{"id":1524,"date":"2020-07-23T09:38:28","date_gmt":"2020-07-23T09:38:28","guid":{"rendered":"https:\/\/bmsclinics.com\/?p=1524"},"modified":"2020-07-23T09:38:31","modified_gmt":"2020-07-23T09:38:31","slug":"what-is-rhinoplasty","status":"publish","type":"post","link":"https:\/\/bmsclinics.com\/en\/2020\/07\/23\/what-is-rhinoplasty\/","title":{"rendered":"WHAT IS RHINOPLASTY?"},"content":{"rendered":"\n

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nReshaping the nose for\naesthetic purposes by preserving its physiology is called rhinoplasty\n\n\n\n<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Rhinoplasty may be a good\noption for you, if;<\/strong>

<\/h4>\n\n\n\n

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nIf you are a female and\nyour age is 16 or over and if you are a male and your age is 18 or over, you\ncan benefit from rhinoplasty surgery. The development of your face is completed\nafter these ages and rhinoplasty may be beneficial for you.\n\n\n\n<\/p>\n\n\n\n

  • Rhinoplasty may be beneficial for you if the size of your nose is large for your face <\/li>
  • Rhinoplasty may be beneficial for you if there is hump or depression on your nasal dorsum.<\/li>
  • Rhinoplasty may be beneficial for you if the width of your nose is disproportionately large. <\/li>
  • Rhinoplasty may be beneficial for you if the tip of your nose is prominently large. <\/li>
  • Rhinoplasty may be beneficial for you if the tip of your nose is obviously dropped <\/li>
  • Rhinoplasty may be beneficial for you if your nasal wings are obviously broad <\/li>
  • Rhinoplasty may be beneficial for you if your nose is asymmetrical due to trauma <\/li>
  • Rhinoplasty may be beneficial for you if your nose is blocked and you cannot breathe

    <\/li><\/ul>\n\n\n\n
    \"\"<\/figure>\n\n\n\n

    What to expect from your\nsurgeon on your rhinoplasty examination?<\/strong>

    <\/h4>\n\n\n\n

    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nThe face-to-face interview\nwith your doctor will be the first step of rhinoplasty surgery. While your\ndoctor is evaluating your physical and psychological compliance with\nrhinoplasty surgery, s\/he should learn your aesthetic expectations about\nrhinoplasty and answer your questions. You should share your previous and\ncurrent health problems with your doctor. You should give information about the\ndrugs and supplementary products you are currently using. Your previous\nsurgeries are important for your doctor. Allergens leading to shortness of\nbreath (dyspnoea) and whether or not you use nasal spray should be evaluated.\nYour doctor should examine your nasal structure, thickness of the skin, the\nshape and size of your nose and pay regard to the relation of your nose to the\nother proportions of the face. After rhinoplasty surgery, you should question\nyour postoperative image and additional procedures that may affect the\ncondition of your breathing. Septoplasty surgery combined with rhinoplasty may\nbe helpful in patients with deviated nasal septum. Jaw implants placed during\nrhinoplasty surgery may provide a stronger jaw profile. Rhinoplasty surgery can\nalso be combined with concha surgery.\n\n\n\n<\/p>\n\n\n\n

    Preparation for rhinoplasty surgery<\/strong><\/h4>\n\n\n\n

    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nTo obtain the best result\nfrom rhinoplasty surgery:\n\n\n\n<\/p>\n\n\n\n

    • Quit smoking a few weeks before and after rhinoplasty <\/li>
    • Do not take aspirin and derivative blood thinners one week prior to rhinoplasty surgery <\/li>
    • Choose your companion who will take care of you at service and at home after rhinoplasty surgery<\/li><\/ul>\n\n\n\n

      What awaits you during rhinoplasty surgery?<\/strong><\/h4>\n\n\n\n

      Although rhinoplasty surgery can be performed under local\nanaesthesia, we recommend that rhinoplasty be performed under general\nanaesthesia since it would be unappealing to remember such an experience. In\naccordance with the preoperative consultation, your nasal angle may change, the\ntip of the nose may be reshaped, your nostrils may become narrower, and the\nheight and width of your nasal dorsum may be reduced by rhinoplasty surgery.\nOpen technique can be used, if it is desired to view the tissues better\nthroughout rhinoplasty surgery. If necessary, tissue transplantation may be\ncarried out from the midline cartilage, ear and rib cartilage, hip and skull\nbone for the reconstruction of incomplete and inadequate bone and cartilage\ntissue during rhinoplasty surgery. Such tissue transplantations are usually\nperformed in revision rhinoplasty surgery, and rarely in primary rhinoplasty.\nTissue reconstruction with silicone and equivalent foreign body is not\npreferred in rhinoplasty surgeries because of the risk of infection. At the end\nof rhinoplasty surgery, nasal wings can be reduced and narrowed. Since the\nsurgical incisions are situated in natural folds, no apparent scar is left in\nrhinoplasty surgery. Also, the repair of septum deviation and nasal concha\nhypertrophy is usually performed with rhinoplasty surgery. Rhinoplasty surgery\ntakes 1-2 hours depending on the planned interventions. At the end of the\nsurgery, you will have a simple nasal packing to prevent possible nasal leaks and\nyou will stay in the hospital for one day. After rhinoplasty surgery is\ncompleted, cold is applied around your eyes, and 4 hours later, you can eat\nsomething and it is possible to walk. Potential bruises after rhinoplasty\nsurgery can be prevented by preoperative cream application, mild swelling\nlasting for 1-2 days recovers within a week, and when the plastic splint placed\nin rhinoplasty surgery is removed a week later, you will have an appearance\nwith which you will be able to participate in any kind of social activity\nconfidently.<\/p>\n\n\n\n

      \"\"<\/figure>\n\n\n\n

      Returning to normal daily\nlife after rhinoplasty surgery<\/strong><\/p>\n\n\n\n

      \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nWhen rhinoplasty surgery\nends, you will regain consciousness in the recovery room and your respiration\nwill normalize. Then you will be transferred to the service. After rhinoplasty,\nlimit your activities at the service and do not let the environment be too hot.\nAfter you rest one day in the hospital and one day at home following\nrhinoplasty surgery, you can return to your desk activities on the third day.\nIf nasal concha surgery is performed in combination with rhinoplasty surgery,\nyour nasal packing can be removed on the second day. At the end of the\nrhinoplasty, there will be a plastic splint on the nasal dorsum. In the first\nweek of rhinoplasty, the splint will be removed and a bandage will be applied\nfor a week to prevent your nose from swelling. In the third week of\nrhinoplasty, your oedema will reduce and then, you can visit your doctor for\nthe first serious evaluation. In the first six weeks of rhinoplasty surgery, you\ncannot use glasses. Although the final result after rhinoplasty surgery is\nprobably obtained after a year, a good appearance can be obtained in a\nfine-skinned female nose at the third month and in a routine male nose at the\nsixth month. The next day after rhinoplasty, you will breathe during the first\nvisit and dressing, however the intranasal oedema that will form will return to\nnormal within a few weeks. In the sixth month of rhinoplasty surgery, during\nthe first consultation, your photographs before and after rhinoplasty can be\ncompared to see the change in line with the planned target.\n\n\n\n<\/p>\n\n\n\n

      Cosmetic complaints and breathing complaints should be resolved simultaneously in rhinoplasty surgery.<\/strong>

      <\/h4>\n\n\n\n

      While the shape of the nose is changed in rhinoplasty surgery\nwith cosmetic concerns, nasal congestion should also be corrected. In addition\nto cosmetic nasal procedures during rhinoplasty surgery, if there are\ndeviation, asymmetry, and associated breathing problems in the nasal cartilage,\ncalled septum, interventions to correct these (septoplasty) should be carried\nout. If the nasal conchae, which play an important role in breathing, are also\nlarge and narrow the air passage, nasal concha surgery should be performed with\nrhinoplasty surgery. If narrow air passage (inner valve failure), usually seen\nin patients with narrow nose and sometimes confused with revision rhinoplasty,\nis present, this narrowness should also be repaired. It should not be forgotten\nthat performing the breathing surgery in advance reduces the success of the\nsubsequent nasal surgery.<\/p>\n\n\n\n

      Revision rhinoplasty<\/strong><\/h4>\n\n\n\n

      \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nRevision rhinoplasty\naccounts for 10% of all rhinoplasty surgeries. In cases of rhinoplasty to be\nrevised, apart from the surgeon’s experience, the factors such as preoperative\nbleeding, oedema and wound healing with scarring may result in revision. For\nrevision rhinoplasty surgery, it would be appropriate to wait for the oedema to\nresolve. This period is one year after the first rhinoplasty. Although the\nlargest volume change in the nose occurs in the nasal root, nasal tip oedema\nresolves most lately. The doctor to perform revision rhinoplasty should be more\nexperienced than the doctor performed the first rhinoplasty surgery. Because\nrevision rhinoplasty is much more difficult than the first rhinoplasty. In\nrevision rhinoplasty, bleeding is more common, tissues are adherent and the\nanatomy has undergone a change. In revision rhinoplasty, the decision on\nwhether only a local deformity will be corrected or the whole nose will be\nmodified in accordance with the face profile is of importance. For example,\nwhile only the nasal hump will be corrected in revision rhinoplasty, it may be\nnecessary to shorten the tip of the nose, if the nose gets longer when the hump\nis removed\n\n\n\n<\/p>\n\n\n\n

      \"\"<\/figure>\n\n\n\n

      In which conditions revision rhinoplasty should not be performed? <\/strong><\/p>\n\n\n\n

      • If the patient has unrealistic expectations or if the doctor and the patient do not think in parallel <\/li>
      • if the nose shape is far removed from the classical appearance <\/li>
      • if the skin of patient planned to undergo revision rhinoplasty is too thick <\/li>
      • if the patient planned to undergo revision rhinoplasty has serious health problems <\/li>
      • if the skin of patient planned to undergo revision rhinoplasty is under the age of 14-15 <\/li>
      • It should not be forgotten that we do not change the style of patient with revision rhinoplasty; we only provide the nose with smooth lines. We cannot solve the psychological problems of patient with surgical techniques. If the patient is not happy with himself\/herself, psychiatric treatment will be more helpful instead of surgery <\/li><\/ul>\n\n\n\n

        What makes a beautiful nose?<\/strong><\/h4>\n\n\n\n

        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nIt should not be forgotten\nthat the most important part of the facial beauty is not the nose. First of\nall, the nose should not hide the beauty of the eyes and the skin. In other\nwords, the nose should be proportional to the face, and its lines should not\ndraw attention so that the other elements of the face are noticed. Contrary to\nwhat is believed, a beautiful nose is high, in other words, the nasal root\nshould not be hollow. Its lines are smooth, in other words, there are no ups\nand downs. Its size is in harmony with face. A retrousse nose does not fit with\nthe long-faced patient, and a fat woman with a narrow nose is not nice. The\nimaginary line passing under the eyebrows ends at the tip of the nose without\ninterruption, the tip of the nose is a little higher than the previous. When\nviewed from the side, the nasal septum is not far ahead of the wings. The angle\nbetween the nose and the lip is 95 degrees in women and 90 degrees in men.\nAlthough there are many other details that the aesthetic surgery is attentive\nto, a nose that is in harmony with the face, high and have strong and\nuninterrupted lines is beautiful in our opinion.\n\n\n\n<\/p>\n\n\n\n

        Risks and complications of\nrhinoplasty surgery<\/strong><\/h4>\n\n\n\n

        Although rhinoplasty surgery does not involve serious health\nproblems, some problems are rarely expected. Despite the fact that rhinoplasty\nsurgery is performed with cosmetic concerns, nasal concha interventions carried\nout in the airway have the risk of bleeding. After rhinoplasty surgeries\nperformed on excessively deviated noses, nasal adhesions, called synechia, may\noccur due to internal skin ruptures. In conclusion, the main problem to be\ndiscussed after rhinoplasty surgery is how successful the surgery is in terms\nof aesthetics.<\/p>\n\n\n\n

        Anatomy and function of the nose<\/strong><\/h4>\n\n\n\n

        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nWhen we take our breath\nthrough the nose, the air inhaled is heated, humidified and freed from dust.\nOlfactory receptors, also known as odorant receptors, are intense inside the\nnose. Apart from smooth nasal septum and non-overgrown nasal conchae, the air\npassage should be wide enough to allow air turbulence to be able to breathe\nwell. The angle of the nasal valve (the angle of the nasal wing with the nasal\nseptum) should be at least 15 degrees. The nose is divided into three main\nstructures: immobile nasal bone, immobile cartilage and mobile cartilage in the\nforefront\n\n\n\n<\/p>\n\n\n\n

        \"\"<\/figure>\n\n\n\n

        False facts about rhinoplasty<\/strong><\/h4>\n\n\n\n

        There are no techniques called micro-rhinoplasty or\nmini-rhinoplasty in the world literature. Performing the standard simple surgery\ncarefully is enough to get the desired result from rhinoplasty surgery.\nAlthough botox, in very rare cases, provides the elevation of nasal tip, its\nuse is very limited and should be repeated every 6 months. The use of filler in\nthe treatment of nasal collapse usually fails to satisfy and is not permanent.\nIf the permanent filler migrates, permanent disability may occur. Suspension of\nthe nasal tip with suspension suture will form the first step of the adventure\nthat will result in damage to the patient. Some ruptures in the cartilage of\nthe nasal tip may result in permanent damage as there is no equivalent.<\/p>\n\n\n\n

        Frequently asked questions about rhinoplasty<\/strong><\/h4>\n\n\n\n

        How many days after rhinoplasty surgery can I leave the city? <\/strong><\/p>\n\n\n\n

        • Your plaster and sutures will be removed a week after surgery. Then, you can leave the city.<\/li><\/ul>\n\n\n\n

          When can I start using glasses? <\/strong><\/p>\n\n\n\n

          • Nasal bone unions after 1.5 months of rhinoplasty surgery and then you can use glasses <\/li><\/ul>\n\n\n\n

            Can I come through rhinoplasty surgery without bruise and swelling?<\/strong><\/p>\n\n\n\n

            • If bruise removal creams are used 3-4 days before rhinoplasty surgery, no bruise forms. Bed rest for the first 48 hours will be very helpful to prevent swelling that may occur after rhinoplasty surgery. <\/li><\/ul>\n\n\n\n

              Should I use scar removal cream after rhinoplasty surgery? <\/strong><\/p>\n\n\n\n

              • In closed rhinoplasty, no scar removal cream is required, but if the nasal wing is narrowed in open rhinoplasty, scar removal cream is very helpful for the first 3-4 months. <\/li><\/ul>\n\n\n\n

                Which surgery can be combined with rhinoplasty surgery? <\/strong><\/p>\n\n\n\n

                • The combination of rhinoplasty surgery with chin tip surgery can be very satisfying. Contrary to this, the combination of rhinoplasty surgery with eye periphery surgeries such as facelift should not be preferred except for special conditions <\/li><\/ul>\n\n\n\n

                  When can revision rhinoplasty be performed at the earliest? <\/strong><\/p>\n\n\n\n

                  • If possible, waiting for 8 months is sufficient in many patients to soften the tissues. <\/li><\/ul>\n\n\n\n

                    What is the possibility of revision rhinoplasty surgery? <\/strong><\/p>\n\n\n\n

                    • The need for revision in a good clinic is 10% provided that there will be minor interventions that will not create the nose over again. In the best hands of the world, this ratio is one in twenty patients <\/li><\/ul>\n\n\n\n
                      \"\"<\/figure>\n\n\n\n

                      Tip Plasty<\/strong><\/h4>\n\n\n\n

                      A special form of rhinoplasty surgery is tip plasty. If the\npatient planned to undergo routine rhinoplasty surgery does not have problem\nwith nasal dorsum and width of nasal root, tip plasty can be performed. The\nbasic preparation, planning and practice in tip plasty are not different from\nthat of routine rhinoplasty. The difference between the procedure and rhinoplasty\nis that the procedure is limited to the tip of the nose and there should not be\nany problem requiring intervention in the nasal dorsum and nasal hump. The\nprocedure takes shorter than rhinoplasty surgery and can be performed under\nsedation. Unlike rhinoplasty, it does not require hospitalization.\nPostoperative swelling and bruising are limited compared to rhinoplasty and the\nhealing is faster. While there is intervention to the bone in rhinoplasty, no\nbone is broken in tip plasty. Tip plasty is a critical surgery that should be\ntaken care of as much as in rhinoplasty. The nasal tip cartilages are reshaped\ninto the desired form as in rhinoplasty. As in rhinoplasty, septum deviation\nand concha hypertrophy treatments may also be added to the surgery in tip plasty\nin the case of respiratory problems. As in rhinoplasty, the patient can return\nto social life and start doing exercise earlier when the bone is not\nintervened.<\/p>\n\n\n\n

                      Closed rhinoplasty<\/strong><\/h4>\n\n\n\n

                      \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nIn the closed rhinoplasty\ntechnique, no visible scar forms in front of the nasal septum. There are cases\nwhere both closed rhinoplasty and open rhinoplasty are preferred. In cases\nwhere closed rhinoplasty is preferred;\n\n\n\n<\/p>\n\n\n\n

                      • The nasal tip has a perfect shape. It is neither too large nor asymmetric. The nasal tip is not very flattened and is not very prominent. <\/li>
                      • If the nasal dorsum is going to be reduced by closed rhinoplasty, the hump is not too large. <\/li>
                      • If closed rhinoplasty is going to be performed, the nose is not too distorted. <\/li>
                      • If closed rhinoplasty is going to be performed, the use of very complicated technique should not be required.<\/li>
                      • Under these conditions, the closed technique is used at the rate of 5%. <\/li><\/ul>\n\n\n\n

                        Open rhinoplasty<\/strong><\/h4>\n\n\n\n

                        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nIn the open rhinoplasty technique, a triangular or\nstep-like line-like scar is present on the front wall of the nasal septum. Open\nrhinoplasty surgery offers many advantages to the surgeon compared to closed\nrhinoplasty surgery. Since the surgeon reaches the cartilage and bone tissues\ns\/he wants to reach more easily and evaluate their positions more clearly in\nopen rhinoplasty surgery, the intervention is easier. In large noses, long\nnoses, noses with high nasal tip and high nasal dorsum, performing open\nrhinoplasty provide an advantage for the surgeon and the patient. Open\nrhinoplasty makes things easier since the tissues are very adherent, especially\nin revision rhinoplasty surgeries. These facilities sometimes allow obtaining\nappearances that are impossible to obtain with closed rhinoplasty. When the\ncorrect incision technique is used, the scars of open rhinoplasty may not be\napparent. Giving shape to the tissues atraumatically with open rhinoplasty\naccelerates the wound healing and leads to obtain the final result earlier.\n\n\n\n<\/p>\n\n\n\n

                        Septorhinoplasty<\/strong><\/h4>\n\n\n\n

                        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nThe structure with bony and cartilaginous components,\nwhich supports the external structure of the nose and regulates the airflow, is\ncalled “septum”. If septum deformity and deviation prevent breathing\nand make the nasal deformity more noticeable, the septum can also be corrected\nwith rhinoplasty surgery. Only 23% of adults had a smooth septum. Therefore, it\nis intervened during rhinoplasty only if there is an aesthetic and functional\nloss. When we use septoplasty in combination with rhinoplasty, we usually use\nthe two-tunnel technique, but one, three, four tunnels can also be used. In\nrectangular septum cartilage, deviated cartilage and bones are removed by\npreserving a 1 cm cartilage tissue on the upper and front wall which carries\nthe nose. The cartilages taken when septoplasty is performed in combination\nwith rhinoplasty will not be wasted as they will be used to support the nasal\ntip and air passage.\n\n\n\n<\/p>\n\n\n\n

                        \"\"<\/figure>\n\n\n\n

                        Concha surgery<\/strong><\/h4>\n\n\n\n

                        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nOn both sides of the nasal cavity, there are\nslice-shaped structures, called conchae. The task of the conchae, which have\nplenty of blood vessels inside, is to heat, cool, humidify and filter the\ninhaled air. The size of the conchae is not stable and varies depending on many\nfactors such as temperature, humidity of the air, body activities, body\nposition, and hormonal changes. Overgrowth of conchae is called concha\n(turbinate) hypertrophy. In the surgical treatment of concha hypertrophy, a\nportion of the enlarged concha is reduced. The reduction procedure can be\nperformed with rhinoplasty surgery. Preferentially, first concha surgery and\nthen rhinoplasty operation are completed without a break. The reduction\nprocedure can be performed by using a few different techniques. Radiofrequency\nsurgery is the most preferred method today. It is a method that allows reducing\nthe portion rich in blood vessels inside without deteriorating the functioning\nsurface of the concha. After entering the concha with the needle of the\nradiofrequency device, the energy given in the frequency of radio waves allows\nthe concha to shrink over time. We use surgical reduction in more severe cases.\nAfter concha surgery, packing can be placed inside the nose for one or two days\nto prevent bleeding. In the first week after concha surgery, nasal congestion\nincreases. The final effect of the performed surgery is obtained 1-2 months\nafter the procedure therefore; nasal congestion should not be expected to\nrecover immediately. If nasal congestion cannot be sufficiently eliminated by\nthe reduction procedure, the same procedure or an alternative reduction\nprocedure may be repeated a few months after the first rhinoplasty.\n\n\n\n<\/p>\n\n\n\n

                        Reduction rhinoplasty<\/strong><\/h4>\n\n\n\n

                        Reduction of the nose by preserving\nthe skin on the nasal skeleton and nasal dome composed of bone and cartilage is\ncalled reduction rhinoplasty. In routine rhinoplasty surgery, the junction of\nthe nasal bones and the facial bone is broken and the nose width is narrowed.\nThe bone and cartilage on the nasal dome are removed to prevent the upper fold.\nThe front tip of the septum cartilage is cut and the length of the nose is\nshortened. The immobile middle and mobile front upper (ala) cartilages of the\nnose are shaved to adapt to this reduction. While the nose is reduced by\npreserving the main skeletal physiology of the nose in reduction rhinoplasty,\nthe skin is expected to shrink and adapt to the nose. Nevertheless, this\nadaptation can sometimes be facilitated by removing the skin from the natural\nfold on the nasal wings with reduction rhinoplasty surgery.<\/p>\n\n\n\n

                        Broken (fractured) nose<\/strong><\/h4>\n\n\n\n

                        The nasal bone is the most damaged\nbone in traumas to the face. Posttraumatic bleeding, edema, bruising and nasal\ncongestion may occur. The diagnosis is made by physical examination and x-ray.\nIn early diagnosis, nasal bone reduction and splint may be necessary. One and\nan half months later, late-term sequelae can be corrected during rhinoplasty\nsurgery. Rhinoplasty surgery and septoplasty have been performed on many\npatients with a history of broken nose.<\/p>\n\n\n\n

                        Fractured septum<\/strong><\/h4>\n\n\n\n

                        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nThe septum, which divides the nasal cavity into two\nand is composed of bone and cartilage, leaning towards one side or sometimes\nboth sides is called septum deviation. If the fracture in the septum prevents\nbreathing, it may lead to pharyngitis and sinusitis due to breathing through\nthe mouth at night. If the fractured septum prevents breathing, it should\nabsolutely be intervened during rhinoplasty surgery. Because nasal dorsum\ncollapse and dropped nasal tip may form in isolated surgeries. Septoplasty\nsurgery is an integral part of rhinoplasty surgery. If septoplasty surgery is\nadded to rhinoplasty surgery, placement of nasal packing is beneficial for the\nearly resolution of oedema. However, the special silicon packing used in\nrhinoplasty surgery does not prevent breathing\n\n\n\n<\/p>\n\n\n\n

                        Damaged septum<\/strong><\/h4>\n\n\n\n

                        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nThe skin damage of the septum, which forms the midline\nof the nose and is composed of bone and cartilage composition, may be due to\nprevious rhinoplasty surgery, intranasal bleedings, drugs used or trauma. Small\nnostrils may sometimes make a sound in respiration. Although small perforations\nare ignored, perforations larger than 1 cm are repaired during rhinoplasty\nsurgery. Three-layer nasoseptal repair is easier in open rhinoplasty surgery\ncompared to isolated repair. Because in open rhinoplasty, the perforation area\nis approached from the large area, and the cartilage graft is found by\nsearching the entire area. Moreover, since the entire mucosa (intranasal skin)\ncan be dissected in open rhinoplasty, skin shift is relatively easier. Ear and\nrib cartilage can also be used if the donor cartilage is insufficient.\n\n\n\n<\/p>\n\n\n\n

                        Broad nose<\/strong>
                        <\/h4>\n\n\n\n

                        Narrowing the broad nose is an\nimportant part of rhinoplasty surgery. What we mean when we say broad nose in\nrhinoplasty surgery is that the upper 1\/3 of the nasal root is broad and as the\nextension of this condition, the base of the nose is broader than normal.\nUsually, a broad nose is completed with a high and prominent nasal tip. In many\ncases, there may be traumatic broad noses resulting in broad nasal tip base\ncaused by dropped nasal tip after nasal septum collapse due to broken nose or\nprevious airway surgery. Osteotomies that narrow the bone are performed to\ncorrect a broad nose with rhinoplasty. In most patients, the nasal wings are\nalso required to be narrowed at the end of rhinoplasty. In the case of nasal\ntip collapse due to previous rhinoplasty, the elevation of the nasal tip with\ncartilage graft will improve the broad appearance of the nose. Inner valve\nrepair, which is very important for a good respiration, will also need to be\nrepaired in rhinoplasty surgery to narrow a broad nose.<\/p>\n\n\n\n

                        \"\"<\/figure>\n\n\n\n

                        Depressed nasal dorsum<\/strong><\/h4>\n\n\n\n

                        In saddle nose deformity, the nasal\ndorsum is 2-3 mm below the nasal tip and nasal root line. Although this\ncollapse usually results from a previous rhinoplasty surgery, it may be\nassociated with the genetic structure. If only the nasal dorsum is collapsed\nduring the first rhinoplasty surgery, it is simply solved with a rib graft in\ngeneral. However, if both the nasal dorsum collapse and shortness occurred in the\nfirst rhinoplasty surgery, the repair is difficult and requires a rib graft. If\nthe tip of the nose has also collapsed during the rhinoplasty surgery, this\nhides the deformity. In such a case, both the nasal tip should be elevated and\nthe nasal dorsum should be filled.<\/p>\n\n\n\n

                        Dropped nasal tip<\/strong><\/h4>\n\n\n\n

                        If the ratio of the nose length to\nnasal tip height is less than 0.67, the tip of the nose is flattened. This is\nalso determined by the height of the chin and the height of the middle face.\nNasal hump is usually present in patients with dropped nasal tip. The removal\nof nasal rump in rhinoplasty surgery will show the nose more flattened and\nwide. When a correct diagnosis is made in rhinoplasty surgery, strengthening\nthe nasal tip and less removal of nasal hump will fix the problem.<\/p>\n\n\n\n

                        Aquiline nose<\/strong><\/h4>\n\n\n\n

                        Correct evaluation of an aquiline\nnose affects the result of rhinoplasty surgery. Of course, the line between the\nnasal tip and nasal root should be straight, but if the nasal tip and nasal\nroot are planned correctly! A flat, high and non-fragile nasal dorsum is\nrequired for a beautiful nose. When the nasal root is too hollowed, the nasal\ndorsum appears to be humped which is very deceptive. Likewise, if the nose of\nthe patient who will undergo rhinoplasty is flattened, the nasal dorsum seems\nto be humped. In such a case, it would be more appropriate to elevate the\nflattened nasal tip or to fill the hallowed nasal root instead of removing the\nhump in rhinoplasty surgery.<\/p>\n\n\n\n

                        \"\"<\/figure>\n\n\n\n

                        Deviated nose<\/strong><\/h4>\n\n\n\n

                        Deviation of the nose may be\noriginated from bone or cartilage. In many of them, the trauma occurs in\nchildhood, and the prominence increases in the growth period. In cases of\ntrauma before the development of nose, the base of the nasal bone is also\ndeviated and its repair is more difficult than adolescence fractures.\nUnfortunately, the recurrence rate in cartilage reduction technique used in the\ntreatment of deviated nasal cartilage in rhinoplasty surgery reaches up to 30%.\nWhen the septum-middle cartilage that has recovered after cartilage scratches\ncarried out during rhinoplasty surgery is supported by cartilage grafts-meshes,\nthe recurrence rate decreases to 5%. Although the correction of deviated nasal\nbone is technically more difficult in rhinoplasty surgery than cartilage, the\nresult is more guaranteed and recurrence is less common.<\/p>\n\n\n\n

                        Narrow nose<\/strong><\/p>\n\n\n\n

                        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\nAlthough narrow nose is encountered more after\nrhinoplasty surgery, we also encounter with noses that are genetically narrow.\nWhile the nasal base width is evaluated, the width of the nasal wings should be\nas much as the length between the two eyes, or the line passing through the\nnasal wing should reach to the edge of the eye. The upper width should not\nexceed 75% of the lower width. The difference between the nose width and the\nnasal tip width should not be obvious. In patients with narrow nose, there is\nno good air turbulence, so the nasal dorsum should be enlarged with expander\nmeshes during the surgery. The increased use of new techniques has strengthened\nthe surgeon’s hand.\n\n\n\n<\/p>\n\n\n\n

                        Elevated nasal tip<\/strong>
                        <\/h4>\n\n\n\n

                        If the ratio of the nose length to\nthe nasal tip height is roughly above 0.67, the tip of the nose is elevated.\nThis is also determined by the height of the chin and the height of the middle\nface. A flattened or elevated nasal root sometimes makes the evaluation\ndifficult. Although it is technically very easy to reduce the nose height, the\nresults should not be ignored. When the nose height is reduced during\nrhinoplasty, the nasal wings will be enlarged and will be narrowed, if\nnecessary. If the prominence of the nasal tip is increased by the size of nasal\ntip cartilage not by the septum height, the most complex manoeuvres of\nrhinoplasty surgery are performed. The natural structure of the nasal tip is\ndistorted and it is reconstructed by new hand-crafted small cartilages in rhinoplasty.<\/p>\n","protected":false},"excerpt":{"rendered":"

                        Reshaping the nose for aesthetic purposes by preserving its physiology is called rhinoplasty Rhinoplasty may be a good option for you, if; If you are a female and your age is 16 or over and if you are a male and your age is 18 or over, you can benefit from rhinoplasty surgery. The development…<\/p>\n","protected":false},"author":2,"featured_media":1522,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[41,42],"tags":[],"yoast_head":"\nWHAT IS RHINOPLASTY? - BMS Clinics<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bmsclinics.com\/en\/2020\/07\/23\/what-is-rhinoplasty\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"WHAT IS RHINOPLASTY? - BMS Clinics\" \/>\n<meta property=\"og:description\" content=\"Reshaping the nose for aesthetic purposes by preserving its physiology is called rhinoplasty Rhinoplasty may be a good option for you, if; If you are a female and your age is 16 or over and if you are a male and your age is 18 or over, you can benefit from rhinoplasty surgery. 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