Aesthetic nose surgery or nose reshaping surgery is one of the most commonly applied procedures among aesthetic surgery surgeries. In order to obtain a more aesthetically pleasing nose, the structures that are thought to disrupt aesthetic norms in the external structure of the nose should be reshaped. In recent years, an increasing number of patients state that they want their nose to look more “normal” after surgery. It would not be wrong to say that the nose structure, which is in question in the majority of people living in our country, mostly requires the removal of some of the existing tissues during the operation, and that the operations performed are an attempt to reduce it. However, in some cases, some areas can be enlarged or strengthened with some tissues, usually other tissues in the nose, in order to maintain the balance of the tissues and ensure that they are more harmonious while reducing some areas. Therefore, it would not be wrong to say that plastic rhinoplasty can reduce or enlarge your nose.

Rhinoplasty – Nose Surgery

Considering the structure of the nose, it is known that the upper half consists mostly of bone tissues and the lower half consists of more complex cartilage tissues. These structures that give the nose its shape are covered with a thick and oily skin above and below and at the tip of the nose. These are the details that must be taken into account in an operation to be performed. In a classical approach, in nose surgery, first of all, a transportation must be provided in order to remove the excess tissues, reshape the bone and cartilage structures and make the necessary fixations to preserve this shape. This is usually done in two ways. The first is the closed technique, where incisions are made only through the nostrils. Here, the nose skin and subcutaneous tissue are separated from the underlying bone and cartilage structures by cutting the special skin lining the inside of the nose from the front of the cartilaginous septum that separates the two parts of the nose and between the two cartilages on the nose wings that keep the nostrils open. In this approach, there are no scars other than the nose. In the second approach, the incisions are called the open technique, which is made by cutting the tissue between both nostrils and maintaining these incisions in the nostrils. Here, the scar due to the incision made in the middle of the nose completely disappears in a month or two. When these two techniques are compared, each of them has advantages and disadvantages, but the comfort of vision obtained in the open technique, the ability to shape the tissues exactly as desired and the ease of controlling this makes the scar in the middle of the nose extremely reasonable. Recently, most plastic surgeons have turned to the open technique and the satisfaction of the patients proves that this approach is more beneficial for the patient and the physician. Based on my personal experience, it would not be wrong to say that the open technique allows for happier results, as fewer patients need minor revisions after surgery.

The things to be done after accessing the structures in the nose, to be counted from top to bottom, are removing the arch that makes the nose look bad, cutting the nasal bones from the border with the cheek and narrowing them again to form a closed triangle, removing the curved parts of the septum that prevent breathing, if any, removing the excess cartilage that forms the tip of the nose, It can be summarized as fixing the cartilages in harmony with the other structures of the nose and taking the necessary precautions to ensure airway patency due to the reduction of the nasal structures of the patient. In the meantime, some tissues obtained from the septum can be applied to the required areas in order to support the shaped tissues. After shaping these hard tissues of the nose, it will come to the possible difficulties in reflecting the shape given to the underlying tissues of the skin that will cover these structures. Unfortunately, if the nasal skin is thick, all the underlying efforts may sometimes not be fully realized. Although the skin, especially at the tip of the nose, can be thinned a little, it cannot be said that it is always very successful in this regard. For this reason, this situation should be discussed in detail between the physician and the patient before the operation.

The real purpose of nose surgery; It is not a beautiful nose by itself, it is to make a nose that is compatible with the face and looks natural. Good communication between you and your doctor is essential and very important. In the first meeting, your surgeon will ask you what you want your nose to look like or look like; will examine the structure of your nose and face and explain the possibilities for you. The most suitable patients for aesthetic nose surgery are not those who seek perfection, but those who discuss with the physician and accept the most suitable nose for the face. If rhinoplasty is performed by a plastic surgeon, complications are rare and usually minor. When aesthetic nose surgery is done through the nose, there is no visible surgical scar. However, if the open technique is used or the wide nostrils need to be narrowed, the very small and thin scars on the base of the nose are usually too insignificant to be seen.

Although aesthetic nose surgery is possible with local anesthesia, it should be performed with general anesthesia in order to perform the desired tasks with the comfort of the patient and the physician. It is important to perform the necessary tests before the operation and to evaluate the patient by the anesthesiologist. The surgery usually takes about 2 hours. When the surgery is completed, a plaster splint will be applied on the nose to help the nose maintain its new shape. Pads are placed inside the nose to stabilize the septum, the partition that separates the two airways in the nose.

Nose surgery is usually not painful. The most disturbing aspect is the presence of tampons. You will notice that the bruising and swelling around your eyes becomes most noticeable after 2 or 3 days; Cold compress application will reduce this swelling and make you feel a little better. Tampons are removed after 48 hours. So you can return to daily life. During the first few days after the surgery, there will be a very slight leakage from the nostrils, and you may feel a slight congestion in your nose for a few weeks. The plaster used to preserve the shape given to the nose is removed on the 7th day. For 6 months, you should protect your nose from impacts and bumps and you should not wear any kind of glasses. Swelling on the face after nose surgery and bruises, if any, disappear completely in 2-3 weeks. Most of the swelling in the nose goes away in 3 months. It can take up to 2 years for the nose to fully form and heal.