Nose is an anatomical structure and sensory organ which is located in the middle line of our face and has a significant impact on the facial beauty. The smoothness and functionality of the inner and outer structures of the nose are quite important for our comfortable breathing. In case of surgical procedures correcting deformities in the nose, the intranasal deformities that obstruct the airway must be repaired. Supportive structures should also be protected. Rhinoplasty operations should be well planned and meticulously applied to realize both an aesthetic and a functional improvement.
Rhinoplasty is one of the most frequently performed aesthetic operations. Common requests of the patients who apply for the operation is the correction of deformities of the nasal arch (dorsal hump) and nasal tip. The extreme wideness of the nasal base, severity of nostrils, trauma or previous surgical intervention related deformities may also cause aesthetics concerns.
Another reason for rhinoplasty is that the nose is tilted due to the deviation of the septum located in the midline of the nose. In this anomaly, which is colloquially called nasal polyp, the structures, named concha, which warm and moisten the inhaled air, grow excessively and narrow the airways. In the presence of such a condition, the required intervention is usually made during the aesthetic operation, allowing easy breathing of the patient afterwards.
WHO ARE THE CANDIDATES FOR RHINOPLASTY?
Every human being, who is annoyed with his/her nasal shape, has a post-traumatic deformity, and has realistic expectations, is a candidate for rhinoplasty. What is essential is that the person should share with his/her doctor the segments of his/her nose, that he/she desires to be corrected. An operation decision should be made after comparing the patient’s expectations with the achievements, that can be obtained by the operation. Rather than a beautiful nose, it should be aimed to obtain a nasal structure that is appropriate and befitting for the facial structure. One nose, which may look beautiful on a face, may not suit another face.
PREPARATION PRIOR TO RHINOPLASTY OPERATION
A detailed interview is carried out before the operation. After the examination, if necessary, computed tomography provides information about the intranasal area. You will also be notified by your doctor about the inconvenient medications before and after the operation.
DURATION OF THE OPERATION AND ANESTHESIA
In general, a 2-2.5-hour duration is sufficient. Rhinoplasty can be performed under sedation or general anaesthesia. However, the operation of the patients under general anaesthesia is much more convenient for both the patient and the surgeon.
In case of minimal deformity in the nose (for example a minor arch), a closed operation may be sufficient. However, open techniques are used in operations, which will generally alter the general appearance of the nose, also requiring procedures on the nasal tip. In this technique, an operation is performed by separating the nasal skin from the cartilage and bone structure underneath with an incision, from the structure in the middle of the nostrils called columella.
When the nasal hump is flattened, the nasal roof becomes open and this opening must be closed by the breakage of the nasal bones. Nasal bones must again be broken for narrowing the nasal base or restoration of the abnormal post-trauma recovery of bone structures.
Surgical stitching materials and cartilage grafts are required in the shaping of the cartilage tissue outside the nasal bones, in particular, the nasal tip. Cartilage tissue taken from the nasal septum is usually sufficient for the patients who will be operated for the first time which we call primer rhinoplasty. In case additional cartilage tissue is required, cartilage tissue to be obtained from the ear or rib can be used.
At the end of the operation, a silicone pack is placed inside the nose and a thermoplastic splint is placed out of the nose and are removed respectively 2 and 7 days later.
Although nausea and dizziness may occur in the early period following rhinoplasty operation, these conditions can be overcome easily with medication. After the operation, the pain, the level of which varies according to the level of pain threshold is expected but the presence of effective painkillers is quite helpful in overcoming this adversity.
There may be swelling on the face and bruises around the eyes. The reason behind the bruises is usually the blood leakage into tissues under the skin during the bone shaping and does not cause any problems. The ice treatment to be applied in the early postoperative period is quite effective in reducing bruising and pain. After the operation, temporary sensation loss, fullness sensation, swelling can be experienced and they disappear over time.
In the post-operation period, soft irrigation with saline or similar fluids is useful to prevent skin crusting and related respiratory closure and to moisturize the mucosa.
POSSIBLE COMPLICATIONS OF THE OPERATION
As in every operation, rhinoplasty may also cause complications. These include infection, respiratory distress, the dissatisfaction of the result, permanent numbness, septum perforation, and nasal deformity.
In such cases, it is generally possible to correct the problem by performing revision operations but what is essential is to prevent these complications from emanating by taking necessary measures before and after the operation. In the studies carried out on a global scale, the operations requiring revision were found to be between 5-10% of the surgical interventions performed.
“WHAT IS THE PRICE OF RHINOPLASTY?”
This is one of the most frequently questions asked by those who have the desire for a more good-looking nose: What is the cost of rhinoplasty? As you can imagine, there is no single answer to this question. Rhinoplasty prices vary according to the patient’s anatomy as well as many other conditions such as the operation method to be used. Therefore, the first question you should ask a doctor should not be the cost of rhinoplasty.