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How is Nose Aesthetic (Rhinoplasty) Surgery Performed?
Rhinoplasty procedures generally involve similar steps, with the exception of nose tip aesthetics (nose tip lift) and protective rhinoplasty. In surgeries, if there is a curvature in the cartilage between the nasal canals, that is, the structure called septum, it can be corrected.
The stages of rhinoplasty surgeries performed by Aesthetic, Plastic, and Reconstructive Surgery Specialist Op. Serif Yavuz, one of the best rhinoplasty doctors in Istanbul, are as follows:
- Preliminary examination and analyzes are performed for the surgery.
The patient should share with his physician his thoughts about the shape of his nose and the shape he desires with rhinoplasty surgery. Information is obtained about the patient’s surgical history, medications affected by rhinoplasty surgery, aggressive and chronic diseases (such as diabetes, high blood pressure, heart diseases, cancer, organ transplantation status, hemophilia).
It is learned whether there are problems with breathing, runny nose, postnasal discharge and headache complaints.
With physical examination, some blood tests and imaging are performed to evaluate the internal and external structure of the nose, skin thickness, cartilage structure and durability, nose position, and general health service evaluation. At the end of the examination, the most appropriate operation results are determined.
- Photos of the nose are taken.
The patient’s nose is passed from different directions and the images obtained are transferred to the computer environment. These images, which show the tip of the nose, nasal cavity, nasal bridge and nose measurements, are shared with the patient. The images make the work of the physician who will perform the rhinoplasty surgery easier.
- Surgery is performed for nose aesthetics
Procedures are performed on the structures that cause blockage in the nose. If there is an arched structure on the back of the nose, the excess cartilage structure is removed. If the arched nose part is small, filing may be sufficient.
Cartilage removed from the septum is used to make various corrections, support tissues or give the desired shape during surgery. If the patient has previously undergone another nose augmentation and there is not enough cartilage in the nose, these cartilages can also be obtained from the ear or rib.
After making the necessary corrections on the nose, the incision is stitched. A tampon should not be placed in the nose after the surgery. If a tampon is to be placed, silicone tampons that do not hinder breathing are preferred. The surgery is completed by placing a cast or splint on the back of the nose.
What Should Be Considered Before Rhinoplasty Surgery?
- Care should be taken when choosing a surgeon
Rhinoplasty is an operation that requires care and meticulous work. Otherwise, a correction surgery (revision surgery) may be needed. Therefore, care should be taken to the physician who will perform the surgery.
- The use of some medicines is suspended.
The use of some products that pose risks to the operation is discontinued as soon as the physician deems appropriate. (Usually, it may be sufficient to stop medication 7-10 days before surgery.)
The same medications (blood thinners and painkillers such as aspirin, which can cause excessive bleeding) are not used for a certain period of time after the operation. Consumption of herbal tea, coffee and alcohol should be limited.
- Food consumption is stopped for a while before the operation
The operation will be performed under general anesthesia. If patients have a full stomach under anesthesia, this may cause the stomach contents to rise up and block the trachea during the surgery. To prevent this risk, food consumption should be stopped 8 hours before the operation.
- Consumption of foods and beverages that may cause gas and edema is stopped.
Gas-causing foods such as mixed herbal teas, broccoli, milk and legumes should be stopped a few days in advance. Particular care should be taken when consuming foods with high sodium content, such as mineral water, pickles, olives and cheese, as they may cause edema.
- Smoking and alcohol use is discontinued.
Both smoking and alcohol consumption have many harms proven by scientific studies. When smoking, nicotine causes fluctuations in blood vessels, reducing oxygen in the blood and delaying wound healing.
Those who smoke and drink alcohol can increase the success of the surgery by quitting smoking and alcohol consumption 15-30 days before rhinoplasty surgery.
- It is necessary to be patient for the final appearance of the nose.
It may take 6 months or 1 year to achieve an appearance that meets expectations after rhinoplasty surgery. It should not be forgotten that patients who think that they will have the nose aesthetic appearance they desire in a short time should wait a while to avoid disappointment.
- Women should tell the doctor about their menstrual period.
Women are more stressed and more sensitive to pain during menstruation. In addition, hormonal changes during menstruation cause water retention, that is, edema. It would be appropriate to share with the physician the dates of this period, during which some blood loss occurs.
- Advice is given before coming to surgery.
The patient is informed about the items he/she will use and take with him/her while staying at the clinic.
What Should Be Considered After Rhinoplasty Surgery?
- You should go to the follow-up examination planned by the doctor.
Examinations may be more frequent in the first weeks. Procedures such as monitoring bleeding and bruising, removing stitches, applying dressings, removing the splint, tampon and the tape applied to it are performed in this process.
Hair and body can be washed without touching the nose with water for 1 week after the surgery. The tampon and splint are removed on the 6th or 7th day. Taping is done to prevent it from swelling again. These bands are removed by the patient after 1 week.
After the tampon and splint are removed, the patient is checked at 1, 2, 3, 6 and 12 months. It is stated that the bruises and edema that occur after the surgery are temporary.
Since there is bleeding, there may be bruising on the nose and under the eyes. These bruises usually begin to disappear after 10 days. After the 3rd week, edema disappears completely. Swelling of the eyelids may also occur immediately after the operation.
- Medicines prescribed by the doctor should be used for pain and edema.
After the surgery, use only the medicines recommended by the physician. Randomly used medicines may do more harm than good. The doctor will prescribe medication for pain and edema (antihistamine).
Cold compress will help reduce edema and pain in the nose. Cold gel or ice compresses around the eyes and on the cheeks will reduce swelling and bruising. This application can be done up to the 72nd hour. This application will also reduce pain.
- The nose should be protected from sunlight.
The nose should be protected from sunlight during the 6-week period after the operation. The sun can cause permanent color changes on the nose skin. As a precaution, you can benefit from using a sunscreen with a factor of at least 30. The healing time of edema in the nose after the procedure may also be prolonged by sunlight.
- The nose should be massaged as recommended by the doctor.
One month after the surgery, the nose can be massaged as recommended by the physician to quickly heal the edema in the nose. Massages performed at least 3-4 times a day for 3-6 months are very effective.
- Gauze should be used
Bleeding (sometimes with mucus) should be considered normal for a few days after the surgery. To prevent bleeding, gauze with blood-absorbing properties can be attached to the nose.
- It may be necessary to wait 1-1.5 years for the final shape of the nose.
Depending on many variables, the final appearance of the nose is achieved 6 months or 1-1.5 years after the operation. If you have not achieved an appearance that meets your expectations in the weeks immediately following rhinoplasty surgery, you may need to show some patience.
- 1 week leave must be taken
You can get up right after the operation. Normal work can be done within 2-3 days. However, resting is beneficial. It would be appropriate to return to routine life after a week’s leave.
- Smoking and alcohol should be stopped after surgery
Smoking or alcohol use should be stopped. Nicotine causes tension in blood vessels, reducing the amount of oxygen flowing to the tissues. In this case, wound healing is also delayed. The weakening effect of smoking and alcohol on the body structure negatively affects the healing process.
- Care should be taken with the lying position, the head should be kept high.
When lying down, care should be taken to ensure that the head is higher than the heart level and you should sleep with pillows under your head. Sleeping should be in the supine position. You can turn left and right without affecting the operation area.
In this way, the development of edema, bleeding and pain in the nose area is reduced. Movements that will increase the blood load in the head area and cause edema and pain, such as bending over and tying shoes, should be avoided.
- Heavy work and sports should be avoided for a few weeks.
You should get enough rest after nose job surgery. Heavy work and sports may damage the operation area. Light sports can be started after 1 month, and heavy sports can be started after 2 months. You should be protected from all kinds of trauma and stay away from heavy work that will overtire your body for a while.
- Physician advice regarding showering should be followed.
The splint and tampon placed in the nose should not get wet. In the first days, you can take a bath without wetting the nose area. According to the doctor’s advice, shower normally after the splint is removed.
- Avoid staying in hot environments.
It is possible that environments such as hot springs, Turkish baths, saunas and solariums may increase edema and bleeding in the operation area. It is beneficial to stay away from these environments for up to 4-6 weeks.
- Movements and traumas that put pressure on the operation area should be avoided.
Situations such as blowing the nose, activating the facial muscles by laughing excessively, brushing the teeth harshly, and straining in case of constipation may cause damage to the operation area. Avoiding public transportation for a while, avoiding crowds, and avoiding close contact with small children and pets can also be taken as precautions.
- Glasses should be used according to doctor’s advice.
- A nutrition regimen should be chosen so as not to damage the operation area.
Soft and liquid foods should be preferred, especially for the few days after the operation. Foods with high salt content, which may cause extra edema in the nose that already has edema, should be avoided.
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