Frequently asked questions about cosmetic nose surgery

Frequently asked questions about cosmetic nose surgery
 
Most patients who apply to me have both aesthetic considerations, and breathing problems. The fact that I am and otorhinolaryngologist is probably a factor in this. In numbers:
- 50(%) have aesthetic and functional problems together,
- 25(%) have only aesthetic problems,
- 25(%) have only functional problems,
 
Recently, people from all social strata and ages apply for cosmetic nose surgery. I think that successful results is a factor in the increased frequency of cosmetic nose surgeries.
 
People tend to like natural noses. They want noses that suit their faces. In the past, I had patients coming with a photo of a celebrity, requesting the same nose. I didn't have such a
request in the last few years. Because it is certain that a nose is unique to the individual. A nose that suits one face, may not suit another.
 
Aesthetically, the nose shape should be planned according to the individual's facial features.
 
It must be natural, must be harmonious with the other facial structures.
 
A person who doesn't know you, should not be able to recognize that your nose underwent cosmetic surgery.
 
Your close relatives who know that you underwent surgery, should only note positive changes.
 
Breathing complaints should also be resolved at the same time.
 
In the long term, the nose should be free of collapses and crookedness.
 
Following a successful surgery, the nose will fit the face after the swellings are gone. The individual will not be alienated to the result, since it looks natural. Most people forget their old
noses. A well-constructed nose highlights the person's eyes. The expression becomes clearer, then the other beauties of the face are revealed.
 
A poorly constructed nose will impart a tough, angry expression, while a well-constructed one gives a more benign expression. A successful operation leads to positive psychological
changes. It increases self-expression and self-confidence, allows a more positive look.
 
I think that the most important factor in success, is a good analysis of the nose by the doctor.
 
Every nose has connective tissue that carries the nose, and cartilages that shape the nose tip. We work on these connective tissue and cartilages in order to shape the nose in surgery. If
more than necessary connective tissue or cartilage is removed, or if these connections are not fixed afterwards, the nose will hang low, collapse or appear pinched. In order to avoid these problems, I remove as little cartilage from the nose tip structures as possible. I repair and reinforce other connections that carry the nose. More importantly, I support the nose tip
with cartilages and connective tissue I removed from those I take from the rest of the nose.
 
Cosmetic nose surgery procedures can be performed using two methods: open and closed. In the closed method, all incisions are made inside the nose. The surgeon carries out the procedure without seeing, working from the inside. In the open method, a 3-4 mm incision is made on the tip of the nose to open it. This allows reaching the nose structures, and the
surgery is performed without leaving anything to chance. I perform my surgeries using the open method. Because the open method allows control over the whole nose.
 
The incision we use in the open method.
 
I always give this example to my patients: Your car is broken. You go to the repair shop. The mechanic has to examine the engine to figure out the problem. Which one would be right?
Opening the hood or not? Of course, opening the hood, directly seeing the problem and then performing the repairs would be better.
 
The nose is shaped by working on cartilages and bones. These cartilage structures are different in everyone, and should be individually analyzed, their problems identified and the proper solution methods for these problems have to be applied. A cosmetic nose surgery is, in a sense, a game of chess that the doctor plays with the patient's nose anatomy. This is why the
short and long term effects of the doctor's maneuvers in surgery have to be well calculated, the doctor should be patient and not hurry. This is a surgery that you will be very satisfied if
performed correctly, but also very difficult to correct if performed poorly. Damage to the carrying structures of the nose should be avoided when working on cartilages and bones.
Damaging these tissues, excessively removing bones and cartilages, crushing cartilages, cutting them, are the most important causes of severe deformations on the nose in short,
medium and long terms. If these are done, the nose will collapse, look like it's pinched, look excessively lifted, and even cause breathing problems. I shape the nose by using stitches,
supports and additions instead of crushing, excessively removing or cutting cartilages in order to avoid such complications. Actually what I do is just a few brushstrokes over a beautiful
painting.
 
"Proper proportion is beautiful." Umberto Eco
 
In light of this information, Rhinoplasty may be considered the most difficult cosmetic surgery. Indeed, it is a surgical operation where science meets art. This procedure is one of the
cosmetic surgeries where technique, experience and hand skills are critical. Cosmetic nose surgery is difficult because the nose is unique to each individual. There is no difficult or easy
nose. Every nose requires the same level of care. Whether the operation is performed by an otorhinolaryngologist or a plastic surgeon, the procedure requires a level of attention that will
prevent the doctor from simultaneously performing other procedures.
 
Cosmetic nose surgery is a procedure of the facial plastic surgery specialty.  60% of the American Academy of Facial Plastic and Reconstructive Surgery consists of
otorhinolaryngologists. An otorhinolaryngologist is a head-neck surgeon. The only specialty that includes nose surgery in fundamental education is otorhinolaryngology. Facial plastic
surgery is expanding in the world as a branch of otorhinolaryngology. An otorhinolaryngologist involved in facial plastic surgery will ideally resolve your problems. The important thing is
the doctor's experience in nose surgery. You will be the one who chooses the right doctor.
 
There is no upper age limit for this surgery. I had 70-year old patients. The lower limit is different for boys and girls. Cosmetic nose surgery can be performed on girls at 14-15 years of
age, and boys of 17-18.
 
The interior and exterior of your nose will be examined in detail using endoscopic instruments. Problems on the exterior of your nose will be discussed with you. Your face will be
photographed from 8 different angles, and these images are used to plan the surgery. Digital camera images are also used in imaging. This provides a clue to the outcome of the surgery.
 
We will plan what we will do, discuss our alternatives on a digital platform, using the photographs we take. I use a professional computer software called "United Imaging." The most
important feature of this program is that it allows us to work on both the profile, and the frontal view.
 
I perform my surgeries using general anesthesia, in fully-equipped hospitals. In principle, I don't perform surgical procedures in my office.
 
The duration of the procedure varies depending on the patient's problems. I work meticulously in my surgeries, which increases the duration of my procedures. In average, it takes 3 to 4
hours.
 
To protect you from feeling and remembering the operation processes, you will be put under general anesthesia.
 
These practices are globally recognized scientifically and ethically.
 
When you are brought in for operation preparation to prepare you to surgery, your anesthesiologist will administer a medication before you are brought to the operation room as he/she
sees fit. This medication may cause a dry mouth, temporary amnesia and sleepiness.
 
You will be brought to the operation room and:
• ECG probes will be placed on your body to evaluate your heart condition.
• A special needle will be placed in your vein to administer serum.
• A device indicating blood oxygenation will be placed on your finger.
• A blood pressure measurement device will be attached to your arm.
 
Other practices deemed necessary by the anesthesiologist may also be applied. If they are to be applied, you will be informed in detail about the practices.
 
The medication administered to your veins through the needle or oxygen mixed with an anesthetic drug inhaled through the mask will put you to sleep, and as necessary, your breathing
will be stopped and maintained by the equipment. You will not remember these operations. If necessary, oxygen and anesthetic drugs will be administered through a tube placed in your
trachea for breathing control.
 
The operation will be allowed after these operations. Your vital functions will be closely monitored throughout surgery. Medications will be administered and regulated as necessary. All the
procedures will be logged in the "Anesthesia Monitoring Form."
 
We will cease administering the medications, except oxygen, after the operation. We will administer some medications that will remove the effects of others. If inserted, we will remove the
tube in your trachea. We will bring you to the post-op room to monitor your condition. You will be sent to the surgical clinic, after you are considered conscious enough.
 
This is one of the most important points of cosmetic surgery. Most of the patients applying for cosmetic nose surgery not only have deformations, but various nose problems. Chief among
them is the crookedness in the cartilaginous and bony structures that form the middle line of the nose, called "deviations." This is why cosmetic nose surgery should be considered along
with deviations that cause nasal congestion, or enlarged conchae, etc. If your nose is crooked, and this is not eliminated in your surgery, your problems with crookedness and breathing
will continue after your surgery. I think that both interventions, cosmetic and functional issues should be resolved simultaneously..
 
 
 

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