Aesthetic Nose Surgery
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AESTHETIC NOSE SURGERY
Aesthetic nose surgery is the process of reshaping the nose. Rhinoplasty involves nose reduction, nose augmentation, nose tip lift, bone removal in the nose and other procedures.
After a nose correction, patients can usually be discharged the same day. After a nose correction, patients can get up a few days later and go about their business under the control and knowledge of their doctor.
Why is communication with the doctor very important in aesthetic nose surgery?
The contact between patients and plastic surgeons plays an important role in the success and course of operations. After you have explained the expectations of the nose correction to the nose surgeon, your examination has been carried out and you have been informed, the planning process begins depending on your decision about the operation. Another point to consider is the difficulty of rhinoplasty with thick nasal skin.
The anaesthetic used for rhinoplasty is general anaesthesia. However, for rhinoplasty with local anaesthesia, plastic surgeons generally prefer to perform this type of surgery under general anaesthesia. Previous operations, medication taken for any reason, allergies or breathing difficulties, and tobacco use (cigarettes, etc.) must be reported by the patient to the surgeon performing the plastic surgery. Before the operation, all possible expectations and concerns should be expressed. Your surgeon may recommend that you stop taking certain medications and tobacco use before the operation.
The operation time is between 1-2 hours, including anaesthesia and recovery time. The operation is started with the incisions in the nostrils, after the problems related to the bridge of the nose, the tip of the nose and the inside, if any, are corrected, a tampon is placed in the nostrils and a plaster splint is placed on the bridge of the nose, then the operation is finished. To minimise swelling and bruising on the eyelids, the eyelids are closed with a plaster on the first day. Under medical supervision, the patient can be discharged home the same day after the operation.
After the rhinoplasty, you may feel swelling in the face, pain in the nose, headache, muscle pain and weakness. These effects can be minimised with medication prescribed by your doctor. Depending on the structure of the patient, bruising and swelling around the eyes may occur, although rarely. It is recommended to sleep with some pillows on your back for the first few days, except for essential needs. As it is a tampon, breathing difficulties will occur, so breathing should be through the mouth. If it is a sneeze, you can get rid of this sensation by breathing deeply with your mouth open. Even if tampons are removed from the nose, breathing problems may occur from time to time for 2-4 months.
The more experienced the surgeon performing the operation, the lower the complication (risk) rate. However, this risk cannot be eliminated as every surgical procedure has a certain risk ratio. These risks can be counted as infection (inflammation), nosebleeds, risks related to anaesthesia and very thin veins in the bridge of the nose. There are no visible scars unless surgery is performed to reduce the size of the nostrils. This is because the operation is done inside the nose. In open nose surgery, there is a scar in the lower part of the nose, which is not visible in our operations, as the techniques used by plastic surgeons are usually closed surgery techniques. There is always a risk after a nose correction, which means that even in the best hands, there is a risk of a second operation in every tenth patient. The second operation is always an easier procedure than the first operation.
Patients can get up and go to work after a few days with their doctor’s approval. The eyelids are opened the day after the operation. Tampons can be removed after 1-3 days, depending on whether there is a deviation or not. The plaster should be changed in 5-7 days. Sutures do not need to be removed except in special cases, they are dissolving sutures. After surgery, blowing the nose and wiping the nose should not be used to clean the nose for one to two weeks. The patch is opened on the 10th-12th day. After that, apply the massage that your surgeon will describe in time. The nose should be protected for two months. Glasses should not be worn, attention should be paid to bumps, you should not lie on your nose and walking in the sun should be avoided. For 2-3 weeks, difficult movements (/running, swimming, sex, movements that raise blood pressure, etc.) should be avoided. Especially patients who come from abroad say that they choose Turkey, that there are the best nose surgeons in our country and that Turkey is very beneficial in terms of health and aesthetics.
Aesthetic surgeons invite their patients to be examined more frequently in the first month, more appropriately once a month. 70-90% of the swelling disappears in the first month and the rest disappears in 6-12 months. Generally, the tip and sides of the nose are the last places where the swelling goes down. The occurrence of risks depends on whether you follow your surgeon’s recommendations. Sometimes a drop or two of blood may come out of the nose from time to time, it will pass with time. You should be sure to ask your surgeon the questions that come to mind.
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Points to consider after a nose surgery:
- Tampons make it difficult for you to breathe through your nose. Flasters on your eyelids can affect your vision. Do not touch them, your doctor will remove them in due course.
- It is beneficial to drink enough warm fluids, soft foods and keep your lips moist (with gels or creams).
- Use only prescribed medicines and never take aspirin or aspirin-containing medicines.
- Keep your head elevated with at least two pillows when sleeping or resting so that there is less swelling and bruising.
- You may have a pink/light red nasal discharge; If red bleeding persists, inform your doctor by phone.
- The plaster splint after surgery is only useful for shaping the nose if it is removed in time by your doctor.
- You can change the tampon as taught to you, which is in your the nose if it bothers you.
- Do not play with your nose, do not bump it.
- Brush your teeth with a soft toothbrush.
- Avoid movements that increase blood pressure for a fortnight after the operation.
- Do not go out in the sun for two months.
- When your nose is opened, it may appear a little too high, in the first month there will be a decrease of 5-10º.
- You may feel numbness in your nose and upper lip. It will go away with time.
- You can clean it 2-3 times a day with ear cleaning sticks and cream as prescribed.
- Your nose will be blocked for 2-4 months. It is normal. Do not try to blow your nose or sneeze. If you have to sneeze, sneeze with your mouth open.
- Depression may occur after the operation, the first appearance after the operation may make you nervous. Full recovery takes 6-12 months.
- You can go to work after the splint is removed, provided you avoid difficult movements.
- Make-up can be applied.
- Go for regular post-operative check-ups. For the first month as your doctor deems appropriate, then monthly for up to six months.