Category: BURUN ESTETİĞİ

NOSE AESTHETICS

WHAT IS RHINOPLASTY?

There are certain proportions and angles within the face itself. If these pain and proportions are changed due to a reason caused by the nose, it will give the person a harsher, more angry facial expression and may mask the beauty of the eyes and lips. Nose surgeries performed to recreate these proportions are called rhinoplasty operations.

CAN THE SAME RHINOPLASTY OPERATION BE PLANNED FOR EVERYONE?

Rhinoplasty operations are planned individually. When the patient’s facial structure, nose features and expectations are taken into consideration, it becomes clear that the rhinoplasty surgery to be performed is different and personalized. If proper planning is done before rhinoplasty surgery, it is not possible to encounter noses that have no relation with aesthetic appearance, such as nostrils that are visible when viewed from the opposite side, excessively upturned, look like cuts, look like they are compressed with a clothespin, or a very carved nose that screams I am aesthetic as soon as you look at it. The important thing here is the surgeon’s aesthetic understanding and skill. By using these virtues, the surgeon can save the patient from the torment of undergoing the same operation over and over again. Thus, both the patient and the surgeon are happy.

IS IT POSSIBLE TO KNOW HOW THE NOSE WILL BE BEFORE RHINOPLASTY SURGERY?

Before rhinoplasty surgery, it is possible to see how the patient’s facial photographs taken from the front and sides of the patient will look like, especially the side profile appearance, at a rate close to 100% by evaluating them in a computer environment. However, it is necessary to distinguish this well; every move that can be made in the computer environment may not have an equivalent in plastic surgery operations. For this reason, in order not to encounter a surprise after rhinoplasty surgery, only and only surgical changes should be shown on the computer. At this stage, patient-doctor relationship and trust are the only determinants.

CAN BREATHING PROBLEMS BE CORRECTED AT THE SAME TIME IN RHINOPLASTY OPERATION?

In rhinoplasty operation, breathing problems such as deviated septum (curvature of the nose and breathing problems), shape and breathing disorders caused by previous blows, concha hypertrophy (nasal flesh) can be corrected in a single session. In this way, an aesthetic and natural nose shape in harmony with the face is obtained, while breathing problems and frequent throat infections (tonsillitis, pharyngitis, etc.) are prevented. Problems originating from the nose such as loud breathing, snoring and headache, as well as dry mouth and sore throat, especially in the morning, are also eliminated.

CAN THE NOSE FALL OR COLLAPSE AFTER RHINOPLASTY OPERATIONS?

These are not normal results of rhinoplasty surgery. If the patient’s problems are correctly identified, the planning is done well and the rhinoplasty surgery is performed successfully, contrary to what is known, such things are absolutely out of the question. If these parameters are not taken into consideration, the patient may have to undergo rhinoplasty surgery several times.

DOES THE NASAL PLASTER HAVE TO BE USED AFTER RHINOPLASTY? IF IT IS TO BE USED, HOW LONG IS THE DURATION?

In the classical sense, plaster or thermoplastic splints should be placed after the rhinoplasty operation and remain for an average of one week. Sometimes the appearance of the nose can be corrected with only minor touch-ups, and a bandage may be sufficient instead of a plaster cast after these medical surgeries.

IS IT PAINFUL TO REMOVE THE TAMPON AFTER RHINOPLASTY SURGERY?

In the past, very long tampons were filled into the nose, so the patient naturally felt pain when the tampon was removed. In today’s surgery, applications that will disrupt the patient’s comfort (if not essential) are abandoned. For this reason, the tampons used now are only 2-3 cm long, so as not to disturb the patient, and are easy to remove spontaneously even with sneezing. The nasal tampon is removed 1-2 days after the rhinoplasty surgery and there is absolutely no pain.

IS THERE PAIN AFTER RHINOPLASTY OPERATIONS? DOES THE EYE AREA BRUISE AFTER RHINOPLASTY?

In the past, when the nasal bones were intervened in classical rhinoplasty surgeries, bruising and swelling were encountered to a great extent. Today, during rhinoplasty surgery, a solution containing painkillers, bleeding reducers, etc. is administered to the nasal area, preventing both pain sensation and bruising and fog formation after rhinoplasty surgery. In some cases, bruising cannot be completely prevented, but it can be minimized. After rhinoplasty surgery, many patients do not even feel the need for simple painkillers.

WHAT IS THE IMPORTANCE OF PATIENT-AESTHETIC SURGEON DIALOG IN RHINOPLASTY SURGERIES?

The planning stage of rhinoplasty surgery is completely personal and is directly related to the surgeon’s aesthetic vision and taste. Aesthetic vision is an indispensable parameter that complements knowledge and experience. In the planning stage of rhinoplasty surgery, if the patient and the plastic surgeon have similar concerns and their aesthetic tastes overlap, the result is likely to be good. An aesthetic operation to be performed without establishing this dialogue and analyzing the patient’s expectations and concerns will naturally bring surprises. It is also not very correct to show the nose of a person who has had rhinoplasty surgery before as an example and to ask for the same nose shape. Because that nose is the nose that will suit that person, the nose shape that will suit everyone’s face is different. What is important here is to be able to determine the natural and beautiful nose shape that will suit the face, which will not be obvious that it has rhinoplasty surgery, taking into account the expectations of the person. For example; If a nose shape that suits one person is fabricated for hundreds of people like mass production, it will look funny in some, mediocre in some, and magnificent in others because many factors such as face shape and bone structure etc. affect the result. Therefore, not only professional skill but also aesthetic vision is essential for a successful operation. In addition, if the plastic surgeon has decided that the patient’s wishes are not realistic (it cannot be done surgically, it will disrupt his health, etc.), or that the result will not look aesthetic, on the contrary, it will look worse than before, but if he cannot convince the patient, he will also prevent possible disappointments by not performing this rhinoplasty surgery.

Tags atilla ersoy, burun eğriliği, burun estetiği, burun revizyonu, estetik, rhinoplasty, rinoplasti

BURUN ESTETİĞİ

NOSE REVISION

Revision nose surgery is applied to patients who have undergone surgery before but the desired nose shape could not be obtained. In other words, it can be called secondary aesthetic nose surgery. Revision nose surgeries are more difficult than the first surgery. The soft tissue in the nose can be easily damaged and at the same time, as a result of hard surgical interventions to the nose or tissue thinning, the nasal skeleton from the skin may become prominent. The skin may adhere to the mucosa as a result of excessive removal of cartilage, and there may be a loss of flexibility of the nostrils.

In patients with thick skin, obvious defects may be masked by the non-thinning skin covering, and the most that can be expected in these cases is a moderate correction. Limited dissection and placement of dorsal and tip grafts should enlarge rather than diminish the nose. Also, dead spaces should be eliminated.

The thin skin of the nasal tip and the lateral angle of the radix, where the tissues begin to thin towards the eyelids, can be overcome. But the difficulties vary from case to case. When reconstructing, problems can be in the external tissues, mucosa and at the level of the osteocartilaginous skeleton.

NOSE REVISION PATIENTS

The key phenomenon here is the psychological profile of the patient undergoing multiple Rhinoplasty operations. While primary cosmetic rhinoplasty patients are not so much affected by a negative outcome, second revision rhinoplasty patients are well aware of the risks of the surgery and start to demand more for corrections. They may be reminded again and again of the negative results of the first procedure and some of them may want to go back to the way they were.

In nasal revision surgery, caution should be exercised if the patient’s expectations are too high. Especially if the defect is very pronounced and the outcome is unpredictable. In cases of excessive injury, minor surgery is recommended. Graft placement should be performed with limited dissection of the dorsum of the nose and should be performed using a closed approach.

Although quite significant corrections have been realized in the primary aesthetic nose surgery, some patients may still have minor defects; they may indicate that they are satisfied with the first surgeon but still want an advanced reconstruction. The Aesthetic Surgeon should be wary of patients who still complain and expect perfection even though they have very minor defects, and should also be wary of patients who have significant defects and disparage their first surgeon. Sometimes these patients consult many specialists and still have very high expectations.

NOSE REVISION BEFORE SURGERY

Examination It is very important to take a detailed history and analyze the photographs closely and to read the reports and worksheets of previous operations. Worksheets detailing the position, amount of resection and grafts are very useful. This combination of information helps the plastic surgeon to appreciate the original deformities and understand how they were treated, whether the septum or any other area was intervened and whether any complications occurred. In primary cases, the nasal examination should be performed in the same way. The soft tissues should be examined and palpated to understand their condition and whether any injury has occurred.

The nasal revision examination should be from the nasal root to the tip of the nose, the position and protrusion of the nasal root, the dorsum of the nose should be evaluated, and any asymmetry in the bony and middle roof arch should be determined by examination and palpation. The nasal tip and nasal roof supports should be evaluated.

Intranasal examination may reveal external and internal valvular problems, septal curvatures, perforations and adhesions. To assess whether the septum has been intervened; the plastic surgeon can precisely examine one side of the septum using a flat head instrument and at the same time observe the other side with a light support. If the cartilage of the septum has been removed, a softness will be evident in this area.

Consent The purpose of obtaining consent from patients undergoing nasal revision surgery or secondary rhinoplasty is more about gaining their trust than obtaining a signed attestation of any complications that may occur. Simply saying, “We cannot fully guarantee” may not be satisfactory to the patient. Instead, the patient should be informed about the dangers of the surgery and the procedure. The purpose of this consent is to allow the patient to accept his/her active role and participation in the procedure when he/she finds a result that is slightly less than the ideal result he/she expects for an aesthetic and functional nose. It should be as if the patient and surgeon are on a team journey, and if any problems arise along the way, they should be addressed in a team spirit.

Problems such as prolonged edema, some unfortunate and invisible accidents, risk of infection and bleeding are to be expected. Finally, a potential hostility between an unhappy patient and a defensive surgeon should be avoided.

From the revision rhinoplasty surgery physician’s point of view, the patient is more demanding. Talking about the failure of previous interventions and the incompetence of the previous surgeon can be very seductive for the patient. Such an approach is a sick approach. A confident plastic surgeon focuses on fixing the problem instead of exhausting the patient with the misfortunes he/she has experienced and plans revision rhinoplasty to identify potential defects and eliminate these defects. In the consultation before the procedure, the options put forward for a perfect result should coincide with the surgeon’s goals. If the promises are too high, the patient’s expectations will be equally high. If everything goes well and perfect results are achieved, there will be no problem, but if there is the slightest defect or problem, it will be difficult for the patient to accept it.

AFTER NOSE REVISION SURGERY

Many early problems such as mild asymmetry, rough nasal tip and defects in definitions can be solved within a few months following surgery. During the healing process, the surgeon should support the patient. After 1 year, a nasal revision is usually performed, but if there is serious damage that can be corrected with a quick operation, this operation is traditionally performed within a week. Examples include removal of a displaced graft or correction of over-shortened noses caused by displacement of the septum.

A minor defect, such as visible dorsal prominence, can be corrected within a few months with local anesthesia and gentle filing. Correction of secondary nasal tip problems and correction of thick and damaged soft tissues should be performed at least one year after the primary procedure.

NOSE REVISION SURGERY TECHNIQUES

The surgical approach varies according to the physician’s preferences. No single approach or technique alone is sufficient to perform primary or secondary nasal revision surgery, as this depends on the indications. The technique chosen also depends on the challenges that exist. These challenges include the invisible ones.

An approach with a closed technique can be used for minor defects. These defects may be an arched nose or small depressions, patients with a normal-sized nasal tip without significant asymmetry and patients with defects that border only the dorsum of the nose are good candidates for closed revision.

Closed nasal revision surgery can provide a favorable view to realize the desired corrections through the incision. This is especially true when the tip of the nose is symmetrical and does not pose a major problem. However, if the physician encounters any problems or the surgical field of view does not allow the appropriate correction to be made, there should be no hesitation in switching to an open approach. In summary, the closed approach is indicated for small nasal tip interventions and only for the solution of nasal dorsum problems.

The open approach is a good choice for difficult noses with multiple problems. It offers a better intervention especially in cases of nasal tip asymmetry, short or long nasal tip length and rough nasal tip. It should also be preferred in cases of any secondary procedure, post-traumatic rhinoplasty, any first rhinoplasty involving more than one maneuver and difficult type cases.

Tags atilla ersoy, burun eğriliği, burun estetiği, burun revizyonu, estetik, nefes alma

BURUN ESTETİĞİ

BREATHING PROBLEM

It is possible to categorize nasal obstruction, i.e. breathing problems, under three headings: septum deviation, turbinate hypertrophy and nasal valve problems.

The structure that divides the nose into two equal parts in the midline is called septum. It is structurally composed of cartilage and bone. Curvatures may occur in these structures depending on many factors. Most commonly, it occurs due to traumas in the growing age and due to these bends, it curves in a C or S shape and loses its straightness in the midline. This condition is called septum deviation. It is the most common cause of breathing disorder.

BREATHING PROBLEMS DUE TO NASAL CURVATURE SEPTUM DEVIATION

Although the problem of nasal curvature is actually present in many individuals in the society, people are mostly unaware of this situation because the minimal curvature in the septum does not cause a problem in breathing. In addition to nasal congestion caused by trauma-related curvatures, nasal deformity also occurs.

A curved nose can also narrow or completely block the airway inside the nose. While the nasal cavity on the side where the septum is curved narrows, the nasal cavity on the other side widens. This disrupts the balance of air flow through the nasal cavities. It causes more air to pass through the wider airway and less air to pass through the narrower airway. In order to rebalance the airflow in both nasal cavities, the turbinates on the wider side enlarge and this shrinks the wider nasal cavity and tries to equalize it with the opposite nasal cavity. This condition is called turbinate hypertrophy, commonly known as nasal flesh growth.

It is the 2nd most common cause of breathing problems after septum deviation. In summary, nasal curvature causes concha hypertrophy and breathing problems arise because air passage in both nostrils is reduced.

NOSE CURVATURE SEPTUM DEVIATION SURGERY

The treatment of a person with breathing problems due to deviated septum is surgery. Since most people will have surgery for this reason, they also want to have aesthetic rhinoplasty surgery at the same time. On average, half of the patients who apply to our clinic are patients who want to correct both breathing and aesthetic problems. In the operation, it is treated by removing or correcting the curved part. Concha hypertrophy usually resolves spontaneously within 3-6 months after correction of the deviated septum. Radio frequency is usually applied to accelerate this process.

The third reason is the decrease in the angle of the septum to the upper outer cartilages on the back of the nose. This condition is called nasal valve problem. In the treatment of nasal valve problems, thin long cartilages can be placed on the upper outer edge of the septum, sometimes unilaterally and sometimes bilaterally, to widen this area.

ADVANCED NASAL CURVATURE

Severe curvatures of the nose can cause breathing problems as well as making the nose look curved from the outside. In fact, if the nose is curved from the outside, breathing problems will be accompanied by breathing problems as there will most likely be curvature inside. In such cases, correcting only the internal curvature of the septum without correcting the external curvature of the nose often does not give a satisfactory result, even if the person’s breathing improves to some extent, he still cannot breathe with good quality. Therefore, correction of these two problems in the same operation will always give the best result. Generally, patients who will undergo surgery for breathing problems want aesthetic nose surgery to be performed in the same operation if they have a deformity in their nose. In this way, both aesthetic and breathing problems are corrected with a single intervention.

Tags atilla ersoy, burun eğriliği, burun estetiği, estetik, nefes alma

BURUN ESTETİĞİ

NOSE TIP AESTHETICS

It is a procedure performed to correct the deformity of the tip of the nose (asymmetry, width, drooping, mandala-tightened nasal tip deformity) where the anatomical structure of the nasal bone is normal.

PRE-OPERATIVE INTERVIEW
First of all, your complaints about your current nose and your expectations after surgery are evaluated.
Your nose is photographed from 8 different angles and its possible postoperative appearance is shown to you on the computer.
Before and after photos of the operated noses are shown.
When you decide on the operation, my assistant plans the appropriate operation day for you
OPERATION TECHNIQUE

Closed rhinoplasty technique (there is no scar outside the nose because the procedure is performed from inside the nose) is used.
Since the nasal bone anatomy is normal, no procedure is performed on the bone.
The cartilage and soft tissue that make up the nasal tip structure are reshaped!!! (The point where art and science meet). Low, excessive height or asymmetry at the tip of the nose, curvature of the nose, nasal tip, nostrils are corrected and an aesthetic appearance is provided. After giving the nose its new aesthetic shape, special tapes are glued to the outside of the nose. No tampons and splints are used.

OPERATION DURATION

It varies between 30-60 minutes depending on the size of the problem in the nose.

HEALING PROCESS

Discharged on the same day after the operation
1-2 days after the operation, you can take a warm shower without wetting the special bands placed on the nose and return to your normal life.
After 5-7 days of the operation, the tapes on the nose are removed.
Depending on your nose structure, you will be shown how to massage the tip of your nose if necessary.
After the third week, you become more aware of the approximate new shape the operation has given to your nose and start to enjoy it.
The tip of the nose takes its final shape in about 6 months.

Tags atilla ersoy, burun estetiği, estetik

CALL US NOW :

MAILING ADDRESS :

Medikal Plaza, Güvenevler, 1919. Sk. D:No : 3/1, 33140

Son Yazılar

Son Yorumlar

Arşivler

Kategoriler

It is now very easy and fast to reach our surgery via whatsapp...!

SOCIAL MEDIA & CONTACT