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Rhinoplasty / Preparation Process Before Rhinoplasty

Operation Process in Rhinoplasty

Rhinoplasty Early Period Healing

Rhinoplasty Long Term Healing

 1- Which doctor should perform rhinoplasty?
Rhinoplasty is not only a procedure in which the shape is changed. If the problems in the invisible areas of the nasal structure are not corrected, they can both cause deformity in the long term and cause congestions that have not been felt before in the reduced nose shape. The nose is a dynamic organ and should be operated by considering balance in many aspects. Therefore, not the branch of the surgeon who performs the surgery, but knowledge and experience on nasal surgery is important.

2- Why is it said that rhinoplasty is a special surgery?
Each person’s nasal structure is completely unique in three dimensions inside and outside. Therefore, unique decisions must be made for each operation. It should not be done by rote. Planned actions should be taken, the plan should be deviated from when necessary, and the relationship between the surgeon and the patient should be strong.

3- Does each operation have a different degree of difficulty?
Of course, it is. Moreover, sometimes it may be much more difficult to provide the desired correction in noses that do not appear very problematic compared to those that appear more deformed in shape.

4- Do you use nasal tampons in rhinoplasty? Does it hurt when the tampons are removed?
One of the issues that is frequently abused and used for marketing purposes is the choice of surgeons to put or not to put a silicone plaque in the nose. I want you to know that it is a preference not to put the silicone plaques. So it has no relation with the surgeon performing the operation better. We are not obliged to put the silicone plaques at the end of the operation, and I can choose not to do so if I want. However, in most cases (not always) I feel safer using these plaques, so I use them. I think they reduce the risk of bleeding and provide an advantage in maintaining the new shape of the nose. These are not rules and in some operations I may not need it and may not use it. However, I do not prefer to push the limits and take risks by promising “tampon-free nose surgery”. Although intranasal silicones make breathing a little difficult, they do not prevent it completely, and regular application of the ocean water solutions I recommend for cleaning makes it possible to keep your nose breathable. Breathing through your nose as much as possible and keeping it clean by washing the inside of the nose will help you have a more comfortable healing process.

5-  Is open technique, closed technique or another technique better in rhinoplasty?
I prefer to use closed technique whenever possible and this is possible in more than 95% of my patients. Open technique may be preferred in operations with complex noses. Every surgeon who wants to have experience in rhinoplasty should first learn to operate with open technique. I also used open technique early in my career. The closed technique is more difficult to perform and requires working in a physically narrower space. Despite all these difficulties, there are of course some reasons why I prefer to use closed technique. Some of these are scientific, but some are my personal opinions based on my own experience.  When the closed technique is used, it is possible to protect the soft tissues in the area connecting the tip of the nose and the dorsal of the nose. In this way, the veins, muscles and ligaments that nourish and support the tip of the nose are better protected. The nasal dorsal-nasal tip transition looks more natural, does not lose its flexibility and requires a shorter healing period. In my opinion, the absence of stitch marks in closed surgery is only a small advantage in addition to these.

6- Is there an age limit for rhinoplasty?
I legally require my patients to be over 18 years of age. There is no such medical rule. In serious health problems, correction can be performed at an earlier age. In older age, tissues lose their elasticity and become more difficult to shape. Healing is slower with age, and swelling regresses more slowly. For these reasons, expectations after the age of 40 should be lower and more realistic.

7- Do you show how my nose will be after the operation with photoshop?
I’m using photoshop. The aim of this application is to understand the patient’s expectations and to enable the doctor to share the plan with the patient. It may be possible for people to show in shapes what they cannot express in words. Simulations never show how your nose will look after the operation. If it were so, the best photoshop users would perform the best surgery.

8- I have congestion / deviation in my nose, should I also have rhinoplasty?
The two operations may or may not be performed together. In some cases, it may also be necessary to change the shape of the nose to provide sufficient breathing space. You are the one who will decide on aesthetical change. If there is a health need, I will indicate this during the examination.

9- Which season is more suitable for rhinoplasty?
In the past, air conditioning and air conditioning methods were not so developed and people were afraid of being exposed to heat after surgery. As long as you are not exposed to direct sunlight and extreme heat, and of course if you can manage without wearing sunglasses, you can have surgery in any season.

10- When can I fly after rhinoplasty?
The following day. However, if you ask me, I prefer to take your plaster and this is a procedure performed in the 1st week. If there is a surgeon who will follow you at your destination, there is no harm in getting on the plane the next day.

11- When can I work after rhinoplasty?
You can continue your work the day after the operation. If you need to come face to face with people, you probably want to work after your plaster is removed in week 1.

12 –  Can sinusitis surgery, congestion surgery, bone cartilage curvature surgery be performed together with rhinoplasty?
Yes, it can be. All problems that need to be corrected or treated in your nose can be corrected during this surgery.

13- What should I pay attention to after rhinoplasty?
You should not wear glasses for 3 months after rhinoplasty. After 2 months, we can allow you to wear sunglasses for 5-10 minutes in case of urgent need. I can allow glasses with very light titanium frames at an early stage depending on your level of healing. The sun can be more powerful and destructive than you think. You should not be exposed to direct sunlight between 11 a.m. and 4 p.m. when the sun is at its peak and during the summer season until at least 1 year. We strongly recommend the use of high factor sunscreens and hats/caps. You can take long walks from the 15th day. For heart rate-boosting cardio exercises, wait for the 1st month and gradually increase your pace by listening to your own body. Otherwise, uncontrolled oedema attacks can damage your nose. You should wait 2 months for exercises that require straining, such as weight lifting. I recommend waiting 1 month for swimming in sea water and 2 months for pool water. You should protect your nose from trauma in any case.

14- Is there a lot of pain after rhinoplasty?
About 70% of the patients say that they feel almost no pain. However, the other 30% report pain of varying intensity and it is important to know that no operation is completely painless. The pain is usually felt for the first 3-4 days and then disappears.

15- How long is the duration of rhinoplasty?
Indefinitely :). I always say this because the duration of the result is important, not the duration of the operation. Please don’t worry about the duration.

16- Is rhinoplasty performed with  general or local anaesthesia?
It is performed with general anaesthesia.

17- How important is the pre-operative interview?
I think it’s very important. Both the patient gets to know the surgeon and the physician gets the opportunity to get to know the patient and evaluate the patient’s expectations. If a relationship of mutual trust is not formed, I recommend that you consult other surgeons. A patient with doubts also leaves the surgeon in a difficult situation.

18- Can I laugh after rhinoplasty? Can I brush my teeth?
Sure. You should already do these :). Be careful not to create too much tension in the operated area.

19- Can I get a photo of the noses you like?
You can. Thus, we emphasise once again that every person and every nose is different. It is useful to show what you like, but it is almost impossible to make your nose look like someone else’s nose. For example, if you have thick skin and show a photograph of a patient with thin skin, as I often encounter, you should not be upset to hear that this is not possible. You are beautiful with your innate features. At the same time, we, the surgeons can only change the shape of what already exists. This operation is not like sculpting. The result is never perfect and there are always differences between our dreams and reality.

20- Is there a difference between male rhinoplasty and female rhinoplasty?
The female nose is more upturned than the male nose and the forehead-nose angle is softer. The techniques and surgical principles used are the same, but the dimensions and angles should be different.

21- What is nasal tip aesthetics, what is the difference from rhinoplasty?
In nasal tip aesthetics, we only change the shape of the tip of the nose. If your nasal dorsal is smooth and well shaped, if you like it, there may be no need to intervene in your nasal dorsal. However, I must say that this situation is very rare and I prefer to intervene on the dorsal of the nose in cases where the tip of the nose is almost always intervened.

22- Is non-surgical rhinoplasty possible?
There are a considerable number of people who both want their nose to be beautiful and do not want to have surgery. However, the following methods have disadvantages compared to surgery.

23- Nose Filling
The nasal bridge is not eliminated with filling, but it can be hidden, and the tip of the nose can be shown as if it is slightly raised. The nose cannot be reduced with filling, but it can be enlarged to provide a more proportional appearance. There is a risk of permanent skin damage by pressing on the veins. If you want to have surgery later, it may make the surgery difficult. Therefore, in my personal opinion,filling can be a practical solution for small irregularities on the dorsal of the nose. However, it is risky at the tip of the nose. The effect is temporary and must be renewed after 6 months  – 1 year. Repetitive applications may cause the nasal volume to become progressively larger.

24- Nose Tip Botox
Botox applied to the tip of the nose provides some lifting. The most important disadvantage is that it is temporary and needs to be renewed after 6 months.

25- Nose Tip Lifting with Thread
I do not recommend.
In addition to the risks of permanent tissue damage due to infection, and so on., it will be quite risky if patients who have previously undergone nasal thread lift application want to undergo surgery later.

26- How long does swelling and bruising last after rhinoplasty?
This is a situation that varies from person to person. If you have a skin structure that bruises and swells easily, it is more likely to be like this after surgery. Based on my experience, I can say that more than half of the patients overcome the process either with very mild bruises or without bruises. However, swelling is an absolute part of the healing process and the causes of swelling include the body’s effort to heal. Therefore, it is not possible to overcome the process without swelling. The swelling increases for the first 3-4 days and then starts to regress. The rate of regression of the swelling regresses to a level that can only be noticed by comparing the photographs after a few months.