What is Nose Aesthetics?

One of the structures that determine the facial features and draw attention because it is in the middle of our face is the nose. The nose is the most broken organ due to sports, accident or trauma due to its protruding structure on our face. For these reasons, rhinoplasty is one of the most applied aesthetic procedures. Curvatures or obstructions that cause breathing difficulties can also be corrected by performing septoplasty during rhinoplasty.

Rhinoplasty surgery can be performed to anyone whose expectations are realistic and reasonable, taking into account additional diseases, in the period after the age of 17, when facial bone development is completed. In the past, noses with a very raised tip, a very carved back and a very obvious design were aimed, but today the goal is to create a result that is in balance with other structures on the face, befits the face, is not very obvious and does not have difficulty in breathing (except for the patient group who wants to be aesthetically obvious). .

Since each person’s nose is unique to him, nose surgeries should be planned and performed individually. For this reason, it is important that you express to your doctor the features that you do not like about your nose and that you want to change during the pre-operative examination. People who think about having a nose surgery usually think a lot about this issue and when they look in the mirror, they only see their nose. The doctor you apply to can analyze your nose and other structures of your face (chin, cheekbones, forehead, eyebrows), their general harmony without focusing only on your nose, and can give you information about the procedures that need to be done in addition to the nose surgery. For example: filling these areas in a person with sunken cheekbones, advancing the tip of the jaw in a person with a chin that is too far back, or clarification with filling will provide a better aesthetic result. If you do not take these suggestions into account, the general facial expression will not give the result you want, even if you have a beautiful nose.

In rhinoplasty, two types of surgical methods called open and closed techniques are applied. Beyond the personal preference of the operating surgeon, both techniques have different advantages and disadvantages. Which of these techniques will be applied is decided after the examination. The duration of this operation, which is performed under General Anesthesia, is 2.5-3 hours. If only the cartilage at the tip of the nose will be intervened, local anesthesia may also be preferred. At the end of the surgery, silicone pads are placed in the nostrils if deemed necessary. These tampons are usually removed after 3-5 days. The plaster or splint placed on the back of the nose is removed after about 9-10 days. If only the tip of the nose has been intervened, it is not necessary to put a plaster cast, tapes will suffice. There is mild to moderate pain after the surgery and oral painkillers are sufficient for pain control. If you feel very well after rhinoplasty, you can be discharged on the same day, but patients usually stay in the hospital for 1 day.

Post-operative swelling and bruises may vary from person to person and the size of the surgery. Swelling and bruising may be more common in smokers due to cough and pressure increase after surgery. In order to limit and reduce this swelling and bruising, it is recommended to apply cold compresses around the nose and on the eyelids intermittently for 2 days. Keeping the head elevated also helps to limit the formation of edema. In the first days and weeks after nose surgery, your breathing may not be very comfortable due to edema and crusts in the nose. The use of some drops and creams during this period softens the crusts and makes them easier to clean.

The bruises and swellings around the eyes and nose generally go away after 2-4 weeks. After this period, the person who does not know him/her will not realize that he/she has had the surgery and will be able to go out into the community at the end of this period. Of course, the patient does not have to be on bed rest during this period, although he cannot do heavy sports, he can walk. One week after the operation, he can return to non-heavy working conditions such as desk jobs. It takes 1 year for the swelling to go down over time and the nose to take its final shape. During this time, your doctor may recommend various massages for you.

After rhinoplasty, as in any surgery, some undesirable situations may occur. There may be risks associated with general anesthesia, as well as bleeding, infection or wound healing problems. There may be numbness in the nose area for several months after rhinoplasty, especially in open technique procedures. After the operation, dryness can be seen in the nasal mucosa. This situation is more common in the winter months, in areas with low humidity or in houses with dry air heaters. It may be necessary to use sprays that moisturize the inside of the nose for a longer time. Sometimes there may be permanent or temporary changes in the sense of smell. This problem is more common in patients who are operated on the nasal septum. nose surgery

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Kenan Selçuk TUNCAY
Kenan Selçuk TUNCAY
Otolaryngologist