A design is created in the light of the patient's expectations, the present malformations (and malfunctioning if present), physical examination findings and imaging methods as needed.
Should surgery be open or closed technic?
Rhinoplasty is performed by two primary techniques, open and closed. In addition to open surgery, external incision is applied to the columella (column between nose wings). External incisional stitches are usually taken 7 days after the operation and can heal without a very marked scar. It may be more appropriate to choose the open technique for patients with nose wings, nasal bone-cartilage (septum) and severe nasal dorsum problems.
In closed technique, scar problems are less common; because no external incision is madde on columella.
The choice of closed technique may be more appropriate for patients with milder degrees of deformation compared to the open technique.
However, it is also possible to correct these cases with open technique.
Surgical technique should be evaluated together with the patient's expectations and severity of the deformity.
Current methods (Ultrasonic Rhynoplasty & Microsaws)
"Primum non nocere." Meaning "do not hurt first". In rhinoplasty surgery, A succesful surgery depens on a careful, meticulous and planned study. Although similar methods are used on, depending on the skin and tissue structure of the person, there may be swelling and bruising on the postoperative changes in variable degrees and these changes are usually short-lived. Current methods such as Ultrasonic Rhinoplasty and Microsaws can help to reduce bone and soft tissue trauma. However, the importance of working respectfully to the tissues to reduce trauma continues today. I can also use ultrasonic rhinoplasty device and microsaws in my nose aesthetic surgeries.
How design should be
It is important to design the nose which is suitable for the face in nose surgery. For example, a sharp-pointed nose design with a rounded facial may not be suitable. Therefore, it is appropriate to target the model of the nose, which is suitable for the face instead of a single ideal nose model.
Postoperatively, it is important that the head is placed slightly above the body in the supine position and that edema is regressed and the nose is protected.
In the first one or two days sometimes blood can come from this way in a dripping manner. If the bleeding is persistent or lasts longer, it is important that you check with your physician.
It is also advisable to wash the nose with intermittent saline to maintain the air gap of the nasal tampons, which allows you to breathe through your nose after surgery.
Intermittent cold application is recommended to minimize swelling and bruising during the first few days postoperatively. After adequate and regular cold applications, swelling and bruises usually begin to decrease after 48 hours.
Regular use of postoperative care is important.
If surgery is performed with open technique, skin sutures are usually taken 7 days after surgery.
The splint placed on the dorsum of the nose is usually taken 1 week after the operation.
Tampons that placed in the nose are taken depending on the patient's condition between 3 and 7 days.
It is recommended to use a hat especially in summer and spring to protect the face area from sunlight after surgery.
Glasses and sunglasses can make pressure on the nose, it is advisable to delay the use of glasses early period.
If there is no complaint after 3 weeks of operation, it is possible to swim, but it is important to protect nasal skin from sunlight. You may use suntan cream at that time.
Heavy exercise should be avoided at least 4 weeks after surgery.