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Everything about Rhinoplasty

Looking natural, beautiful and healthy is possible with Vanity Cosmetic Surgery Hospital.

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Success in Rhinoplasty

The goal of rhinoplasty surgery is to create facial balance, correct proportion, and improve health conditions. Rhinoplasty is one of the most complex procedures. Therefore, the surgery should only be performed by a plastic surgeon who has a board certificate and experiences in the plastic surgery field.

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What is Rhinoplasty Surgery?

Rhinoplasty, known as a “nose job,” is surgery to change the shape of your nose by modifying the bone or cartilage. This procedure also corrects breathing problems, birth defects and repair deformities from an injury. While the excess nasal hump needs to be decreased for some noses; some noses can be too short while others are too long. Nose job can provide a nose which is balanced with rest of face and natural-looking.

Closed Rhinoplasty

A closed rhinoplasty technique makes all incisions within the nose, so there will be no visible scars. Surgical operations performed with a closed technique has a lower angle of view in terms of surgery. But the surgeon inserts a micro into the nose and performs over a monitor. The closed rhinoplasty method also has the advantage of reduced recovery times.

Open Rhinoplasty

Open rhinoplasty surgery is a procedure in which an incision is done between the nose holes for accessing easily the structures of the nose. This allows the surgeon to perform by a direct view. There may also be some scarring in open rhinoplasty

Tiplasty

Tiplasty refers to reshaping and fixing. In this procedure, only the tip of the nose effects. In other words, tip plasty is one type of rhinoplasty. Open and closed techniques can be applied for this procedure in accordance with the needs of the patient.

Who Needs Rhinoplasty?

Rhinoplasty is usually performed to improve the visual appeal of the nose and reconstruct the nose. The genetic draw, trauma, and injury to the nose or a poorly done previous rhinoplasty are the reasons for surgery. The decision to undergo rhinoplasty is a personal one based on your consultation(medical history, expectation, etc.). In Vanity Cosmetic Surgery Hospital, we aim to achieve an overall improvement in facial harmony, restoring balance, and improving health conditions with our best rhinoplasty surgeons.

Facial Growth is Complete

The important thing is not the age limit; It is the development of bone and cartilage structure. The operation can be applied after the muscle bone development is completed and when there is no problem in the examination findings.

Physically Good Healthy

It is necessary to be physically healthy and have any disease that may prevent surgery. Therefore, you should share your entire health history with your doctor.

Realistic Goals

Having a positive perspective but realistic expectations in mind for the improvement of their appearance is important for a good result.

How to Prepare for Rhinoplasty?

There are a few of the factors to consider in order to minimize post operative discomfort and reduce the risk of complications.

Diet

A healthy diet before any surgery is important. A healthy diet can also help to promote a faster healing and recovery period. It is necessary to consume plenty of fruits and vegetables, whole grains and lean protein.

Medicine

Your surgeon will examine your medical history, ask you about any current medications and medical conditions. Some medications may increase the bleeding so avoid medications containing aspirin or ibuprofen. Take only medicines that have been approved or prescribed by the surgeon.

Smoking

Smoking slows the healing process after surgery and makes more susceptible to infection. It is important that, stop smoking at least 2 weeks before the operation.

Nutritional Supplement

Patients who will undergo surgery have to avoid taking some food and supplementary which causes surgical complications. Patients should especially avoid vitamin E supplements, ginger, ginkgo and ginseng.

Sun Protection

Before and after the rhinoplasty, the surgeon recommends to stay completely out of the sun. This protection will give your nose and face time to heal and will allow the most serious side effects to pass.

Alcohol Usage

Alcohol works as a blood thinner – making blood platelets less active, and ultimately inhibiting their ability to coagulate. Therefore the surgeon doesn't recommend drinking alcohol before or after surgery increases your risk of post-surgical bleeding.

Rhinoplasty in Turkey!
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How Nose Job is Done?

Rhinoplasty surgery generally takes 1.5 to 3 hours depending on the type of surgery and patient situations.

Does Rhinoplasty Require General Anesthesia?

The procedure changes for every patient because there are many types and many different aims to achieve with treatment. However, there are certain common steps in every procedure that aims to reshape the nose. Surgery can be performed under various depths of anesthesia including local anesthesia, intravenous sedation and general anesthesia. Each option has advantages and disadvantages, including variations in cost, awareness, safety, and side effects. Your doctor will recommend the best choice for you.

Surgical Procedure

After given anesthesia , your surgeon will make cuts between or inside your nostrils. Then, surgeon separate your skin from your cartilage or bone and then start the reshaping. The surgeon then reshapes the inner bone and cartilage to produce a more pleasing appearance. After these changes are made, the surgeon places the nose's skin and tissue back and stitches the incisions in your nose.

Tampon

After surgery, it is important to protect the changes on the nose tissue during the first few days. After closing the cuts that are made during surgery, the surgeon places a splint so that it helps protect the shape of the nose. In certain situations, your doctor may place gauze or nose tampon in the nostrils. This material will help decrease the bleeding and keep the septum in place. Gauze may cause some discomfort. However, it is usually removed in a few days after surgery. It may be used in long term to protect the results of surgery.

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What to Expect After Rhinoplasty

Rhinoplasty can be performed under local or general anesthesia, depending on the exact procedure and the person's preference. It is performed in a surgeon's office, a hospital, or an outpatient surgery center. Often done in an outpatient facility or in a plastic surgeon's office. Along with, complex procedures may require a short hospital stay. After performing a rhinoplasty the surgeons usually apply a sterile cotton or gauze into both nostrils. The cloth is usually removed in the first week after.

After surgery there will be a mild to moderate amount of pain and discomfort associated with the surgery. This should be easily controlled with oral medications. Generally, the pain and discomfort should begin to decrease around 72 hours after the procedure. Bruising and swelling are not unusual after the surgery. These symptoms usually worsen in the second day after the surgery, and then improve regulary after that; this is normal. The amount of bruising that occurs varies significantly from one person to the next. If only the symptom and / or tip of the nose is performed on, mild bruising is normally expected.

Relax

Many patients experience bruising and swelling during the first 1-2 weeks. At first, you may not be able to see the improvements that were done during surgery. However, don’t worry – most of the bruising and swelling should disappear after the first 10 to 14 days.

Back to Work/School

Most patients are able to go back to work/school just one week after their rhinoplasty, despite a small amount of bruising or swelling. Every patient is unique, so it’s best to consult with your doctor to determine how much time to take off given the gravity of your rhinoplasty surgery and your job activity.

Rhinoplasty Recovery Continues

People who have a rhinoplasty can see the improvements made by the surgeon when bruising and swelling decreases, but it is normal to have mild swelling for up to a year. However, this is usually difficult for others to notice.

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Rhinoplasty Recovery Period

Bruising and swelling is not uncommon for recovery period. It depends on both surgical technique and on a variety of factors about the patient. Factors such as whether nose bones (osteotomies) were broken or not, the degree of dissection / rise of soft tissue through the bone-cartilaginous framework and whether the operation was performed as an open or closed one. Among the factors about the patients are age, thickness of skin, eating, bleeding tendencies / disorders and use of blood thinners.Clearly, most of these variables are not in control of the patient; but the level of bruising and swelling may be minimized by following these suggestions:

Rhinoplasty Swelling Stages

Immediately after nose surgery, you’ll have noticeable swelling around the nose, but it should largely subside over the course of a few weeks. Most of the swelling will disappear in about 3-4 months, but it will look bigger in photos. It may take up to a year before the nose gets its final shape.It is very common for patients (in the first few weeks after surgery) to state that their upper lip is stiff and it is hard for them to smile. Fortunately, this recovers on its own in the first few weeks after the surgery because the swelling decreases. Don’t worry, your smile will come back...

Bruising

Avoid multivitamins / herbal supplements / tea that include high levels of Vitamin E, ginseng and ginkgo - these may increase your bleeding. If you have a history of bleeding or bruising easily, bleeding disorders or if you have a family member that has bleeding disorder, inform your doctor prior to the surgery.

Ice Packs

The ice packs that will be applied on the cheeks during the first 48 hours may be helpful for these situations. You should absolutely avoid smoking. Herbal supplements such as bromelain, papaya extract and arnica may be helpful, but few studies proven their effectiveness. Being exposed to sun during the first few months after rhinoplasty may cause the skin over the nose become red or “spotty”. Besides, it is possible for you to have sunburns easily. The patients should wear sunscreen and / or wear a hat during the first few months after surgery in order to avoid the problems stated above.

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What is Non-Surgical Rhinoplasty?

A skilled plastic surgeon may help straighten the lumps that occurred because of impact, reshape the tip of the nose and improve the symmetry of the nose by strategically injecting the filler material in certain points in the nose.


The results are temporary, but this non-surgical nose job can be a low cost method for the patients to try rhinoplasty before having the permanent changes that are possible to get with surgical rhinoplasty.

Opinions of Patients

Success depends on the aesthetic perspective and dexterity of the plastic surgeon more than success in other operations. It is crucial to consider whether the surgeon has a high aesthetic perspective as well as his or her experience surgical skills in order to have a successful operation and be satisfied with the results after the operation. Below we shared with you the opinions of some of the patients that underwent rhinoplasty operation at our clinic.

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Noses with Nasal Humps

There may be bulges in the shape of lumps on the nose bridge that usually result from genetic reasons. They may be removed especially to improve the profile.

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Silicone Tampon

It helps you support your reshaped nose and prevents accidental contacts. The tampon is usually removed a week later after.

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Breathing Easier

Curvatures and the extra tissue within the nose that is not visible from the outside and that block the airline can be corrected during rhinoplasty in order to ensure breathing in a better way.

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Frequently Asked Questions About Rhinoplasty

What is the Ideal Age for Rhinoplasty?

The ideal age range for Rhinoplasty are patients aged 20 - 40 years old, during this time your facial skin is still mostly elastic and can accommodate surgical procedures without complications. The earliest age to have surgery is 13 for a female and 15 for a male. The important thing is not the age limit; It is the development of bone and cartilage structure. The operation can be applied after the muscle bone development is completed and when there is no problem in the examination findings.

Which Food Should be Avoided After Rhinoplasty?

Try to eat soft and simple food especially during the first few days right after your surgery. Continue drinking enough water and eat food that you know your body can digest. We suggest our patients to avoid salty, spicy food and food that are rich in sodium because salt is known to increase swelling.

How to Sleep After Rhinoplasty?

We suggest you to keep your head (nose) above your heart after rhinoplasty. This can usually be ensured with 3-4 pillows. You can place pillows in both sides in order to ease staying in this position. You can put things on both sides in order to help turn to your side or on your tummy.

How Can a Nose that Recovered Crookedly Be Corrected? (Secondary Rhinoplasty)

Crooked noses can be corrected with a secondary surgery. This can be performed as open reduction of nose muscle fracture due to trauma. If there is no history of trauma, it is considered as more of a cosmetic procedure and rhinoplasty deals with this situation. How a crooked nose can be improved depends where the crookedness is. This usually results from internal septum and correcting it may create a clearer appearance. Sometimes the bone on the outside should be rearranged and it should be broken under control. Lastly, if the deviated part is the cartilage, it can be improved with stitching techniques and other contouring techniques with an open rhinoplasty. Most of the nose deviations have different reasons and you should sit and discuss with your plastic surgeon in order to create a general treatment plan.

When Can Patients Start Doing Heavy Exercise After Rhinoplasty?

After at least 3 weeks. Heavy lifting increases your blood pressure and especially the pressure on the face and nose area when you hold your breath. This may cause nose bleeding. Besides, if a weight falls on your nose in the first 3 weeks, it has a high risk of breaking your nose. It takes 3 weeks for your nose bones to recover sufficiently against mild trauma.

What Causes Nasal Hump?

Nasal hump is in the shape of a lump on nasal bridge. It usually results from genetics, but you may also see a bulge if you break your nose. The bone in the shape of dorsal hump is typically formed by a mix of bone and cartilage, the percentage is different for every patient. If the radix, the upper part of your nose near your eyes, is also deep, the hump may appear bigger. It is improve to find out the reason behind your hump in order to improve your profile. If it is excess cartilage and bone, surgery may fix these. If radium is too deep, a cartilage greft may be placed with surgery or a non-invasive rhinoplasty may be performed where a semi-permanent filling material can fill the depression and where the shape of the nose is flattened.

When Will The Results Of Rhinoplasty Be Visible?

It takes up to a year or longer to see the final results

Preview Of The Results

Due to modern technology, patients can have a picture of the results of rhinoplasty surgery. Digital visualization techniques ensure surgeons to have virtual 3 dimensional models of a patient and create their future appearance. Although the 3 dimensional model acts as a guide for the surgeon, there is no guarantee that the rhinoplasty will certainly get the same results.

Questions To Ask Your Surgeon

Get informed about the security of plastic surgery by making a general list of questions to ask your surgeon. Following these suggestions and asking these questions may be helpful to plan your procedure:

Suitability

Am I a good candidate for rhinoplasty?

IMPORTANT
Expectations

Are the results I expect from rhinoplasty reasonable and realistic?

Before and After

Are there rhinoplasty before and after photos?

Scars of Surgery

Will there be a visible scar? Where will the scars be?

Anesthesia

Which type of anesthesia do you suggest for me?

What You Should Do

What should I do to get the best result?

IMPORTANT
Recovery Period

What kind of rhinoplasty recovery period may I expect and how can I go back to normal activities?

Risks and Complications

What are the risks and complications about rhinoplasty?

Precautions

How are complications prevented?

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Aesthetic Surgeries That Can Be Combined With Rhinoplasty

Many patients choose to have additional treatments at the same time because the nose has a very significant role on the face structure. In addition, because a recovery period is already going to be experienced, it is very logical to fit the recovery periods of other procedures in this period. These procedures help protect the balance of the face and give more apparent and more dramatic results. In most cases, it is safe to combine rhinoplasty with one or more additional treatments. In addition, patients should choose the best rhinoplasty surgeons that are experienced in all areas of face plastic surgery for safety and to get good results.

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Chin Implant

Chin implant is treatment methods that are most commonly combined with rhinoplasty. A surgeon places a silicone implant through a cut right below the chin or in the mouth to perform procedure.

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Cheek Augmentation

Many patients want to improve the area that circles the nose with a cheek augmentation while having an improved nose. We do this operation through two ways. Firstly, we suggest fat graft or dermal filling material. Your doctor removes the unwanted fat cells by using liposuction on another part of the body to apply fat graft. Then, the cells will purified and injected in different depths of the face for more apparent cheekbones and to have a younger appearance. While dermal fillers give volume to the face, they can increase the production of collagen in some cases. The results may take months and patients may have routine retouches.

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Face Lift

Many patients choose to combine rhinoplasty with a face lift in order to get dramatic results and a younger general appearance. This procedure is used to especially remove the wrinkles around the eyes, cheeks, chin and mouth and treat sagging. There a few types of face lift and patients may choose middle, mini or smaller face lift methods to target their area of concern. The doctor lifts the face muscles through cuts that are carefully hidden, removes the fat residue and cleans the excess skin. Patients may look much younger after a face lift.

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Brow Lift

Similar to face surgery, brow lift surgery also removes sagging skin and reduces deep wrinkles. In addition, brow lifts especially target the forehead and the area between the brows. The doctor makes a cut along the hairline or on the crown of the head. Then, lifts the underlying muscles to reduce the frowning wrinkles, vertical wrinkles, sagging brows and hooded brows.

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Blefaroplasty (Eyelid Surgery)

Blefaroplasty or eyelid surgery is a perfect way to remove sagging eyelids and give the patients a younger appearance. The treatment may target upper eyelids, lower eyelids or both. The doctors make small cuts on the lash line or on the eyelid crease and then lifts the muscles around it and removes the accumulated fat.

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Nose Job - Rhinoplasty

How to Prepare for Rhinoplasty?

Rhinoplasty starts when the meeting is done and the patient is examined before the operation. Bone and cartilage structure of the nose, curvature in nose, the angle of forehead and lips with nose, the shape of the nose tip are of great importance. It is quite important to acknowledge the post-surgery expectations of the patient and to inform the patient clearly during the meeting.

Until one week before the rhinoplasty, the patient should not take aspirin or any other antiaggregants , should not drink herbal teas, should not smoke or should reduce smoking to 5 cigarettes per day and should not consume alcohol in the last 48 hours.

How Long Does The Operation Last?

Rhinoplasty is performed under general anesthesia or a combination of local and sedation anesthesia. The operation lasts about an hour and half. The duration of the operation might be longer if the nose is traumatized, clearly deformed or hard to shape.

Does Rhinoplasty Leave Permanent Scars On Skin?

We perform rhinoplasty through a close surgery method in which all the cutting and shaping are done inside of the nose. Therefore, it leaves no scar on the skin.

How Is The Post-Surgical Process?

Patients do not need to stay at the hospital after the operation. In the first 6 hours, patients may feel dullness and a dull ache which is responsive to painkillers. They may experience a slight swelling and cyanosis, but they fade within a week. Small silicon splints which are placed into the nostrils are removed after 2-5 days. Skin-color splints, which are placed to prevent the nose from swelling and to preserve the nose shape, are removed after 5-7 days. Patients who had rhinoplasty may return their work and daily life after a week.

It may last for 2 to 6 months for the nose to take its final shape and for all the edemas to pass.

The key to success in rhinoplasty is the controlled behavior. The outcome is always satisfactory if you pay respect to the tissues and shape the nose by removing a sufficient amount of tissue.