Rhinoplasty is a surgical procedure for nose aesthetics and has the ability to replace the bone, cartilage tissue and skin layer of the nose or all of them when necessary. When planning rhinoplasty, a surgeon meticulously assesses the individual's facial structure, nasal skin, and desires. This evaluation is crucial for tailoring the rhinoplasty procedure to the specific needs of the patient.
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What is Rhinoplasty (Nose Job) ?
Like any major surgery, nose job (rhinoplasty) surgery carries various risks. Risks specific to nose job include nasal obstruction, difficulty breathing through nose, asymmetric nasal appearance, persistent numbness, pain, changes in color, persistent swelling, scarring, septal perforation, and the need for additional surgical interventions.
Patients considering rhinoplasty should be fully informed about these risks. This information is provided by a rhinoplasty surgeon during the pre-operative consultation. At this stage, the patient's medical history, motivation for the surgery, and goals are thoroughly discussed. Honesty is paramount at this stage, as open communication about desires and goals can help achieve the best outcomes.
The surgeon provides clear information about what rhinoplasty can and cannot achieve for the patient. Additionally, information about nasal obstruction, prior surgeries, and medications is gathered. Medical conditions, such as bleeding disorders, are evaluated as they can impact the suitability for rhinoplasty.
During this process, the surgeon conducts a comprehensive physical examination, thoroughly inspecting the patient's facial features and nasal structure. This examination is essential to determine which changes need to be made and how physical characteristics, such as skin thickness or cartilage resilience in the nasal tip, can affect the outcomes. The physical examination is also crucial for assessing the impact of rhinoplasty on breathing.
Postoperatively, the surgeon may use nasal photographs to monitor the results and for long-term evaluations. These photographs are essential for visual comparisons between pre- and post-surgery and for analyzing the visual outcomes.
If the patient has a small chin, the surgeon may discuss options for chin augmentation to better balance the facial profile. A small chin can create an unbalanced appearance, and addressing this through chin surgery can enhance overall harmony.
It's generally possible for patients to be discharged from the hospital on the same day as the rhinoplasty. In the postoperative period, effects from anesthesia may include symptoms like memory loss, slower reaction times, and decision-making difficulties. Therefore, having a friend or family member present to assist with postoperative care can be beneficial.
Before rhinoplasty, it's necessary to avoid medications that can increase the risk of bleeding for approximately two weeks before the surgery. Only medications approved or prescribed by the doctor should be used. Herbal remedies, natural medications, and supplements should also be avoided. Smoking should be discontinued or temporarily ceased because it can slow down the postoperative healing process and increase the risk of infection.
Which Nose Types Can Have Rhinoplasty Surgery?
To Who and in Which Cases of Rhinoplasty Performed?
Rhinoplasty is an operation performed to eliminate factors that negatively affect the person in terms of both aesthetics and health, such as nasal curvature (deviation), nasal flesh growth (turbinate hypertrophy), nasal asymmetry, nasal deformations, nasal arch shaving, nasal reduction, and enlargement. Rhinoplasty surgery is possible for every patient whose health condition does not prevent surgery.
How is Rhinoplasty
(Nose Job) Performed?
Rhinoplasty is a surgical procedure performed to improve nasal aesthetics. Rhinoplasty surgery, which is performed under general anaesthesia under standard sterile conditions, takes an average of 1 to 4 hours. This procedure can be performed with two different techniques: Open and closed technique.
In the closed technique, all incisions are made inside the nose and the surgeon completes the surgery from the inside. This method resembles a procedure such as removing objects from inside. If you are only planning to make some corrections in the nose, this technique is quite suitable for you. However, if you need more complex corrections, the closed technique may limit you.
On the other hand, in the open technique, a 3-4 mm incision is made at the tip of the nose, allowing the surgeon to directly see the structures in the anterior 2/3 of the nose. This method provides more visibility, access and convenience the surgeon.
The choice of technique often depends on the surgeon's expertise and the patient's specific needs. The closed technique resembles working within a closed container, as mentioned earlier. If your intention is merely to remove or adjust items within, this method works well. However, for more intricate modifications, the open technique offers advantages.
The debate over which technique is superior has been an ongoing discussion among surgeons, and no definitive conclusion has been reached. The open technique provides the surgeon with a direct view of the structures in the front two-thirds of the nose, allowing for more detailed adjustments. This enables finer tuning during the surgery, potentially leading to better outcomes.
The possibility of revision after open technique surgery is reduced. This may result in higher patient satisfaction with their post-surgery results. However, it's important to remember that every patient is unique, and surgeons should conduct individual assessments to determine the most suitable technique and approach.
The primary concern with the open technique is the possibility of leaving a scar at the tip of the nose. However, when the surgery is well-executed, this scar becomes nearly imperceptible and remains concealed beneath the nose. Many patients tend to forget about it post-surgery.
Therefore, it's crucial to have a thorough discussion with your surgeon before the procedure. Trusting your surgeon's expertise and experience is of utmost importance. Every surgeon aims to achieve the best results using the methods they are most confident in. Determining the most suitable approach for each patient depends on their individual needs and circumstances. Consequently, pre-operative assessments and following the surgeon's guidance are essential.
What is Age Limit for Rhinoplasty (Nose Job) Operation?
In Rhinoplasty surgeries, the age limit is +17 for women and +18 for men due to the faster completion of anatomical development.
What are Rhinoplasty (Nose Job) Methods?
With the effect of developing technological innovations in Rhinoplasty operations;
Two different surgical techniques are applied for Rhinoplasty surgery. You can prefer the best option with your doctor.
In Rhinoplasty surgery, generally two different surgical techniques are commonly used to access the bone and cartilage structures beneath the skin of the nose, and these techniques are referred to as open and closed techniques.
"The "closed technique" or "closed rhinoplasty" is explained by the fact that all incisions made within the nose are kept entirely inside the nose and are not visible from the outside. In this method, the nasal skin is not completely lifted; only the connection between the nasal skin and the underlying structures is disrupted, and the surgery is performed through this opening.
The "open technique" or "open rhinoplasty," on the other hand, is known for making an incision in the skin of the column called the columella between the two nostrils in addition to the incisions made inside the nose. This allows the complete lifting of the nasal skin and provides better access to the bone and cartilage structures to be worked on.
What are the Nose Job Techniques?
Nose job techniques can encompass multiple methods. The most well-known techniques are as follows:
Nose Job Techniques
Rhinoplasty initially, it was performed using closed techniques. However, the closed surgeries during that period were quite different from today's more advanced closed rhinoplasty operations.
Later on, open nose aesthetics started to become more preferred. The open technique provided better visibility and easier access to challenging interventions. Nowadays, we are using modern preservation techniques.
Currently, in most cases, there is a possibility of performing nose aesthetics using closed methods. In the past, we used to completely open the nose, perform the procedure, and then close it layer by layer to complete the surgery.
Nowadays, we perform rhinoplasty by entering through the nostrils, creating tunnels without cutting the nose. The closed method is preferred because it causes less trauma to the nose and, therefore, allows for a faster recovery.
The term "creating tunnels" means shaping the nose with minimal incisions, reaching only the necessary amount to access the nasal structure and cartilage structure without making excessive cuts.
Another method that has recently gained popularity is preservation rhinoplasty. In most of my applications, we perform this preservation surgery without intervening in the nasal dorsum.
The characteristic of this approach is its respect for tissue. The more respect is shown to the tissue, the less intervention there is on the tissue, which accelerates the healing process.
Advantages of Closed Rinoplasty Technique
Disadvantages of Closed Rinoplasty Technique
Advantages of Open Rinoplasty Technique
Disadvantages of Open Rinoplasty Technique
What is the Difference Between Open Rhinoplasty and Closed Rhinoplasty?
What are the Risks of Rhinoplasty (Nose Job) Surgery?
As with every type of surgery, rhinoplasty (nose job) surgery also has risks. These risks, which are not valid for every patient, vary according to the health status of the person, the equipment of the doctor who will perform the operation and the quality of the hospital.
These risks, which are specific to rhinoplasty, concern the nasal area, as expected. These risks that may be experienced after the operation are as follows:
Is Rhinoplasty (Nose Job) Surgery Permanent?
Rhinoplasty, also known as nose surgery, has a permanent effect. When there are no extra negativities that can be experienced, there is no deformity and deformation does not occur. As the age progresses, the shape of the nose does not deteriorate. The main factor determining permanence is the success rate of the operation.
The success criterion of rhinoplasty or nose surgery is that the operation is permanent even after 20 years and the patient can use his nose without fear and in a healthy way. One of the most important factors in the success of the operation is that the doctor is an expert in the field and can achieve successful results. In addition, choosing and using the right hospital and quality equipment for the operation will increase the success criteria.
Apart from all these situations, there are also rules that the patient must follow.
So, what should the patient do after rhinoplasty surgery?
When are the Stitches Removed After Rhinoplasty?
The plaster, stitches, and tapes used to protect the nose after rhinoplasty can be elements many patients don't particularly like. Even though patients who desire their new noses recognize the importance of these supports and the substantial protection they offer, they wish to get rid of them as soon as possible. The duration of stitches and tapes remaining on the nose is not quite long; however, removing them prematurely can lead to unwanted results.
Right after the operation, the plaster and tapes applied to the nose help stabilize the nose, maintain its shape, and minimize swelling. The plaster placed on the nose is typically made of plastic or metal and is custom-designed for the individual. These types of plaster are removed approximately one week after the surgery.
If a procedure has also been performed on the septum, silicone may need to be placed inside the nose. The silicone supporting the inner structure of the nose may need to remain there for approximately 3 to 7 days. Subsequently, it should be removed by your doctor. If the plaster falls off or loosens before it is time to remove it, you should consult your doctor.
Nasal tampons can be used to prevent potential bleeding after the operation. This practice can be uncomfortable and make breathing difficult, so it is generally not preferred in nose job operations. However, your doctor may decide to apply tampons if there is excessive discharge. Nasal tampons are typically removed 1-2 days after the operation. If there is a bleeding issue, it can be prevented by self-absorbing stitches.
When Do Stitches Fall After Rhinoplasty?
There are two types of stitches used in rhinoplasty surgeries: absorbable and non-absorbable. If a portion of a stitch sags when the nose is blown forcefully or when sneezing, there is no need to worry. Regardless of the situation, it is crucial not to interfere with the stitches and pull them. Absorbable stitches are usually removed by the doctor 5-6 days after the surgery.
When the absorbable stitches will completely disappear depends on the type of stitch used (thickness, material). Some can fall out in 3 months, while others can dissolve in 2 weeks. Depending on the type of stitch used, your doctor will provide you with an estimated timeframe and an appointment for stitch removal. Moistening the area with emollients can help accelerate the stitch dissolving process.
Leaving the stitches in place longer than necessary can lead to permanent stitch marks. Therefore, it is essential for the stitches to be removed not too early or too late but at the right time.
How is the Recovery Process After Rhinoplasty?
The recovery process after rhinoplasty cannot be expedited through external interventions or medications. The healing period for aesthetic nose surgery is a lengthy process that requires patience and time. This recovery period can range from 6 months to 2 years. While you may experience pre-surgery excitement, the post-operative period is generally comfortable. To achieve the best results for your nose, please be patient and give yourself time.
After the surgery, you may be discharged from the hospital the following day depending on the situation. Staying overnight in the hospital is rare. You might need to refrain from eating or drinking for the first 4-6 hours after the surgery. To prevent dryness in your mouth, you can moisturize your lips. Starting your diet with light, watery foods is recommended.
Typically, there is not much pain following rhinoplasty surgery. However, if you experience mild discomfort, nausea, or vomiting, you can manage these with medication. Keeping your head elevated while resting can reduce discomfort. During the first two days after surgery, there may be slight bloody discharges from the nose. It's crucial to rest during these initial two days.
By the third day, you can return to low-stress daily activities. To protect your nose from injuries, it is essential to be cautious and avoid harsh traumas to the nose for the first two months. In cases of spontaneous and uncontrollable sneezing, keep your mouth open. Gently blowing your nose and nasal care with saline solution are also possible.
When Do Swellings Go Away After Nose Surgery?
After aesthetic surgeries, varying degrees of swelling can occur in and around the nose and eye areas. After rhinoplasty, applying cold packs for 10 to 15 minutes every hour for the first three days can help reduce swelling. Swellings around the nose typically reach their peak within the first three days and begin to subside from the third day onwards. Generally, after 5 to 7 days following surgery, noticeable edema will be gone, and most of the swellings will have diminished.
The complete resolution of swelling in the nose and the nose achieving its final shape may take 6 months to 1 year in individuals with thin skin. For individuals with thick nose skin, this period can be longer. The complete disappearance of edema for individuals with thick nose skin can take an average of 1 to 2 years. In terms of this healing process, initially, the areas around the eyes improve rapidly. Then, the swellings in the middle of the nasal dorsum decrease, followed by the swellings near the brow of the nose. Lastly, the nasal tip edema subsides.
The recovery process after nose surgery is time-consuming and cannot be expedited. Therefore, please give yourself time to adjust to your new appearance. Every person's body reacts differently to injuries and healing. Each body forms a unique and distinct response, making it special and unique. While human faces are structured similarly, they exhibit unique diversity, as every face and nose is distinct. As a result, the outcomes will also be different.
What Should Be Known Before Rhinoplasty?
Before Nose Job, medications such as painkillers, blood thinners, anti-inflammatories, and vitamin pills that will trigger bleeding during the operation should be stopped 10 days before the operation and should be started under the follow-up of the doctor after Rhinoplasty surgery.
Before Nose Job; If the person has a chronic disease or medication use, the doctor, anesthesiologist, and nurse should be informed, and the background anamnesis should be given in detail.
Before Nose Job, eating and drinking should be stopped 12 hours before the operation to avoid complications in general anesthesia.
Before Nose Job; female patients should inform the doctor about their menstrual period. Since the rate of contraction in the capillaries in the nose is at a minimum level during these periods, the date of operation should not be preferred in order to prevent bleeding, edema, and bruising.
Comfortable clothes should be preferred after Rhinoplasty surgery, the jewelry should not be worn, and makeup and nail polish should be avoided in terms of sterility while coming to Rhinoplasty operation.
Before Nose Esthetics; factors such as smoking, hookah, and alcohol slow down and negatively affect wound healing. Consumption should be stopped 1 week before the Rhinoplasty operation and should be started with the approval of the doctor after the operation.
What kind of doctor should be chosen for rhinoplasty?
Each individual's nose has its own special personal characteristics. The main goal of rhinoplasty surgery is to create a personalized and natural nose. Certain rules are important for people considering rhinoplasty.
The answer to how to choose a doctor for rhinoplasty lies within these rules. Preoperative communication between the surgeon and the patient plays a critical role in the success of rhinoplasty surgery.
Good communication enables the doctor to fully understand the patient's thoughts and expectations, as well as to realistically evaluate the patient's postoperative expectations.
The doctor should inform the patient about how long the recovery period after surgery will be. Time is needed for facial swelling and skin healing. Therefore, the actual result of the operation and the final shape of the nose are not fully understood at the beginning.
The result of the rhinoplasty operation becomes apparent after a few months when the swelling has completely disappeared. It is important for the patient to be patient during this time and not to expect immediate results after surgery.
They should have realistic expectations and understand the healing process. If the patient wants a nose that does not fit the general appearance of the face, the surgeon must have the equipment and courage to reject this request.
These elements are the key to a successful and healthy patient-doctor relationship. A person who wants to get the best possible result from rhinoplasty, what kind of doctor should be chosen for rhinoplasty? He/she should take care to make the right decision.
How to choose the right doctor?
In choosing the right doctor, the person who will have an operation conducts various researches. As a result of these researches, they pay attention to some important points in order to make the right decision.
One of the most important points is that the surgeon has sufficient knowledge and experience. Another important point is that the nose can continue to function smoothly after surgery.
Functionality is an important factor in rhinoplasty. A perfect nose can be made, but a nose with breathing problems does not provide any benefit.
Therefore, it is important that the surgeon has a good command of the internal structure as well as the external appearance. It is important to choose a surgeon with knowledge and experience in functionality to avoid problems in the future.
Asking your surgeon to show before and after photos of his/her former patients and give examples may also influence your decision.
It is also important to ask in which hospitals the surgeon performs surgery and to choose quality hospitals with the appropriate equipment for this job.
It should not be forgotten that the hospital where the surgery will take place is a reflection of the quality of the doctor.
Rhinoplasty Results in Turkey
The healing process of patients after rhinoplasty (nose job) varies from person to person and according to the size of the surgery. After rhinoplasty operation in Turkey, patients are discharged the next day after staying in the hospital for 1 night to control bleeding and close follow-up.
Patients usually stand up and start walking within 5-6 hours. The tampons placed in the nose after the operation are removed under the doctor’s control after 1-2 days. The mould placed on the back of the nose is removed by the doctor 1 week after the operation.
People who have undergone nose surgery can return to their routine business life in the absence of any unusual complications. While swelling and bruises decrease within approximately 1-2 weeks after the operation, edema and swelling disappear by 75% after 1 month. The desired result of rhinoplasty surgery is achieved within 1 year.
Nose Surgery for Men
In recent years, men have started to care about their appearance at least as much as women and to demand some operations for this with the change in the perspective of popular culture and the importance of aesthetic appearance. One of these operations is nose surgery.
Men’s expectations from nose surgery may vary from person to person. While some men do not want the masculine expression on their face to disappear; According to recent researches, some men prefer a small and pointed nose structure.
For this reason, men who decide to have a nose surgery should definitely have a preliminary interview with the surgeon who will perform the operation and meet on a common ground. However, the nasal skin of men has a thicker structure compared to women.
For this reason, the rate of oedema and swelling during the healing process may be higher than in women, while the result of the intervention applied to bone and cartilage does not show itself at the same rate. It takes a longer time for the nose to settle in its final form.
Why Turkey is Popular for Rhinoplasty Surgery?
Due to the exchange rate difference, Rhinoplasty (Nose job) surgery prices in Turkey are more affordable than in Europe and America. There are counselors in their own language for patients coming from abroad. Thus, patients can express themselves more easily and can easily achieve the image of their dreams.
Since there is a lot of competition in the field of plastic surgery in Turkey, clinics are improving themselves every day. For those who want to have Rhinoplasty surgery in Turkey, clinics often provide accommodation and transport services. Turkey is one of the most developed countries in health tourism.
Health tourism in Turkey provides state support and the number of doctors specializing in plastic surgery in Turkey is very high.
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Rhinoplasty Costs in Turkey?
Rhinoplasty Costs in Turkey operation varies according to the method and technique to be applied. After the necessary medical and physical examination, the appropriate method should be planned as a result of the approval of your doctor and it should be determined which techniques the person needs both respiratory and aesthetics in this process.
After the analysis during the Rhinoplasty preparation phase, pricing should not be your only criterion in the doctor research you will do in the field of Rhinoplasty in your nose profile that you want to achieve satisfaction and success.
You should feel the trust given to you by the doctor you decide to have Rhinoplasty, and you should decide on a competent specialist who will closely follow your financial – spiritual, and physical concerns. Pricing in Rhinoplasty operations varies between $2,500 and $6,000 in Turkey, while in national such as the European Union and United States, it is between $3,000 and $8,000.
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