Open rhinoplasty

Open rhinoplasty is one of the most traditional methods of rhinoplasty. In this method, clearly visible parts of the nasal structure are accessed and a more extensive surgical procedure can be performed. Open rhinoplasty is usually carried out in several stages;

Anaesthetic: The patient must be under anaesthetic before surgery. Your doctor will recommend the most appropriate anaesthetic for the procedure.

Making the incisions Open rhinoplasty begins with a small incision outside the nostrils, under the tip of the nose. This incision allows the surgeon to work under the skin of the nose and access the cartilage and bones of the nose.

Reshaping the structure of the nose: Your doctor will use appropriate techniques to change the shape and size of the nose by working on the nasal cartilage and bones. The nasal bridge may be lifted, the shape of the tip of the nose changed or the nostrils reduced.

Placement of internal supports: Once the bones and cartilage of the nose have been reshaped, your doctor will place internal supports in the nose. These are used to hold the shape of the nose and help the healing process.

Suturing the incisions: In the final stage of the operation, your doctor will stitch up the incisions and put a bandage over your nose.

Closed rhinoplasty

Closed rhinoplasty is a technique used in nasal reconstruction surgeries. In this technique, the surgery is performed through incisions inside the nose and no external incision scar is formed. Closed rhinoplasty usually involves the following steps

Anaesthetic: Before surgery, the patient must be under anaesthetic. Your doctor will recommend the most appropriate anaesthetic for the procedure.

Making the incisions: In closed rhinoplasty, the incisions are made inside the nostrils and are not visible from the outside. These incisions allow the surgeon to work inside the nose and access the cartilage and bones of the nose.

Reshaping the structure of the nose: Your doctor will use appropriate techniques to change the shape and size of the nose by working on the cartilage and bones of the nose. The bridge of the nose may be lifted, the shape of the tip of the nose changed or the nostrils reduced.

Placement of internal supports: Once the bones and cartilage of the nose have been reshaped, your doctor will place supports inside the nose. These are used to hold the shape of the nose and help the healing process.

Closing the incisions: At the end of the operation, your doctor will close the incisions and put a bandage over your nose.

Before the operation, you will need to be prepared according to your doctor’s instructions. These may include avoiding certain foods and drinks before the operation, not smoking, and adjusting your medication. After the operation, you should follow your doctor’s recommendations. These may include resting after surgery, wearing a nasal bandage, wound care and medication. Swelling and bruising around the nose is normal during the healing process. However, it is possible to reduce these effects by following your doctor’s recommendations.

Piezo Rhinoplasty Surgery

Piezo rhinoplasty is a method of cutting and reshaping the nasal bones using ultrasonic vibrations. It is more precise and less traumatic than traditional methods. Piezo rhinoplasty can also be used for osteotomy, a common method of cutting the nasal bone. Piezo rhinoplasty allows more precise cutting and shaping of the nasal bones, with less damage and swelling. The piezo rhinoplasty procedure usually involves the following steps;

Firstly, the patient’s nasal structure and wishes are assessed and they are informed of the outcome of the procedure.

The procedure is usually carried out under general anaesthetic.

Ultrasonic vibrations are generated using a piezo device, and instruments in the form of a special knife or saw used to cut the nasal bone are exposed to the vibrations.

Ultrasonic vibrations do not damage the soft tissues or nerves when the nasal bone is cut.

Once the nasal bones have been reshaped to the desired shape, other aesthetic procedures are performed on the nasal cartilage.

At the end of the procedure, the final touches are made according to the patient’s nasal structure and wishes.

Piezo rhinoplasty offers less swelling, less pain and faster healing compared to traditional methods. It also allows more precise control of the nasal bones, resulting in more natural and symmetrical results. However, piezo rhinoplasty does have some disadvantages. For example, it can be more expensive than traditional methods. It can also be a longer procedure and requires more experience. It is important that your surgeon who performs the procedure has experience in this area.

Revision rhinoplasty

Revision rhinoplasty is a type of surgery performed to correct deformities, functional problems, or aesthetic results that occur in the nose after a previous rhinoplasty. Revision rhinoplasty is usually performed to correct mistakes made during the previous operation or natural changes in the structure of the nose. It can be used to change the shape and size of the nose, correct the nostrils, reshape the nasal bones and improve nasal function. How revision rhinoplasty is performed depends mainly on the techniques used in the previous rhinoplasty, the problems that occurred and the current condition of the nose.

Non-surgical rhinoplasty with fillers

Dermal fillers are an alternative method of rhinoplasty and offer a non-surgical option for rhinoplasty. This procedure uses injectable fillers such as hyaluronic acid or calcium hydroxylapatite. Compared to rhinoplasty surgery, rhinoplasty with dermal fillers is less invasive and requires a shorter recovery time. It is suitable for making minor changes to the shape and size of the nose. The procedure using dermal fillers for rhinoplasty usually involves the following steps

The first step is to assess the patient’s nasal structure and wishes, and to provide information about the outcome of the procedure.

The procedure begins with markings on the nose before the local anaesthetic is administered.

The dermal filler is injected into specific areas of the nose using a fine needle or cannula.

The injected filler is placed in predetermined areas to change the shape and size of the nose.

At the end of the procedure, final touches are made in line with the structure of the nose and the patient’s wishes.

Rhinoplasty with dermal fillers usually takes about an hour and the patient can go home the same day. The fillers are not permanent and the results usually last between 6 months and 2 years. The length and results of the procedure depend on the type of filler used and the patient’s nasal structure. Things to consider when having rhinoplasty with dermal fillers include the experience of the doctor performing the procedure, a detailed assessment of your medical history before the procedure, and a period of rest after the procedure.

However, non-surgical rhinoplasty is not a permanent solution and usually provides only temporary results. Therefore, it may be more appropriate for people who want a permanent change to consider surgical rhinoplasty techniques. However, it is recommended that you talk to your doctor to decide which method is best for you.

The importance of the decision-making process for Rhinoplasty

Rhinoplasty is an operation that can significantly affect a person’s appearance and self-confidence. Therefore, the decision making process of a person undergoing rhinoplasty is very important. Here are the details about the importance of the rhinoplasty decision-making process:

Know yourself well: Before making a decision about having a nose job, you should understand yourself and your expectations. Why do you want to have a nose job? What problems are you trying to solve? Answering these questions correctly will help you make a healthier decision.

Talk to your doctor: When you are considering rhinoplasty, you need to make a number of important decisions. It is recommended that you meet with a plastic surgeon to get accurate information about your nose shape, type of surgery, recovery time and results. Your doctor will listen to you, give you information about the advantages and disadvantages of the surgery and give you a realistic idea of the expected results.

Understand the risks: Rhinoplasty, like any surgery, carries some risks. These can include infection, bleeding, pain, swelling, nasal congestion, anaesthetic complications and more. Talking to your doctor and getting accurate information about risks and side effects will allow you to take these risks into account when making your decision.

Manage your expectations: Rhinoplasty may give you a nose close to your ideal shape, but it may not be realistic to expect exactly the same. By talking to your doctor, you are more likely to manage your expectations and achieve a realistic result.

Make your own decision: The decision to have nose surgery is a personal one. Make your decision without forcing yourself. Instead of acting on the expectations of others or society, make the decision you think is best for you.

What should you consider before Rhinoplasty?

The preparation process before rhinoplasty is very important. Since what is done during this process will also affect the post-operative period, it is recommended to pay attention to some issues. Here are some of the things you should consider before rhinoplasty:

Choosing a doctor: Because rhinoplasty is a surgical procedure, choosing the right doctor is very important. The surgery is performed by plastic surgeons. Therefore, you should make sure that the doctor who will perform the surgery is an expert in this field. It is also important that your doctor is experienced in rhinoplasty. Your doctor should know well the techniques used in the operation, as well as the pre- and post-operative process. References are a good way to find out how good your doctor is. Your doctor should keep you under constant observation before, during and after the operation. This will help him or her to quickly identify any problems that may occur during or after the operation.

Medical conditions: It is important to tell your doctor about any medical conditions you have before surgery. If you have a chronic medical condition such as diabetes, heart disease, high blood pressure (hypertension), or respiratory problems, you can talk to your doctor about whether the surgery is right for you. The medicines you are taking are also important for your health before surgery. Tell your doctor about all the medicines and supplements you are taking. Some medicines may need to be stopped before surgery. A healthy diet is important both before and after surgery. Following a healthy and balanced diet before surgery can speed up your recovery process.

Smoking and alcohol consumption: Smoking can have some negative effects before rhinoplasty. Smoking can slow down your postoperative healing process and increase your risk of infection. In addition, smoking can affect your circulation, increasing the risk of bleeding in the nasal area after surgery. It is therefore recommended that you stop smoking at least 1 month before rhinoplasty. Quitting smoking can speed up your post-operative recovery and reduce risks.

Alcohol can also have some negative effects before and after rhinoplasty. Alcohol consumption can affect your circulation after surgery, increasing the risk of bleeding in the nose. It can also increase postoperative pain and slow down the healing process. It is therefore recommended that you do not drink alcohol for at least 24 hours before surgery. You may also need to abstain from alcohol after surgery for as long as your doctor recommends.

Planning the Recovery Process: Plan when you will return to work after rhinoplasty, when you will have your operation, and how long you will need to rest. Also, make sure you have a family member or friend who can help you at home after surgery. Make yourself comfortable before the operation. Prepare a suitable bed, pillow and appropriate clothing for resting at home after the procedure.

What should you be aware of after Rhinoplasty?

The process after rhinoplasty is very important. This process is necessary to reduce postoperative swelling, reduce the risk of bleeding, reduce the risk of infection, and to allow the nose to heal completely. Here are the things to remember after rhinoplasty:

Keep your head up: For the first few days after surgery, keeping your head elevated will help reduce swelling in the nose. It is recommended that you sleep with your pillow in a high position or on your back.

Apply a cold compress: Swelling may occur around the nose after surgery. If this happens, you can reduce the swelling by applying a cold compress. You can wrap an ice pack in a thin cloth and apply it to your nose. However, you should avoid applying the ice pack directly to the nose.

Take your medicine regularly: Regular use of medicines recommended by your doctor will help relieve pain and reduce the risk of infection. You should take your medicines as advised by your doctor.

Adjust your eating and drinking habits: In the first few days after the operation, you may need to eat by mouth. You should avoid spicy, hot and sour foods. You should also avoid alcoholic drinks and smoking.

Limit physical activity: For the first few weeks after the operation, you should avoid excessive physical activity. Avoid heavy sports and lifting heavy objects. You should not exercise without your doctor’s permission.

Keep in touch with your doctor: After surgery, you may need to attend follow-up appointments at intervals recommended by your doctor. These appointments are important to monitor your nose’s healing process and to detect any complications early on.

Dealing with nasal congestion: Nasal congestion is a common side effect. You can relieve congestion by using nasal sprays recommended by your doctor.

Rhinoplasty is a serious operation and the healing process is important. It is important to take care during the healing process and to follow your doctor’s recommendations.

History of Rhinoplasty

Rhinoplasty dates back to ancient times. It is known that nose treatment surgeries were first performed in Egypt around 2500 BC. At that time, treatment of nose in terms of surgeries was performed to treat the wounds of soldiers who had lost their noses in wars.

Rhinectomy operations were also performed in ancient India and Rome. In ancient India, nasal reconstructions were performed specifically to make the nose smaller. In Rome, these operations were performed to correct the noses of those who lost their noses in gladiator fights.

Modern rhinoplasty was developed at the beginning of the 20th century. The first rhinoplasties were performed on soldiers with nasal deformities caused by facial trauma. During this period, rhinoplasty was generally performed using the open rhinoplasty technique.

Nowadays, rhinoplasty is often performed for aesthetic reasons. With the development of technology, surgical techniques and methods have been gradually developed and improved. Rhinoplasty is performed using modern technology and surgical techniques to achieve safer and more successful results.

What techniques are used in Rhinoplasty?

Rhinoplasty is performed using either a closed or open technique. The surgeon’s preference may depend on the complexity of the operation, the structure of the patient’s nose and the expected post-operative results. The duration of a rhinoplasty can vary depending on the complexity of the operation, the techniques used in the operation and the experience of the surgeon.

What is Open Rhinoplasty?

Open rhinoplasty involves cutting the cartilage and tissue between the nostrils, opening the inside of the nose and performing the operation. Open rhinoplasty is used in situations that require a more comprehensive approach to changing the shape of the nose.

Open rhinoplasty is the most invasive technique used in rhinoplasty. For this reason, surgeons prefer this technique only in necessary conditions. This technique is more commonly used in cases such as a large curvature of the nasal hump, a large deformation at the nasal tip, or a serious disorder in the cartilage and bone structure.

Open rhinoplasty begins with an incision between the nostrils. Through this incision, the cartilage and bone of the nasal structure become visible and the surgeon can manipulate these tissues to change the shape of the nose. This technique provides more room for the surgeon to operate. One of the advantages of open rhinoplasty surgery is that the surgeon can see the structure of the nose better and work more meticulously. However, because this technique is more invasive, the recovery time may be longer and there may be more edema or bruising.

As open rhinoplasty is a surgical procedure, there are many risks and complications associated with it. These include infection, bleeding, anesthetic reactions, and postoperative nasal deformity. Therefore, this technique should only be used in necessary conditions and by an experienced surgeon.

What is Closed Rhinoplasty?

The closed rhinoplasty technique improves the structure and shape of the nose through incisions made through the nostrils. The closed rhinoplasty technique is preferred for minor changes to the nose or when a less invasive approach is required. In closed rhinoplasty, a small incision is made inside the nostrils. This incision provides access to the cartilage and bone underneath the nasal structure. Because the closed rhinoplasty technique is less invasive, it results in less oedema and bruising and a shorter recovery time.

Closed rhinoplasty surgery allows surgeons to perform less invasive nasal changes to the nose. This technique is also used to correct subtle deformities such as the tip of the nose, a small protrusion in the nasal bridge, or a curve in the nose. Compared with open rhinoplasty, closed rhinoplasty leaves less visible scarring because the incisions are made inside the nostrils. One of the advantages of closed rhinoplasty is that it is less invasive. As a result, recovery time is shorter and there is less oedema or bruising. Closed rhinoplasty is usually less painful and allows patients to return to normal activities more quickly.

One of the disadvantages of closed rhinoplasty surgery is that the surgeon has less access to the nasal structure. Therefore, the surgeon need to work in a limited area. Closed rhinoplasty may not be the right technique for more complex cases of nasal deformity or a serious disorder of the nasal structure.. Because closed rhinoplasty is a surgical procedure like open rhinoplasty, it can carry in many risks and complications. These include infection, bleeding, anesthetic reactions, and postoperative nasal deformity. Therefore, closed rhinoplasty surgery should be performed by an experienced surgeon.

Duration of Rhinoplasty and Anaesthesia

A general or local anaesthesia may be used for rhinoplasty. The type of anaesthesia may vary depending on the complexity of the procedure, the patient’s general health and the surgeon’s preference. In general, the duration of the operation can vary between 1-4 hours. As the length of surgery increases, the length of anaesthesia and post-operative recovery may also increase.

Is Nasal Reconstruction suitable for everyone?

Nasal reconstruction is not suitable for everyone. Candidates for nasal reconstruction should have a certain age, general health, nasal structure and expectations before surgery. In particular, rhinoplasty should not be performed in the following cases

Individuals who have not completed their development (usually under the age of 16)

Patients with chronic medical conditions or who are at risk of infection during the postoperative recovery period.

Pregnant or breastfeeding women

People with psychological problems

In addition, it is important that the patient’s expectations are in line with realistic results before rhinoplasty. For this reason, the surgeon should have a detailed discussion with the patient before the operation in order to understand expectations and offer realistic results.

Who can have Rhinoplasty?

Rhinoplasty can be performed on healthy people who meet certain criteria, which are as follows

The general health of the person undergoing rhinoplasty should be good.

The structure of the person’s nose should be suitable for surgery.

The nasal structure of the person undergoing rhinoplasty should have defects or deformities caused by trauma.

The person should not be smoking before the surgery.

It is the person’s responsibility to follow all procedures recommended by the surgeon before and after surgery.

The person should carefully follow the healing process after rhinoplasty.

However, rhinoplasty is not a suitable option for everyone. For this reason, it is recommended that the patient discuss their health situation and expectations with your doctor before surgery.