With nasal surgery, large noses can be miniaturized, small noses can be enlarged, if having difficulties in breathing and there are deformities on the nose, these deformities are reconstructed by rhinoplasty while cartilage, bone, mucosal structures will be in compliance with the face in terms of angle, size and location. Briefly, rhinoplasty is a reshaping operation by changing nose sizes, angles, curves, and ratios.
Although the operation for the aesthetic appearance comes to mind as for nose aesthetic, nose is a very important organ that meets a vital need of us such as breathing. For this reason, an understanding of operation based on shrinking and minimizing the nose specially to prevent breathing with aesthetic concerns, has now lost its validity. In nasal surgery, aesthetics and functionality are an integral part of whole process.
If the patient has a problem with breathing and difficulty in breathing, the intervention to solve the breathing problems should be done together with the operations such as deviation, septoplasty, concha reduction, sinusitis surgery. Patients often come with an air channel problem. Aesthetic intervention here also contributes to the breathing function of the nose. The anterior and posterior positions in the cartilage and bone structures in normal and natural nose are reshaped and both aesthetic and functional healthy results are obtained.
Appearance Aspect of Nose Aesthetics
As for the beautiful nose, everyone used to think of them in small, pointed and lifted noses with curved nasal hump which appears like ornament. Now that the nose perception has changed a lot in the society. Nowadays, people find natural noses beautiful which are in proportion to the facial contours of a person. If the nose is beautiful when viewed from the side only, three-dimensional treatment way would be deviated, the nose should be natural and beautiful when it is looked at from the front and diagonally. I believe as a plastic surgeon that nose aesthetics must be approached in a three-dimensional way just as my many colleagues. The artistic counterpart of the three-dimensional evaluation is sculpture.
With this understanding, considering each person’s differences in the facial proportions of the skin bony and cartilaginous structures, a different nose shape should be given that best fits on the person’s face with a three-dimensional approach. The nose consists of many small units, and the harmony between these units and the softness of the transition lines between each other is very important, and the hard edges give the nose an unnatural appearance by taking away the natural look. A good physician should see the patient’s existing structures and disharmony between them and assess them in the best way, make plan in advance and carry them into effect during the surgery. When I am examining the patients, I visualize them first, then I work on the photographs, and I perform my dreams at last during the operation. Another issue as important as being a good physician, is the realistic expectations, which is competing on determining the results, and a healthy individual having a good psychological condition is a must for a rhinoplasty patient. The skin structure of the patient, shape of his/her face and the characteristics of the patient also affects the result.
For men and women, the nose surgeries must be different, I don’t think a deep nose root and round apex is suitable for men and I believe that a higher nose root and flatter nasal bone and thinner apex are suitable for a masculine look. Again, the nose apex of woman and the man should be different from the angles that determine the nose lift.
Another important event that affects nose operations is the S, J, or C shaped curvature of the nose and midline cartilage structures (septum) all of which can be returned to their old anatomic structure during nasal aesthetics. The presence of adequate intra-nasal septum cartilage and ear cartilage is necessary to correct problems, as previous operations (deviation, aesthetic intervention, nasal surgery, bone fracture) may affect the duration of the operation and the end result. In this context, successful nasal aesthetics should provide a well-structured, time-resilient, face-compatible natural appearance and should make breathing even more comfortable.
Things to be done before and after surgery
After we talk about your nose and you at our first meeting, I will examine inside and outside of your nose in detail. If there is an additional disease or problem, we detect it at this stage (such as sinusitis, nasal, polyp), I take your photographs from seven different angles, which is necessary for your surgery. These photos are used to plan your rhinoplasty surgery. I also work on a computer on the images taken by digital camera for the patients who want to have an idea of the post-rhinoplasty appearance of their noses.
We perform the surgery under the hospital environment and general anesthesia. The duration of the operation can be two or three hours depending on the current problems with the nose. After surgery, usually a padding will be in the nose and a plaster on the nose. I do not use padding in my nose surgeries for aesthetic purposes. I also remove the padding usually three days later, and the plaster on the seventh day. After this process, I apply nose bandage for three or four days.
As a result, I tell all my patients who ask me “when I come back to my work” that you can even go back to work the day after the surgery, however I don’t recommend since there is a fatigue that is given by anesthesia and I give this example; I tell them that they will join a business meeting in ten days’ time with a bunch of people who did not know you before and no one can tell that you had a nose surgery, and so healing occur such fast.