Nose Surgery (Rhinoplasty)

Nose Surgery (Rhinoplasty)
The nose is the most prominent feature of the face, making it the most noticeable organ. In our society, concerns such as a humped and wide nasal structure and a drooping nasal tip are common aesthetic issues. For this reason, Turkish plastic surgeons frequently perform this surgery and significantly contribute to global medical literature. The nose not only affects appearance but also plays crucial roles in breathing, smelling, and tasting. Thus, when considering rhinoplasty, both aesthetic and functional issues should be addressed simultaneously.

Are male and female nose structures and surgeries different?
The structure of the nose, including the starting point, nasal tip height, and the angle between the nose and lips, differs between genders. Additionally, there are significant differences between individuals based on the anatomical structure of their faces. Therefore, rhinoplasty procedures should be tailored to the individual.

Which is better: open or closed technique?
Both techniques yield good results in suitable patients. As a surgeon who frequently uses the open technique, I believe that each era has its preferred method. While the open technique is currently prominent, this preference may shift in a decade. The key is the surgeon's expertise with the technique, as a 4mm incision hidden in an inconspicuous spot on the nasal tip is unlikely to be a concern for patients.

How should you prepare for rhinoplasty surgery?
At least 4 weeks before the surgery, you should stop smoking, and at least 10 days before, you should discontinue any supplements or vitamins that may thin the blood.
Avoid pain relievers like Apranaks, Voltaren, and Vermidon (you may use Minoset or Novalgin if needed).
Stop consuming products such as ginseng, ginkgo biloba, coenzyme Q10, green tea, flaxseed, cherry stems, and tomato seeds at least 10 days prior to surgery.

How is rhinoplasty performed?
Rhinoplasty is performed under general anesthesia in an operating room. A 4mm incision is made at the nasal tip, and excess bone and cartilage tissue on the nasal bridge are removed. To reduce the width of the nose and close the nasal roof, the sidewall bones are fractured and repositioned toward the midline. The nasal tip is reshaped to achieve an aesthetic appearance and improve breathing.

How long does the surgery take, and what can you expect afterward?
The surgery typically lasts 2.5 to 3 hours. Afterward, you will wake up with a protective splint on your nose and silicone stents inside. There may be some pain, but it can be managed with painkillers. I recommend applying ice on the first day and in the days following the surgery. Patients are usually discharged from the hospital on the first postoperative day.

When are the splints and stents removed?
One week after the surgery, the splint and silicone stents are removed, and new tapes are applied, which should remain in place for another week.

When can you return to work after surgery?
It is ideal to rest for at least 10 days, preferably 2 weeks. Wearing glasses is not recommended for 3 months; instead, you should use contact lenses during this period.

When do the swelling and bruising subside?
Swelling and bruising around the eyes are normal after rhinoplasty. Bruises usually disappear within 10 days. To prevent permanent discoloration, it's important to use sunscreen when going outside. Swelling on the nasal skin and surrounding areas resolves within 3 weeks, but complete resolution may take 3-6 months.

What is the recovery time for revision rhinoplasty?
The recovery time for revision rhinoplasty is similar to the first surgery, averaging one week. However, if cartilage is harvested from the rib, chest pain may persist for up to two weeks.

How long does a rhinoplasty take?
Rhinoplasty typically takes 2.5 to 3 hours.

Is cartilage from the ribs used in rhinoplasty?
Cartilage from the ribs is generally not needed for the first surgery unless there is a specific requirement. However, it may be used in revision rhinoplasty if necessary.

What are the risks of rhinoplasty?
Rhinoplasty carries the same risks as any surgery under general anesthesia, including complications such as bleeding or infection. These can be managed with close monitoring. In the long term, issues such as unwanted nasal shapes, protrusions, or irregularities may occur, which can only be corrected with a second surgery.

Can I get my eyebrows done after rhinoplasty?
You should wait until facial swelling subsides, which usually takes about 3 months. However, you can resume general skincare two weeks after surgery.

When is rhinoplasty not recommended?
If you have systemic health conditions or are unfit for anesthesia, rhinoplasty is not recommended.

What is the recommended age for rhinoplasty?
The recommended minimum age for rhinoplasty is 16 for girls and 18 for boys, but it is generally advised to wait until the age of 18.

Does sinusitis prevent rhinoplasty?
Sinusitis does not prevent rhinoplasty. In fact, chronic sinusitis can be treated endoscopically during the same procedure.

What should I do if I sneeze after rhinoplasty?
Sneezing after surgery will not affect the stitches or disrupt the reshaped bones. Just try to sneeze calmly.

What helps with swelling after rhinoplasty?
Swelling and bruising are normal after rhinoplasty. Swelling around the nasal skin resolves within 3 weeks, and complete resolution takes 3-6 months. Your doctor may recommend certain supplements and creams to accelerate the process.

How long do nasal splints remain in place after rhinoplasty?
Splints are typically removed one week after surgery.

Can you fly after rhinoplasty?
Yes, you can fly after rhinoplasty without any problems.

Does rhinoplasty leave a scar?
Rhinoplasty leaves a 4mm incision hidden at the nasal tip. It is not visible from the front and becomes almost imperceptible after 6 months.

Is rhinoplasty safe for older individuals?
Yes, rhinoplasty is safe and often recommended to rejuvenate aging faces. It enhances the youthful appearance of the face.

Can rhinoplasty cause problems as you age?
Rhinoplasty does not cause any problems as you age. In fact, one of the first steps toward facial rejuvenation, especially for individuals in their 40s, is rhinoplasty. By rejuvenating the central structure of the face, it contributes significantly to a youthful appearance.

Does rhinoplasty leave visible scars?
After rhinoplasty, there will be a 4mm incision hidden at the nasal tip, which is not visible from the front. Over time, typically within 6 months, this scar becomes almost invisible.

Does rhinoplasty affect vision or the eyes?
Rhinoplasty does not harm the eyes or surrounding structures in any way. Some bruising around the eyes might occur during the first week, but it will not affect vision.

How long before surgery should you stop eating and drinking?
You should stop eating and drinking at least 6 hours before surgery. For morning surgeries, this means no food or drink after midnight.

Does rhinoplasty cause swelling in the cheeks?
Swelling in the cheeks may occur during the first week to 10 days after surgery. This swelling usually resolves as it moves downward toward the neck and dissipates completely.

Can antidepressants prevent rhinoplasty?
No, using antidepressants does not prevent rhinoplasty. However, your anesthesiologist will determine if your medications need to be adjusted before surgery.

Does rhinoplasty make you look younger?
Yes, as the nose is a prominent facial feature, rhinoplasty is one of the first steps toward facial rejuvenation. For individuals in their 40s, undergoing rhinoplasty can make a significant difference in achieving a youthful look.

Can you have rhinoplasty while having a cold?
Surgery should not be performed during an active cold or flu due to the increased anesthesia risk. Once you've recovered, you can proceed with the surgery.

What happens if you cry after rhinoplasty?
Crying after rhinoplasty may increase facial swelling but will not disrupt the surgical results.

Can rhinoplasty cause blackheads on the nose?
Yes, blackheads may appear due to changes in the skin during the healing process. Proper skincare can resolve this.

Can you have rhinoplasty while menstruating?
Yes, menstruation does not prevent rhinoplasty, and there are no risks associated with it.

What sleeping position is recommended after rhinoplasty?
For the first two months, you should sleep with your head elevated on two pillows, facing upward. Avoid sleeping on your side or stomach.

Can you wear glasses after rhinoplasty?
Glasses should not be worn for 3 months after surgery to prevent pressure on the nose. Contact lenses are a suitable alternative during this period.

How many days of rest are required after rhinoplasty?
Most patients are given a 15-day recovery period after rhinoplasty.

Does rhinoplasty involve incisions under the lips?
No, rhinoplasty does not involve any incisions under the lips.

Does supplemental health insurance cover rhinoplasty?
No, rhinoplasty for cosmetic purposes is not covered by public or private health insurance.

What is the healing time for rhinoplasty in individuals with thick skin?
Healing time for individuals with thick nasal skin is typically longer, averaging 12-18 months. Swelling takes longer to subside, and it may take at least 18 months for the final shape to fully settle.

Why is nail polish not allowed during rhinoplasty?
An anesthesiologist uses a device placed on the finger to monitor oxygen levels during surgery. Nail polish can interfere with the accuracy of this device, so it must be removed.

What precautions should be taken during the first 10 days after rhinoplasty?
During the first 10 days, maintain an elevated sleeping position with two pillows. Avoid activities that increase swelling, such as looking down at a phone or reading with your head bent. Use the prescribed nasal sprays and ointments. Avoid wearing glasses, and allow yourself ample rest to promote healing.

What should rhinoplasty patients eat?
There are no specific dietary restrictions after rhinoplasty. However, the nasal stents may temporarily affect your sense of taste.

Can rhinoplasty patients travel by plane?
Yes, rhinoplasty patients can safely travel by plane without any issues.

Why do people undergo rhinoplasty?
Rhinoplasty is performed for both cosmetic reasons and functional issues, such as breathing difficulties.

What is used to shape the nasal tip during rhinoplasty?
During rhinoplasty, sutures are used to reshape the nasal tip. If additional support is needed, cartilage from the patient's own body may be used.