The “10 questions” most frequently asked before rhinoplasty

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Worrying “10 Questions” Before Nose Aesthetics

We call nose plastic surgery operations rhinoplasty. Before deciding on these interventions, which require expertise, competence, knowledge, equipment and experience, we sought answers to the 10 most frequently observed and worrisome questions in patients.

1. What if I don’t get the nose I want after the surgery?

This concern is a very worrying issue that should be discussed with your doctor face to face before surgery.

It is imperative that you bring your pre-operative expectations to your doctor in a clear and understandable language, and that you have received satisfactory clear answers from your doctor. For a successful surgery, what your doctor will do should exactly match your expectations. It can sometimes take months for the nose to get the final aesthetic result after surgery, this process is called “healing”. Before this period is completed, it will be useless to make comments and different searches about the nose and will increase your existing anxiety even more.

Deformities that will occur after an unexpected complication or a trauma to the nose can be evaluated by your doctor and the problem can be resolved with the earliest time and the most effective approach. It is better not to have surgery to the doctor who you do not believe can do this.

After the nose surgery, shaping the nose alone may not be enough to complete your beauty, however, the contribution of the new nose to the facial harmony (integrity) is as important as the shaping done. All organs and aesthetic units on the face play a role on the basis of “one for all, all for one”.

2 . When will the bruises and swellings that will occur on my face after the surgery go away?

The disappearance of bruises and swellings in the soft tissue after the operation may end quickly or late, depending on the healing capacity of the person to a trauma. The 2 most important factors affecting this are the degree and duration of the trauma, that is, the surgery, the lack of post-operative care and rest period of the patient, and the speed of severe wound healing. Blood watering caused by some drugs such as vitamins or painkillers may cause the bruise to be more common and to be erased late.

In some people who cannot find time to rest after the surgery and who start their daily hustle before 36-48 hours or go on a long journey, swelling called edema will disappear later. As a rule, after these surgeries, cold compresses are applied to the face intermittently for the first 24-36 hours (with an interval of 15 minutes) and bed rest is necessary for a rapid recovery, except for urgent needs. It is known that some vasoconstrictor local anesthetics and systemic steroids applied to the nasal region during the surgery generally prevent edema formation and should be applied.

Depending on the duration of the surgery and the degree of the surgical procedure applied to the bone structure, bruising and edema will occur more or less, although it varies from person to person. As a precaution against this, the duration and prevalence of these side effects can be reduced with some creams used before and after the surgery. While edema is frequently observed in the nose after nose surgeries, the appearance of bruising almost always indicates a problem. As it is known, in order to avoid swelling in the nose, nasal swelling is prevented for the first 5-7 days by placing a plaster or splint on the back of the nose. Early removal of these splints is another factor that causes edema in the nose.

The fact that people with seasonal changes and allergic structure do not take suppressive antihistamines after surgery may cause an increase in facial edema present in an allergy attack. Finally, in patients with occult anemia (anemia), the bruises will disappear later and slowly.

3. Will I feel a lot of pain when the tampon is removed from the nose, will there be a lot of bleeding?

It is true that 30-40 porous sponges, which are described as kite tails stuck in the nose in old practices, stick to the inner wall of the nose and cause severe pain and bleeding when pulled. Instead of these methods, small splints that are used safely and that never stick to the nasal wall by getting wet with nasal secretions or swelling, or that contain silicone, are preferred. These splints, which contain silicone and allow breathing with a hole in the middle, are easily and painlessly removed on the 2nd day following the surgery.

4. Will there be any difficulty in breathing after the operation?

If there is difficulty in breathing before the operation, the location and size of the structures that cause this should be determined by tomography. If your surgery will be a septorhinoplasty attempt, your doctor will plan an approach that will solve both problems in the same session and, if necessary, enter your operation with an ENT specialist and solve your problem. Difficulty in breathing after surgery occurs either in the first 6 months due to temporary edema or as a result of reactive growth of the turbinate structures traumatized by incisions made into the nose. In both cases, the problem ends with a small attempt at planning or waiting for healing to complete.

5. There will be an incision from the tip of the nose, will there be any scars here?

Nasal surgeries are performed with a closed technique through the nose or with an open technique that continues with a 2-3 mm incision to be made at the tip. The open technique is a technique that must be used in secondary correction surgeries, as it provides the surgeon with the opportunity and ease of intervention more effectively than the other method. The procedure requires a 2-3 mm incision in the form of a zigzag or step in the nasal tissue between each 2 nostrils called columella. Healing of this area, which is closed with thin sutures after the procedure, almost always takes place smoothly and easily. On the seventh day, a temporary redness will remain at the site of the stitches removed for 15 days, then this area will heal completely together with the other nasal areas when the edema subsides. Although there is no recovery without a trace, the possibility of seeing the scar from the outside is almost negligible.

6. What if my nose falls off?

The root of the problem, which is described as a fall in the nose, is that the nose, which is left without concern from the supporting tissues by removing too much during the surgery, completes its healing in the new place where the displaced tissues are stabilized. Nose surgeries are not a replacement like a lego, but a holistic intervention that takes its final shape when the relationship with each other is completed, like dominoes. The process motto of these surgeries is “one for all, all for one” as written above. In a tissue whose support tissue, namely the septum, is excessively removed, the tip of the nose is moved downwards in response to gravity or a trauma, not a fall, but the completion of healing in an undesirable place. It is necessary to wait at least 12 months for the correction operation. Although it is widely used among the people, its incidence is very rare in experienced hands.

7. Does the sense of smell disappear after the operation?

The acuity of smell will return after the healing is completed and all edema is resolved. There are even studies reporting that the sense of smell, which disappears or decreases during this period, sometimes develops further and returns. The problem is not permanent, its duration depends on the wound healing performance and varies from person to person.

8. After the surgery, I can never touch my nose, will I do a massage, is it necessary?

The massage that the patient wants to do after the nose surgery is to provide rapid resolution of the edema in the nose. The method, frequency and duration of the technique should be completed in the time and manner your doctor deems necessary. There are doctors who never need it, and there are surgeons who give this homework to every patient. Personally, I am not in favor of giving this responsibility to the patient. However, I do not have patients with thick skin, who I give as a massage, and who recover late. While massages accelerate wound healing, it can also lead to the separation of some internal sutures when done in the wrong direction and hard. While many problems believed to be solved by massage can be solved by itself in time, your doctor will have to solve the problems it causes.

9. How soon after the operation can I wear glasses, when is the earliest I can take a shower?

There is a rigid splint on the nose for the first 5-7 days after nose surgeries. During this time, you can use eyeglasses that come into contact with this splint. After five or seven days, when your splint or plaster is removed, you can use your glasses again, provided that you rest your nose every 10 minutes. If the pallets of the glasses that come into contact with the nose are very light, instead of removing the glasses, the glasses can be used easily by changing the areas of these pallets that come into contact with the nose. For those with advanced vision problems, it is also possible to use glasses or manage with lenses by only touching the head, instead of the nose, by tightening and narrowing the arms of the glasses. Free use of glasses 15-21. for days. You can take a shower and wash your hair by tilting your head back on the 2nd or 3rd day after your nose surgery when your inner splints are removed.

10. Can nose surgeries be done without sleeping, what if I can’t wake up?

Nose aesthetic procedures are performed with the help of tampons placed in order to prevent bleeding in the nose area and to prevent this bleeding from going to your stomach. Since the nasal passage is closed for breathing, the distance between the mouth of the patient who will use the oral route and the nose of the operation field is 2-3 cm. is In terms of the proximity of this area and providing the minimum comfort for the surgeon to do his job comfortably, performing the operation called full anesthesia with intubation is much more convenient both for you, for the anesthetist in terms of safety, and for your surgeon to complete his work without interruption and distraction. The fear of not being able to wake up is unfounded, because with the detailed evaluations made before the surgery, it will be investigated whether you carry such a risk and if necessary, precautions will be taken. The main problem and fear can be experienced in applications planned to be performed under sedation and local anesthesia, which are semi-anesthesia techniques that will never provide this safety. If you are afraid of not being able to wake up from anesthesia or if you are worried about inadequate and incomplete intervention conditions in case of an unforeseen complication, you can request your doctor to perform your surgery in a full-fledged hospital instead of an office or medical center. The principle of “first do no harm” is the first, absolute and most important rule that your doctor should give importance and priority when intervening with the patient, which is taught in medical schools.

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