What is rhinoplasty?
Rhinoplasty can be described as the surgery to improve the nose aesthetically.
If the deviations of the cartilage septum, which separates both nostrils from each other, will also be corrected, the surgery is called “septorhinoplasty”.
What techniques are used?
There are basically two techniques. One of these is called “open technique” and the other “closed technique”. These techniques can be modified with various techniques and can be called differently.
Before the surgery
The preoperative interview is of great importance. The patient’s demands are listened carefully, all the structures of the face are examined in detail. While planning a rhinoplasty surgery, care is taken to make the nose proportional to other parts of the face. The nose is never evaluated alone. The patient’s demands and the existing anatomical structure determine the surgical plan.
Rhinoplasty surgery is performed under general anesthesia and takes approximately two hours. Aesthetic deformities of the nose, as well as anatomical disorders that cause breathing problems are corrected. Regardless of the technique used during the surgery, care taken during the surgery directly affects the outcome of the surgery. Postoperative patient comfort is determined by the minimal damage to the soft tissues, the experience of the anesthesia team and the health condition of the patient.
After the surgery
A plastic splint is placed on the nose after rhinoplasty surgery. If nasal packing is required, silicone perforated packings that allow for breathing are preferred. Some bruising and swelling may occur after the surgery. Bruising and swelling vary in proportion to the extent of nasal deformity, operative time, and damage to soft tissues. In a rhinoplasty surgery, where maximum care is taken for the soft tissues and which is completed in an appropriate time, bruising and swelling occur minimally. Postoperative length of hospital stay is one day.
Bruise and swellings on the face usually begin the next day and resolve within a week to ten days. At the end of the first week, the plastic splint on the nose and the intranasal silicone packings (if placed) are removed. If the open technique has been used, the sutures placed on the tip of the nose are removed. After removing the splint on the nose, tapes are attached to the nose. This taping is done to prevent excessive swelling of the nose after the splint. The tapes are also removed after one week. Eighty percent of nasal edema recovers within the first month. The remaining 20% edema recovers within 6 months to a year. You can take a bath on the fourth day after the surgery, and return to social life in the first week. Sports should be avoided for a month. It is useful to wait 4 months for heavy sports. Glasses should not be worn for three months and a sunscreen cream should be used while going out until the bruise recovers. After rhinoplasty, the nose achieves 80% of its normal former strength in 4 months. The ideal nose shape is obtained from the 6th month to the end of the first year.
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