Rhinoplasty is the most commonly performed plastic surgery procedure. Rhinoplasty is intended to correct the shape of the nose and to enable the person to breathe more easily.
With rhinoplasty, it is possible to lift the nasal tip, remove the nasal hump, reduce the size of the nose, change the nasolabial angle, and correct the nostrils. If the patient has complaints of nasal breathing difficulties, the operation also involves interventions in intranasal cartilage curvatures, enabling the patient to breathe comfortably.
For a successful rhinoplasty surgery, a natural-looking nose in integrity and harmony with the person’s face is intended. For this purpose, the patient must talk to the surgeon to express his or her wishes and discuss whether the shape, cartilage and bone structure of the nose are suitable for such requests.
Rhinoplasty can be performed between 16 and 17 years of age in women and between 17 and 18 years of age in men, depending on the physical development rate. It can also be performed at an earlier age in patients with severe traumatic nasal deformities.
Although there is no upper age limit for rhinoplasty, risks arising from anesthesia and other complications that may appear depending on the health status in later ages should be considered.
Rhinoplasty can be performed in two ways, as open rhinoplasty and closed rhinoplasty. Sometimes these two techniques are used in combination with each other. Today, surgeons specializing in rhinoplasty prefer any of these two techniques or their combined use depending on the deformity in their patients.
Open rhinoplasty is a technique performed making a small incision on the skin between the nostrils and then lifting the nasal skin in such a way as to expose the nasal skeleton. In closed rhinoplasty operations, the operation is performed by accessing the surgical sites through the incisions made within the nostrils.
Operations usually take 1 to 3 hours, although may differ according to their intensity. After the surgery, a band and then a plastic mold are applied to enable the broken bone to take its new shape and to minimize the edema. In addition, a silicone pad is placed inside the nose so as to help the patient breathe comfortably.
Applying cold to the operation area in the first two postoperative days minimizes the complaints of bruising, swelling and edema. The hospital stay is 1 night. Although pain is felt in the first days, it can be easily managed with painkillers. If silicone pads are placed, they are removed after 2-3 days in such a way that the patient does not feel pain. The splint (plaster or plastic bandage) is removed from the nose after a week, and the bands are removed the next week. It takes 1 to 1.5 years for the full recovery to be visible and for the nose to take its final shape. Patients are recommended to come for control examinations after the 3rd, 6th and 12th months.
Bleeding, infection, circulatory disorder in the nasal skin or allergic reactions to the band may be observed in the early postoperative period. In the late period, there may be long-lasting swelling and stiffness in the nasal skin, numbness at the nasal tip, and a noticeable scar appearance. The appearance of the nose may be different from the appearance expected by the patient.
A second time rhinoplasty that we call revision rhinoplasty is performed in cases where functional and aesthetic problems are faced. For a revision surgery, it is necessary to wait at least 6 months but ideally 1 year. Such a surgery may require taking cartilage from the rib.