Rhinoplasty, or rhinoplasty, is a surgical procedure performed to correct deformities in the nose and reshape the nose. The aim in rhinoplasty is not only to make visually beautiful noses, but also to increase the functionality of the nose functionally. Thus, patients can have a visually more beautiful and better breathing nose.

To Whom Can Nose Aesthetics Be Applied?
Anyone over the age of 18 who has no objection to the application of anesthesia and surgery, and who has visual or functional complaints about their nose can have rhinoplasty.

Planning Before Nose Aesthetics
Since the nose is an organ located in the middle of the face, the most striking place when looking at the face is our nose. As a result of making a nose that is not suitable for the face shape and proportions of the person, all the defects and disproportion in the face will immediately attract attention. For this reason, it is very important to plan according to the face shape of the person before the surgery. With the examination, the external part and internal structure of the nose are detected and the patient is informed. Then, photographs are taken of the face from all angles and the patient is told about the defects on the photographs. With the Photoshop application, the estimated nose shape that may occur after the surgery is shown to the patient and revised in line with the patient's wishes and a decision is made at a common point.

Does this surgery also solve breathing problems?
Nose surgeries should not be evaluated only in terms of plastic surgery. The nose is a whole and both aesthetic and functional problems should be resolved with the surgery. Disorders in the nose such as deviation of the septum (curvature of the middle cartilage of the nose), turbinate hypertrophy (growth of the nasal concha) should also be resolved.

Preoperative Preparation
One week before the operation, blood tests and additional tests are performed if necessary in patients with an additional disease. With the evaluation made with the anesthesiologist, it is checked whether the patient is suitable for anesthesia.

Points to consider before surgery
- It is important that patients with a chronic disease such as heart disease, diabetes, asthma, thyroid (goiter), hypertension, if they have, take their medications regularly. It is necessary to obtain confirmation from the doctor who follows the patient about the related diseases that there is no objection to the surgery.

- The patient should not have a disease with an active infection such as cold or flu.

-Excessive fatigue that will suppress the immune system, very strict diet, drug use, excessive alcohol consumption should be avoided.

-Aspirin, blood thinners, vitamins, nutritional supplements, homeopathic substances and herbal products such as green tea used before the surgery can cause very serious bleeding problems and drug interactions during and after the surgery. They should not be used during the one-month operation period, 15 days before and 15 days after the operation.

It is definitely inconvenient for people who are likely to be pregnant to have surgery.

- If you have been treated before due to clot formation in the veins, the doctor should be informed about this.

- Nothing should be taken by mouth, including water, 8 hours before the scheduled surgery time. Continuously used blood pressure medication, thyroid medication, etc. can be taken within the knowledge of the surgery team.

Do We Use Tampons During Surgery?
We do not use old-style gauze or silicone tampons in our surgeries. If there is an intervention in the nose, we place a silicone splint that does not adhere to the tissues and has an airway inside. If there is no intervention in the nose, there is no need to put anything.

How Is The Recovery Process After Nose Aesthetic Surgery, Is There Bruising or Swelling?
After the operation, the patient rests in the hospital for one night. The next morning, the patient can be discharged. If an intervention has been made on the nasal bone, a bruise may occur for 7-10 days. In order to minimize bruises, I perform the operations with maximum precision without damaging the soft tissues and cartilage with my own techniques. Seven days after the operation, plastic plaster, silicone splints and sutures are removed from the nose. You can go back to work after today. Then the bands that support the back and tip of the nose are placed, and the bands must remain in the nose for a week. In the second week, these bands are removed and the nose is checked. In the first month, edema in the nose is largely resolved. The full recovery process, on the other hand, takes between 6 months and 1 year, although it varies according to the surgery and the person.

Post-Surgery Care
Ice treatment is applied under the eyes on the day of surgery and the day after. It is necessary to lie in an upright position with the head higher than the heart level for a week. Soft foods should be taken on the day of surgery, and normal nutrition can be resumed in the following days. Good diet high in protein 

will speed up the matching process.

Use of Glasses After Surgery
If you are wearing prescription glasses, we recommend that you apply to an Ophthalmologist before the operation and get lenses if appropriate. Glasses cannot be used for one month if the nasal bone part is not treated, and for two months if the bone part is treated.

Sensitive Period after Nose Aesthetic Surgery?
The sensitive period that needs attention after the operation is 6 months. For a healthy recovery process, no blow to the nose should be taken during this period. Especially in severe impacts, the shape of the nose may deteriorate and re-operation may be required. In the event of a blow, the doctor should be contacted immediately and the damage status of the nose should be evaluated. The nose should not be pulled downwards while cleaning the nose, especially in the first two months after the surgery.

In which season should Nose Aesthetic Surgery be performed?
There is no recommended season for rhinoplasty, it can always be done. If bruises occur after surgery only in sunny months, we should protect our face with sunscreen cream.

When are the Post-Operative Controls?
Generally, controls are made in the 1st week, 2nd week, 1st month, 2nd month, 6th month and 1st year. These times may vary according to the patients.

What is Revision Nose Aesthetic Surgery (Secondary Rhinoplasty)? What kind of a process is followed?
Rhinoplasty is called Revision Nose Aesthetics, which is performed on patients who have visual and functional problems with their nose and whose visual expectations are not met, despite having had rhinoplasty before. Revision surgery may be very short operations completed in 15-20 minutes, or it may be complicated enough to require cartilage removal from the ribs or another part of the body. The process is determined according to the patient's current nose and expectations. Functional problems (such as breathing, smelling) that did not exist before the rhinoplasty surgery of the patients may occur after the rhinoplasty operations performed incorrectly. In such cases, revision surgery is required. The aim of revision surgeries is to meet the visual expectations of the patient and to eliminate the functional problems that could not be resolved in previous surgeries or that emerged as a result of the surgery. The healing process differs according to the procedure performed.

All rights reserved. Op.Dr.Orhan AYDIN

Op. Dr. Orhan AYDIN

Plastic and Aesthetic Surgery Specialist

Who is Orhan AYDIN?

Kiss. Dr. Orhan Aydın was born in 1984 in Kırcaali. He completed his primary and secondary education in İzmir. He graduated from Manisa Celal Bayar University Faculty of Medicine in 2008. He completed his specialization training in Pamukkale University Plastic, Reconstructive and Aesthetic Surgery Department between 2009-2014. Between 2014-2015, he completed his compulsory service at Şanlıurfa Mehmet Akif İnan Training and Research Hospital.

Health Sciences University, where he started working in 2015, Dr. Abduraahman Yurtaslan left his duty at Ankara Oncology Training and Research Hospital in November 2018...