The nose is a very important organ for human beings. It is a structure that is functional and aesthetic. It is located strategically in the middle of the face. When looking at a person, it is the structure that draws the most attention. A natural and beautiful nose is indispensable for face beauty. Nose is also an organ with important functions such as, breathing, smelling, warming, and humidifying the air you breathe
As humans we live in a social environment. We are constantly in face-to-face contact with other people. Our image affects our relationships more than we think. It is important to have a healthy sense of self-confidence to be successful in human relationships.
Aesthetic surgeries are operations performed to make the person feel better. They are on-demand surgeries. Deformities of the nose disrupts consistency and harmony between the structures of the face, adversely affecting the person's psychology and self-confidence in human relations. Rhinoplasty is performed to solve such problems of a person, to obtain a natural looking nose that is in harmony with the other structures of the face, and to restore the person's self-confidence.
Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the width of your nostrils, or change the angle between your nose and your upper lip. It can also correct a congenital deformity or a deformity due to injury or it may resolve some problems with breathing.
PLANNING OF SURGERY
A good communication between you and your doctor is essential and very important. In your initial consultation, Dr. Erkan will ask you how you'd like your nose to look like, examine the structure of your nose and face, and discuss the possibilities for you. The structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age and expectations are the main topics of discussion. Here it is very important that the person's wishes and expectations are realistic.
Your surgeon will explain the anesthesia and surgical technique he will use, the hospital he will perform the operation in, the risks, costs, and any other options if available.
You should make sure that you tell your surgeon if you have had any previous nose surgery or treatment even it was many years ago, if you have allergies or breathing difficulties, the medications you use and if you smoke. Do not hesitate to ask your doctor any questions you may have, especially those regarding your expectations and the results of surgery.
Your surgeon or his assistants will give you instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications, and washing your face. Carrying out these instructions will help your surgery go more smoothly. When you are preparing for surgery, remember to arrange for someone to drive you home after the surgery and help you get out after a few days if necessary.
WILL IT BE NECESSARY TO DO A SECOND OPERATION?
A second operation may be required in about one-tenth of cases (for example, to correct a minor deformity). It is not possible to predict such situations in advance, and this can happen even to patients operated upon by by the most skilled and experienced surgeons. The second corrective surgery is usually a narrower scoped and simpler surgery.
THE PLACE WHERE YOUR SURGERY WILL BE PERFORMED
Rhinoplasty surgery is an operation that must be performed in a fully equipped operating room, under sterile conditions and should be accompanied by an anesthesiologist.
TYPE OF ANESTHESIA TO BE GIVEN
Rhinoplasty can be performed under local or general anesthesia, depending on the extent of the surgery and you and your surgeon's preferences. We generally prefer to do it under general anesthesia. We perform local anesthesia in simple minor correction operations. When you apply local anesthesia, a mild sedative is usually administered, the nose and its surrounding will be numb; you will be awake during the operation, but you will have a comfortable and painless operation. In general anesthesia, you will sleep throughout the surgery.
DURATION OF THE SURGERY
Rhinoplasty surgeries take between half an hour and two hours depending on the extent of the surgery.
Although it varies depending on the extent of the surgery, nasal splints or soft plastic devices can be placed in the nose to stabilize the septum, which is the compartment separating the two airways in the nose, and to control bleeding. I do not usually use splints when I do aesthetic surgery. In patients that I use splints, we remove splints 2-3 days after the surgery.
At the end of the operation, special tapes and a special nasal cast are placed on the nose to fix the shape given, to reduce the amount of edema to be formed and to avoid bleeding. I usually remove the cast on the 10th day after surgery.
AFTER YOUR SURGERY
Your face will feel swollen for the first 24 hours after surgery, your nose may ache, or you may have a mild headache. You can control any discomfort by using painkillers prescribed by your surgeon. For the first day, plan to lie in bed with your head elevated, except for going to the toilet.
BRUISING AND SWELLING
Despite taking necessary precautions during and after surgery, there may be bruises and swelling around your eyes. You'll notice that bruising and swelling around your eyes becoming most prominent after 2 or 3 days; cold compress will reduce this swelling and make you feel a little better. Most of the swelling and bruising will disappear within the first week or so (some subtle swellings unnoticeable to anyone else but you and your surgeon will remain for several months).
During the first few days after surgery, there will usually be a slight drainage from the nostrils, and you may feel a slight blockage in your nose for a few weeks.
Your surgeon will ask you not to blow your nose (not to wipe your nose) for a week or more during the recovery period of the tissue. If there is a splint inside the nose, it will be removed few days later and you will feel much more comfortable.
RETURNING TO NORMAL
Most rhinoplasty patients get up and walk within two days, and they can return to school or to work that is not very tiring a week after surgery.
However, it will be a few weeks before you fully return to your daily routine. Your surgeon will give you more detailed instructions on how to return to your normal life. You will usually be told to avoid high-intensity movements (jogging, swimming, gymnastics, sex, any activity that elevates your blood pressure) for two to three weeks, to protect your nose for 8 weeks from blows or bumps and to avoid rubbing and burning it in the sun. You should be gentle and careful when washing your face and hair or doing makeup.
CAN I WEAR GLASSES?
You can wear contact lenses when needed, but the situation is different for the glasses. After the cast is removed from your nose, nose pads of the eyeglasses should not sit on your nose for two months until your nose is completely healed.
YOUR NEW LOOK
In the days following the surgery, when your face is swollen and bruised, it will be easy to get through these days by thinking that you will look better and more beautiful. Most patients do not feel well for a while after the aesthetic surgery, which is quite normal and understandable. A group of patients are certain that this phase will pass. Day by day your nose will start to look more beautiful and your spirit will gradually rise. After a week or two, you won't look like you just had surgery. However, healing is still a slow and gradual process.
Some swellings, especially at the tip of the nose, may last for months. The actual result of rhinoplasty will probably not appear for a year or more.
At first, you may get some unexpected reactions from your family or friends. They might say they don't see a change in your nose. Or, if you've changed something they see as a specific family or ethnic feature, they might be a bit offended. If this happens, first try to remember why you decided to have this surgery. If you have reached your goal, it means your surgery has also succeeded.