The nose is the first prominent facial structure in the middle of our face. It is among the most performed plastic surgeries all over the world. The nose should be compatible with every point of the face. There is a nose for every face. In the past, the same nose operations were always performed from the same pen. However, recently, most plastic surgeons and our patients prefer the natural nose. Before applying to us, our patients research this issue and even follow the operation from different sites and come to us. They also focus on issues that the doctor should know about technical details and that might confuse the patient. I don’t think this is true. These confuse and stress more patients.
While planning the surgery, it is necessary to sit down with the patient and understand very well what he wants. Patient-doctor communication is very important. Of course, there are things that can be done. Our patients may have impossible expectations, and we need to explain them very well. Although I have been doing this job for years and have done many nose surgeries, I do a separate nose job for each patient. Because every face is different. When planning the nose surgery, after understanding the patient’s wishes, I calculate the ratios by making measurements on the computer and determine the appropriate nose shape.
If the patient has a breathing problem, we can also solve that problem during the aesthetic intervention.
There are generally 2 types of approaches in nose surgery. Closed technique and open technique. I generally prefer the open technique. Because with this technique, the nose is more controlled during the operation. I also use the closed technique in appropriate cases.
I am performing the operation under general anesthesia in operating room conditions. The operation takes an average of 1-1.5 hours. If the patient does not have breathing problems and I am only performing aesthetic nose surgery, I do not use tampons. However, if I am going to interfere with breathing, I use tampons. I use tampons that either dissolve in the nose or have a hole in the silicone and the patient can breathe. 2-3 days later I take the tampon. Tampon withdrawal used to be a nightmare for patients. In fact, the patient would say, ‘Hodja, I didn’t have this much pain during the surgery’. However, with the latest developments, this problem has disappeared and these new bumpers have developed. Our patients are now saying, ‘What is the tampon, now?’ If I do a post-operative bone intervention, I put a plastic nose splint for 7 days.
There is no scar during this operation. In fact, an incision is made just below the nose. However, the trace disappears within 6 months. We even look at where we cut it. If there is a bone fracture, there is a bruise around the eyes for 5-10 days. Pain, which is the thing that patients fear most, is almost non-existent with special techniques and post-operative care during the surgery.
As a result, I advocate that a separate nose and natural nose should be made for each face.