
The nose is an aesthetic and functional organ which affects the face view. Rhinoplasty
is an operation which changes its external appearance.
Even when we say rhinoplasty, everybody think about the aesthetic operations, we
should not forget that the nose is not only an organ which affects our aesthetic
appearance, but it’s function is also playing a very important role on our vital
necessities as breathing.
In this context especially with aesthetic concerns it should be avoided to extreme
minifying or narrowing operations which may prevent the functions of the nose. If
the patient has inspiration problems emanated from his nose, the rhinoplasty operation
should be realized together with the medical attention which will be applied to
solve this problem (deviation, septoplasty, minifying the concha, sinusitis surgery,
etc.). Especially for the nose surgery, the aesthetic and function is an integral
whole.
In this context the successful nose aesthetic must supply a natural appearance harmonic
with your face, and should ease the inspiration. With the rhinoplasty operation
the size of the nose can be growth or minified, the nose tip can be formed. The
nostrils can be minified. The shapes that it makes with lips and brow can be changed.
There is no standard rhinoplasty operation. There is a rhinoplasty surgery which
will be applied in accordance with the patient’s needs and gender, special for the
patient. The realistic expectation, healthy person and psychological balance are
the important criterions for a rhinoplasty candidate. The expectations of a male
patient could be exactly understood, the social statute and environment must be
taken into consideration.
The characteristics of the patient will also affect the result. The male patient
will apply generally together with the inspiration problem; the aesthetic expectation
is on the second plan. The aesthetic action will make contributions to the function.
Age: For the male patients from 17 years of age the rhinoplasty operation can be
made. For the advanced years the skin looses its elasticity and more limited operations
will be preferred.
The thickness of the nose skin and the nose tissue’s fat content will affect the
result of the rhinoplasty. As a thick cloth does not reflect the form of the object
under it, the thick nose skin does also not reflect the bone and cartilage surgery
applied to the nose. In such case for the patients who have thick and fatty nose
skin, instead of minifying surgery, a volume protecting, even cloth stretching and
aiming to form a balanced nose surgical action should be applied.
The nose skin of the men is thicker then the nose skin of women.
If the nose will be minified too much, the adaptation of the skin to the new small
skeleton will not be realized and a droopy, unformed and crude nose appearance will
come into being. The correct way of forming a thick skinned nose is not to minify
this too much, making a balanced and harmonic nose for this face.
The twisted nose is a serious problem. The problems in form of C, S or J caused
by the internal (like septum pathologies or deviation) and the external (bone, cartilage
and soft tissue) reasons. Both problems must be solved with the same operation.
The masculine characteristic of the face and its appearance should be protected,
it shouldn’t make the patient’s appearance feminine. The lip-nose angel must be
95-100°, this angel reaches to 115° on women. The nasion (root of the nose) and
rhinion (the nasal bump) must be left higher. The high nasion gives a more masculine
look (the upturned nose is a more feminine characteristic). The width of the nose
must fit to the face.
Besides that, too many patients have face-asymmetry. All these problems must be
discussed with your doctor on the photographs. A previous rhinoplasty surgery is
also affecting the result directly.
The types of the previous operations (deviation, actions with aesthetic purposes,
nose tip surgery, breaking the bone, etc.) will affect the next operations type
and size. The existence of the nose and ear cartilages will ease the reparation.
As a rhinoplasty candidate the internal and external parts of your nose will be
carefully examined by your doctor during the first examination. If there is an additional
disease or problem, this will be determined on this phase (sinusitis, nasal, polyp,
etc.). Your doctor will take your photographs which are necessary for your surgical
operation (from nine different angles). These photos will be used for planning your
rhinoplasty operation.
Additionally some studies will be made on the images taken by a digital camera through
a computer program for having an idea about the post-operation appearance (Imaging).
The operation will be done in the hospital and under general anesthesia. The time
of the operation will be changed between two and three hours according to the problems
of the patient. After the operation there will be tampons in the nose and gypsum
on the nose. Next day the tampons will be removed and on the sixth day the gypsum
and the stitches will be removed. After the operation bandages will be used for
one week.