Rhinoplasty in patients with breathing difficulties


Nose plastic surgery (rhinoplasty) is one of the most important aesthetic operations that change the expression of the face. Due to its strategic structure in the center of our face, our nose has the highest role in the formation of our expression.

Preliminary work of rhinoplasty is as important as surgery. Achieving the decided result requires a very meticulous and serious study. Anatomical balances, especially the position of the lower and upper jaws, teeth and the structure of the lips, the cartilage structure of the nose are important. The placement of the nose in the whole face is examined. We realize the planned changes together with our patient. Prepared animations are looked at, sensitive notes are taken, drawings are made. With a very special study applied only in our clinic, we can show the shape of the new nose we plan to achieve after the operation to our patients and their relatives.

We know that the nose, which rises above a functional and healthy breathing infrastructure, is closer to good, beautiful and aesthetic norms. Therefore, we attach great importance to the breathing function. We should know well that having a functional nose and catching an aesthetic and natural appearance are inseparable features.

Nasal surgeries that take into account anatomical, aesthetic and physiological balances are performed endoscopically through the holes. Sometimes endoscopic surgery is also added. The aim is a natural, balanced and aesthetic appearance. It is an extremely comfortable and convenient operation. Thanks to the special anesthesia applied, there is no pain after the operation. No scars are formed on the tip of the nose. We generally prefer the closed technique made through the holes. If necessary, we can choose an open technique after multiple surgeries called revisions. Necessary precautions are taken to prevent bruising.

When we approach the inside of the nostrils, we come to the area we call the nasal valve. The nasal valve has an important place in the breathing function. The nasal valve resembles a tent structure. When we take a deep breath, thanks to the nasal valve, which expands and opens like a tent, the air we inhale passes through our nasal canal by moving forward in a comfortable way. However, if the nasal valve fails to do this and causes collapse, which we define as collapse, and the situation where the two walls of the canal stick together, it will show insufficiency in the breathing function. Repairing this structure and supporting the canal is very valuable in terms of functional breathing. In addition, the structure we call the septum is the partition that separates the right and left nasal passages. With the septum turning to the right and left, there may be obstructions in the channels. In addition, there are structures that warm and humidify the air, which we define as turbinates, on the outer parts of the canals. The size and location of the turbinates also sometimes narrow the airways. Sometimes they may need to be downsized and position changes. There are various techniques in these processes. Reduction with radiofrequency is quite common.

After nasal surgeries, small silicone stents are used that do not block the airway and allow breathing. Stents contain airways. Airway silicone stents have now replaced tampons. On the second day, the silicone stents are removed. Thus, breathing is not interrupted for two days. On the seventh day, the aluminum protection splint is removed painlessly.

The patient who will have nose surgery should stay away from aspirin and similar blood thinners until one week before the surgery. Again, not smoking before the surgery is important for a healthy treatment. Cold application after surgery is very helpful.

Acceptable results occur within a few weeks on average. It takes months for the edema to disappear completely. In general, return to working life takes place after 7 to 10 days. One week is enough for the transition to social life.

It is an advantage, especially for patients with breathing difficulties, to have these surgeries at an early age. The aim should be to achieve the most ideal ratio (golden ratio) within the existing anatomical structure integrity. Therefore, each person is special according to their own proportions. It can be inspired by another work, a photograph. But the main thing should be to find one’s own truth. This gives us the result of how natural our patients who return to their lives after surgery are accepted. This must be the secret of not noticing the surgery of a structure in the middle of the face.

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