The face is the most important tool in human communication in the flow of daily life. While the relations and harmony of the structures that make up the face create the perception of ‘beauty’, it plays an important role in people’s judgments towards you. The nose is in the middle of this important structure and in the foreground. A visually large, coarse, asymmetrical or deformed nose can attract attention at first glance. Other structures that make up the face, such as eyes, lips, cheeks, and teeth, remain under the shadow of an evil-looking nose, and their true beauty can be hidden. A person who is visually disturbed by his nose may isolate himself from social life for psychological reasons such as embarrassment, hiding, depression. However, the nose is also the gateway to the body for oxygen, which is indispensable for life. Anatomically, a nose structure that prevents comfortable breathing also forces the person physically in daily life. It can affect your daily life deeply with symptoms such as headache, chronic fatigue, snoring, sleep disturbance. Today, the aim of aesthetic nose operations, which occupy a large volume among aesthetic interventions; It is to provide a natural nose structure that breathes easily, visually unique to the person.
SUITABLE PATIENT PROFILE
People who are visually disturbed by the shape of the nose for any reason, and who want to breathe better, mostly due to accompanying respiratory problems, are suitable candidates for this surgery. Except in rare cases, this surgery is not recommended for patients under the age of 18. However, it should be kept in mind that it will be difficult to get satisfactory results from this surgery at the age of 45-50.
WHAT IS A BEAUTIFUL NOSE?
Of course, the concept of beauty is relative and variable. It is naturalness that is permanent and universal. Therefore, the aim of the plastic surgeon; It should be able to create a natural nose structure that is away from exaggerations, excesses are removed, and suits the person’s face. A nose that looks very beautiful on its own can look makeshift on different faces, disrupting the entire characteristic structure of the person. However, it is very important in planning the shape of the nose to be created in sex. While trying to provide a more curved, upright and thin appearance in the female nose, very thin and aesthetic appearance formations in the male nose should be avoided. This type of nose structure can show a man as feminine. It should not be forgotten that it is a real success to get the nose that suits you best from a nose whose skin, cartilage, bone structure and quality belongs to you. For this reason, the most important factor in the success of the surgery is that people who are considering surgery set their expectations and dreams on the right ground.
After a suitable disease history and physical examination, a road map for surgery is drawn, such as the shape of the nose, skin structure, relationship with the surrounding tissues, disorders that prevent breathing, and additional procedures that can be performed. The shape of the nose can be planned together with the patient in the computer environment by taking photographs of the patient. However, it should be noted that the accuracy rate of this image is not high. Conditions that may pose an obstacle to the operation are inspected by the anesthesiologist, and necessary blood tests are performed. In case of chronic diseases that may affect the surgery, additional examinations or consultations may be requested. If any blood thinners are used, they should be discontinued at least 1 week in advance. Smoking can often impair the wound healing process and comfortable breathing. There is no need to discontinue drugs used for other chronic diseases.
Rhinoplasty operation is performed in a hospital environment and under general anesthesia. Although it varies according to the difficulty level of the nose and the application of additional procedures, it takes an average of 1.5 – 2 hours. There are two main techniques, open and closed. The main difference between these two techniques is that there is a 0.5cm long incision under the nose. No procedure is applied to the skin structure on the nose during rhinoplasty surgery. Problems such as skin structure, thickness or staining on it are not affected by this surgery. The procedure is about shaping the cartilage and bone structure, correcting the curvatures that affect breathing, and removing the excess areas. The nasal skin, which is removed after all these procedures, is covered again on the structures that have been shaped in the same way. At the end of the surgery, a plaster is placed on the nose. Except in rare cases, no tampons are placed in the nose.
After the operation, food is eaten at the 4th hour and the patient gets up from the bed and starts walking. After the operation, ice is applied around the nose to reduce swelling and edema. Although swelling and bruises around the eyes are the most disturbing problem, they may not be in every patient. Past nose surgeries, large deformations, a hard bone structure increase the frequency of bruising and swelling. However, edema and bruises that occur are largely resolved within 48-72 hours. The patient is discharged on the same day. The patient returns to his daily life within the same week, and comes for the control after 1 week to remove the plaster and bandages. Despite the absence of a tampon, patients may not be able to breathe easily in the first days. At the end of the 3rd month, the swelling goes away by 80%, but the nose takes its real appearance exactly in the 6th month. For this reason, it is necessary to protect from impacts and avoid the use of glasses for the first 6 months.
PROBLEMS THAT MAY DEVELOP
Of course, every surgical procedure has its own complications. Although these are rare, they should be explained to the patient by the physician for the purpose of informing the patient. There are alternative solution options for all of the early and late complications that may develop. Temporary problems; loss of sensation, tenderness, pain, early problems; bleeding, infection, delayed wound healing, long-term problems; difficulty in breathing and aesthetic problems (asymmetries in the nose, collapse, etc.).
SECONDARY NOSE SURGERY
Patients who have undergone nose surgery for any reason before and are not satisfied may want to have the operation again. It is necessary to wait at least 6 months for a second operation in order for the nose to be in its final state and for all edema to pass. However, it should be known that secondary aesthetic rhinoplasty is a technically more difficult and troublesome process. In the first operation, the anatomical structure of your nose may be impaired, its flexibility may be lost, and the needed cartilage and bone tissue may be removed. In secondary nose surgeries, cartilage may be removed from the ear or ribs if needed. For this reason, it would be appropriate to carefully evaluate the possibilities and expectations with an experienced Plastic surgeon.
RHINOPLASTY AND PERMANENTITY
Rhinoplasty surgeries are permanent. In the 6th month of your surgery, your nose structure will be fully settled and will not change. However, your nose, like all tissues, is affected by the aging process.