped under the nose to act as an absorbent. Your doctor will ask you to take various precautions to minimize the possibility of bleeding and swelling. These include avoiding strenuous sports activities such as running, not taking a bath while wearing a bandage on the nose, having the hair pulled back and washed by an assistant, avoiding blowing the nose, avoiding constipation to protect the nose, not making excessive facial movements, being as sensitive as possible to the upper lip while brushing the teeth, and opening from the front like a shirt. will be wearing the clothes.

      Glasses or sunglasses should not be used for at least eight weeks after surgery. It is possible to tape the glasses to the forehead until the nose heals. After wound healing is completed, sunscreen with a factor of 30 should be used on the nose. Temporary swelling or black-blue-green discoloration of the eyelids may occur for two to three weeks after the operation. Nasal swelling may take even longer to subside. All payments  It should take approximately 1 year for it to pass. Consuming less salt during nutrition will help the swelling go down faster. After the surgery, objects such as ice or ice bags should not be placed in the nose unless your doctor recommends it. It would be best to take a week off from work, school or similar obligations after the surgery.

         Nose Aesthetics Results


   With rhinoplasty surgery, it is necessary to achieve the patient's dream nose vision. Rhinoplasty is a difficult surgery because the target is an abstract idea. The treated nose is in the middle of the face and has a three-dimensional and complex shape. Even if the changes are minor, they can make a big difference in the appearance and functioning of the nose. Since these changes are small, the margin of error is high. It should not be forgotten that, like other parts of the body, the nose changes throughout life. The final desired result requires patience. Generally, within a year, most of the swelling will disappear and bone union will be completed.  In cases where a second operation is required, it is recommended to wait at least one year. 


         What is the Cost of Rhinoplasty?


     One of the factors that most affects the price of rhinoplasty is how experienced the doctor is. There are many factors that determine pricing. It also includes items such as hospital selection, materials used and team expenses.

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