Nose Job (Rhinoplasty)

Our facial beauty and health can be negatively affected by a congenital deformation, breathing problem, curvature in the nose or malformed nose due to a blow or accident. A misshapen look spoiling the facial expression or breathing problem brings along self-confidence and medical issues. Nose problems changing the entire facial shape and overshadowing the facial beauty can easily be solved today. With rhinoplasty, you can reshape your facial expression and breathe easier. 

What Is Nose Job (Rhinoplasty)?

The main purpose of the rhinoplasty operation is to give nose a natural look fit for the person’s facial anatomy. The size of your nose can be increased or decreased, the shape of the nose tip and nasal hump can be changed or thickened depending on the form of your nose, and also the distance between nostrils can be reduced and the angle between the nose and upper lip can be corrected.  Besides, congenital deformations or malformations arising as a result of accidents can be eliminated. If the person has a nasal breathing problem, the intervention for that problem can be made simultaneously.

Rhinoplasty is conducted for:

  • correcting and improving the shape of the nose
  • decrease (or increase) the size of the nose
  • recovery of the nose after injuries
  • elimination of defects of the nose

To perform the operation, the patient is admitted to a hospital for 2-4 days, since special observation and treatment is required to obtain a high-quality result.

Nasal surgery is performed under general anesthesia. The surgery usually takes 1 to 3 hours. All surgical techniques for nose plastics are divided into open and closed. In the open technique, incisions are made inside the nose and a small incision is made through the skin between the nostrils. With the closed technique, incisions are made only inside the nose.

During the operation, the necessary steps are performed, depending on the specific situation – modeling the cartilage of the nasal tip, eliminating the curvature of the nasal septum, correcting the “hump” of the nose, narrowing the bony part of the nasal dorsum, correcting the dilated concha, positioning the nasal tip. The operation usually ends with the application of a small plaster cast, which protects the tissues during healing, maintains the shape of the nose and helps reduce swelling. A small swab is inserted into each nostril, which is removed in the early postoperative period.

After the operation, there is always edema, which gradually disappears. There may be a tendency for slight nosebleeds in the first few days. Do not blow your nose – it can cause nosebleeds. After 10-14 days, the plaster cast is removed. The swelling can persist for up to four weeks. Confidence in the final result may appear no earlier than six months later.

For three weeks after nasal surgery, intense physical activity should be avoided. For at least two months, one should refrain from contact sports, such as wrestling, basketball, and handball.

With which technique is rhinoplasty applied?

Nose job, that is, rhinoplasty surgeries can be made with two different methods, namely open and closed. The choice of the method depends on the original shape of the nose, the change requested, general structure of the nose, patient’s problem and physician’s treatment. The choice between the open and closed methods depends on the patient’s needs. For a patient who has problems in the nose tip and cartilage roof, the open method is preferred. On the other hand, closed method should be preferred, if the patient has no visible problem and no severe deformation. It will be the physician who is to decide on the suitable method of rhinoplasty, after a physical examination. Both methods leave no visible scars. After the operation, inability to breathe, swellings and bruises may disturb the patient. However, rhinoplasty is not a painful operation. Rhinoplasty surgeries can be applied in combination with the other plastic surgeries such as Vaser Liposuction, gynaecomastia, breast reduction or augmentation.

The two main types of rhinoplasty include “open” and “closed”, although there are other types of cosmetic nose surgery:

Closed rhinoplasty, that is, incisions are made inside the nasal cavity. Closed rhinoplasty is more difficult than open rhinoplasty, but the advantage is that the arteries that feed the tip of the nose are not damaged. Thus, recovery is faster than with the open method. Also, the incision is smaller, the edema is less pronounced, and there is less likelihood of rough scars. The operation takes less time and the final result appears earlier.

Open rhinoplasty, that is, at the narrowest point, an incision is made, then the rest of the skin over the cartilage is peeled off and lifted. Thus, all cartilage is exposed and work is carried out at all stages of the operation. Open rhinoplasty allows the surgeon to see the osteochondral base without displacing and stretching the tissues, in order to understand what gives the nose an irregular shape.

Do not be afraid of scars after open rhinoplasty! In the hands of an experienced surgeon, there will be absolutely no traces after nose surgery.

Endoscopic rhinoplasty

The operation is carried out using special optics – a small endoscope. Functional endoscopic rhinoplasty is performed under general anesthesia. Within 1-2 hours, the plastic surgeon corrects the nasal septum, removes pathological tissues inside the nose, etc. Advantages of endoscopic rhinoplasty: minimal trauma to the tissues of the nose, shorter recovery times and faster breathing recovery.

Laser rhinoplasty

In laser rhinoplasty, the laser beam is the same scalpel, which is multifunctional, more accurate and faster, and also modern, which is valuable in rhinoplasty. With the help of a laser, it is much easier for a plastic surgeon to speed up the process of both the operation itself and the rehabilitation, it is easier to correct the most complex defects that require a complete “reconstruction” of the septum. Laser rhinoplasty is used when the tip of the nose is too wide, the nose is too humped, in defects arising from trauma, in congenital defects and in curvature of the nasal dorsum.

Especially grateful to the introduction of innovative technology, laser nose surgery, girls who want to remove the hump from the nose.

How Is Rhinoplasty Applied?

A rhinoplasty operation takes approximately 1-5 hours under suitable hospital conditions, depending on the techniques to be applied under general anesthesia. It generally does not require hospitalization. Use of internal tamponade is not preferred in general, but if it is required, internal silicon splints  with canals that do not prevent breathing are used.

After the surgery, bruises and swellings may be observed around the eye. Recovery generally takes 3-5 days. The patient can get back to his/her business life one week after the operation, and by consulting his/her physician, can do sports and start to wear glasses almost one month thereafter.

Post operation recovery period varies depending on the patient’s bone, cartilage, soft tissue and type of skin. The final form of the nose after the operation depends on all these factors. The person’s expectation from the operation is very important, because the upward position and form of the nose is determined accordingly.

After all, indicator of rhinoplasty is getting a natural nose that is fit for the face and aesthetic qualities, with no indication of surgery.

Are you fit for rhinoplasty?

The person who is to have a rhinoplasty must have one of the following characteristics at least:

  • Nose is wide or long in proportion with the face;
  • Nose bone is broken or crooked;
  • Nose shape was changed due to accident or smashing;
  • The nose is visibly asymmetric;
  •  Nose tip seems to point downwards from the profile;
  • Nostrils are not fit for the general shape of the nose;
  •  The distance between the nose and lip is either too narrow or wide.

Are the Results of Rhinoplasty Permanent?

Results of the rhinoplasty are permanent. As we get older, our body experiences some changes. Not only the body, but also the nose changes. The skin gets thicker and cartilaginous tissue may grow. If required, rhinoplasty procedure may be repeated for a couple of times for eliminating that. However, the rate of success reduces with every attempt. For this reason, patients who decide to have a rhinoplasty procedure must make the right decision with a specialist physician.

How is the post-rhinoplasty operation process?

After the rhinoplasty operation, the patient is discharged on the same day. It is normal to have swelling, bruises and slight bleeding in the early postoperative process. The way to prevent such complaints is to apply ice. Generally, most patients experience breathing difficulties after the operation. With the recommended nasal sprays, both the edema is removed and breathing problem is eliminated. The patient gets back to his/her everyday life at the end of the 2nd day and gets rid of the plaster and suture at the end of the 6th day. Nose is a sensitive organ. For this reason, patients should avoid blows and hard exercises for three weeks at least.

Does one have breathing difficulty after the rhinoplasty?

The reason for the breathing difficulty is the curved cartilage and bones. For this reason, we recommend you to get examined by an otorhinolaryngologist before having a rhinoplasty operation. Thanks to an endoscopic examination, persons experiencing breathing difficulties can learn why they cannot easily breathe, and the right rhinoplasty planning can be made accordingly.

If the patient has problems with his/her nasal flesh, has allergy or other illnesses such as sinusitis and polyp, such information should be shared with the surgeon. Unless you share such problems of yours with your physician, you do not necessarily breathe healthily after the operation. However, if you share such problems with your physician, no breathing problem is observed after the operation.

Does the nose move downwards after the operation?

After a successful rhinoplasty, the nose does not move downwards. Persons who had a rhinoplasty due to a dropped nose tip can have a permanently uplifted and perfect nose lifelong, thanks to a rhinoplasty applied by a specialist physician. With the effect of aging, wrinkles can be observed in the nasal skin, but the nose will never turn back to its former form.

Recovery of Rhinoplasty

After the procedure, a slight puffiness, bruising, edema remains on the face. After 10-14 days, it goes away. Cold compresses will relieve pain and swelling. Your doctor may prescribe a pain reliever.

Splints, tampons, and sometimes a triangular bandage on the face remain in the nasal cavity for several days. This is necessary to maintain the new shape of the noses. After rhinoplasty, the patient is closely monitored by a specialist who monitors the healing process. It is important to follow all the instructions and recommendations of the doctor during the rehabilitation period.

It is recommended to sleep with your head elevated for several weeks and avoid strenuous physical activity. The results can be significant or minor. Depending on the degree of the desired correction. Before rhinoplasty, the purpose of the surgery should be carefully discussed with a specialist.

The effect of the procedure is permanent, although subsequent trauma and other factors can change the appearance of the nose. Rhinoplasty should be performed on a fully formed organ. Full development occurs in women aged 15-16 years, in men – 17-18. If the operation is performed earlier, then the further development of the nose can lead to a change in the surgical results, complications.

Risks of Rhinoplasty

After the operation, there are always temporary bruises, swelling, and bruising. There is a risk of some problems: bleeding, trauma and perforation of the nasal septum, skin necrosis, irritation from dressing, infection, swelling in the nose, congestion, complications from anesthesia.

It is possible that the result of rhinoplasty will not be exactly what the patient expects. After surgery, your doctor will prescribe antibiotics as a prophylaxis to reduce the risk of infection. There is a risk of problems or complications after any surgical procedure. In general, rhinoplasty is a safe procedure.

How much does rhinoplasty cost?

Prices of rhinoplasty may vary depending on the environment of the hospital and preferred physician. The pricing is made based on the contents of the rhinoplasty, patient’s nose and interventions to be applied. To learn Quartz Poliklinik’s rhinoplasty prices, please dial 0212 241 46 24 to contact us.

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