Rhinoplasty, or surgery intended for reshaping the nose, is one of the most commonly performed plastic surgery procedures. Rhinoplasty can make your nose smaller or larger, change the shape of the tip or bridge of your nose, narrow your nostrils, or change the angle between your nose and upper lip. It may also correct congenital deformities or deformities caused by injuries, or can solve some breathing problems.
If you are interested in rhinoplasty, this page may remain inadequate to reply your all questions. Please consult your doctor if there is anything you don’t understand.
Rhinoplasty can enhance your appearance and increase your self-confidence. However, this does not mean that it will necessarily change your appearance in such a way as to match the appearance you imagine, or ensure other people to treat you differently after the surgery. Before deciding on having a surgery, ask yourself about why you want it and what you expect from it, think carefully, and also discuss these with your surgeon. The most suitable patients for rhinoplasty are people who are looking for an enhancement and a favorable improvement, not perfection, in their appearances. Many surgeons prefer to postpone the operation of teenagers, until they complete their growth.
This postponement period ends at 14 or 15 years of age for girls, and a little bit later for boys. It is important to consider the social and emotional adjustment of teenagers to make sure that the decision intended to be put into practice has been made by them, not by their parents.
When rhinoplasty is performed a by an experienced plastic surgeon, complications (undesirable results) are rare and usually minor. Since rhinoplasty is performed from inside the nose, it does not result in any visible scar. But when an open technique is used, or when the nostrils need to be narrowed, the very small and thin scars on the base of the nose are generally negligible.
In about one out of every 10 cases, a second operation may be required (for example, with intent to correct a minor deformity). It is impossible to predict such cases, and these may happen even to patients operated by the most skilled and experienced surgeons. The corrective second surgery is usually a simpler operation with a narrower scope.
A good communication between you and your physician is essential and very important. During the first consultation, the surgeon will ask about what you would like your nose to look like, examine the structure of your nose and face, and then discuss the available possibilities with you. The structure of your nasal bones and cartilages, the shape of your face, the thickness of your skin, your age, and your expectations are the main topics of the discussion. You should be sure to tell your surgeon if you have had any previous nose surgery or nose treatment, even if they were many years ago, if you have any allergy or breathing difficulty, as well as the medications that you use and your smoking habit (if any). Do not hesitate to ask your surgeon any questions that come to your mind, especially those about your expectations from the surgery and the possible results of the surgery.
Your surgeon will give you information about how to prepare for surgery, including instructions on eating and drinking, smoking, taking or avoiding certain vitamins and drugs, and washing your face. Following these instructions will help you undergo your surgery more comfortably.
Rhinoplasty can be performed in outpatient surgical facilities or hospitals. It usually does not require hospitalization. Sometimes it requires a 1-night inpatient stay.
Rhinoplasty can be performed under local or general anesthesia, depending on the scale of the intended surgery, as well as your and your surgeon's preference. In local anesthesia, generally a mild sedation is applied, and as a result, the nose and the surrounding area get a little numbed; so, you will be awake throughout the surgery but you will undergo a comfortable and painless operation. In general anesthesia, you will sleep throughout the surgery.
Rhinoplasty usually takes an hour or two. During the surgery the nose skin will be separated from its framework of bone and cartilage. The reshaping procedure will vary depending on the problem in the nose, and technique used by the surgeon. Finally, the skin will be adapted to the newly formed framework.
Many plastic surgeons perform rhinoplasty from inside the nose. Some others prefer the open technique, especially for more complicated cases: They make a small incision on the vertical strip of tissue called columella, which separates the nostrils from each other. After the completion of the surgery, a plaster splint will be applied with intent to help the nose maintain its new shape. Nasal packing or soft plastic splints can be placed in the nostrils to immobilize the septum, the wall separating the air passages from each other.
After the surgery you will feel your face swollen for a period of 14 hours. In that period, your nose may ache, or you may have a mild headache. You can control any discomfort by means of the analgesics prescribed by your surgeon. Make a plan in such a way as to ensure that you will stay in bed with your head elevated, for the first day, except for going to the bathroom.
You will notice that the bruising and swelling around your eyes will be explicit the most after two or three days. Applying cold compress will reduce this swelling and enable you to feel a little bit better. Most of the swelling and bruising will disappear within the first week or a longer time of period (some swellings that can be noticed by no one other than you and your surgeon will remain for several months).
Generally a mild leakage from the nostrils occur during the first few days after the surgery, and you may feel a mild stuffiness i your nose for several weeks. Your surgeon will ask you not to blow your nose (harshly wipe your nose) throughout the recovery period of the tissues, for a week, or for a longer time of period. If there is a nasal packing in your nose, it will be removed after a few days, and then you will feel much more comfortable. By the end of a week, all dressings, plaster splint will be removed from your nose.
Most of patients, who have undergone a rhinoplasty, get up and walk within two days, and they become able to return to school or work (if it is not too tiresome) a week after the surgery. However, several weeks will pass before you become able to completely return to your tempo of daily living. Your surgeon will make more detailed explanations about returning back to your normal life.
You are probably told to avoid strenuous activities (running, swimming, gymnastics, sexual relations or any activity that would increase your blood pressure) for two to three weeks; as well as avoid hitting or rubbing your nose, or allowing it to get sunburn, for eight weeks. Be gentle careful when washing your face and hair or applying make-up.
You can wear your contact lenses when you need them; however, the same is not applicable for wearing glasses. When the splint is removed from your nose, the pads of the glasses should not be placed on the bridge of your nose until your nose is completely healed, i.e. for a period of two months. Your surgeon will ask frequent follow-up visits for a period of one month after the surgery, with intent to control the progress of your healing. If between the visits you have any unusual complaints, or if you have any questions about what you can or cannot do, do not hesitate to call your doctor.
When your face is swollen and bruised in the days following the surgery, it is easy to forget the fact that you will be looking better and become more beautiful.
Most of patients do not feel good for a while after a plastic surgery. This is a quite normal and understandable situation. But some of patients are sure about that this stage will pass. Your nose will begin to look more beautiful and your spirits will improve with each passing day. One or two week after the surgery, you will not look as if you have just undergone a surgery. But healing is still a process that progresses slowly and gradually. Some mild swellings, especially in the tip, may continue to exist for months.
The exact results of rhinoplasty operations may not appear for a year. Initially, you may get some unexpected reactions from your family and friends. They may say that they do not see any change in your nose. Or they may feel offended, especially if you have changed something that they consider to be a familial or ethnic feature. If this happens, try to remember immediately why you decided to have this surgery. If you have reached your target, it means that your surgery is a success.
As per the Therapeutic Medication Law, scope of which was extended by law dated 29.08.2005 (BGBI.IS 2570), it is forbidden to display before and after treatment/operation images of patients for advertisement purposes. Therefore, before and after treatment/operation images are not available in our website.