Rhinoplasty (Nose Job)

The ultrasonic rhinoplasty method allows for reshaping the nasal bones in a controlled way using millimetric measurements. As this method prevents any damage to the capillaries in the spaces between the nasal bones, swelling and bruising are minimized.

The ultrasonic rhinoplasty method is approved by the FDA in the US and is used with utmost confidence.

The major advantage of ultrasonic rhinoplasty is that the procedure allows the correction of the bone deformities in the nose without damaging the surrounding soft tissues, minimizing any associated post-operative swelling and bruises.

Controlled bone cutting allows reshaping the nose more elegantly, having a more natural configuration compared to its previous appearance. Noses appear as if they were drawn with a pencil.

It is a type of surgery for correcting the shape of the nose or breathing problems in patients suffering from deformities or dysfunction in the nose. Aesthetic nose surgeries are performed by plastic surgeons.

Can Isler, MD.
Aesthetic and Plastic Surgery
General Surgery

About Operation

Expected duration of stay in Istanbul: 6-7 days
Anesthesia: General anesthesia
Expected operation duration: 2-3 hours
Expected duration of stay in the hospital: 1 night
Pain: Occasionally, simple analgesics are needed.
Swelling and bruises: Usually
Dressing: Day 4 and 6
Stitches: No need to take stitches that melt on their own.
Expected return to normal life: 3 days
Sports: Light exercises after 1 week

Before the surgery…

After listening to patient expectations in detail, the possible appearance of the nose after the surgery is demonstrated to the patient using computer programs.

Patient photographs are taken before the operation to plan the operation and compare the outcomes of the surgery with the previous appearance of the nose.

The aim of the rhinoplasty surgery is not to make the patient look like someone else but to restore the original appearance of the patient. Therefore, surgery is planned to achieve harmony with the facial features of the patient.

If the breathing function of the nose is impaired due to several problems (such as deviation or hypertrophy of the turbinates), these problems can be resolved in the same session of the surgery.

The operation

After examining the structure of the nose in detail, the patient is prepared for surgery. These examinations help to find the most appropriate shape of the nose that will be suitable for the patient. An elegant and aesthetic nasal appearance in harmony with the personal characteristics of the patient is found out. It is also important that these planned reconstructions should be medically feasible.

A rhinoplasty operation is usually completed under general anesthesia in 1-4 hours. With the incisions made through the nostrils, any deformities inside the nose, nose tip or the nasal hump are corrected conveniently.

Today, new techniques are used to prevent the occurrence of any potential swelling and bruising after the surgery. Reconstruction of the nasal bone and cartilages is possible without causing considerable damage. After completing the reconstruction procedures, tamponades are placed into the nostrils and a plaster splint is placed on the dorsum of the nose. Patients can be discharged on the same day of the operation if no problems arise. Some problems like facial edema, nasal pain, weakness, muscle pain, and headaches may occur after the operation. These problems are easy to overcome.

Nasal Tip Plasty

Nasal tip plasty eliminates the problems at the tip of the nose without making any modifications in the bone and cartilaginous tissues of the nose. This operation is usually performed in people, who do not have a nasal deformity but suffer from problems in the tip of the nose. If there are no curvatures or humps in the nasal dorsum or if no problems of the nasal bones and cartilages exist, a rhinoplasty is unnecessary.

The patient and the surgeon should essentially think each stage over before the nasal tip plasty just like they should do so before rhinoplasty. The patient should share his/her concerns and expectations related to this operation with the surgeon. After identifying any problems at the tip of the nose, cartilage tissue is placed as required during the operation; then, the incision is closed with surgical sutures.

The remodeling of the nose tip is based on the preference of the patient. If required, the excess tissue removed from the nasal tip can be used for augmentation of other body parts.

After the surgery…

Intranasal tamponades are removed after 2-4 days following the surgery; the sutures at the tip of the nose and the cast over the nose are removed on the seventh day, and the bandages on the dorsum of the nose are removed on the fourteenth day after the surgery.

Finally, nothing will remain other than the nose of the patient after two weeks following the surgery. The patient can take a bath after all the materials over the nose have been removed. However, no contact with water should be allowed when there are bandages on the nose. The patient is allowed to wash his/her hair by leaning the head back at the hairdresser’s.

Transient bruising and swelling may occur around the nose and eyes in patients, who underwent surgery outside the nose. Although these findings are variable among patients, they are temporary and resolve within two to three weeks.

In order to reduce the severity of potential bruising and swelling, ice packs can be applied around the nose for the first three days after the surgery. The patient may return to work and social life after 3-4 weeks following the nasal surgery. However, complete recovery takes a year at the tissue level. Although rare, a second intervention may be required due to untoward recovery outcomes after surgery and this repeat surgery should be performed after one year.

Eyeglasses should not be used for three months after the surgery and exposure to the sun should be avoided. More importantly, any impact such as knocking and bumping on the nose should be avoided for a year.

Frequently Asked Questions

How long does a rhinoplasty session take?

Rhinoplasty takes approximately 1-4 hours.

Does it cause pain?

Patients feel no pain during the rhinoplasty procedure. The procedure is performed while the patient is under general anesthesia.

Does rhinoplasty involve an open nose surgery or a closed one?

The open technique is performed in our clinic. The open technique allows us to maintain an excellent field of view during the operation so that we can intervene more precisely on the dorsum of the nose, the nasal wings, and the cartilages and bones in the nasal architecture; which uphold the nose and keep it straight. The open technique makes it easier to solve not only the aesthetic issues but also the functional problems (nasal congestion).

Can rhinoplasty be performed without anesthesia?

General anesthesia is usually preferred during rhinoplasty.

Will there be bruising and swelling after the surgery?

Any bruising and swelling after surgical interventions is considered normal. Because the region is intervened from outside, a traumatic effect occurs in the tissues. Differences in the severity of bruising and swelling can be seen depending on individual variations in the body reactions and the expertise of the surgeon performing the rhinoplasty.

Will there be any scars left after rhinoplasty?

Based on the technique used during the rhinoplasty surgery, there may be no visible scarring left after the operation. Today, scar marks are not problems after rhinoplasty.

Will any tamponades be placed?

Tamponades are usually placed after the operation. However, tamponades may not be placed thanks to newly developed techniques. This way, patients restore their usual lifestyles faster, experiencing a more comfortable recovery process.

What should be done in the night before the surgery?

You should not eat anything after 12:00 pm. It is also recommended that you take a shower as you may have difficulties in taking a shower after nose surgery. There is nothing you need to do, specific to the nose surgery.

When do I return to normal life?

Getting back to normal life after a surgical intervention depends on the procedures performed. The doctor’s recommendations should be followed.

How long will I have to stay in Istanbul?

A week will be sufficient for you to stay there after the rhinoplasty.

Will I experience any problems with breathing?

The procedure requires breathing through the mouth during the recovery period. There will be no irregularities or difficulties in breathing after the procedure.

Can I swim after the surgery?

It is not advised to swim at least 3 weeks after the procedure. After this period, you can swim only in places where you are sure of their cleanliness.

Can I smoke after surgery?

Smoking is not advised after the operation because of its unfavorable effects on blood circulation. This can lead to increased postoperative risks.

When will my nose get its final shape after the surgery?

It is necessary to wait for the regional bruises and swelling to recover completely to see the new shape of the nose. At least a period from 6 months to 1 year is necessary for these processes.

When can I return to work after the surgery?

The doctor’s recommendations on returning to work should be followed after the surgery. This period is usually short for people desk workers; who were not required to engage in strenuous activities. For heavy working patients, this period may be extended. The type of surgery is critical to determine the length of this period after the surgery.

Is it possible to develop a deformation at the tip of the nose?

The condition that is perceived as the dropping of the nasal tip after rhinoplasty is actually a normal process. After the recovery of the swollen nasal tip due to the developing edema following the surgery, the appearance of the nasal tip aligns with the plans made before the intervention. The swollen tip of the nose may be perceived by the patients as dropping.

When can I wear eyeglasses?

Eyeglasses cannot be worn immediately after nose aesthetics. It is inconvenient to wear eyeglasses because the changes made in the nose have been made recently. Instead, contact lenses should be preferred. Eyeglasses can be used after 6 months following the surgery at the earliest depending on the approval of the doctor.

Will I have difficulties in eating after the surgery?

No difficulties in eating will be experienced after the surgery. However, you should have a diet consisting of warm, soft, and fiber-rich foods for the first 24-48 hours after the surgery.

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