Before each operation, I project on the monitors in the operating room the photographs we have used for planning. This will be our map and will guide us at every stage.
Although one of the most common concerns of people undergoing surgery and their relatives is how long the operation will take, we do not want to predict this. This is because the operations may be unexpectedly prolonged and this situation may make those waiting uneasy. The aim of Rhinoplasty is to achieve “Breathing Beauty“. The time taken to achieve this is irrelevant.
If you have an aquiline nose, removing this aquiline causes the dorsal of the nose to appear perceptually wider. You can think of it as cutting off the top of a pyramid. The top of the pyramid, which was sharp, will now be straight. Thinning of the nasal bones and narrowing of the nasal base by cutting is performed to correct this appearance.
I use various tools in the process of thinning / cutting / shaping the bones. Micromotor systems, so-called ultrasonic / piezo systems and various micro hand saws have been developed for this purpose. I use them all according to my needs during the operation.
In another technique used for the removal of the nasal bone, the bones are shortened from the bottom, not from the top, and the nasal roof is preserved as a whole and pressed deeper. I also use and share these techniques, which are known as “Push down / Let down” from time to time. As I always say, especially to people who ask and request specific techniques: “Every technique has its advantages and disadvantages.”
Even if I have largely decided on the methods I will use in the preoperative evaluation, I change these decisions based on the needs at the time of the operation and continue to proceed in the healthiest way.
Like every surgeon and physician, my biggest goal is to achieve a result that both my patient will be happy and that I feel comfortable with. It is absolutely necessary to know that Rhinoplasty is a surgery and that no surgery is simple.
