Rhinoplasty
here are two main categories of rhinoplasty: aesthetic and functional. Aesthetic rhinoplasty involves changing the external appearance of the nose for cosmetic reasons. The aim of functional rhinoplasty is to improve the nasal airway to reduce congestion and improve breathing. It is important that your nose surgery is successful both functionally and aesthetically, and that you can breathe comfortably and smell through your nose after the surgery. Concha (nasal turbinate growth) and deviation (curvature of the nasal bone) should be removed in the same surgery. In order to achieve the aesthetic and functional results that are considered successful in nose surgery today, it is important that your doctor has extensive experience in the field of nose surgery, has up-to-date knowledge about nose surgery, and can follow and apply surgical techniques and techniques. The most important criterion for the success of nose aesthetics is the well-being of the patient, and this is only possible if the nose has the desired appearance and breathing comfort at the end of the procedure.
How is Rhinoplasty Surgery Performed?
In order to make all these arrangements, the structures that form the nasal bones must be arranged. The soft tissue that gives shape to the nose is skin, cartilage and bones. The root of the nose consists of two bones connected to each other in the form of a roof. This part is very hard and solid. Starting from the middle of the nose, the bone structure is replaced by cartilage. These areas are also softer than the bony parts.
Although most of them are performed for cosmetic purposes, they are also performed for functional purposes. For example, breathing problems caused by the shape and structure of the nose can be eliminated with aesthetic nose surgery. The most common problems expressed by people who apply for rhinoplasty for aesthetic reasons are septum deviation, swelling in the nasal hump, concavities, and a very narrow or very wide nose.
In rhinoplasty, some of the tissues that form the structure of the nose can be removed, tissues taken from other areas can be added to the nose, or the shape of existing structures can be changed. Depending on the purpose of the procedure, one or more of the above changes can be applied. Two basic methods are used in these procedures.
Surgical Techniques
Reduction rhinoplasty is the method commonly used for rhinoplasty today, which means reduction, reduction. Anatomically, the upper part of the nasal dorsum, called the dorsum, is bone, and the lower part is cartilage. The term reduction refers to the use of various techniques and techniques for cutting and removing the protrusions behind the nose (nasal humps, protrusions).
After this removal of the nasal bridge, the nasal bone must be reshaped and the weak ring in the osteochondral transition area on the nasal bridge must be repaired with appropriate techniques in order for the nose to look natural and aesthetic. Inadequate restoration of such restorations can lead to different aesthetic and functional problems during restoration.
Open Nose Surgery (Open Rhinoplasty)
One of these is a method called open rhinoplasty. In open rhinoplasty, the nasal structures are exposed and surgery is performed by making an incision between the nostrils. While open rhinoplasty provides the surgeon with an easy view, visible scars may still remain after surgery.
Closed Nose Surgery (Closed Rhinoplasty)
In another method, closed rhinoplasty, a surgical incision is made through the nostrils. Since the incision is not in an area that can be seen from the outside, there is no visible scar after the procedure.
The recovery period is shorter in closed rhinoplasty (closed nose surgery) compared to open rhinoplasty (open nose surgery). There is less edema at the tip of the nose.
Should You Prefer Open Rhinoplasty or Closed Rhinoplasty?
In open rhinoplasty (open nose surgery), it is often thought that open rhinoplasty is better because the doctor’s field of vision is wider. However, this does not apply to experienced doctors. The desired results are also achieved in closed nose surgery by an experienced doctor.
The difference between the two techniques is that in the open technique method, a small incision is made at the tip of the nose, the nasal skin is completely removed, and the entire anatomy can be seen directly.
In the closed technique, surgery is performed with a slightly limited field of vision with an incision made only inside the nose, not from the front of the nose. In corrective nose surgery, after using one of these two methods to reveal bone and cartilage problems, different surgical techniques and techniques can be used depending on the content of the current problem and the intervention to be performed.
Revision Nose Surgeries
Revision nose surgery is performed on patients whose first rhinoplasty surgery was unsuccessful or who are not satisfied with their new nose. Open nose surgery (open rhinoplasty) is generally preferred in revision nose surgeries. There is no difference in the surgical process for the patient. Only the recovery process is longer than the first surgery.
Revision nose surgeries are riskier than the first surgery. Revision nose surgeries are more difficult and require experience for the doctor compared to the first surgeries. Because there is less cartilage and tissue for the doctor to intervene. Therefore, cartilage tissue may need to be added. The missing cartilage is obtained from the patient’s rib, ear or by using ready-made artificial cartilage. There is no risk in cartilage transplantation in terms of health.