Rhinoplasty, aesthetic nose surgery is one the most commonly performed aesthetic operation throughout the world annually. Since nose sits in the middle of the face when it is shaped to a better looking, normalized structure, rhinoplasty achieves a balance and harmony within the face thus overall facial appearance improves.
Rhinoplasty is considered a painless operation with a week to ten days of downtime post operatively. Patients feel a bit of fullness at the middle of their face and a bit discomfort for the first week after the operation. There might be bruising that spreads to the lower eyelids. Swelling and bruising increases in the first 48 hours after the operation that is why it is recommended to apply cold compress every hour 10 minutes over the splint and sleep your head elevated for the first 2 nights post op. Early extra swelling and bruising dissipates mostly in the first 7- 10 days after the operation. Some patients don’t even bruise so it is not a rule that you will be looking like a raccoon in the post op period.
Depending on the extension of the septal work, silicone splints are put in to the nose. I prefer to remove the silicone splints with the external thermoplastic splint at post op sixth day. Tiny stiches placed at the columellar incision and if there is an alar base reduction stitches at the alar base gets removed also on 6th day post op. Afterwards nose is taped to control swelling and tapes are kept on for another 5 days. I always recommend self massage for patients at least for 2 weeks until the end of 3 weeks post op. Massaging helps with the swollen soft tissues to adapt to their new locations and patients to lose swelling faster. At 6 weeks post op patients tend to lose %60 of the swelling and start to see the shape of their nose. After a rhinoplasty it takes 9- 18 months to see the final results. This huge difference of nearly a year depends on the patient factors such as the amount of reduction/ augmentation, skin and soft tissue characteristics (patients that have thick and oily skin tend to see their results later) and the habits (as smoking and alcohol use) of the patients’ .
It may not be possible to make a perfect nose out of every single nose. Mostly it depends to the nose that we start with. Within the operation I manipulate and get to work with four different tissues; skin, cartilage, bone and ligaments. If there is severe deviation, severe soft tissue or cartilage asymmetry it is more probable to have a slight residual problem. Most of those problems can be treated with injection of steroid mixtures or hyaluronic acid filler without a need for a second surgery. Rarely patients may need a revision operation which is more simple- something like a touch up.
There are a ton of different names that is attached to rhinoplasty. Although a couple has a scientific background like structural rhinoplasty and preservation rhinoplasty the rest is actually non-sense only mentioning the technique (open- close) or instruments (Piezzo- ultrasonic- micro rhinoplasty) or pre operative evaluation utilities (3D- 4D rhinoplasty). The latter doesn’t have any influence over the operation that is carried out but mentions the way that it is done.
My main preference is to perform open structural rhinoplasty when there is a deviation and a need for extensive septal work and closed preservation rhinoplasty when the nose is good overall but it needs small changes for improvement.
In order to get a quote you need to send our team photos of your full face and fill in the medical informations form. After I evaluate both I can do an operative plan and my assistants give the detailed information about the process.
Before the operation at our live consultation I do simulations in order to understand what are the actual patient expectations. It guides me through the surgery on how to shape up the nose.