Aesthetic nose surgery (rhinoplasty); It is a surgical intervention performed in order to create a nose that is pleasing from an aesthetic point of view by correcting the discomfort points of the person’s nose and at the same time to eliminate the breathing problem, if any. It is among the most frequently performed procedures among plastic surgery applications. Thanks to this procedure, operations such as removing the height on the ridge of the nose, correcting the curvature of the visible outer roof of the nose, lifting the tip of the nose, reducing the length of the nose, reducing the nasal wings, correcting the curvatures in the cartilage in the middle of the nose called “septum” can be performed.
In order to have nose surgery, it is sufficient for the patient to be over the age of 18. The purpose of the age limit is to wait for the patient to both complete the anatomical development of the nasal bone and reach a psychosocial maturity where he will have healthier and more realistic expectations about the operation.
The patient who decides to have aesthetic nose surgery should share their expectations in detail with the plastic surgeon. In this way, the surgeon can more clearly inform the patient about which requests of the patient can be realized and which are not possible. Approaches such as “I want the nose of the mannequin in this photo” often end in disappointment. Because beauty is hidden in the integrity and an experienced plastic surgeon can find and reveal the beauty in the tissues of the patient.
Nose surgeries are often performed under general anesthesia. However, sometimes regional (local) anesthesia may be sufficient for very small procedures. There are two techniques: “Closed rhinoplasty” or “Open rhinoplasty”. The method to be used is selected according to the patient’s complaints and the planned changes in the nose. In the “open rhinoplasty” technique, a very small scar may remain at the base of the nose, but this scar disappears after a while.
At the end of the operation, a tampon or silicone is placed in the patient’s nose, and a plaster is placed on the back of the nose. The purpose of these is to both reduce the swelling that will occur in the early period and to protect the durability of the new nose structure. Immediately after the surgery, bruising and swelling may occur around the eyes, depending on the bleeding during the procedure and the skin structure of the person. This bruise disappears completely in about 2 weeks. For the first few days, the swelling and bruising can be relieved by lying on the back with the head elevated with 2 pillows and without turning it to the right or left.
The night of the operation day can sometimes be difficult for patients. Headache and pain in the operation area are reduced with drugs. In some patients, there may be a light pink leak from the edge of the nose. As this leak is cleaned with a wet cloth, it gradually decreases and stops.
The patient is discharged one day after the operation. If a tampon is placed in the nose, it is removed 1-2 days after the operation, if the silicone is placed, it is removed 5-6 days after the operation. 6-7 days in patients who have undergone “open rhinoplasty”. The stitches are removed on days and the plaster is removed after 7-8 days. The swelling in the patient’s nose starts to decrease after 1 month, but it takes at least 6 months to completely disappear. During this time, the final state of the nose gradually begins to emerge.
Although the patient can go out of the house to meet his daily needs while he is in plaster, he should keep these periods as short as possible and especially avoid the sun. For about 1 month after the operation, the patient should take care to protect his nose, stay away from sports activities, and should not wear glasses for at least 2 months.