What is Rhinoplasty?

Rhinoplasty, also known as nose-job is a delicate surgery which must address facial harmony and aesthetics as well as physiologic nasal airway. Although sounds like one standard procedure, it is not. Rather a family of surgeries depending on the patients needs such as:

  1. Tip Rhioplasty for aesthetic purposes (just the tip of the nose)
  2. Rhinoplasty for aesthetic purposes (all nose)
  3. Septorhinoplasty (including nasal septum (middle curtain/wall of nose) for restoration of nasal air passage
  4. Nasal valve surgery (for restoration of physiological nasal breathing)

These interventions might be combined or modified according to the patients needs using open (incision on skin) or closed (just mucosa incision) approach.
We prefer open approach if we need to change the intrinsic proportions of the nasal tip in cases with ball shaped bulbous or boxy tips as well as ethnical nasal varieties.

Are you a good canditate for this type of surgery ?

If you have a rational insight about the deformity of your nose or have reasonable expectations about your appearance; you are a good candidate. Medical contraindications are relative and can be a risk if not taken care of; including, drug allergies, autoimmune diseases, smoking etc…

Its also important to know that nose is a part of the face, so additional surgical interventions are sometimes needed in order to increase the efficacy of the result. For example chin prominence: augmenting or reducing might be needed in some cases. Chin projection, forehead projection, malar-zygomatic prominence and facial proportions are important parameters while deciding new nasal shape.

What to expect and what to fear?

Although sometimes undesired results might need revisional surgeries which doesn’t exceed 5-10 %, rhinoplasty is a safe procedure.

Preoperative and Postoprative Course

The patient stays one night in the hospital if osteotomies (70 % of cases) performed under general anesthesia

Bruising (50 %) and subconjuctival haematomas (10 %) may occur in cases which osteotoies performed (bony recorrection). In order to minimize this we use ice packs for 24 hours postoperatively.

If osteotomies performed nasal cast must be used (stays on for 7 days). Generally we insert nasal packing (made of a spongy substance which goes out easily) staying for 2 days. For nasal septum surgery we sometimes insert silicone stents which stays for 7-10 days. Open rhinoplasty patients will need to have their sutures removed on 5th day postoperatively.

Nasal swelling generally happens and recovers in time. Usually in the first month it is observed in all cases but resolves in an increasing rate in first 3 months. 6 months is needed to see that all swelling goes away.

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The information on this website is not intended to replace any medical advice given by physicians with access to your detailed medical history.