Nose Job (Rhinoplasty)
The reshaping of the nose is referred to as rhinoplasty or plastic nose surgery. If the patient suffers from conditions obstructing their breathing (deviation, concha hypertrophy etc.), and these are to be corrected at the same time, septorhinoplasty is performed. Except for rare cases, this operation must not be performed on patients under 18 years of age.
Treatment is necessary in cases of dissatisfaction with the shape of the nose, traumas suffered, nose deformities due to accidents or nose deformities caused by a tumour. Also, an operation may be required for no problem with the nose, but only for aesthetic appearance. For this, the person must have no psychological problems, must wish the surgery of their own volition, without being under pressure, and must have reached a certain maturity in terms of age.
The operation can be performed by the open and closed techniques. Depending on the physician’s preference, the closed technique is applied if there is no excessive deformity in the cartilage at the tip of the nose and the upper part of the septum. The open technique is performed by making an incision at the area in the center of the nostrils, known as the columella, with no serious scarring. In this technique, the skin on the cartilages and bones are removed, allowing for easier and proper reconstruction under direct vision. The required grafts can be placed more easily and properly. Other than this, there is no difference between these two techniques.
There may be swelling and mild bruising on the face for a few days. No excessive tampons are placed into the nose, silicone splints can be placed or not. Tapes and plaster or similar stabilizing materials are placed outside the nose. These are removed at least one week later, and bandage is applied for a week.
The edema and swelling of the nasal ridge are completely removed within two weeks. A small number of patients may require minor interventions after a year or so.
Patients should not wear glasses for six months. They may use glasses that do not touch the nose.
It is necessary to be protected against excessive sunlight. Not smoking has a good effect on healing. For both documentation and operation planning, photographs of the patient are taken from the front, the profiles, the top and the bottom of the head before the operation. Blood thinners, if any, must be discontinued at least ten days before the operation, and smoking should be stopped.