How to choose the best Rhinoplasty?

Take a look around you …

You notice that some faces and even some noses are more beautiful than others. So why did you like them? What is the source of your liking, what do you find aesthetic in rhinoplasty? Have you ever liked the tip of a nose and disliked the arch, or you say it’s beautiful all over but the nostrils could do with some help? Did you notice that while making this evaluation, we actually divided the nose into aesthetic sub-units? We call the parts of the nose, such as the tip of the nose, the arch of the nose, and the nostrils nasal aesthetic sub-units. The ratio of these structures to each other, their harmony with other facial structures, maybe your eyebrow design, their relationship with your cheekbones and chin, the ovality of your forehead, etc. There can be many more reasons that make a face attractive as a whole. That’s why we find some faces or noses prettier and sexier than others. And this is possible with nose esthetics, or rhinoplasty as it is more professionally called: the art of creating more beautiful noses: the art of rhinoplasty, that magnificent art that we enjoy.

 

The nose is not only a part of our face, it is a magnificent piece of architecture that stands right in the middle of the mechanism that gives us a perception of the person in front of us. We always see it first. First it tells us whether your face is beautiful or not. It creates a perception about your character. If it’s overly arched and sharp, it makes you look tough, if it’s droopy, it makes you look old and sad. This organ, right in the middle of our face, really constitutes the center of our perception of beauty. This organ, which has an important task such as breathing as well as the perception of beauty, has a composition consisting of skin, bone, cartilage and bone structures. This composite structure is both the difficult and enjoyable side of rhinoplasty. The problem in terms of nose esthetics can be any one or all of these parts.

While searching for the best rhinoplasty method, we are obliged to choose the techniques that have mastered all of these structures and the one that will cause the least trauma to the nose. The membranes called perichondrium on the cartilage tissues and their elasticity give them the tendency to return to their former shape. Therefore, rhinoplasty is a type of surgery in which knowledge, skills and experience gain importance. In fact, “complications are only a matter of time” and rhinoplasty can always surprise you, regardless of your level of experience. Rhinoplasty is the culmination of the best experience that is developed with nose esthetics. Our experience tells us is that closed rhinoplasty techniques are the best rhinoplasty method. In fact, if possible and the patient is suitable, it is beneficial to crown the procedure with let down rhinoplasty.

 

So if you are ready, let the change begin.

 

Why do we do Nose Aesthetics?

First of all, we do rhinoplasty to feel good about ourselves. The nose  reflects of our face, which is our identity in social life, and it is directly related to personal self-confidence. Looking better brings feeling better and self-confidence. Confidence means a better life, a better relationship means a happier life. Let’s face it, take a look at your earliest memories: we always chose the attractive one, we always gave a bonus to the beautiful one and a higher salary. J. If there is no medical obstacle, why not look better? Who can blame the courting peacock for displaying its beautiful tail? If possible, do just that…

Of course, rhinoplasty alone is not enough. It is necessary to preserve the functional structure of the nose, and if there is a problem, it should be corrected. What are these functions: breathing through the nose, proper humidification of the air, smell and, of course, its contribution to taste. Phonation and tone adjustment in speech, acting as a security barrier to the immune system, etc. Another interesting nose function is mentioned in connection with a case from the seventeenth century. I came across this case in the anatomy textbook of our teacher Fahri Dere. A case had been recorded where the individual’s nose bled whenever he saw an attractive woman. Although it is very active in animals, there is a point in the nose of humans that has lost its function. The structure called the vomeronasal region, which has a different nerve density, acts as an erogenous stimulation center. Discovering scent molecules that stimulate this point is what many perfume brands are after. It’s called an aphrodisiac in popular culture J. Does that sound familiar …

 

Who Should have Nose Aesthetics?

Who should have rhinoplasty? In fact, if a rhinoplasty is planned in the concept of plastic surgery, this expectations can take precedence over functional results. Generally, many aesthetic surgery patients can define the need for rhinoplasty in different ways, even if not functionally. In this case, it should be well planned whether rhinoplasty is really necessary or how it will affect the functional results. If our subject is not functional, what limits us is reaching the age of eighteen for boys and seventeen for girls. And of course, there should be no medical obstacles for surgery.

 

How is Rhinoplasty performed?

 

In order to achieve perfect results in rhinoplasty, it is necessary to understand the anatomical and physiological substructure of the nose very well. We have mentioned that the nose is divided into sub-units aesthetically. We call these the aesthetic sub-units of the Nose. These are;

  • Radix: nasal root
  • Dorsum: dorsum of the nose
  • Tip: nose tip
  • Lateral wall: nasal lateral wall
  • Columella: the column separating the right and left nostrils of our nose when looking down the ridge of the nose,
  • Alar wing: nostril
  • Alar base: nose base

Of course, apart from the aesthetic classification of the nose, the bone cartilage, mucous membrane and skin parts that make up the nose are connected to each other with extremely fine details, creating a perfect harmony. Since the first half of the twentieth century, almost all of these structures have been studied separately to obtain more beautiful noses and these studies continue. The main difference of rhinoplasty compared to other surgical procedures is that the result we get in terms of surgery changes over time and it is necessary to take the direction and magnitude of this change into consideration. This calculation is made as a result of kneading the anatomical and physiological foundations mentioned above with experience.

 

The history of rhinoplasty is quite old.

In the 3000s BC, the noses of sex workers in India were cut off to mark them in society. Sushruta Samita, who was known as a healer in that period, treated this condition by using tissue from the forehead. In 1887, after Roe made the definition of closed rhinoplasty to the scientific community, people learned that they could change their noses not only for breathing but also aesthetically. The first rhinoplasty was a closed rhinoplasty. Pay attention to this point… Closed rhinoplasty was a difficult surgical procedure to learn, because no one else could see it. Therefore, out of necessity, fifty years after the discovery of closed rhinoplasty, open rhinoplasty was discovered, or rather defined. And since that day, our knowledge about nose anatomy, our experience with surgery and technology related to rhinoplasty have changed and brought us closer to better. Of course, our changing understanding of beauty has been the main driving source for this change.

 

What is an Arched Nose?

The word Arch is a definition that starts with Seljuk architecture and continues with the Ottoman Empire. At least that’s what I know J. If you have a protrusion on the ridge of your nose that distorts the linearity upwards, it means you have an arched nose. In our country, as you go to the Black Sea, the rate of arched noses increases. This is not a situation that makes surgery difficult. In fact, the extent of change is enjoyable as it shows us as great people …

                        

What is Septum Deviation?

There are two walls on the right and left of our nose. In the middle is a wall that divides our nose into two. This wall that divides our nose in two is called the septum. It has a similar meaning in Latin. The structure called the septum consists of cartilage on the lower side of the nose and fine bone on the upper side. This structure called the septum, starts from the nostrils and continues until the opening called the pharynx in the back. Sometimes our nose has a  curve from birth and sometimes as a result of receiving blows. Sometimes the septum is curved even though the nose is in place. When the septum is not straight, the nose suffers from septum deviation. Depending on the degree of this condition, it can cause respiratory distress. Some septum deviations can be corrected without touching the top of the nose, but some may require changing the shape of the nose. The path to be followed can be understood with a simple examination.

 

What is a Thick-Skinned Nose

Now let’s do a simple study. Check the thickness of your skin at the root of your nose. This is almost the thinnest part of the nose skin. If you go down slowly, your nose skin starts to thicken approximately at the midpoint of the nose. This limit is a very clear change. This is Normal anatomy. There is no defined criteria or Formula to diagnose a thick-skinned nose, this diagnosis is completely formed by experience. However, I can give you some hints so that you have an idea;

  • Thick-skinned noses can have orange peel-like images on the skin (these are rhinophyma of various stages)
  • It is more difficult to feel cartilage at the tip of thick-skinned noses.
  • The lower half of the nose appears rugged in thick-skinned noses.
  • Again, the surface of thick-skinned noses is greasier.

 

 

Of course, this does not mean that our thick-skinned patients cannot have rhinoplasty. It just means that the swelling will be more in the healing process and it will be more difficult, the time required for the nose to settle fully will be a little longer, that’s all..

 

What is a Crooked Nose

Actually, we all have asymmetric faces. During the embryonic development of our face, our right and left sides develop from different sides of the growth plate and these structures meet at the middle. Since our nose rises on this pedestal, there are differences on the right and left sides. It is not as important a problem as some people like to exaggerate, on the contrary, it is our natural structure. Here is this asymmetry, which we say is natural in the skeleton of our middle face, where our nose is based, if it is too much, our nose can look very crooked. Of course, some traumas can also cause nasal curvature. The shape of the curvature in the nose affects the success of the nasal curvature correction surgery. Since this curvature continues not only on the outside but also on the inside, septum deviation repair will be added to the surgery.

 

What is Concha Hypertrophy (Nose Growth)

We discussed heating and humidifying inhaled air within the functions of our nose. Our nose has a shelf system that will carry out this task in an ergonomic way as air passes, which is called the concha. In the center of structures that we can think of as this shelf, there is a mucosa around the bone. We can compare this to the carburetor cooling system in a motor vehicle. These shapes are like horns extending from the side wall of the nose. Conchas can grow excessively, sometimes structurally and sometimes triggered by allergens. Concha hypertrophy has occurred if the growth has reached the size that it prevents the passage of air entering the nose. If the concha causes breathing difficulties, it should be reduced by surgical intervention and the airway should be opened. The surgical procedure for concha enlargement can of course be performed together with rhinoplasty.

 

Can Snoring Be Corrected With Nose Aesthetics?

 

As the air enters through the nostril and flows towards our nasal passages, it should proceed along a regular line, that is, with a laminar flow, and should only flip at the high points of the nose. This described flow is a normal anatomical flow. If this flow is disrupted, a turbulence can occur and cause snoring. This flow can sometimes be caused by enlarged concha, sometimes by a  deviation of the septum, and sometimes by nasal deformity. If the cause of snoring is due to airflow deterioration and the airflow is impaired due to these anatomical structures, your snoring problem will be resolved with rhinoplasty.

However, I want you to know that this is not the cause of most snoring. The most common cause of snoring is the loosening and sagging of the soft palate. If there is such a problem, surgical procedures should be performed on the soft palate or uvula.

 

 

What is nasal tip aesthetics? To whom is it done?

The tip of the nose, that is, the tip area, is one of the sub-units of nasal aesthetics. And if you really don’t have any other problems with your nose, you can have only nasal tip aesthetics. Let’s explain this a little. You see that there is no arch on your nose that bothers you, the width is within ideal limits, there is nothing wrong  with the  nostrils,  your columella angle is also good and if only the tip of the nose spoils everything, all you have to do is just nose tip aesthetics.

 

Non-surgical rhinoplasty, What is nasal filling?

Nasal filling, also known as non-surgical rhinoplasty, is one of the popular applications of recent years. However, this strange popularity of nasal filling also reveals how fear can distort the reasoning of patients. As its name implies, this procedure involves a filler, that is, a substance that fills voids. It is like this. people who complain about their nasal arch, fill the nasal root in front and behind the arch to camouflage it, bringing the height of each side to the height of the nasal arch instead of surgically removing the excess hump on the ridge of the nose. Sometimes it is done to raise the tip of the nose in a way that disrupts the cartilage structure. It is obvious that a nose supplemented with filling will grow in volume. In other words, all filling applications enlarge the nose. While the fear of surgery makes you get a nose filling and makes your nose bridge more obscure, you actually get a more rough looking nose. Enlarging a nose with filler is not commensurate with my understanding of aesthetics. I prefer to apply nasal fillings only after surgery, if I see a minimal deformity that is not worth operating again.

 

Is There an Age Limit for Nose Aesthetics?

 

The earliest age limit for rhinoplasty is seventeen for girls and eighteen for boys. This one-year age difference is due to the difference in ossification between boys and girls. However, rhinoplasty can be planned at an earlier age in severe respiratory distress of the type closely related to the shape of the nose, and in some congenital deformities (such as cleft lip nose-CLN).

What Types of Nose Aesthetic Surgery are available?

Nose aesthetic surgeries are basically divided into two main groups as open and closed. In addition, there are many sub-techniques of rhinoplasty. These methods can either be classified under open or closed rhinoplasty, or named after the technology-device that is used, or the whole operation can be referred to as a maneuver or a commercially derived new name. Without going into technical details, I would like to give some comprehensible information about the types of rhinoplasty that are available. However, let’s classify them first as follows:

 

  • Open Rhinoplasty

 

  • Closed Rhinoplasty

 

  • Septorhinoplasty

 

  • Letdown Rhinoplasty

 

  • Preservation Rhinoplasty

 

  • Ultrasonic Piezo Nose Aesthetics

 

  • Laser Nose Aesthetics

 

  • Micromotor Nose Aesthetics

 

What is Open Rhinoplasty

This method was defined fifty years after the discovery of closed rhinoplasty. In principle, an incision is made on the central wall called the columella, at the base of the nose, and the nose skin is lifted from the underlying cartilage and bone, and the nose is shaped. Surgical scars on the columella are also not uncommon. In fact, open rhinoplasty emerged because surgeons who practiced closed rhinoplasty had been practicing this technique without teaching and spreading it like a cult for many years. However, nowadays, the method is defended with a commercial discourse such as “it is done in the open to see the tip of the nose better”. However, the truth of the matter is that every method gives good results in the hands of its master. And those who say that the surgeon cannot interfere with the tip of the nose in closed rhinoplasty makes me laugh as much as the old surgeons who say that the gallbladder cannot be removed properly in laparoscopic surgery and it must be done as open surgery.

 

What is Closed Rhinoplasty

Closed rhinoplasty is a surgical technique performed by making an incision in the columella without gathering the skin at the root of the nose. This is why it is known as scarless rhinoplasty among the people. Of course, incisions are made in closed rhinoplasty, otherwise we would not be able to reach the cartilage and bone. However, these incisions remain inside the nostril. I think the most advantageous aspect of closed rhinoplasty (traceless closed rhinoplasty) is that the result is visible throughout the entire procedure. In closed rhinoplasty, the elasticity of the nasal skin does not change throughout the case and you continue your procedure by seeing the result of the nose in front of your eyes at any given moment. Of course, the absence of incisions and suture marks in the columella also has a serious advantage in terms of perception. In my plastic surgery adventure that I started in 2002, I was trained in closed rhinoplasty, I had extensive experience in open rhinoplasty between 2008-2011 and I continue to focus on closed rhinoplasty again. I see closed rhinoplasty as a much less traumatic, safe and stable technique. I believe that if this job can be done with less trauma and incisions, that is the way that it should be done. Maybe I think so because it gives the best results for me. What do you think?

 

What is Septorhinoplasty?

The septum was also mentioned when the anatomy nose and the function of the nose were discussed. During my life as a surgeon, I have indeed seen very few people with flat septums. Despite small deviations, respiratory distress is very rare. If you have septum deviation, that is, septum curvature that will cause respiratory distress, this problem can be corrected at the same time as your rhinoplasty surgery and this procedure is called septorhinoplasty.

 

What is Letdown Rhinoplasty

Whether the procedure is an open one or closed one, when we interfere with the bone and cartilage structures on the ridge of the nose, some superficial roughness can occur when we cut the nasal arches. These structures are living tissues and try to heal by thinking that they are injured after surgery. During this process, there is a small risk of irregularity on the ridge of the nose. As a result of the wonderful work of French surgeon Yves Saban, the direction of rhinoplasty has changed all over the world. In the let down technique, the ridge of the nose is protected. Well, you might say how is the arch going to be eliminated when the ridge of the nose is protected, let me briefly explain it as follows. In the letdown rhinoplasty technique, the high nasal ridge is made by minimizing the base of the nose, not the ridge. The subject is still fresh and continues to evolve rapidly. In almost every congress and meeting, a new manipulation enters our literature. If you want more information about letdown rhinoplasty, you can go to https://www.ozanbalik.com/en/preservation-letdown-rhinoplasty/ and read my article.

 

What is Preservation Rhinoplasty

“Preservation” means rhinoplasty performed with a “preservative” approach. So what is being protected? When letdown rhinoplasty first became prominent in our country, some surgeons preferred to call it preservation rhinoplasty because the ridge of the nose was protected. The technique is the same as for letdown rhinoplasty.

 

What is Ultrasonic Piezo Nose Aesthetics

This procedure involves a small saw that has been developed to cut the bone on the side wall of the nose. The difference is that the saw operates with ultrasonic sound waves that vibrate tens of thousands of times per second, causing the bone to be cut like butter. There is a continuous water washing system at the tip of the piezo saw to avoid burning the tissues. This technique makes no special contribution to the rhinoplasty itself but it certainly makes the procedure easier to carry out and therefore be a personal preference.

 

What is Micromotor Nose Aesthetics

The micromotor saw option was available before the invention of the ultrasonic piezo nose saw. The basic principle and application area are the same. The only difference is that instead of the vibration of the saw, bone tissues are cut with a small back and forth swing. In my opinion, micromotors do not make a special contribution to the rhinoplasty technique, therefore using this device to cut the bone is merely a personal preference. It can give good results in skilled hands.

 

 

What is Nose Aesthetics with a Laser

I can understand performing rhinoplasty with a micromotor and ultrasonic piezo saw. After all, everyone cuts the tissue with whatever they consider easy. The principle of both is mechanical. However, the laser issue is very different. As a people, we think that whatever product was displayed in the Japanese cartoons of our childhood, even if it is an American invention, is the most beautiful and the most wonderful thing. In fact, this is pure nonsense. Efforts were made to manifest the idea that rhinoplasty should be done with a laser as a commercial fantasy. However, the color and water ratios of the tissues in the nose create more tissue trauma than imagined because there is not enough tissue selectivity. Therefore, this is an application that ended before it started in the world.

 

Which Technologies Do I Use in Rhinoplasty?

 

Surgeons are actually conservative people, we cannot change our techniques or surgical principles like changing clothes. Plastic surgeons, on the other hand, respond to changes very fast. However, I do not think that my patients (from a commercial Outlook) should pressurize and expect innovations from me. If something is going to change in a surgeon’s life, the change should aim to minimize a deficiency in his technique and make it better. In my surgery, I mostly perform rhinoplasty using hand tools that are among the international classics and tools that I have designed and made. I tried the ultrasonic piezo saw and the micromotor and failed to fall in  love with it. I still believe that the best sculptures are made with classical hand tools, the best paintings with classical brushes, and that the piano should not be electric. J.

 

What Does Natural and Cool Nose Aesthetics Mean?

 

What the patient means with a natural and cool nose and what we try to give them is this;

  • Natural Nose: means a nose that does not announce that it has undergone surgery and no one understands that it has been modified.
  • Cool Nose: The nose in question is likely to be striking and prompt your friends to say wow, what a beautiful nose
  • It should not look like it is the result of an aesthetic procedure: The patient does not want all and sundry to know that a procedure has taken place, that the nose is natural…

Do we get the drift J

 

 

Digital 3D Simulation Rhinoplasty

 

            Before a rhinoplasty is carried out in our clinic, I make a simulation on the photos of the nose and show it to the patient. I always emphasize that “No matter how many dimensions are portrayed, this picture is a simple image. It can show the truth up to a point. Our purpose in making these designs is to show you what I imagine on your face when I look at you and to understand you. After all, what I can do to your face while you are unconscious will be limited to what I can imagine.”

 

Who is the best Nose Aesthetics Doctor?

 

            Of course, you want to have this surgery once and get a good result. It’s pretty easy to understand that. Now you want to find the best rhinoplasty doctor. We plastic surgeons receive similar training and read the same books, but we all have different aesthetic perceptions and expectations. Let me tell you a secret about this; “The best rhinoplasty doctor for you is the one you believe has the same aesthetic perception as you and feels your energy”. You can encounter some unexpected problems during the process. This can happen. If you and your doctor share a vision of the world you can overcome any encountered problems easily and pleasantly. It’s not that hard, the best rhinoplasty surgeon is the one who understands you.

 

Preparations Before Nose Aesthetics

 

You need to have a preparation process for rhinoplasty. You need to determine what kind of nose you want. Are your expectations realistic? It is important to question yourself. Have you chosen a plastic surgeon that is suitable for you? We plastic surgeons all have our own style, and when you choose a doctor, you will have chosen his style. If so, you must determine your own style first.

 

The Nose Aesthetics Process at Bravo Hair Clinic

 

  • In the first meeting about rhinoplasty in our clinic, our aim will be to tell you about ourselves, our technique, and our philosophy of looking at rhinoplasty, so that we can establish whether we share the same vision. I call this surgical trust. First we need to build trust.
  • Subsequently we will move on to correcting most of the beliefs you have gained from google, social media and other physician interviews. J. We will explain ourselves. Not to convince you but help you understand us. You will choose.
  • If your nose has not been touched before, we will definitely show you how we will proceed with a simulation study.
  • After you make your decision following the examination, my assistants will consult with you about your surgery day, determine your reservation, and choose the hospital where you will be operated.
  • Taking pre-operative photos is a must for all aesthetic surgery applications. We will take pictures of you as you are. Do not worry, they are never shared without permission and are stored on encrypted disks.
  • The payment plan is reconciled.
  • You will be sent off to meet at the hospital 2 hours before the operation day. During the Corona period, we may have to request additional tests.
  • Since your reservation has beencompleted, you will be admitted to the hospital on the morning of the operation quickly, standard tests shall be performed before the operation. If you have a special condition, we will have prepared the consultations beforehand.
  • You will be examined by the anesthesiologist
  • You will be greeted in your room and taken to the operating room after your sedative medication is administered.
  • After a short preparation period with the effect of the sedative, you are taken to the room where you will be operated and put to sleep.
  • Patient relatives cannot join in the fun J. We have a 30-minute preparation inside. After the procedure is completed we observe the patient for 30-60 minutes. Do not skip this detail.
  • Primary rhinoplasty surgery essentially takes 1.5 hours.
  • You will be unaccompanied after being taken from the operating room to your room. You will rest.
  • It is extremely beneficial to apply ice intensively. We will be doing this in the form of 30 minutes of application with 10 minute breaks.
  • It is reasonable to spend that night in the hospital because of the general anesthesia.
  • It is quite normal for some blood to leak from the tip of the nose and the nasal passages.
  • Since we do not use tampons for rhinoplasty, there is nothing to keep that blood in the nose. It is not annoying as the amount is very small.
  • As I said, we do not use tampons, only a silicone splint will be inserted to avoid adhesion of the fresh incisions and prevent swelling from blocking the airway.
  • I will discharge you the next morning after checking you in your room and giving your prescription.
  • The inserted plastic plaster called splint will be removed approximately 7 days later during your first followup examination and replaced with a paper bandage. It will remain in place for 7 days.
  • The next meeting, if possible, will take place 7 days later at our clinic for the removal of the paper tapes. If coming to the clinic is an inconvenience for you, the paper bandage can be removed by soaking it in the bathroom.
  • We want to see our patients again at the end of the first month and 3, 6 and 12 months after the procedure. The frequency of this followup can be changed according to the situation. Once the splint is removed we can monitor our patients abroad through photos and see them only after one year.

 

 

Will my nose look natural?

 

This is a legitimate concern because there are many bad examples around us. Today, the goal of rhinoplasty is to be unobtrusive. It goes without saying that the nose has to maintain its functions. The best way to plan this is with simulation studies. Of course, a computer will not operate on your nose, but this is the best way to plan your expectations with your doctor before the operation.

 

Is the post operative period very painful?

Contrary to popular belief, rhinoplasty is not a painful procedure. Like all surgeries, the incisions are closed and there is no pain because there are no open tissues. All you feel is a fullness due to bloating, which is normal and passes quickly.

 

Will There be Bruising or Swelling after Nose Aesthetics?

Each of the bones, cartilage and soft tissues that make up your nose is alive and contains blood. After surgery there may be some swelling and a small amount of bruising depending on the tissue sensitivity of the person. If this occurs, it will quickly disappear within a week.

 

Will my nose tip droop?

In theory, yes, but surgeons with sufficient experience usually do not encounter this problem. Remember, in every nose surgery, the nose swells a little, then the swelling goes down. The level where the nose descends is not considered a drop in the tip of the nose, it should not be confused. The surgeon has already planned or should have planned the level at which that swelling will go down. What is called nasal tip drop is the level loss of the tip of the nose after the swelling, which does not happen in a nose that has been repaired with the right technique. A nose tip droops if the cartilage melts, if the nose receives a blow, nose dips suffering from heavy skin, rhinophyma at an advanced age droop. Other than these circumstances, the tip of the nose does not droop.

 

Will you break my nasal bones? 

Breaking is a very rough definition. It cannot describe special surgery like rhinoplasty. In rhinoplasty, maneuvers are measured in millimeters and excess bone or cartilage (if any) is measured and cut and removed. Yes, in closed rhinoplasty, we do this through your tiny nostrils without cutting and opening  the nose.

 

Is a tampon used  in rhinoplasty?

If there is no interference with the septum (middle wall of the nose) or concha, there is usually no need to use tampons or splints. If something is required we do not use tampons.  What we use are simple, fine silicone supports called “splints”. You can breathe because of the holes in the middle and it is removed very easily.

 

Will my breathing problem get better too? 

The source of respiratory problems that can occur in the nose are as follows;

  • Deviations in the septum
  • Concha (nasal flesh) growths
  • Curvatures of the nasal skeleton
  • Valve stenosis at the nasal entrance
  • Paralyzed (paralysis) Nose (when the muscles of the ridge of the nose are not working)
  • Empty Nose Syndrome
  • Body Image Disorder

 

Except for the last three points on the list of respiratory problems above, all other causes can be corrected simultaneously during rhinoplasty and your breathing will be improved. The last three points require additional treatments.

 

Will my nostrils become smaller, too?

Yes, if necessary. In my own practice, I reduce the nostrils of 95% of my patients during rhinoplasty. I think it is a shortcoming not to reduce nostrils in a nose that gets smaller with every dimension. This process can also be done by reducing the fleshy structure of the nostrils with or without the reduction of the nostrils themselves. Confused? For your information, the fleshy edges of the nostrils can be fine-tuned without reducing the size of the nostrils. In some patients it is important to reduce nostrils without causing respiratory problems.

 

Are Male Nose Aesthetics Different?

There are some differences between male rhinoplasty and female rhinoplasty in terms of both the surgical process and aesthetic approaches. These are as follows;

  • The male nose is generally thicker, so the swelling is slightly more and takes a longer time to pass.
  • Since the male bone structure is thicker, more care should be taken in terms of bruising and swelling.
  • The skin of the male nose is more oily, and it is more difficult to clean and care for the skin after surgery. If black spots, also called comedones, are allowed to accumulate, the nostril reduction incision can become somewhat obvious.
  • The male nose should not be given a curve, otherwise it will take on a feminine look, which I think is a disaster.
  • The upturn of the male nose (nasolabial angle) should not be more than 90 degrees. While a nose tip uplift of 95-100 degrees in women looks nice and attractive, it is not attractive in men.

 

When is the patient discharged?

Since rhinoplasty surgery is done under general anesthesia, our patients spend the first night in the hospital and are discharged the next morning. Of course, in some special cases, we discharge our patients on the day of the procedure.

 

Things to Know After Nose Aesthetics

  • Rhinoplasty has a special prescription. We will give you your prescription when you leave the hospital. Do not use anything other than what is on the prescription without informing us.
  • Remember that you had surgery, you might see some blood, this is normal.
  • We will tell you how to do special cleaning and washing applications in addition to the basic treatment drugs in the prescription.
  • Never, ever, ever hit your nose. This is the most important issue. Whatever the size of the blow you receive, talk to your doctor so we can be alert to various possibilities. I emphasize this especially because it is the most frequently told lie…
  • Do not turn left or right while sleeping, use a sleeping pillow.
  • Come to your check-ups regularly.
  • Do not get into unnecessary stress now that your surgery is over. Stress can raise your blood pressure and cause bleeding and unnecessary swelling and bruising.
  • Do not try to draw unnecessary and meaningless conclusions about your nose result when you have just had the operation and the nasal swelling is still evident. It will take a year for the nose to fully settle after the operation.
  • Be positive and enjoy. Experience reveals that positive people heal better.

 

What is the complication rate in rhinoplasty?

Certainly. There are many standard surgical complications in rhinoplasty, such as crookedness, excessive bleeding, adhesions, graft shifts, excessive swelling and bruising, perforation of the septum, infection, suture reaction, reactions to drugs used, anesthesia complications… The average complication rate in international publications is around 10%. This varies from surgeon to surgeon. My own average is around 6%. Half of them are simple issues that can be remedied in 5-10 minutes chatting in the office environment. My rate of re-entering the operating room is 2-3%. There is a saying in surgery that you should not forget: “The doctor who doesn’t do the surgery has no complications”.

 

Complete Healing of the Nose After Rhinoplasty

Theoretically, it takes a year for a wound to heal. Of course, progress is being made gradually at each step of this process. The settlement time of secondary cases can take longer than one year.

 

Can rhinoplasty be reverted?

 

There is a partial chance of reverting rhinoplasty. By taking cartilage and fascia tissues from other parts of the body, we can give your nose a new arch and increase its volume. Has the patient had a bad nose surgery and is looking for his former nose, or does he miss his former rough arched state, which was more characteristic, although there was no problem with his surgery? We must describe the problem accurately. First of all, I need to do a detailed examination to be able to explain what and to what extent I can fix it. It should be kept in mind that when rebuilding a previously operated nose, we might need to use some materials as grafts from rib cartilage, ear cartilage, and a membrane in the temple area. You can access more detailed article about revision rhinoplasty in my article at https://www.ozanbalik.com/en/revision-rhinoplasty/. If there is no problem in the previous surgery, but only a longing for the former form, we can plan the applicable extent of the reversion along the same principles. We have patients who have been given back their former nasal arches this way. You can access more detailed information about this in my article on the subject at the link https://www.ozanbalik.com/en/what-is-nose-enlargement/

 

2021Rhinoplasty Prices

 

Every surgeon adds something of himself to the nose he works on, this is related to both the surgeon’s aesthetic perception, experience and training. And remember, every surgeon actually gives you a different nose. Since the product that will emerge is not the same in all cases, be aware that you are not actually only comparing prices when making a price assessment.

I will do my best to give you a beautiful nose and earn good money from you J. And when this topic comes up, my favorite question is: “Have you put a price on your nose?”

If you still want to get an average price for rhinoplasty surgery, you can fill out the information form below.

 

Last word…

There is no final word in rhinoplasty. We continue to learn and teach. Goodbye for now J