Rhinoplasty, Nose Job
What is Rhinoplasty?
Look around you…
Some faces and noses will be more appealing to you. Why is this? What is the reason for this dilemma? Aesthetically speaking, a nose is divided into a lot of sections; nose tip, bridge, nostrils to name a few. Ratio between these sections, their ratio to other facial structures, maybe eyebrow design, shape of the forehead, cheekbones, and ratio to your chin… longer you look, more factors you will notice. For this reason some noses and some faces are more beautiful to us. And nose job operations, or with it’s more professional name rhinoplasty is this: art of creating better perception for a nose.
When we first see a person, the first thing we notice is their nose. This organ that’s in the middle of our face is indeed the center of our beauty perception. For this reason even though people sometimes don’t notice sagginess on their mid-face or eyelid, they’re immediately aware of a problem on their nose.
The reason for the disruption of beauty about our nose might be nose structure, cartilage problems or skin oriented problems. What we do is take the excess parts, sometimes taking cartilage or dermis from other places to reshape the nose or reshape the current skin tissue. These parts have a special three dimensional design. To make any changes to this design requires special techniques. Also a lot of precautions need to be taken to preserve the results in the long run.
Because of their elasticity membranes called perichondrium over the cartilage tissue tend to return to their old form. For this reason, rhinoplasty is an operation that requires knowledge, skill and experience. Actually, “complications are a matter of time” and regardless of your experience on it, rhinoplasty can always present you with surprises. Respected international studies show a risk of 10%. The important thing to do here is this: don’t expect your operation to be completely devoid of risk, but expect your surgeon to be capable of solving problems, and by your side always.
You look at the mirror (in fact you have been looking at it for a long time) and say “time has come”, now you’re ready to have rhinoplasty. Now you have a long list of questions. Let me answer some of them for you.
What’s a nose to do?
What’s the function of the nose? I can hear you say “of course to breath”. Of course it’s purpose is to breathe but other than that a nose has functions that are very important but ignored until something is wrong. Sense of taste is one of these functions.
Regardless of tongue being our main source of taste, we can’t completely taste things that we can’t properly smell. You can test this by plugging your nose and experience the life with a nose that doesn’t breathe properly. After all, don’t children close their nose while taking medicine 🙂
Another function of our nose is related to the tone of our voice. Changes in the nasal volume, acceleration of development of paranasal sinuses after seven years of age, larynx which can be called back opening of our nose all factor on color and timbre of our voice. The nose is the first filter of the air we breathe and this filter consists of nose hair, nose tissue called concha, and mucous secretion by mucosa. With this system big particles don’t reach the lungs. Because of friction with mucosa warmth of air is also increased.
Another function of the nose is tied to an event in the 7th century. There’s a record of a case that bleed every time he’d seen a woman. There’s a spot in our nose that has lost its function in humans, albeit very active in animals. It’s called the Vomeronasal zone and has different concentrations of nerves which serves as a center for arousal. Most perfume companies aim to find a way to stimulate this area. In pop culture this is called aphrodisiac :).
Main Proponents of Nose Anatomy
Nose is in the middle of our face, has serious functions and gives an idea of the nature of our body and affects our aesthetical perception by others deeply. While I don’t find it useful to go deeper into the academic aspects of a nose here, I find it useful to inform you on a few units so you can better understand the rest of this read.
Even though we judge a face as a whole, when we look at each part like nose, eyebrows, eyes, cheekbones etc. and judge them individually. Just like that nose is divided between sections in and of itself. We call these rhinoplasty sub-sections. These are:
- Radix: Nose root
- Dorsum: Nose bridge
- Tip: Nasal tip
- Lateral wall: Nose side front
- Columella: The middle part that divides the nostrils
- Alar wing: Nose wings.
- Other than these sections, there’s bony cartilage, mucosa, and skin tissues that form the nose and connect to each other with a very delicate harmony.
When and How Did Rhinoplasty Start?
Rhinoplasty’s history is approximately tied to the history of plastic surgery as a whole. Around 3.000 B.C. sex workers’ noses were cut to mark them in India. They were treated by a healer named Sushurata Samita by getting skin tissue from their forehead. After Roe has made the definition of closed rhinoplasty to the scientific community in 1887, people learned they can get their nose operated on for aesthetic purposes too, not only for breathing problems.
Closed rhinoplasty was a hard technique to learn because only the person performing it could see it. For this reason, fifty years after the development of closed rhinoplasty, open rhinoplasty has been developed. After this development, our knowledge of nasal anatomy, experience of surgery, and rhinoplasty technologies have been greatly improved and got us closer and closer to better results. Of course our ever changing perception of beauty has been the greater force behind this change.
Who Should Get A Rhinoplasty?
I mentioned the functional purpose of our nose above. Anyone who has a problem with these functional properties can have the surgery. Or you might have a perfectly functional nose but don’t like it’s look. Both cases are perfectly valid for rhinoplasty. Of course there’s always the forerule of appropriate age and health conditions :).
Arched architecture is especially tied to Seljuks and later continued by Ottomans. If you have an upward arch that protrudes from your nose, you have an arched nose. Most northern Europeans and Anglo-Saxons suffer from this problem. An arched nose doesn’t make a rhinoplasty operation harder.
What is Septum Deviation
We have two walls on each side of our nose. And one that’s right in the middle of them. This middle wall is called septum. It’s original latin name is close to this name too. This structure we call septum is made of cartilage on the lower part and a thin bone on the upper side.
Septum starts at nostrils and ends at pharynx. Sometimes from birth and sometimes from physical events in our life the septum can be deviated. In some cases even if the nose as a whole stays the same, septum is deviated. Depending on the level of deviation this can cause breathing problems. Some deviation problems can be fixed without touching the roof of the nose, but some may require a full change on the nose structure. The direction can be decided with a simple examination.
Thick Skinned Nose
Now we will do a simple exercise together. Check the thickness of the skin on the root of your nose. This is almost the thinnest area of your nose. If you go slowly downwards you will notice skin thickening towards the middle part. This change has an easily noticeable vanishing point. This is a normal anatomical situation.
What we mean by thick skinned nose can be determined by experience and doesn’t have an exact definition. Nevertheless I can give you a few tip so you can have an idea:
- A thick skinned nose might have orange peel surface quality to it.
- It’s harder to feel the cartilage on a thick skinned nose.
- Lower half of the nose looks a bit bulbous on a thick skinned nose.
- A thick skinned nose gets a lot more oily.
Of course this doesn’t mean patients with thick skinned noses can’t have a rhinoplasty. It just means they will have more swelling during the recovery process, and because of this recovery span might be elongated.
We all have a level of asymmetry on our nose, even if small. During our development, both sides of our face developed separately and merged in the middle. Because our nose rises above these both plates there might be a difference between two sides.
To sum up, two sides of our nose have different anatomies, even if it’s on miniscule levels. If the asymmetry level on mid-face is high, it will be high on our nose too. Of course some traumas might contribute to this situation too. Level of crookedness on the nose affects the success of nose correction operation.
What is Concha Growth?
One of our nose’s functions is air heating and humidification as I mentioned before. Our nose uses a six layered shelf-like structure to effectively accomplish this function. This shelf-like structure have bone on the center and mucosa around it. They look like hornes inside the nose.
Sometimes organically and sometimes from allergic reactions conchas can overextend. Overextension doesn’t have an exact number, but if it’s on level to affect breathing we can say it’s overextension. If you have an overextended concha it can be solved with a surgical operation and ensure healthy breathing. Of course this can be done with a rhinoplasty operation too.
Can Snoring be Fixed with a Rhinoplasty?
Have you ever heard the noise a wind rose of a shopping bag mag when you put it outside a moving vehicle’s window? This is exactly what snoring is. Friction of air with uvula causes snoring.
But since everyone breathes why doesn’t everyone snore? Because air needs to have a regular flow through our nose, and to nasal passage. This flow is the regular one. If this flow gets interrupted, it will create a turbulence that didn’t exist before and cause snoring.
This flow can be disrupted by concha enlargement, septum deviation or nose crookedness. If the cause of snoring is disruption of air flow, snoring can be fixed alongside rhinoplasty.
But you should know this is not the cause of most snoring problems. Most snoring problems are caused by loosening and/or sagging of the soft palate. If this is the cause of the snoring, soft palate or uvula need to be operated.
What is Nasal Tip Rhinoplasty? Who is Eligible?
We mentioned the tip while talking about nose anatomy. Tip area is another sub-section of rhinoplasty operations. In fact, if you don’t have other problems on your nose, you can only have a nasal tip rhinoplasty. But, be aware of the “if you don’t have other problems on your nose” part.
If you don’t have a bridge that bothers you, or have an ideal width, or don’t have other problems on the wings, or the columella angle is good and the only thing that is breaking the picture is the nasal tip, why not? In clinical practice, almost ¼ of patients ask for a nasal tip rhinoplasty. But in reality only 1% of my patients qualify for a nasal tip rhinoplasty. Why’s there such a huge divide between these numbers?
Because when they hear about nasal tip rhinoplasty, patients have the picture of a surgery that’s not hard to be done and not to be feared of. Because of this belief, they attribute all their nasal problems with the tip and think this operation will solve all their problems. Naturally, even with the first examination, the real problems are visible.
The best advice I can give you regarding this issue is, instead of planning your surgery before your surgeon, choose a surgeon whose knowledge and expertise you can trust.
What are Nose Fillers?
Nose fillers, or with their more popularly known name, Non-surgical rhinoplasty, is a popular practice of the last few years. With this popularity we can see patients’ level of fear and what it can make them do. This procedure is a filler application. Meaning it can fill an empty space.
Usually patients with a bridged nose aim to apply fillers on the root area to make the nose more even rather than get the bridge fixed. Sometimes this is done in a way that harms the cartilage. Of course if you fill back and front of a bridge you would get an even nose, but don’t forget this will increase the overall volume of your nose.
Fear of operation may lead you to choose nose fillers but in the end while you’re getting a more even nose, you also get a bigger nose. More interestingly, this same fear causes you to like this final result and accept it as a satisfying solution.
Although I get a lot of requests of this type, enlarging noses via fillers doesn’t fit my idea of aesthetics. I prefer to use nose fillers after the operation to make minimal changes of the final results or fix minor deformities.
How Can You Know If You’re Ready for Rhinoplasty?
In my opinion, the hardest part of the whole post is this paragraph. Because the question “How can a person know if they’re ready for rhinoplasty” is hard to answer. Based on my observations, I can tell you this, in plastic surgery when you see results of nose, breast, buttock, etc. imagine the on your body and like with yourself in mind.
Never think a good result on somebody else will be fit for your body. Because every operation is planned and executed based on a specific patient’s body attributes. And of course, if you’ve taken care of financial matters it means you’re ready for the operation.
What is The Optimal Age For Rhinoplasty?
Minimum age for women is 17, and for men 18 years of age. This one year gap is based on differences in female and male bone formation. Of course if there are breathing problems at earlier ages or there are birth related deformities, operation can be done on younger patients.
How Many Types of Rhinoplasty are There?
Although there are a lot of articles regarding different types of rhinoplasty, there are in fact two main types of rhinoplasty: open and closed.
Although there are a lot of techniques that are talked about rhinoplasty, all of these techniques fall under umbrellas of either closed rhinoplasty or open rhinoplasty. These techniques are either named after technology or device used in these operations, named after a specific maneuver in the operation, or in fact a name invented with financial motivations. Without going into much detail I would like to inform you about these rhinoplasty techniques. But first, let’s categorize them:
- Open Rhinoplasty
- Closed Rhinoplasty
- Septo Rhinoplasty
- Letdown Rhinoplasty
- Preservation Rhinoplasty
- Ultrasonic Piezo Rhinoplasty
- Laser assisted Rhinoplasty
- Micromotor Rhinoplasty
What is Open Rhinoplasty?
Open rhinoplasty is a technique that’s been defined fifty years after the definition of closed rhinoplasty. In principle, with a cut on the base of columella, nose skin is separated from cartilage and bone and reshaped, at the end of the operatio skin is fitted to the new bone structure, concluding the operation.
It’s not uncommon or rare for a scar to be visible on the columella. In fact because surgeons who performed closed rhinoplasty didn’t explain or teach the technique for a long time this technique was born out of necessity for a simpler type of operation. Today the argument that is being used is “open rhinoplasty is used in order to better see the nasal tip”. but of course this is a purely financial issue.
Whereas truth is both techniques can yield good results if performed by a skilled surgeon. And the ones that defend the line that surgeons can’t perform on the tip effectively with close rhinoplasty make me laugh as much as old doctors that said the gallbladder must be removed with an open surgery to be proper.
What is Closed Rhinoplasty?
Closed rhinoplasty is done via an incision on the columella but without the stretching on the root of the nose. For this reason it’s more widely known as scarless rhinoplasty, or markless rhinoplasty.
Of course there are still cuts with the closed rhinoplasty, otherwise we can’t reach cartilage and the bone structures. But these cuts are made inside the nostrils. Biggest advantage of the closed rhinoplasty in my opinion is that final results are always visible. Let me explain it this way. Skin has an elasticity to it.
On open rhinoplasty, skin is pulled from the sides of the nose, and after the reshaping is done it’s fitted to the new bone structure. And because the skin is more contracted than before the operation this causes us to be less precise with the final results of the operation.
But in closed rhinoplasty, skin’s elasticity doesn’t change during the operation ve surgeon can operate on the nose while seeing the final results at all times. Of course having less visible cut marks has an important perception advantage. After my journey as a plastic surgeon began in 2002, I’ve gotten educated on closed rhinoplasty, done many operations using open rhinoplasty technique between 2008 and 2011 and decided that closed rhinoplasty was the right way to focus.
As I said before, both techniques yield good results in skilled hands but I consider closed rhinoplasty to be less traumatic, more safe and stable technique. If an operation can be done with less trauma and cuts, I think it should be. Maybe I think this way because I’ve gotten better results with closed rhinoplasty. Verdict is still out.
What is Septo Rhinoplasty?
I mentioned septum while talking about nose anatomy and functions. In my profession I have rarely seen straight septums. Minimal deviations don’t usually cause serious breathing problems. If the deviation is causing breathing problems, this can be fixed at the same operation with rhinoplasty.
What is Letdown Rhinoplasty?
Both in open and closed operations, there are always technical problems with removal of cartilage and bone from the nose bridge. Because these structures are both living tissues, after the operation begins the healing process. Although it is very slim, there is always a chance of disarray on the bridge.
By the great works of French surgeon Yves Saban, this problem had an answer in the form of Letdown Rhinoplasty and changed the course of rhinoplasty in the world. With this technique the nasal bridge is preserved. If you’re asking how the hump is removed when the bridge is preserved, let me explain shortly. Height of the hump is reduced by removal on the base of the nose, not the bridge. This technique is still young and continues to evolve fast.
Almost all medical meetings and conventions add a new technique to our literature. You can find a more detailed article on the link:
What is Preservation Rhinoplasty?
I think this name is very self explanatory. But what are we preserving? During the first few months after the development of the letdown rhinoplasty, some surgeons suggested it should be called preservation rhinoplasty because of the aim of the technique. It’s the same technique as Letdown Rhinoplasty.
What is Ultrasonic Piezo Rhinoplasty?
Imagine a very small saw that is used for cutting off the side walls of the nose. Unlike a traditional saw it doesn’t go back and forth but vibrates tens of thousands of times a second to cut the bone like a butter. In order to prevent burn on the lips, a piezo saw always has a water system at the tip. This is not a device that affects the rhinoplasty technique, it’s just a personal choice for cutting bone structure.
What is Micromotor Rhinoplasty?
Before piezo, there was the micromotor. Basic principle, application area, and technique are all the same. Only difference is that the micromotor works by going back and forth rather than with vibration. Micromotor doesn’t change a technique but it’s another device for cutting the bone.
What is Laser Assisted Rhinoplasty?
I can understand rhinoplasty with micromotor and ultrasonic piezo saws. At the end it’s just a way to cut the tissue and can be interchanged. Both have a mechanical principle to them. But laser one is very different. Although it’s an American invention, people tend to think it’s a Japanese thing and because of the anime from our childhood, think it’s a good thing to use.
As a financial ploy, some people wanted to use lasers on rhinoplasty. But because it doesn’t have proper tissue recognition, this caused an increase in tissue traumas. It’s an application that ended as soon as it started.
What Technologies Do I Use on Rhinoplasty?
Surgeons tend to be preservative people, neither our techniques nor our principles change quickly. Plastic surgeons on the other hand are the ones that are more quick to adopt the new changes. Despite everything though I don’t find the mindset that we need to change, or our patients expect new innovations from us healthy. If a surgeon can change something in their life it should be to improve on the techniques’ downfalls.
In my operations, I mostly use internally classic tools and my own designed ones. I tried both ultrasonic piezo and micromotor but liked neither. I still think the best sculptures are made using old tools and the best paintings are made using classic brushes. I also think there shouldn’t be such a thing as electronic piano :).
What is Natural and Cool Rhinoplasty?
In reality, most patients have the right point but express them wrongfully. Main reasons for this are domination of pop culture and the fact we don’t read much. This article turned out to be a long one, I commend you for reading all the way to this part. By natural and cool nose what we mean is this:
Natural Nose: It’s not apparent that the nose had an operation done and nobody can guess it was ever something else. Otherwise, isn’t the most natural nose is the one without an operation? :).
Cool Nose: For the nose in question to be a alluring one and patients’ friends to say “wow, you have a cool nose”
Rhinoplasty won’t be noticed: This means rhinoplasty won’t be noticed from people around, it’s as if a person was born with it.
Digital 3D Simulated Nose
In our pre-operation consultations for rhinoplasty, I also show simulated results to my patients. While presenting this simulation, my emphasis is always the same: whether it’s 3D or not it’s still a simulation. It can show the final results to a limit. My purpose in doing this simulation is to show you what I envision when ı look at your face. At the end what I can do to your nose while you’re under anesthesia is limited to my imagination. In order to plan the operation our first rule is to be on the same page aesthetically. And I think this is the most logical way to go about it.
I used to make simulations using 3D Vectra in my clinic but I don’t think neither 2D or 3D nor masks prepared before the operation can ready you for the real operation. Neither can show your real results effectively. Because none of them is a living thing.
Best Rhinoplasty Surgeon
Of course you want to have this operation only once and get done with it. This is easily understandable. And now you want to find the best rhinoplasty surgeon. Who else are you going to entrust the middle of your face? But this part of the article can’t give you an address for them. All plastic surgeons get more or less the same education, read the same books. Of course each of us have different aesthetic views and leanings. Let me give you a secret: “ Best rhinoplasty surgeon for you is the one who has the same aesthetic view as you, who can feel your energy”. Because rhinoplasty is a serious surgical procedure. During this process, you can have some surprises, hardships. Never say never.
In addition to this, if you can look at the world from the same window as your surgeon, you can overcome these possible hardships easily together. This isn’t something hard to do. Best plastic surgeon is the one who understands you. It’s also the one who can tell you everything as clearly as possible. At the same time, it would be better if you have an idea on their previous cases and expertise. Best is if you have a you can see in person :).
Rhinoplasty Process in Ozan Balik M.D. Clinic
Our purpose in our first meeting is to get to know each other, to show our technique, explain our view on rhinoplasty so we can see the world from the same window. I call this surgical trust. First we must have trust.
Afterward, we will be dissecting your beliefs about the operation gained through google, social media, or other surgeon meetings :). We will explain ourselves once again. Our aim is not to convince you, but to explain ourselves. You’re the one who can make the choice.
If this is your first rhinoplasty case, you will see a simulation of the final results.
After consultation if you decide to go ahead with the operation, my assistants will help you choose a suitable date, and a hospital for the operation.
Getting your before pictures are an essential part of every operation. Don’t worry they won’t be shared on any platform without your consent. They’re kept on encrypted discs.
Getting agreed upon on the options for payment.
You’ll be bid farewell until we meet two hours before the operation in the hospital.
Because all necessary preparations are done beforehand, you’ll get to the operation table as soon as possible. If you have a special case all precautions will be taken as per our conversations in our clinic.
Last thing before the operation, you’ll be examined by the Anesthesiologist.
After I meet you in your room you will be put under anesthesia and taken to the operating room.
With the effects of the sedatives, after a brief journey through the clouds, you will be completely sleeping.
Relatives of the patients can’t join in on this journey:). They usually start the clock after the entrance to the operation but it takes us 30 minutes to be ready before we have the lancet. After the conclusion of the operation, the patient is left to rest for 30-60 minutes with our observation. Don’t miss this detail. Approximate time for a primer rhinoplasty case is 1 1/2 to 2 hours.
After your transported to your room from operation table you’ll be completely awake, albeit a little sleepy.
Applying ice in intervals is extremely useful. 30 minutes of appliance 10 minutes breaks.
Because you were under general anesthesia, spending the night at the hospital is required.
It’s perfectly normal to have some blood leaking from the nasal tip and the nasal passage. Because we don’t use buffers for rhinoplasty, there’s nothing to keep the blood inside. Also because it’s in small amounts, it’s not very disturbing.
As I said we don’t use buffers, only a small silicon splinc will be inside your nose to prevent adhesion on your cuts, and to prevent swelling to block your airway.
You will be discharged from the hospital after I see you in your room the next morning and give your prescription.
Your first check-up after the operation will be to remove your cast on the seventh day that was put on after the operation. After the removal of the cast, a bandage will be put on, which will stay for another 7 days.
Our next check-up will be to remove these bandages after seven days, if possible. If you plan to travel back after 7 days, you can remove these bandages by wetting them in your bathroom.
We prefer our patients that have the possibility to come after 1st, 3th, 6th, and 12th months to see their progress. Depending on your healing process, these numbers can be more. For our international patients, we usually see them on cast removal and follow up with photos until the 12th month.
Will My Nose be Natural?
This is the biggest concern of our patients. And it’s a justified one. We all see bad examples. In the 80s There was a time when noses were shaped like a sledge and patients found this to be good looking. In the 90s most of these patients applied for a Revision Rhinoplasty.
Current aim in rhinoplasty is to have natural looking and functional noses. Let me underscore it, nowadays, noone one wants noses that look like sledges and have nostrils that are purtriding like tractor lights. Cases we see this way are mostly from bad operations, or miscommunication with the surgeons.
Best way to understand your surgeon’s plans is to have simulations. Of course your operation won’t be done by a computer. But these simulations, whether 2D, 3D, or on a piece of paper is to get you to understand your surgeon’s understanding of beauty.
Of course your nose is a living tissue, and it won’t be operated by a computer. Don’t forget this part. On the operation table, your nose, your surgeon and their lancet will be the ones that matter. Good music of course always helps 🙂
Will the Tip of My Nose Drop?
In Theory, yes, but surgeons with enough experience don’t encounter this problem. Because the real important point is, if the doctor has determined the ideal (both anatomically and aesthetically) nose tip with the patient, it won’t drop below this point. Let me explain further. In every rhinoplasty case, the nose swells a bit but swelling goes away in time. This reduction in swelling can’t be considered as a drop on nose tip.
Experienced surgeons plan for this process, or at least they should be. Nose tip drop is lost on the tip after this swelling is gone and shouldn’t happen after a successful rhinoplasty. Although, if there’s an infection on the cartilage after the operation, or an impact to the nose, or effects of aging on thick skinned noses, or noses with rhinophyma might experience drops on the tip. Other than this case there won’t be a drop on the nose tip. But do you know what else patients might consider as nose drop?
If the swollen state of a nose is more close to the nose in the patient’s mind than reduction in this swelling can be perceived as a nose tip drop by the patient. But this case means, doctor and the patient weren’t on the same page regarding what their nose should look like after the process in the first place. Biggest failure here is not of the drop of the nose tip but of communication.
Will You Break My Nasal Bones?
I talked about surgical techniques before, but this is a special and a bit irritating question. For this reason I wanted to talk about it separately here. Even to me this question gives chills. Breaking is a very rude explanation, and it doesn’t fit the poemlike nature of rhinoplasty. In rhinoplasty, every maneuver is measured by millimeters and excess parts of your cartilage or bone (if there’s any) will be cut by measurements. Cut part is taken out very delicately. And yes, in closed rhinoplasty it’s done through your nostrils without cuts on the outside.
Will You Use Buffers?
If there’s no intervention on septum or chonca there usually isn’t a need for a buffer or a splint. If there’s intervention on the aforementioned areas we still don’t use buffers. Instead we use splints which are thin silicon support objects. Because they have holes in their middle parts, breathing is easier and they are easy to take out. Almost all the plastic surgeons I know use splints instead of buffers.
Will My Breathing Problems Be Fixed?
If We’re to list breathing problems, these are:
- Septum Deviations
- Concha hypertrophy
- Nasal skeletal deviations
- Nasal wall narrowness
- Paralyzed nose
- Empty Nose Syndrome
- Body Dysmorphic Disorders
Some nasal shape deviations directly affect nasal functions. Therefore we can say that if the structural deviations on a nose is fixed, then breathing problems will be fixed too. Most common case of this problem is seen on trapezoid noses. If the nose is aligned correctly, then the breathing problem is fixed too.
Other than this, septum and conch problems can be treated the same way. Depending on their experience and skill, a plastic surgeon can do this either with an otolaryngologist or by themselves. You should ask for their preference regarding this.
My preference? I’m in the belief that a ship should have only one captain. For this reason I prefer to fix the breathing problem myself too. I keep sinusitis and polypifications outside of this issue. Other than the last 3 reasons mentioned above, all the problems can be fixed on a rhinoplasty.
Will My Nose Wings Be Smaller?
If necessary, yes. In the end the nose is a three dimensional structure. If I make ensmallment on other parts there is usually a need for smaller wings too. In my practice, I make wings smaller for almost 95% of the patients.
This can be done with ensmallment on the nostrils, or without making the nostril smaller but just by taking the excess meat from the wings. Is this confusing? Nasal wing can be made smaller by taking extra meat tissue out without adjusting the nostrils. This is important to do for some patients so we can make the nose smaller without causing breathing problems.
What is Different About Male Rhinoplasty?
There are some differences between male rhinoplasty and female rhinoplasty in both terms of surgical process and aesthetical approach that needs mentioning. These are:
In general male nose is thicker, and for this reason there is more swelling and it takes longer to go down.
Male noses are more oily, therefore after surgery care is harder. If the black spots that are called comedones are allowed to accumulate, wing ensmallment cuts could be more visible. More caution needs to be taken.
Because male bone structure is thicker, more caution needs to be taken about bruises and swelling.
In male noses, bridges shouldn’t be made curved, otherwise this will create a feminine look. And in my opinion this isn’t a natural looking nose.
Male noses shouldn’t have a nasolabial angle of more than 90 degrees. Although in females 95-100 degrees create a lovely look, on males this doesn’t look as appealing.
Pink cast we use on female patients shouldn’t be used on males :).
What is Going To Happen After Discharge From the Hospital?
While leaving the hospital and afterwards:
Don’t forget your prescription at the hospital. Because you will be using your medications right after leaving the hospital, make sure you understand everything you need to know about how to use them.
Don’t use anything without our knowledge thinking it would be good for you.
Don’t forget that you had an operation and might see some blood. This is perfectly normal.
Other than the medication on your prescription, be careful about the special cleaning and care procedures.
Never, never, never get any impact on your nose. If you do immediately inform your doctor about it so we can know what can happen. Your doctor is on your side, please don’t hide any information. I want to especially emphasize this point because this is the worst mistake a patient can make.
Don’t turn to your sides while sleeping, use your special pillow. Don’t fool yourself saying you can protect your nose without the special pillow. I have witnessed far too many cases where this is not the case.
Come for your check-ups regularly.
Don’t stress necessarily because your operation is over. You may cause your blood pressure to rise and increase bleeding, swelling, and bruising.
Don’t try to arrive at any conclusions about your final results while you’re fresh out of the operation and still have swelling. Rhinoplasty needs time before showing the final results.
Be positive and enjoy it. It’s proven by experience that positive patients heal much better.
Can You Talk About Worst Case Scenarios?
Of course. Nose warping, unusual bleeding, stickiness, graft shifting, unusual swelling and/or bruising, septum puncture, infections, suture reaction, reactions for the medication, anesthesia complications… Internationally, the complication percentage is around 10. But this changes from surgeon to surgeon. My personal average is 6%. About half of these can be fixed in my clinic without much problem. My revision operation average is around 2-3%. There’s a saying in medical circles: “Surgeon who doesn’t do surgeries doesn’t have complications”. Don’t forget this.
Final Results After Rhinoplasty
In theory, it takes a year for a scar to heal completely. Consequently, to see final results of rhinoplasty it takes at least a year. In my clinical experience it takes more than a year for revision rhinoplasty and thick skinned rhinoplasty cased. Of course, it’s a boring thing to wait for a year to see your new nose. But with correct evaluations, while keeping in mind it’s not the final form, you will like your nose after the removal of the cast.
Can Rhinoplasty Be Reversed?
There’s a chance to reverse rhinoplasty, albeit it’s limited. But we should define what we mean by reversing. Did the patient have an unsuccessful rhinoplasty and want to correct it or did they find their old nose more characteristic and want it back? We have admissions from both sides.
We also see cases where previous operations were done immaturely. After a detailed examination, I need to explain what ı can do and can’t to the patient. With secondary rhinoplasty, more widely known as revision rhinoplasty, when we rebuild your nose, I might use cartilage from ribs or ear, and some grafts from temples. you can read more about revision rhinoplasty at:
If the patient doesn’t have a problem with the primer surgery but just wants their old nose, we can plan how much of the old form can be regained using the same principles. We have patients who gained their old bridged nose through this operation. To further read on this subject visit:
I write this part on the insistence of my friend who helps me on digital platforms. He advised me that by using keywords like rhinoplasty prices istanbul 2020 I can drive more traffic for my website. I personally don’t find this strategy useful. Rhinoplasty, whether it’s endless education, or the level of experience it requires is not the same as buying a new dress.
I think people who search for rhinoplasty prices on google and make a decision are ignoring the seriousness of this operation. Price for rhinoplasty will change depending on the clinic it’s done in or the surgeon who performs it. Each surgeon puts something from himself to the nose they will be shaping. Therefore it takes courage to compare different surgeons based solely on pricing, because no two surgeons are the same.
I will make the best nose for you, and make as much money as possible while doing so :). And everytime this subject comes up, my favourite question to ask is: “Have you put a price value on your nose?”
Nevertheless, if you wish to get an approximate price for rhinoplasty you can fill in the contact form below.
When the subject is rhinoplasty, there’s no such thing as a final word. We continue to study, learn, and teach. I hope this detailed article has helped you as much as possible. For more, I always appreciate more questions. I hope you have a fast recovery :).