[vc_row][vc_column][vc_column_text]Rhinoplasty (Nose aesthetics) is the name given to surgical operations performed to change the shape of the nose.

Reasons for undergoing rhinoplasty (Nose aesthetics) include changing the physical appearance of the nose to repair deformities from an injury or correct a birth defect, or making breathing easier by improving certain respiratory difficulties.

In some cases, both respiratory difficulties and physical appearance can be among the reasons behind choosing the rhinoplasty option.

What is the Structure of the Nose?

The nose has a structure covered with skin, consisting of bone in the upper part and cartilage in the lower part. It holds an important place within the respiratory system.

What is the Cost of Rhinoplasty?

The most significant factor affecting the price of rhinoplasty is how experienced the doctor is. In addition to this, pricing includes items such as the choice of hospital, materials used, and team expenses.

How is Rhinoplasty Performed?

Rhinoplasty can alter the bone, cartilage tissue, skin layer, or all three, as deemed necessary. When planning rhinoplasty, the rhinoplasty surgeon will consider the individual’s other facial features, the skin on the nose, and what the individual wants to change. They will develop a personalized plan for eligible candidates for nose surgery.

As with all major surgeries, rhinoplasty carries various risks. In major surgeries, the risks of infection, bleeding, and an adverse reaction to anesthesia are always present.

There are also distinct risks specific to rhinoplasty. These include difficulty breathing through the nose, permanent numbness in and around the nose, an uneven-looking nose, pain, discoloration or permanent swelling, scarring, septum perforation, and the need for additional surgical intervention.

Detailed information about these risks is provided by the nose surgeon to individuals considering the rhinoplasty phase. Before moving on to the rhinoplasty planning phase, a consultation is held between the doctor and the individual considering the rhinoplasty phase to determine whether the surgical operation will be effective.

During this consultation, the individual’s medical history is reviewed. The most important question the doctor will ask is about the individual’s motivation and goals for the surgery. At this stage, the most crucial detail for achieving the desired final results is to express wishes and goals completely honestly.

The surgeon will clearly explain to the rhinoplasty candidate what rhinoplasty can and cannot achieve for them. Following this, they will gather information about nasal congestion, past surgeries, and medications used. Individuals with a bleeding disorder, such as hemophilia, may not be eligible candidates for rhinoplasty.

During this process, the doctor will perform a complete physical examination, including laboratory tests such as blood tests. They will also examine the rhinoplasty candidate’s facial features and the inside and outside of their nose.

This makes it possible to determine what changes need to be made and how physical characteristics, such as skin thickness or the strength of the cartilage at the tip of the nose, might affect the results. The physical examination is also important for determining the impact of rhinoplasty on breathing.

Photographs of the nose may be taken, and these photos can be manipulated with the aid of a computer by the surgeon to show what kind of results are possible. The nose surgeon will also use these photos as a reference during evaluations for before and after, during the surgery, and for long-term reviews.

If the individual has a small chin, the surgeon may speak with the rhinoplasty candidate about also undergoing surgery to augment the chin. This is because a small chin will create the illusion of a larger nose. In these cases, chin surgery is not required, but a better balance in the facial profile can be achieved.

It is usually possible to leave the hospital on the same day after rhinoplasty (Nose aesthetics). It is important to have someone available to help you get home, especially if the surgery is performed on an outpatient basis.

During the first few days after anesthesia, memory loss, slowed reaction time, and difficulty making decisions may occur. For this reason, it can be beneficial for a friend or family member to stay with the operated individual for one or two nights to help out after the surgery.

Preparations Before Rhinoplasty

It is necessary to avoid certain medications two weeks prior to surgery. These types of medications can increase bleeding. Only medications approved or prescribed by the nose surgeon should be used.

Additionally, herbal medicines, natural remedies, and supplements should be avoided. It is necessary to quit or take a break from smoking. Smoking slows down the post-operative recovery process and increases the probability of catching an infection.

What Happens During Nose Surgery

Rhinoplasty does not have a sequential series of steps. Each operation is personalized for the unique anatomy and goals of the person undergoing surgery. Depending on how complex the surgery is, it may require local anesthesia with sedation or general anesthesia. This decision will be made prior to the operation.

Local anesthesia with sedation is typically used in outpatient treatment processes. 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 medications injected into a vein through an intravenous (IV) line. This does not put the person to sleep but makes them drowsy.

During general anesthesia, the drug, i.e., the anesthetic, is taken through inhalation or through an IV line placed in a vein. General anesthesia affects the whole body and ensures that the individual remains unconscious during the surgery. General anesthesia also requires a breathing tube.

During rhinoplasty, the surgical intervention is performed inside the nose or through a small external incision made between the nostrils right under the nose. The bone and cartilage under the skin will be readjusted by the nose surgeon according to the targeted results.

The form of the nasal bones or cartilage can be altered by the surgeon in various ways depending on how much needs to be removed from the nasal tissue or how additions should be made, based on the nasal structure and available material.

If the wall between the two nostrils, i.e., the septum, is crooked or bent, it can be straightened by the surgeon to correct breathing. However, this operation is different from rhinoplasty and is called septoplasty.

For minor changes, the surgeon may use cartilage taken from deeper points of the nose or from the ear. For larger changes, implants, or cartilage from the ribs or other parts of your body can be used. Upon completion of these changes, the surgeon replaces the nasal skin and tissue and sutures the incisions open.

After the surgery, the individual’s recovery is monitored by the medical staff. Under normal circumstances, it is possible to be discharged on the same day, but if there are other health complications, it is possible to stay in the hospital overnight.

After Nose Surgery

Generally, internal dressings remain in place for one to seven days after surgery. The surgeon may also tape a splint to the nose for protection and support.

This also generally remains in place for about a week. After rhinoplasty, it is necessary to rest in bed in a position where the head is higher than the chest to reduce bleeding and swelling. The nose may become congested due to swelling or because of the splints placed during surgery.

It is common for a light bleeding, as well as mucus mixed with accumulated blood, to continue to drain for a few days after surgery or after removing the dressing. To absorb this drainage, a small piece of gauze can be attached under the nose with tape to act as an absorbent pad. This pad should not be tight.

To minimize the possibility of bleeding and swelling, the surgeon will ask you to take various precautions for a few weeks after surgery.

These will include avoiding strenuous activities such as aerobics and jogging; taking a bath instead of a shower where water flows from above while there is a bandage on the nose; not blowing your nose; turning to fibrous foods like fruits and vegetables to prevent constipation due to the risk of applying pressure to the surgical site when straining; avoiding extreme facial expressions such as smiling or laughing; brushing teeth softly to move the upper lip minimally; and wearing clothes that open from the front, such as shirts.

In addition to these, glasses or sunglasses should not rest on the nose for at least four weeks after surgery. It is possible to tape the glasses to the forehead until the nose heals. When outdoors, a 30-factor sunscreen should be used, especially on the nose. Too much sun during this period can cause permanent discoloration of the nasal skin.

Temporary swelling or a black-and-blue discoloration may occur on the eyelids for two to three weeks following rhinoplasty. It may take even longer for the nasal swelling to subside.

Staying away from sodium during nutrition will help the swelling go down faster. Objects such as ice or ice packs should not be placed on the nose after surgery. For the post-operative period, it would be best to take a week off from work, school, or similar obligations.

Rhinoplasty Results

Rhinoplasty is not a simple but a challenging surgery. There are many reasons for this. First of all, the nose is a complex three-dimensional shape located in the middle of the face.

Even if the changes made during rhinoplasty (Nose aesthetics) are very small, these changes can make a big difference in the appearance and functioning of the nose. Because these changes are small, the margin of error is also high. It should not be forgotten after surgery that, just like the rest of the body, the nose changes throughout life. It is difficult to say when the final desired result will be achieved.

However, most of the swelling will usually disappear within a year. For this reason, even in cases where a second operation is required, it is recommended to wait at least one year.

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