What to know about nose surgery (rhinoplasty)? before and after?

Nose aesthetics or rhinoplasty as it is called in medicine is the name given to the treatment of deformations, fractures, damaged nasal structure and excess flesh in the nose that make breathing difficult. With rhinoplasty, the nose gains a symmetrical appearance, breathing is facilitated, and deformations caused by accidents or other adverse conditions are improved.

The nose is the most important organ in the respiratory tract, covered with skin, the upper structure of which is bone and the lower structure is cartilage.

Rhinoplasty Surgery

In nose surgery, bone structure, cartilage tissue, skin layer or all of them can be changed depending on the situation. If rhinoplasty is due to the person's aesthetic concerns, then it is performed within the dimensions that the person wants to have and the doctor finds appropriate. However, if the condition is caused by other serious causes such as difficulty breathing and fracture, the doctor will develop a different course and treatment.

As with all surgical operations, rhinoplasty carries its own risks; bleeding and infection may occur, the body may develop a reaction against anesthesia. There are different cases of rhinoplasty; difficulty breathing in the nose, loss of sensation and numbness in and around the nose, nasal appearance disorders, intense pain and color change, scars, permanent swelling, septum perforation and may require additional surgical intervention.

Since all these risks are in question, it is decided whether the surgery will be successful after the doctor's examination before proceeding to the rhinoplasty stage. Another important point at this stage is the patient's medical history. Surgery, chronic diseases, etc. conditions should be reported to the doctor.

• People with any blood related disorders (hemophilia, etc.) may not be suitable candidates for rhinoplasty.

The inspection process is quite extensive and requires almost a full check-up. In addition, the facial features of the person and the inside and outside of the nose will also be examined.

Thus, all physical properties from the thickness of the skin to the durability of the cartilages in the nose will be determined and their fitness values will be determined.

• Another important point in nose surgery is that if the patient has a small chin, the doctor also recommends chin surgery in some cases, since the nose and chin structure should be compatible with each other.

After Rhinoplasty

After rhinoplasty, you usually leave the hospital on the same day, and there is no need to stay in the hospital unless there is an unexpected situation. It is very important to have a relative with the patient, especially after the surgery and for the first 3 days, because the first days after anesthesia are critical and may cause side effects such as memory loss, delayed perception, slow response and difficulty in making decisions.

Is taped with a splint to keep the nose stable and not damaged. The duration of the splint is also one week. In order to minimize the risk of bleeding and swelling after the surgery, it is necessary to rest with the head higher than the body. In this way, the blood circulation will not reach the head, which is high, and the healing process will accelerate. The nose may lose its ability to breathe due to the splint and swelling worn for a while, which is an extremely normal situation.

After the surgery, even until after the dressing is removed, a slight blood discharge as well as blood mixed with mucus is normal. A piece of gauze is taped under the nose to absorb this discharge. However, this cloth should not be too tight.

Avoiding heavy activities such as jogging until this critical process is over, preventing water from reaching the face and nose by taking a bath instead of showering, blowing nose, constipation can cause pressure in the surgery area, thus eliminating this risk by eating more fibrous and liquid-based foods, laughing and laughing. avoiding excessive facial expressions, brushing the teeth with soft touches, and clothes that are simple to wear such as shirts and that will not disturb the operation area should be preferred.

Rhinoplasty, between 2 and 4 weeks, the eyes will be bruised and a color between black and purple will occur, which is highly expected. Presses such as ice and ice packs should not be applied to the surgical area. Keeping sodium out of your diet will help speed up the healing process and help the swelling go away.

Smoking After Rhinoplasty

A valid rule for all aesthetic surgeries is to stop smoking 15 days before the operation and not to smoke for at least 1 month after the operation. Nicotine, which is the most active ingredient in smoking, directly clogs and narrows the vessels, thus delaying the healing of wounds in the cut and treated areas.

Since the negative effects of nicotine on skin quality are very high, it also adversely affects nose surgery. Smokers also have problems waking up from anesthesia, and conditions such as cough caused by smoking can cause bleeding and edema in the nose after surgery.

Edema After Rhinoplasty

Although nasal edema is an unpleasant and undesirable situation, it is a physiological condition that definitely occurs. In case of exposure to trauma in every part of the body, edema will definitely occur. The edema that occurs after nose surgery is both very evident and heals later.

Edema, which can vary depending on the skin structure of each person, occurs in the following ways:

• While the edema in the nose of people with thin skin tissue heals faster, the edema in the nose of people with thick skin heals later.
• After the surgery, a serious decrease and improvement in edema is achieved between 6 and 7 months on average. The remaining 10% edema heals completely within 1 year. Therefore, the skin structure of the patients must be evaluated in depth.

How Long Does Rhinoplasty Surgery Take?

The operation takes approximately 2 to 2.5 hours and varies according to the situation and the physiological structure of the person. However, in general, the operation should be completed within this hour. Depending on the situation, the patient may be asked to stay under observation in the hospital for one night. It is very important that the patient who goes home afterward has a relative who will stay with a few of them.

Piezo Device: What is Piezo Nose Aesthetics?

With the advances in aesthetic surgery, one of the most popular techniques in recent years is 'Piezo'. It is an advanced technology application that enables the nose to be shaped by closed methods with the help of a device that produces ultrasonic vibrations.

Piezo It is a device that produces vibrations at ultrasonic speed and causes abrasions on hard surfaces with these vibrations. In the years when it was first discovered, it served as an artistic tool for carving stones as hard as marble and writing on them. In the following years, it was noticed by dentists and used in dental calculus cleaning. The fluctuations produced by the pieson allow the calculus and tartar to be broken down and cleaned much faster. The device started to be used in the cutting and rasping of bones by increasing its function in the next stages.

Piezo Nose Aesthetics Surgery

The breaking of the nasal bones, which is the most difficult part in nose surgeries, has become much easier with the piezo device. With the classical technique, these bones were broken in a controlled manner with hard chisels, but this process could not always proceed successfully due to the structure of the nasal bone. And undesirably broken bones caused worse deformity and made the surgery even more difficult. In addition, since the breaking of bones was a traumatic situation, it caused more bruising on the face.

Piezo provides great convenience and breaks the bones without applying any impact or force, giving much healthier and more precise results, and patients recover much faster and return to their social lives.

Piezo Rhinoplasty Advantages

In classical nose surgery, breaking the bones with hard chisels also damaged other tissues such as cartilage tissue. While swelling and bruises remained for a long time after the surgery, it would take time for the patient to recover and return to his daily life.

Piezo technology is that it does not harm other tissues while it works on bone tissues. In other words, piezo does not break the bones, it only shapes them, so it has become the most preferred technique in nose surgery.

Piezo Rhinoplasty Damages

Piezo electrical device, it can heat up and burn bones if care is not taken during operation. Therefore, the device must be constantly cooled with cold water during the process. Burns do not occur unless there is a problem with the water flow.

Piezo method; arched nose aesthetics, wide or narrow noses to standard form, nasal tip aesthetics and big nose, etc. It can be easily applied in many nose forms.

Piezo method, which is avoided with much less damage compared to the classical method and the healing process is much faster, as a result, it is a surgical operation; facial swelling, redness, bruising and intense sensitivity will occur. But these are symptoms that are not permanent and will get better in a short time.

After The Piezo Rhinoplasty Surgery

Piezo technique nose surgery are as follows:

Leaf-shaped silicone tampons are used in order to prevent the breathing of the tampons placed in the nose after the surgery. Thus, the airways are not obstructed, breathing takes place in a very comfortable way and also a very comfortable feeling is provided. Contrary to the general opinion, there is no intense pain when removing the tampons, on the contrary, the pain that may occur is kept at the lowest level.

After the operation, the patient is hospitalized for one night and tampons are removed within 5-7 days. In addition, massage is recommended after 3 weeks in order to relieve the pain that may occur and support the treatment process. It is not recommended to use glasses for 6 months in order not to burden the nose.

Attention should be paid to the water until the most critical period of the treatment is over, and the sea or pool should not be entered for at least 2 months.

In order for the nose to remain elevated during the rest period, it must be supported by a pillow continuously. Alcohol, cigarettes and derivatives should not be used, especially in the first month after the surgery. After the operation, the nose should not be in contact with water for a while. The tampons inserted into the nostrils are removed in an average of 1 week. After the operation, patients must go to the hospital for a check-up for a while.

Today, with the developing medical technology, performing nose surgeries has been made much easier for both the patient and the doctor.

Piezo rhinoplasty is very popular in the Istanbul region and is performed in clinics supported by advanced technology.

What İs Deviation?

Deviation means deviation, deviation from the normal and curvature. There is a column structure that divides both cavities of the nose into two. The cartilage tissue in the front supports the bone tissue in the back, and this is called the septum structure. The situation that this structure is not in a linear line, but in a trapezoidal form is called deviation .

Deviation; It occurs due to two reasons: congenital and environmental:

Congenital deviation is caused by genetic reasons or traumas during birth, while environmental deviation is caused by accidents, childhood blows, etc. due to external causes. In both cases, it causes problems such as difficulty in breathing, snoring at night, lack of sleep, dehydration as a result of mouth breathing, especially while exerting effort.

Since this condition disrupts the normal respiratory system, it causes sinusitis, and patients may feel intense pressure, congestion and pain in their ears during pressure changes such as airplane travel or diving into the sea.

It occurs in almost all ages and genders, but it is most common in the 20s and 30s, and according to studies, it occurs more intensely in 60% of men compared to 40% of women.

How is Deviation Surgery Performed?

Deviation surgeries are mostly successful and it is very important to use the right techniques and to be performed by specialist doctors. The respiratory problem that can be repeated after the surgery is not caused by deviation, but is due to the regrowth of the nasal concha called the concha or the weakness of the nasal side wall.

Deviation surgery is performed at almost the same standards as other nose surgeries and is in the same comfort, so patients should not have unnecessary stress and fear.

Before the operation, blood thinners, aspirin, etc. should never be used. In addition to vitamins, pain relievers and herbal mixtures; Green tea, garlic and ginger should also not be consumed.

As in every aesthetic operation, smoking should be stopped and alcohol should not be consumed before the deviation operation. In recent years, local anesthesia has also been applied in surgery performed under general anesthesia.

Although the duration of the operation may vary depending on the patient's condition, it generally takes between 30 and 2 hours. The patient may go home after the surgery, or it may be necessary to stay in the hospital for one night. The discharge from the nose, which is seen after every nose surgery, also occurs after the deviation, this is a very normal situation and the color of the discharge ends by lightening.

Surgery, the nose swells due to the function it performs, which causes congestion. However, the swelling and bruising seen in normal nose surgery do not occur. Patients can return to work for a week, but rest for the first week is extremely important.

• Deviation surgery, like every surgical operation, requires the age limit of 18. However, in cases where respiratory distress is severe, it can also be applied to pediatric patients by using special methods.

Does Nose Tip Drop With Deviation Surgery?

Since the deviation surgery concerns the septum cartilage, which is the basic structure of the nose, if the surgeon does not take the front of the cartilage that provides support at the tip of the nose and does not perform the nasal trapezoid surgery, results such as nasal tip fall will be inevitable.

The shape of the nose should not change after deaviation surgery. And if there is a change in the shape of the nose after surgery (appears after about 3 months), this indicates that the surgeon did not protect the structure that provides the nasal supports well. Whatever problem exists in these surgeries, it should be corrected; If there are problems such as crookedness, adhesion, congestion, these should be corrected and efforts should be made to prevent the structure of the nose from deteriorating.

Rhinoplasty Prices 2021

As with every nose surgery, the price and time vary according to the method of the surgery. And since the needs of each person differ, the preliminary examination is also the factor that changes the course and cost of the surgery. In addition, it is not legal to share the price information of the procedure in clinics approved by the Ministry of Health.

The healthiest and most accurate thing is to meet the experts face to face and learn the price after a comprehensive examination.

Rhinoplasty surgery is highly developed in Turkey and successful works have been accomplished. For a rhinoplasty doctor's advice, doing a short research on the internet and finding the specialist will provide a much healthier and safer operation for you.

Istanbul Vita, we are happy to introduce you to our experts and to see you in our clinics.