Primary Rhinoplasty

Before Surgery

Detailed medical information about the person is obtained. The person’s thoughts about his nose and his expectations from the surgery are learned. What can be done to the nose of the person and what kind of image will be obtained are discussed together. External and internal examinations of the nose are performed. The internal structure of the nose is examined with the help of tomography in the required patients. Appropriate photographing and internal dimensional examinations are made.

Surgery Methods

There are two types of methods, Open Rhinoplasty and Closed Rhinoplasty. In addition, with a method we call ‘Protective Rhinoplasty’, the nose belt can be lowered without touching the back of the nose. This technique can be done on or off. In open rhinoplasty, an incision and intranasal incisions are made from the midline structure (columella) extending from the tip of the nose to the upper lip between the two holes. In closed surgeries, only incisions are made inside the nostrils. The method to be applied according to the nose structure of the person is determined by the doctor.

Operation

It is done under general anaesthesia. The operation takes about 2-3 hours. According to the chosen method, septoplasty and rhinoplasty are performed for breathing problems. The cartilage and bone structure of the nose is reshaped. If we need cartilage, midline cartilage called septum is often used. If there is not enough cartilage source, the person’s own ear or rib cartilages can be used. At the end of the operation, a special splint is applied on the nose. At the end of the surgery, non-adhesive silicone pads are placed inside the nose.

Postoperative

Cold application is applied on the nose and face for the first 24 hours. After feeding, the patient is carried out. They are discharged on the same day or the next day. If buffer is applied, 2-3. The splint on the nose is removed on the 7th day or according to the needs of the person, and your nasal tip sutures are removed. After the splint is removed, banding is applied in the skin color that will remain for up to 1 week. In the first days, there may be difficulty in breathing. Swelling and bruises may occur on the face and nose. Light activities can be started after 3 weeks, and heavy activities can be started after 4-6 weeks. Glasses can be used after 8-12 weeks.

Postoperative Nose Care

You should use the medications your doctor recommends regularly. Ocean water is recommended for nasal cleansing. In addition, the accumulated blood clots in the nose should be cleaned with the help of creams to be used with ear sticks.

Conclusion

The shape of the nose starts to become clear after about 1 month. At the end of 3 months, approximately 70% of the swelling will be gone. The remaining swelling takes months to go down. It takes about 1 year for the edema to completely disappear and the recovery to be completed.