Rhinoplasty

What is Rhinoplasty Surgery?

The term rhinoplasty means ‘‘ nose molding’’ or ‘‘nose forming’’. It refers to a procedure in plastic surgery in which the structure of the nose is changed. The change can be made by adding or re-moving bone or cartilage, grafting tissue from another part of the body, or implanting synthetic ma-terial to alter the shape of the nose.

What is Septorhinoplasty?


Septorhinoplasty: A surgical procedure done on the nose and the nasal septum, the wall within the nose seperating with the left and right sides. Septorhinoplasty is related to rhinoplasty and is performed for patients who also have nasal obstruction.

What are the goals in rhinoplasty and septorhinoplasty surgeries?


We have 3 basic goals. One of is the nose can breathe. The current breathing intake should not be imparied; Septorhinoplasty not only improves the appearance of the nose, but it removes any internal obstructions that may be blocking breathing through the nose . Our other goal; is to obtain a natural nose structure so that people, who do not know the patient do not undersatnd that the patient was a nose surgery. Our other goal is to obtain a suitable and proportional nose for the face structure of the person.

Is the operation performed with general anesthesia or local anesthesia? How long does it take?


This operation is performed under the general anesthesia. It takes 2-3 hours depending on the structure of the patient’s nose .

What are ‘‘open approach’’ and ‘‘closed approach’’ techniques? Which technique is recommended?


Perhaps one of the most confusing dilemmas confronting the prospective rhinoplasty patient is the choice of open versus closed rhinoplasty. Unlike the closed rhinoplasty, the open or external rhinoplasty approach employs a small bridging incision, called a trans-columellar incision, to connect the right and left nostril incisions. In the closed rhinoplasty approach, also called endonasal rhinoplasty, all of the surgical incisions are positioned inside the nostrils. This technique varies depending on the person’s nasal problem and the surgeon’s experience.

How long does bruising and swelling take after surgery?


In the first 24 hours after the surgery, bruises and swelling start to nascent . It reaches the highest level at the first 48 hours. Then it starts to decrease gradually. For that reason, it is very important to apply ice compress frequently to the nose for the first 48 hours. It may take 6 months for all swelling of the nose and face to fall. In some cases it takes 2 years to get the last shape of the nose.

What long does the bumper and plaster should stay?


Nasal buffers are removed after 2 days. Plaster is removed at the 1st week. After the plaster take out, a pressure bandage is made consisting of thin strips on the nose for another week.
What should be considered after the surgery?

Ice on the face, bridge of the nose, and eyes as much as tolerated will help to minimize theese problems. At home the patient should have bed restwith the head elevated an 2-3 pillows. Resting is recommended of the first 10 days. Using glasses for the first month is not recommended. It is recommended to use a hat when going out in the sunshine. It is very important to avoid sports and the environment where the possibility of receive a blow is high.