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Rhinoplasty Surgery (Rhinoplasty)
Because the nose is right in the middle of your face, while in communication with the person opposite you, the gaze is first attached to the nose and then distributed to the eyes, if there is a problem with your nose such as arch, lowness, curvature, size or smallness, the person looking feels the need to miss their gaze, and you are uncomfortable with it. This also breaks off communication. For this reason, the nose is not only an organ by itself, but also very important for a person’s social and spiritual development. Rhinoplasty is a procedure for correcting the shape of those who are not satisfied with their nose. Here, in addition to correcting the shaped disorder of the nose, procedures for breathing problems, if any, are also performed. In other words, aesthetic nose surgery is both an aesthetic and functional operation. Rhinoplasty, also known as rhinoplasty, is, contrary to what most people think, the most difficult surgery in facial aesthetics due to its complex 3-dimensional structure.
Important Points in Rhinoplasty?
“Natural beauty is better than built”. This is the common opinion of a very large part of the patients who come to us in this direction. ‘Let it be beautiful, but let it not be obvious that it is made’ “There is no one perfect nose”. No matter how beautiful the nose alone is, if it is not compatible with the proportions of the person, it looks makeshift. Therefore, preoperative planning is very important. It is imperative that the special conditions of each patient should be evaluated, and a nose should be made in accordance with the facial proportions. It is very important to take digital photos before surgery, simulate using various programs in a computer environment, evaluate the structure and quality of the skin of the nose, determine the asymmetries on the face before surgery and provide information.
“Working in a way that respects texture”. Here, as in other surgeries, or rather, as in all medical teaching, it is very important to work in accordance with the principle of “do no harm first”. It is necessary to work very finely and meticulously in order not to weaken structures such as cartilage and bone while shaping them.
Who Should We Do Rhinoplasty For?
For any reason, congenital or accidental, anyone who complains about the shape of the nose, does not like it, has breathing problems and does not have any disease that prevents him from having surgery, this operation can be performed.
Things to Be Considered Before Rhinoplasty
It is worth doing a good research as soon as you decide to have a rhinoplasty, and two of the main questions you should ask yourself are:
Do you really need it?
Is it accompanied by breathing problems?
Most of the research can be done over the Internet now, but it may still be useful to meet face-to-face with a few doctors. If you have a disease, if there is a medication that you use constantly, if you smoke, you should definitely tell your doctor about it. If you smoke, you should stop it at least 2 weeks before the operation, otherwise you may have healing problems.
How Long Does a Nose Job Take?
Nose Surgery Techniques: Rhinoplasty is performed under general anesthesia. It takes an average of 2 to 2.5 hours. In secondary and tertiary surgeries (revision surgeries), it may take longer than it may be necessary to remove cartilage from the rib or ear.
One of the most common questions is “is it open or closed?” it shall be done. The difference between the open technique and the closed technique is a small incision made at the bottom of the nose. In the postoperative process, there is usually no noticeable scar left in this area. The use of open or closed technique varies depending on the structure of the nose and which technique the surgeon finds appropriate.
There is no single technique suitable for everyone’s nose, so planning should definitely be done according to the person, skin quality, nose size, existing asymmetries, etc. should definitely be taken into account. In aesthetic nose surgery, the cartilage and bone tissues in the nose are shrunk and shaped in a suitable way without damaging the roof, and it is thought that the skin on the nose will completely adapt to the given new form. In many cases, indeed, the skin fits perfectly, but sometimes healing problems may occur, especially in those with thick skin or in patients who have undergone a lot of nose reduction, since the abundance of skin will be too much.
Type plasty is a nose tip aesthetic surgery performed on patients who have a beautiful nasal ridge, but have disorders such as lowness and size at the tip of the nose. In these patients, there is usually no need for bone breaking (osteotomy) procedure, only the tip of the nose is shaped with sutures and cartilage grafts. Septum deviation is the curvature of the septum, which is located in the middle of the nose and consists of bone on the back side and cartilage tissue on the front side, which we can call the pillar of the nose, that is, the septum, usually one of the nostrils is blocked due to this curvature, and the patient cannot breathe from that side. If the shape of the nose is beautiful, surgical intervention can only be performed to correct this curvature. If there is also a problem with the shape of the nose, the septum deviation is also corrected during aesthetic nose surgery.
The Recovery Process After Nose Surgery?
After Nose Surgery, it is necessary to stay in the hospital for one night after surgery. In order to protect the shaped bone and cartilage tissues, a plastic splint is placed on the nose and a silicone tampon with a hole in the middle is placed in the nose. In addition, if the open technique is performed, there are stitches at the tip of the nose. With this tampon and splint, all the stitches are removed after 1 week. Since the bumper is silicone, it is easily removed. There may be edema and bruising around the eyes after surgery, applying ice for 2 days after surgery, using bruise removal creams improves this condition.
However, in recent years, both thanks to the development of technology and atraumatic techniques and special drugs used during surgery, bruising is now much less common. It is important for your quality of life to keep the silicone tampon cleaned and kept open in the first week after surgery, so you can breathe. Having your head at least 30 degrees higher also reduces edema and bruising.
It is not recommended to use glasses for the first 6 weeks, but you can use lenses the next day. You can take a shower without wetting the splint. it will be appropriate to take a break from sports such as weight lifting for about 1 month, you can start walking after 2-3 days.
What are the Problems (Complications) that May Be Encountered After Rhinoplasty?
Bleeding at an early stage;
Bleeding: It is normal to have bleeding in the form of leaks in the nostrils, especially during the first 24-48 hours after surgery, this may continue for up to 1 week, turning on color in later days. There is no need to intervene unless there is excessive bleeding, non-stop bleeding in the form of dripping. There are some things you can do to avoid increasing bleeding, such as not taking aspirin and medications that increase bleeding, not drinking herbal teas, and keeping your head up when lying down.
Receiving a blow:
It is necessary to be well protected against blows in the early postoperative period. Light blows usually do not cause a problem, but severe ones can damage the tissues inside and distort their shape. In such a case, you should definitely inform your doctor.
Infection:
Infection is not a condition that we encounter very often, it is very rare thanks to the antibiotics given before and after surgery.
In the late period;
The most common problem we see is that the nose shape is not as desired. In general, we tell our patients not to make too many comments for the first 6 months. Edema and swelling during this period may mislead us. Patients rightly want to see the result immediately, but it is necessary to take the necessary time for recovery. Usually this period is at least 6 months. at the end of 6 months, the edema and swelling recedes and the nose shape settles. If there is a formal disorder, this is also self-6. it shows on the moon. Secondary surgeries, which we call revision surgery, can also be performed after this period if the skin has reached sufficient softness. Loss of sensation at the tip of the nose may occur, but this is most likely temporary and 6. he returns at the end of the month.
Respiratory problems may also persist in some patients, in general, although most patients do not have respiratory problems before surgery or despite attempts to treat respiratory problems, it is normal to have breathing problems for the first 3 months because recovery is continuing, both edema and crusting in the nasal mucosa can lead to this problem. Oil-based nasal sprays may be useful during this period. If the breathing problem persists after 6 months, you may have an allergy problem, medication may be applied accordingly.
Assoc. Dr.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.