What is Rhinoplasty (Nose Aesthetic Surgery)?

Rhinoplasty, or nose aesthetic surgery, is a surgical procedure performed to improve the shape, size, or function of the nose. This procedure is preferred for both cosmetic concerns and health issues, aiming to make the nose more harmonious with the face while also addressing breathing problems.

During rhinoplasty, structures such as the nasal bridge, tip, wings, or septum can be reshaped. Rhinoplasty surgeries can be performed to correct congenital structural abnormalities, repair deformities resulting from trauma, or treat breathing issues such as a deviated septum. Additionally, obtaining a nose re shaping more proportional to the individual’s facial features can help boost their self-confidence. Rhinoplasty surgeries are typically customized for each individual, combining the surgeon’s aesthetic sensibility with medical expertise.

The nose, consisting of a bony upper part and a cartilaginous lower part, is covered with skin and plays a vital role in the respiratory system. Aesthetic nasal surgeries are one of the most commonly preferred procedures in cosmetic surgery and are an important solution for balancing facial features. Rhinoplasty can include procedures like nasal root aesthetics and aims to enhance both the shape and function of the nose. This surgery creates a natural-looking nose that harmonizes with the rest of the face, fulfilling the patient’s aesthetic expectations. Before the surgery, the nose is carefully modeled based on the individual’s facial structure, needs, and preferences.

Why is Rhinoplasty (Nose Aesthetic Surgery) Performed?

Rhinoplasty, or nose aesthetic surgery, is typically performed for cosmetic concerns or health-related issues. From a cosmetic perspective, the procedure aims to make the nose more harmonious with the facial features, such as reshaping the nasal bridge, tip, or wings. From a health perspective, it is necessary for addressing structural abnormalities present from birth, deformities caused by nasal trauma, or breathing problems such as a deviated septum. This surgical procedure provides both aesthetic and functional benefits, improving the balance of the face while enhancing respiratory function.

• Common reasons for undergoing rhinoplasty include:
• The nose being disproportionate to the face.
• The nose appearing crooked or tilted.
• Drooping, wide, or misshaped nasal tip.
• Asymmetrical or overly wide nostrils.
• A hump or protrusion on the nasal bridge.
• A deviated septum, which makes breathing through the nose difficult.
• Nasal shape abnormalities resulting from accidents or trauma.
• Dissatisfaction with a previous nose surgery.
• Correcting congenital nasal deformities.
• Desiring a more aesthetic and balanced facial appearance.
• Improving self-confidence and feeling better about one's appearance.

What Are the Stages of Rhinoplasty Surgery?

The rhinoplasty (nose surgery) process begins with a preliminary examination and assessment. At this stage, the patient’s expectations are discussed, and the nose and facial structure are examined to create a personalized surgical plan. The surgery is typically performed under general anesthesia, and either the open or closed technique is selected to reshape and improve the nose’s function and appearance. The surgeon reshapes structures such as the nasal bridge, tip, nostrils, or septum to achieve a harmonious and aesthetic look that complements the face. After the procedure, splints, tampons, or casts are used to protect the new shape of the nose during the healing phase. Post-operative care and follow-up visits are critical in reducing swelling and sensitivity during recovery. Since the nose takes between 6 months to 1 year to fully heal and reach its final shape, it is important to protect it from trauma and follow all medical instructions carefully during this time.

Preliminary Examination and Assessment:
A detailed consultation is conducted with the patient before surgery. The nasal structure, facial proportions, general health, and the patient's expectations are evaluated. Photos may be taken, and surgical goals are planned accordingly.

Surgical Planning:
A nose shape suitable for the patient's facial features is designed. Both aesthetic appearance and breathing functionality are considered. If needed, computer-assisted simulations may be used.

Anesthesia Application:
To ensure patient comfort during the operation, general anesthesia or, in some cases, sedation is administered.

Surgical Intervention:
Rhinoplasty can be performed using either the open or closed technique. In the open method, an incision is made between the nostrils, while in the closed method, incisions are made inside the nose. The surgeon reshapes the nasal bridge, septum, tip, or nostrils to achieve the desired appearance.

Stitching and Stabilization:
After the surgical procedure, incisions are closed with sutures. To support and protect the new shape of the nose, silicone splints, tampons, or a cast may be applied.

Postoperative Care:
The patient is usually discharged on the same day or the following day. Follow-up visits are scheduled at intervals to monitor and reduce swelling, bruising, and sensitivity. It is essential for the patient to adhere to all post-op care instructions.

Full Recovery Process:
Initial swelling subsides within a few weeks; however, it may take 6 months to 1 year for the nose to fully heal and settle into its final shape. During this period, it is important to avoid any impact to the nose and follow all recommended care guidelines.

When is Rhinoplasty (Nose Surgery) Performed?

Rhinoplasty (nose surgery) is a surgical procedure performed to improve facial appearance and address breathing problems. However, the success of the surgery and the recovery process can be influenced by proper timing. The ideal time for rhinoplasty is when the development of the nose is complete, and the individual is physically and psychologically prepared. Since the recovery period may affect daily life, the timing of the surgery should be planned in a way that aligns with one’s social and work life.

Holidays or periods with less work intensity may be ideal for this type of surgery. Additionally, performing the surgery during mild weather conditions such as spring or autumn can positively contribute to the recovery process. In cases of nose trauma or breathing difficulties, the surgery should be performed without delay. For women, it is important that the surgery does not coincide with the menstrual period, as this can increase the risk of bleeding and complicate the recovery. Furthermore, sufficient recovery time should be allowed before important events or special occasions. It is important to have open communication with your doctor about the timing, express your expectations, and seek personalized advice. Consulting with a specialist and assessing all potential risks before aesthetic procedures is crucial for your health.

Who is Rhinoplasty (Nose Aesthetic Surgery) Suitable for?

Rhinoplasty (nose aesthetic surgery) is a surgical operation preferred by individuals who wish to improve the appearance of their face, resolve breathing problems, or achieve both. However, this procedure may not be suitable for everyone. Here are the ideal candidates for rhinoplasty and important criteria to consider:

Ideal Candidates

Physically Developed Individuals: Nasal development is usually completed by the end of adolescence. Therefore, the most suitable candidates for rhinoplasty are those whose nasal development is complete. For girls, this age is typically around 15-16, and for boys, it is around 17-18.

Individuals in Good Health: The success of the surgery and the recovery process depend on overall health. Therefore, individuals who do not have chronic diseases or have well-controlled health conditions are more suitable candidates for rhinoplasty.

Individuals with Realistic Expectations: Rhinoplasty aims to improve the existing nose structure and make it harmonious with the face. However, it does not create an entirely different nose shape. Having realistic expectations contributes to increased satisfaction after the surgery.

Psychologically Prepared Individuals: Rhinoplasty can impact self-confidence as well as alter physical appearance. It is important to understand the purpose of the surgery and potential outcomes and to be psychologically prepared for the changes.

Non-Smokers and Those with a Healthy Lifestyle: Smoking can negatively affect the recovery process and increase health risks. Therefore, it is recommended to avoid smoking before and after rhinoplasty.

Important Criteria

Dissatisfaction with the Shape or Size of the Nose: Rhinoplasty is suitable for individuals dissatisfied with the shape or size of their nose. This can include issues such as a large nose, a crooked nose, wide nostrils, or an asymmetrical nose.

Experiencing Breathing Problems: Individuals who suffer from issues such as nasal deviation (crooked nose) or nasal congestion may also be suitable candidates for rhinoplasty. In this case, the surgery can provide both aesthetic and functional benefits.

Desiring to Correct Previous Nasal Trauma: Individuals who have previously experienced nasal trauma or have had previous rhinoplasty surgery that resulted in deformities may also be suitable candidates for rhinoplasty.

What Are the Methods Used for Nose Aesthetic Surgery (Rhinoplasty)?

Nose aesthetic surgery (rhinoplasty) is a surgical procedure aimed at improving the shape, size, and function of the nose. Today, various rhinoplasty methods can be applied to meet different needs and expectations. Here are the most commonly used methods in nose aesthetic surgery:

Open Rhinoplasty

Open rhinoplasty is a technique in which a small incision is made in the columella, the area between the nostrils. This incision provides the surgeon with broader access to the internal structures of the nose, allowing for more extensive changes. It is often preferred for complex nasal deformities, revision surgeries, and nasal tip aesthetics.

Closed Rhinoplasty

Closed rhinoplasty is a technique in which all incisions are made inside the nostrils. There is no visible external scar, and the recovery process is generally quicker. However, due to the limited field of vision for the surgeon, this method is suitable for smaller corrections.

Secondary Nasal Surgery

Secondary nasal surgery is a corrective operation performed on patients who have previously undergone rhinoplasty but are dissatisfied with the results or have experienced complications. This procedure is usually more complex and is typically performed using the open rhinoplasty technique.

Tip Plasty

Tip plasty is an aesthetic procedure that focuses solely on the nasal tip. It is used to change the shape, size, or projection of the nasal tip. It can be performed using either the open or closed technique.

Laser Nose Aesthetic Surgery

Laser nose aesthetic surgery is a minimally invasive technique that uses laser technology to correct small changes in the nose shape. It is typically used to smooth out bumps or protrusions on the nasal bridge. The recovery process is quick, but the results may be limited.

Piezo Nose Aesthetic Surgery

Piezo rhinoplasty is a method that uses ultrasonic vibrations to shape the nasal bones. It is preferred when precise bone shaping is required, and it has a lower risk of damaging surrounding tissues.

Profiloplasty

Profiloplasty is a procedure aimed at improving the facial profile by changing the angle between the nose and forehead. It is generally used to correct bumps or depressions on the nasal bridge and can offer both aesthetic and functional benefits.

To determine which method is most suitable for you, it is essential to consult with a plastic surgeon. Your doctor will evaluate your facial structure, nasal anatomy, expectations, and medical history to recommend the most appropriate treatment option for you.

Rhinoplasty Surgery (Nose Aesthetic Surgery) Risks and Side Effects?

Like all major surgeries, rhinoplasty carries certain risks. These risks may vary depending on the surgeon’s experience and the patient’s health condition. Common risks associated with rhinoplasty include infection, bleeding, anesthesia-related complications, loss of sensation in the nose, difficulty breathing, wound healing problems, asymmetry, and undesirable aesthetic outcomes.

Asymmetry:After surgery, slight asymmetries in the nose structure may occur. This is usually minimal and often goes unnoticed. However, in some cases, revision surgery may be necessary to correct these issues.

Loss of Smell: Although rare, temporary or permanent changes in the sense of smell can occur after rhinoplasty. This is typically related to damage to the sensitive smell nerves inside the nose.

Infection Risks: As with any surgical procedure, there is a risk of infection following rhinoplasty. This risk can be minimized with proper wound care and the use of antibiotics.

Long Recovery Process: The recovery period after rhinoplasty varies from person to person, but it generally takes several weeks. Swelling, bruising, and discomfort are more noticeable in the first few days. Full recovery and the final results may take months to manifest.

Other Risks: Other potential risks include bleeding, scarring, nasal congestion, numbness or tingling in the skin, breathing difficulties, anesthesia-related health problems, and more.

Post-rhinoplasty issues like difficulty breathing, permanent numbness around the nose, uneven appearance, pain, color changes, or lasting swelling, scarring, septum perforation, and the need for additional surgical interventions are possible. Detailed information about these risks will be shared with patients before surgery. 

Before proceeding with the planning of rhinoplasty, a consultation will be held to determine whether the surgical procedure will be effective for the individual considering the surgery. The surgeon will clearly explain what rhinoplasty can and cannot achieve for the candidate. Additionally, information regarding nasal obstruction, previous surgeries, and any medications being taken will be gathered. Individuals with bleeding disorders, such as hemophilia, may not be candidates for rhinoplasty.

Who Should Not Undergo Rhinoplasty?

Rhinoplasty may not be suitable for everyone and is sometimes not recommended. It should not be performed on individuals whose nasal development is not complete, typically before the ages of 15-16 for females and 17-18 for males. Additionally, active infections or inflammation in the nose, uncontrolled diabetes, heart diseases, or high blood pressure can make the surgery riskier. Blood disorders or the use of blood-thinning medications can also lead to complications during the surgery. Psychological issues, especially body dysmorphic disorder, can increase the likelihood of dissatisfaction after the procedure and should be carefully evaluated.

What Should Be Done Before Rhinoplasty Surgery?

Preparation for rhinoplasty is crucial for achieving a successful outcome and ensuring a healthy recovery process. The first step is to undergo a thorough consultation with a doctor, where the patient’s overall health, expectations, and nasal structure are carefully evaluated. Factors like blood-thinning medications, smoking, and alcohol can negatively impact the surgery's success and recovery process. Therefore, these should be avoided for a specific period as per the doctor’s recommendations. Additionally, the patient must inform the doctor about any regular medications they take and any allergies they have. To reduce the risk of infection before the surgery, the patient's general health must be in optimal condition. These preparations help enhance both the safety of the surgery and the speed of recovery.

Things to Keep in Mind After Rhinoplasty Surgery

After a rhinoplasty surgery, there are some important points to consider for a successful recovery and achieving the desired results. In the first days, keeping your head elevated is important to reduce swelling and bruising. Applying cold compresses as recommended by the doctor can help swelling go down faster. You should avoid any impact on your nose, heavy exercises, and excessive facial expressions. Additionally, splints or tampons placed inside the nose should be removed according to the doctor's instructions, prescribed medications should be used regularly, and follow-up appointments should not be missed. During recovery, protecting the nose from sunlight, ensuring hygiene to minimize the risk of infection, and avoiding touching the nose are crucial. Since full recovery can take several months, patience is important, and you should strictly follow your doctor's guidelines.

Things to Consider After Rhinoplasty Surgery:

1. Ensure that splints and tampons stay in place.
2. Avoid any facial trauma.
3. Sleep with your head elevated.
4. Apply cold compresses to reduce swelling and bruising.
5. Avoid strenuous exercises and activities.
6. Stay away from smoking and alcohol.
7. Take your medications regularly.
8. Avoid applying pressure to your nose and wearing glasses.
9. Protect your nose from sunlight.
10. Avoid saunas and steam baths.

• Attend follow-up appointments regularly.