How is Rhinoplasty (Nose Aesthetic) Surgery Performed ?

Aesthetic nose surgery (rhinoplasty) can bedone with an incision made from the partition between the nostrils (columella),or it can be done just inside the nostrils. Rhinoplasty is never a standard operation in which the same procedures are performed in every patient,and both the technique to be used and the procedures to be performed should be determined according to the patient´s nose structure, the type and size of the existing deformity. The ideal result should be a natural nose with ideal aesthetic dimensions and lines, which is not excessively curved, the tip of the nose is not excessively pointed and raised

Post-Surgery Process

The management of rhinoplasty surgery and the post-processing process can vary greatly from physician to physician, and each physician has his or her own style. The process management is applied after rhinoplasty surgery is as follows

The operation is performed under general anesthesia (fully asleep) and usually takes 1.5 to 2 hours if septoplasty is not performed, and 2.5 to 3 hours if septoplasty is to be performed. At the end of the surgery, a plaster or special thermoplastic material splint is placed outside the nose; If septoplasty is performed, additional silicone splints are placed in both air channels. Oily gas buffers used in the past are no longer used. In order to wake up comfortably and smoothly from the anesthesia, the patient is asked to do the following 3 actions.First to breathe through the mouth, not to try to breathe through the nose (if there are silicone splints inside). Second swallowing saliva in the mouth. Third not to bring his hands to the face (in order not to disturb the splint outside). The patients places these 3 actions in the subconscious before the operation and conditions themselves, wakes up very easily after the operation

The patient stays in the hospital for 1 day after the operation and is discharged after 1 week to come for control. He spends this process in the hospital extremely painless and comfortable with head elevation, intermittent ice application to the eyes and medication. There is never an unbearably severe pain after surgery. Although slight pain may be felt, it is also controlled with ice application and painkillers. Post operative ice application is extremely important for both pain control and preventing bruising and edema. For this, the patient should start applying ice as soon as leaving the surgery and keep the ice pack over the eyes as long as it can stand this. This process continues until 24 hours after the surgery. After 24 hours, the ice will no longer have any effect

The patient uses painkillers, antibiotics and antihistamines (for edema) during the first week period at home. If open rhinoplasty is performed, antibiotic ointment is applied to the suture line under the nose 3 times a day for 1 week. For quick resolution of facial edema, if possible, patients should lie on their back with a high pillow for 1 month, patients can turn their head to the right and left provided that their nose is in the air. It is forbidden for the patients to lie on their side or prone for 1 month

After removing the silicone splints, if any, or 24 hours after the operation if not applied, the nose should be washed daily with sea water or physiological saline for 1 to 4 weeks to be determined by the doctor

For 1 week after the operation, the patient should not wet the external nasal splint and should not sweat. For this reason, if a bath is to be made, the head should not be wet, but a bath should be made from the neck down. The patient should come to have the external splint removed on the 7th post operative day. A few hours before coming, he should have his head washed from the forehead to the nape, paying attention to the splint, by the hairdresser. In the meantime, even if the outer splint gets wet, there is no problem, because it will be removed on the same day

After the external splint is removed, a paper tape is applied to the nose and remains for 1 week. The paper tape should not be wetted or sweaty just like the outer splint. After 1 week, the paper tape is also removed and the nose becomes completely unwrapped and open

If a silicone splint is placed in the nose, these splints remain for 1 to 4 weeks,depending on the patient, and then should be removed by the doctor

All sutures inside and outside the nostrils are self-absorbed within 1 to 2 weeks,they do not need to be removed

It is important that the patient does not get traumatized to the nose, especially for 1 month after the surgery. Therefore, if possible, it is recommended not to use public transport too much, not to enter the crowd, not to stand behind the door, not to take small children and pets on their laps

If the patient uses glasses, they are allowed to wear them after 1 month. Again,not very heavy sports and swimming can be done after 1 month. Heavy sports can be started only after 3 months

1 month after the operation, massages are started to be applied on the nose by hand, at least 3 to 4 times a day, for 3 to 6 months, as the physician will show, in order to quickly resolve the edema in the nose

Controls 1st-3rd-6th months in the first year after surgery. and at 12 months, then annually