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WHAT IS KARMA RINOPLASTY AND WHO CAN APPLY?

It is the name given to a closed nose by a team of physicians. All techniques of closed nose aesthetics are applied in this technique. It is a kind of rhinoplasty which can be easily done in the nose with minor problems.

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LASER AND NOSE AESTHETICS ARE MADE?

Laser is used efficiently in various branches in the medical world. But in the nose aesthetics, the laser is only used for minimizing the nose and thinning of the nose skin. Apart from these, laser applications have no place in the formation of bone and cartilage. In the light of these data there is no such thing as laser nose nose. Expressing the laser in nasal aesthetics is a movement that carries purely commercial concerns.

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NASENÄSTHETIK MIT PIEZO-CHIRURGIE (Ultraschall-Nasenkorrektur)

The piezzo device, which has been severely popularized in the last three years in nose aesthetics, is a device used to cut and shape the nose bones. This device has become a very important position in nose surgery. Specifically, it cuts the nasal bones and causes less damage to the surrounding tissues, thus reducing swelling and bruising after surgery. But it would be wrong to say that there is absolutely no pain or bruise or pain. It is a device used in rhinoplasty surgeries with open technique but it can also be used in rhinoplasty surgeries with closed technique. This device is introduced by various surgeons with different names such as ultrasonic piezzo surgery, Italian nose aesthetics. But they are all different names of the same device. Piezzo ultrasonic cutter is frequently used in nose surgery but it should not be forgotten that the device is only an auxiliary equipment. The surgeon's knowledge and experience are always at the forefront. The fact that the appliance is used does not always mean that your nose will be perfect. I use this device to shape and correct the nose in daily surgical practice.

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3D - VECTRA IMAGE FOR REALISTIC RESULTS IN NOSE AESTHETICS

Technological approaches that develop with the rapidly developing innovation flow also affect the medical world. New nasal aesthetic techniques and technological devices have been used every day. These three-dimensional (Vectra 3D) imaging is one of these technologies. Thanks to a specially designed camera, real-time and high-resolution images of your face are taken. With the operating system developed by Vectra 3D, nasal shaping of all sizes can be made in your three-dimensional 3D portrait image. Thanks to this technology, it is possible to reach the nearest images that may occur after the operation. It is possible to get more quality and realistic results than classic photoshop image. In Photoshop, vector studies can be performed on a single dimension while vectra 3D imaging allows the nose to be evaluated by examining it in every dimension and more realistic results can be obtained. At the same time, all angles of the nose are planned, values ​​and proportions can be calculated on this system. In addition, pre- and post-rendering video effects can be used to create pre-and post-real-time visual effects.

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Cosmetic Nose Surgery in Male Patients

Male patients are increasingly requesting cosmetic nose surgeries. In western countries, male patients constitute a quarter of all cosmetic nose surgery patients.
 
There are some fundamental differences that separate male cosmetic nose surgery from female cosmetic nose surgery:
 
1. The most important factor in the aesthetic looks of a male patient is to maintain the masculine look. The method of achieving this result may vary according to the facial type and harmony of the patient. As a general rule, the nose tip must not be excessively lifted or thinned, and a lifted nose has to be avoided (these are rarely done even in female patients, since they disrupt the natural look). The angle between the nose and the lip should be kept around 105 degrees for women, and 90 degrees for men.
 
If the objective is a straight nose with a slightly lifted tip, prominent cheekbones and chin lines will create a balance that prevents the feminization of the face. Indistinct chin structure and cheekbones may make the nose look larger than it actually is. Interventions in these areas may be suggested to the patient to ensure balance.
 
In general, minimizing the nose, maintaining a strong height even in a straight nose leads to a good projection, and a more natural, positive outcome.
 
2. The requests of male patients are not usually as homogenous and consistent as the female patients. This means that male patients may sometimes apply with only complaints about the nose bridge, or a low or wide nose tip. Correcting only these areas may be adequate for them. Because there is no standard cosmetic form for male noses. While for female noses, there is a cosmetic form that is usually demanded, and that can be defined through golden ratios, and this requires intervening in all the necessary parts of the nose.
 
3. The basic motivation for some male patients may be better breathing, cosmetic requests may be due to secondary changes resulting from traumas that lead to breathing problems.
 
4. The body image of middle-aged and older men is usually established and making prominent changes may make the patient unhappy. On the other hand, for an adolescent patient who is not in peace with his genetically inherited nose shape, conservative but prominent changes may be a better option.
 
5. For male patients, the potential outcome of the surgery has to be discussed over a draft using digital imaging techniques, and the amount of change demanded by the patient has to be well understood.
 
6. Although the interventions are more cautious, the revision rates for male patients are somewhat higher than for female patients.
 
7. The skins of male patients are thicker and oilier, this causes the swelling to last longer after surgery. Applying fractioned carbon dioxide laser before or after surgery to slightly improve this skin, and to firm the pores will make the skin quality better. For middle-aged or older male patients, acne rosacea or its advanced form, rhinophyma may be observed. Since the structure that provides thickness to the nose tip in such patients is the thickness of the skin, rather than the cartilages, the cosmetic intervention has to be planned accordingly.
 
8. The fact that bone and cartilage structures are thicker in men may cause more swelling and bruising on the face, especially in surgeries with bone breakage.
 
9. Male patients have a greater nose injury history due to sports and traumas than females. Septum deviation is more frequently encountered in men, and in more prominent dimensions. This also has to be fixed in cosmetic nose surgery.
 
10. Ethnical characteristics are more prominent in male noses than in females. The ethnical nose types commonly seen in our country are "Black Sea Nose" and "Arabic Nose."
a. Black Sea Nose: Noses that are not too wide, with relatively thin skin, but with a very prominent nose ridge, with a low-protruding tip.
b. Arabic Nose: Patients with a long nose widening downwards, with a thick skin on the nose tip. The tip of the nose hangs low because it has no support.
 

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Long Nose Tip

Long Nose Tip: We call a nose that is long in the forward direction from the face,
 
or when the nose is longer than necessary in the forward direction from the face. This is a situation that disrupts the face's look, especially when viewed from the side. We also call this "Pinocchio Nose." Excessively showing nostrils usually also accompany long nose tips. This must not be
overlooked when correcting long nose tips. A small chin may also cause the nose to look longer than it is. This is also a very important consideration. If the chin is small, the nose will look long on the face regardless of the amount of reduction. In such cases, little interventions on the chin may
also be necessary.
 
• I realized that I have problems with my chin after I read your article. How do you pull my chin to the front?
 
- There are 3 methods to pull the chin forward.
 
1. Fat injection to the tip of the chin. It is a relatively simple method. We inject the fat we take from your belly to the tip of your chin. It is painless. It doesn't cause much swelling and bruising in the chin or belly. 70(%) of the fat we inject melts away. The remaining 30(%) is enough to enlarge the
chin.
 
2. Implanting prosthetics to the tip of the chin: We can place the prosthetics to the tip of the chin from the inside of the mouth, or below the chin. These prosthetics come in various sizes depending on the need. They are made of various materials such as silicone, mercylene, etc. They never
melt and remain the same throughout the life.
 
3. Pulling the chin bone forward by cutting. The tip of the chin is cut and pulled forward using wire screws. This is a painful method that is difficult for patients. It is permanent and doesn't change throughout life. We decide which one of these three methods is suitable for you by discussing their pros and cons.
 

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Does insurance cover the cost of a cosmetic nose surgery?

Nose surgeries are covered by SSI as long as they are not cosmetic, meaning that they resolve a functional issue.
 
While private insurances cover the costs of sinusitis surgeries (endoscopic sinus surgery), and concha surgeries, they sometimes cover the costs of nose bone, deviation surgeries and
sometimes they don't, depending on the policy of the insured.
 
Cosmetic nose surgeries are not covered by any insurance institutions. However, we already explained that the concha and bones in the nose are also operated in every cosmetic nose
surgery. In such cases, private insurances cover the costs of the procedures carried out inside the nose under their policies but leave the cost of the cosmetic part of the surgery (a certain
proportion of the price of the intervention) to the patient.
 

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The nose's breathing function.

Although rhinoplasty is usually considered an aesthetics-oriented surgery, we must remember that the nose is not just an organ that affects how we look, but this organ plays an important part in our vital necessity of breathing.
 
In this regard, we must avoid a surgical approach that will reduce and narrow the nose's dimensions until it loses its functions purely on aesthetical concerns.
 
If the patient has problems breathing through the nose, rhinoplasty should be carried out along with interventions aiming to resolve these problems (deviation, septoplasty, concha reduction,
sinusitis surgery, etc.).
 
Especially male patients apply with accompanying airway problems, their aesthetical concerns are secondary.
 
The aesthetical intervention should support the nose's functions.
 
In nose surgeries, aesthetics and functionality are inseparable.
 

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Cosmetic nose surgery mistakes

Cosmetic nose surgeries may result in noses that are not compatible with the face, that is not natural, that is excessively lifted, or in short, noses that look operated upon in some patients.
We call such cases poorly performed cosmetic surgeries.
 
The most important reason of such consequences is cosmetic nose surgeries performed by non-surgeons. Patients who are psychologically affected by their peers undergo cosmetic nose
surgery by non-surgeons by saying "I have a bone deviation in my nose, I'll have it fixed." They don't achieve the results they expect after the surgery.
 
Another common mistake in cosmetic nose surgeries is the fact that a patient with breathing problems undergoes surgery to fix the breathing problem first, and then to undergo cosmetic
surgery. Patients who need both operations, should consider them together. Since the nose is a whole, performing the nasal congestion procedure and the cosmetic intervention together will
be much more appropriate.
 
 
One of the most common mistakes in cosmetic surgeries is causing patients who were breathing normally before surgery, to have breathing problems afterwards. The reason for this is the
disruption of the nasal valve mechanism at the nose entrance due to tissues removed from wrong areas. In this case, the nose flaps close when the patient is breathing and blocks the
entrance of air.
 
Similarly, the excessive removal of bones or cartilage may cause the nose to collapse or nose tip asymmetries, or crookedness. In conclusion, the experience of the surgeon who will
perform the operation, the correct evaluation of the patient, and an error-free operation all affect the outcome.
 

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Wide and Large Nose Tip

Wide nose tip is a common problem that adversely affects the look of the individual. The nose tip looks wide and disordered in such cases. Shadows are lost. We call these noses "clown nose." It is colloquially called "meaty nose." The cause of this meaty and wide look is the excessive nose tip cartilage.
 
• The tip of my nose is very wide. How do you narrow it?
 
There are many methods to narrow the nose tip. The first course of action is to remove the cartilaginous tissue. Then we shape the remaining cartilaginous tissue with stitches. We stitch cartilages that lead to narrowing. The technically important point here is to avoid excessive removal. The
amount of cartilage to be removed varies between individuals. Sometimes the cartilage removal and stitching methods are not enough to resolve the problem. Then we use different methods. If I am to use such different methods, I will explain these to you in detail during your examination.
 
• The tip of my nose is very large; how do you ensure symmetry when narrowing it down?
 
I always use open rhinoplasty on my patients with wide nose tips. This method allows me to precisely measure and directly remove the cartilage to be removed.
 
• What is type plastics, do you perform it?
 
Type plastics is simply the replacement of the nose tip. It can be performed if there are no problems with the nose ridge and the nose base. I perform this method in suitable cases.
 

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Hanging Low Nose Tip

A hanging nose tip is common among the Turkish people. The tip of the nose hangs towards the upper lip. The nose looks long on the face. The hanging look becomes more prominent when one laughs. The normal angle of the nose with the upper lip is 90-1000 degrees. In hanging noses this
angle is less than 90 degrees. A hanging nose makes one look older than he/she really is. Eliminating the problem will impart a younger look.
 
• My nose tip is originally low and hanging. But it seems hanging more as I get older. Is this really possible?
 
The effects of time and gravity cause hanging in all parts of the body. This is most prominent in the nose. As we age, our nose hangs. If you originally have a hanging nose, this will become more prominent.
 
• The tip of my nose is low. I want it lifted. When I push my nose tip up with my finger, my lip is also lifted. Will this remain the same after surgery?
 
There will be no changes whatsoever in your lips after surgery.
• I heard that the nose tip hangs low again after being lifted. Do you do anything to prevent this?
 
I take various measures to prevent the nose from hanging again after it is lifted to where it should be.
 
First of all, I stitch an additional support cartilage to the tip of the nose. This strengthens the tip.
 
If I think that this will not be enough, I stitch nose tip cartilages to the cartilage that constitutes the middle section of the nose. I use permanent stitches. These stitches carry the nose tip throughout life.
 
• I fear that the tip of my nose will be lifted excessively. I see excessively lifted, operated noses and this disturbs me. Why does that happen? Excessively lifted nose tips are actually a very common situation. This is usually caused by an excessive removal of the middle section of the nose. I
act very conservatively to avoid such situations. I don't remove much cartilage. I resolve this issue by using stitches.
 
 

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Compressed Nose Problem

In contrast to the long nose we call "Pinocchio Nose," the condition in which the nose tip is very close to the face is called "compressed nose." A compressed nose tip imparts an angry expression to the face. The cause is insufficient nose tip cartilage.
 
• My nose looks compressed on my face. How do you solve this problem?
 
The cause of compressed nose is the weakness or deficiency of all of nose tip cartilages. Consider the nose tip like a building. If the building is 2 stories high, it will be elegant and functional.
But currently it has only 1 story. This story is not enough for us. So, what do we do? We build the second floor on top of the first one using concrete. We increase the height of the building. In
compressed nose situations we similarly add cartilage to the insufficient nose tip in order to increase its height. It is ideal to use cartilage from the bone itself to use as support. If there isn't enough cartilage inside the bone, we can use cartilage from the ear or the ribs.
 

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What is the right time for cosmetic nose surgery?

We frequently receive questions such as "what is the right age for cosmetic nose surgery?" "which season is most suitable for this operation?" etc.
 
There is a lower age limit for cosmetic nose surgery but there is no upper limit.
 
These operations can be performed roughly at 16 years of age for girls, and 18 years of age for boys. These age limits were set in the past due to poorer nutrition habits, but they are not
absolute rules.
 
The age limit may vary depending on face and body development. If a boy has reached the adequate facial and bodily development stage, this operation can even be performed at 14 years
of age. The same applies to girls, too. Taking 16 or 18 years of age as absolute limits is not right. But the important consideration here is the completion of face and body development. It
would not be right to perform cosmetic nose surgery before facial development is completed.
 
There is no upper limit for cosmetic nose surgery. An individual can undergo the surgery at any age, provided that his/her health condition allows it.
 
About the most suitable season for the procedure...
 
Cosmetic nose surgery can be performed in any season. Summer, winter, spring, autumn, it doesn't matter. But since sunbathing is not appropriate after the operation, and heavy
sunglasses must not be used for a month, people who can't follow these rules may prefer winter months instead of summer. Medically, there is no difference between a cosmetic nose
surgery in summer or winter.
 

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Can cosmetic nose surgery eliminate my nasal congestion problems?

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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Narrow Nose

A very thin and narrow nose on your face will cause an aesthetically unpleasant look and cause severe shortness of breath.
 
Nose narrowness may be in:
· the nose tip
· the middle of the nose
· the upper nose
· or in all three parts.
 
In narrow nose tips, the nose looks like pinched with a latch. This imparts an angry look to the face. In middle and upper part narrowness of the nose, the nose looks indistinct on the face, like a thin line.
 
What are the causes of nose tip narrowness? What is the method used to correct them?
 
Two cartilaginous tissues provide the shape of the nose tip. The weakness or deficiency of this cartilaginous tissue cause this problem. This problem in the cartilaginous tissue may be congenital, as well as previous surgeries.  Replacing the missing cartilages and strengthening weak ones will resolve the problem.
 
How do you resolve narrow nose middle sections?
 
It is necessary to place widening cartilages between the narrowed cartilages to resolve narrow nose middle sections. These cartilages are not visible from the outside and cannot be palpated.
 
What do you do for narrow nose upper sections?
 
The cause of narrow nose upper sections is the fact that bones are very close to each other. I mobilize the bones by cutting them. Then I place these bones to where they should be. Plaster is enough to prevent them from sliding to their previous locations.
 
Yes, I have a narrow nose, but will my nose be compatible with my face when this narrowness is eliminated?
 
When we resolve the narrowness of your nose, our measure is your face. A correction compatible with other structures on your face will be quite pleasant.
 

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Uplifted Nose

Here, we mean an excessively lifted nose, or a less attractive nose due to its 'shortness.'
 
• The tip of my nose is lifted; how do you correct this?
 
We correct unnaturally uplifted noses generally using cartilage from inside the nose, by creating a better nose structure.
 
• My nose is like a bulldog's (pressed back and lifted), can you repair it?
 
Yes, we can construct a more perfect nose structure using cartilage grafts and eliminate the bulldog appearance.
 
• My nose is a completely lifted nose, but I'm afraid it will be worse after surgery. How can you be sure that it won't?
 
In every rhinoplasty, our goal is to get the natural look, a non-operated look.
 
• The tip of my nose points upwards, and it seems pressed from the middle. Why does this happen and how do you correct it?
 
This is called 'saddle deformation' and it is usually observed in previously broken noses. Specialist Volkan Kahya will restructure the nose tip and eliminate the unnaturally lifted nose tip. Additionally, the middle section will be reconstructed.
 

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How do you Choose the Nose that Suits you?

You must pay attention to certain details to determine the aesthetic nose shape that will suit you, that will be harmonious with your face.
 
The first point to consider in cosmetic nose surgery is the person's gender. The shape of nose for a woman will be different than the shape for a man.
 
To ensure the individual's satisfaction with the cosmetic nose surgery, the nose shape has to be decided upon based on the gender. Because male nose features are straight ridged, with a
lip angle of about 90 degrees. While determining the shape of women's noses, a curvy nose ridge is preferred. A slightly uplifted nose aesthetics and a lip angle of 95-100 degrees are
suitable.
 
To ensure satisfaction with a cosmetic nose surgery, communication with the doctor has to be adequate before surgery, you have to clearly state the type of nose you want, and your doctor has to determine whether the nose you want is suitable to your face. Nowadays, computer systems and software allow you to see the potentially suitable nose shape by placing it on your
profile picture. These methods that allow displaying results that are similar to what you will get after surgery make it easier to decide on the nose shape you want.
 
The result of cosmetic nose surgery should be harmonious with your face, and natural. Your nose should be compatible with your cheekbones, brows and forehead after the cosmetic nose
surgery. Additionally, you shouldn't have problems breathing after surgery.
 

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How much importance should be placed on cosmetic nose surgery?

An aesthetically pleasing and natural nose is the most striking feature that highlights brows and eyes, that affects a person's self-esteem, and determines the person's expression.
 
The nose's importance is not only its shape. It carries out many vital functions such as breathing, smelling and filtering air.
 
The nose has a complex anatomy consisting of cartilage, bones, sinuses, subcutaneous fat, muscle, connective tissue, conchae and skin.
 
It is also a difficult organ since it has features that vary according to individual, in addition to its complex anatomy.
 
The surgery of an organ with such complex anatomy, maintaining the functions of which is vitally important, that is prominent in the middle of the face, and that is aesthetically very important
is a difficult operation for doctors and requires heavy training, patience, experience and skill.
 
It must be noted that the most common cause of a poor cosmetic nose surgery is the wrong choice of doctor. As this is a very important organ both in terms of aesthetics and functionality,
you should meet the doctor who will perform your surgery face to face, examine his/her previous operations, and only decide on the surgery if you fully trust your doctor.
 
While cosmetic nose surgery procedures are very difficult operations for doctors, they are painless, simple operations for experienced surgeons.
 

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How to identify a poorly performed cosmetic nose surgery?

A poorly reshaped nose has specific features. The most common feature is a non-fully closed nose bridge, making the nose tip and the nose root look like separate parts. The most common cause of this is excessive removal of the bone on the nose bridge.
 
Another feature of poor cosmetic nose surgery is an excessively thin nose tip. This is also a consequence of excessive cartilage removal from the nose tip. The cartilage on the nose tip has a very important function, and a certain portion of it has to be left intact.
 
Sometimes, I encounter completely removed cartilages. In such nose cases, the nose tip looks like pinched with a latch (pinched nose).
 
Similarly, another feature of a poorly reconstructed nose is an excessively lifted nose tip, causing the interior of the nose to be visible. For ladies, the angle between the tip of the nose and the lip has to be at most 100-110 degrees. For men, this angle may be 90-100 degrees.
 
For male patients, the nose ridge has to look straight from the side. In a poorly reconstructed nose, the nose ridge may be curved or concave.
 
The surgeries performed to correct poorly reconstructed noses are called secondary cosmetic nose surgeries, or revision surgeries. The greatest chance of patients in this regard is the first revision surgery.
 
This surgery has to directly address the problem. Making other corrections or trials other than the revision is risky and may lead to additional surgeries. As the number of revision surgeries increase, the correction becomes technically difficult and the chance of success decreases.
 

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Cosmetic Nose Surgery for Better Breathing

All living beings have three vital necessities:
Feeding,
Drinking water,
Breathing.
 
Just like improper nutrition, harmful drinks threaten our health, low-quality breathing also adversely affects our health. Quality breathing begins with the nose. The nose is the door where
the air we breathe enters the lungs. A normal, healthy adult intakes between 18,000 and 200,000 liters of air through the nose.
 
Your nose protects your lungs.
 
It filters the dust and particles in the air you breathe with 100% efficiency.
 
It moistens the air you breathe. Thus prevents the lungs from drying.
 
It warms the air before it reaches the lungs. It protects the lungs from cold air.
 
For these and other reasons, normal nose breathing is indispensable for life. If you can't easily breathe through your nose, you should find the cause and eliminate the problem as soon
as possible.
 
Cartilage and bone deviations are the most important reasons in nasal congestion. Accordingly, patients who apply to doctors with nasal congestion complaints are evaluated through this
perspective. In the past, the interior of the nose was examined, if there was no deviation, you would be told that this was the best breathing you could hope for, and the aesthetic look of
your nose was neglected. People used to believe that the aesthetic look had nothing to do with breathing. However, recent studies absolutely proved that it is wrong to differentiate
between the interior and exterior of the nose. We now know that the shape of the nose is directly related to nose functions. An ugly, unpleasant nose not only disrupts the looks, but also
disrupts breathing. Similarly, a poorly performed cosmetic nose surgery will also lead to a disruption of looks and breathing.
 
Cosmetic nose surgery problems may adversely affect your breathing. Even if there are no problems inside the nose. How?
 
Let me explain through some examples.
 
If the angle between the nose tip and the lip is inadequate, if the nose tip is low, the air intake will be hindered. If you have this problem, lift your nose slightly with your finger, you will feel that you are breathing better. Lifting your nose tip through cosmetic surgery will change your looks, and ensure you breathe better.
 
If there are grooves in your nose tip, if your nose tip looks pinched with a latch, the air will be prevented from advancing in the nose right at the entrance (called "nose external valve
insufficiency"). These grooves will give you an angry expression, and hinder your breathing. The problem can only be fixed through plastic surgery. Supporting weak and grooved
cartilages using cartilage from the interior of the nose will open your airways, and give you a beautiful nose.
 
If your nose is narrow overall, this will also be reflected inside the nose. The air will have difficulty passing through the narrow channel inside the nose. The widening grafts we will place in
the narrow parts will offer you A natural nose, and better breathing.
 
If the middle section inside the nose is straight, but it looks crooked, this may hinder your breathing. If the external crookedness is fixed, you will have a nose that both looks and breathes better.
 
If you can't breathe properly, although all examinations indicate that your nose is normal, the problem may be because of your nose's external shape. The cosmetic surgery will both
improve your looks, and your breathing.
 
 
 
 

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تحذيرات قبل وبعد تجميل الأنف

PRE-OPERATIVE PREPARATION
• Some medications may interact with anesthesia, or their side effects may manifest during surgery. Report all the medications you use to your doctor. Especially aspirin and similar drugs have to be stopped one week before surgery. There is nothing that prevents women having their periods undergoing this procedure.
• Smoking adversely affects wound healing. This is why it should be stopped as long before surgery as possible, and it is recommended not to smoke after surgery.
• If you feel common cold or throat sores before surgery, consult your doctor.
• Wear comfortable clothes to the hospital on the day of the surgery. Don't put on makeup. Leave your jewelries (wedding ring, necklace, etc.) at home.
• Have a warm shower the night before surgery. Don't use hair spray or jelly.
• If your surgery is before noon, avoid eating and drinking after midnight. If the surgery is after noon, you may have a light breakfast, taking the 6 hours fast period into consideration.
• Arriving at the hospital two hours before surgery is necessary to allow the necessary examinations (laboratory and imaging) and evaluation by your aesthetician.
You will need a caretaker for 1 day after surgery.
 
A.P.C. tablet
Afebryl tablet
Alca-C effervescent tablet
Algo tablet Algo-Baby tablet
Alka-Seltzer tablet
Anacin film tablet
Anagol tablet
Asabrin tablet
Asinpirine tablet
Aspinal tablet
Aspirin forte tablet
Aspirin plus-C tablet
Aspirin tablet
Babyprin tablet
Coraspin tablet
Dispiril effervescent tablet
Doleon PH8 enteric tablet
Dolviran tablet
Ecopirin tablet
Fulpen tablet
İşaspirin tablet (SSK)
Nötras tablet
Opon tablet
PAS tablet
Pharmaspirin tablet
Sedergine tablet
 
I recommend you not to consume foods that contain salicylic acid and that act like Aspirin such as almond, fresh grapes, dried raisins, apple, apricot, cherry, peach, plum, tomato and cucumber for a short while before surgery. These foods may increase bleeding, albeit rarely.
 
POST-OPERATIVE CARE
• In the 4 days following surgery, the head should be held high (with two pillows) when sleeping or resting.
• Applying ice compress around the eyes for 15 minutes at least for 2 days after surgery will reduce the swelling and bruises on your face. The plaster should be kept when applying ice.
• Although there may be little swelling or bruises after surgery, these may increase in the second or third days. Don't worry. These complaints will rapidly decrease.
• Pain after rhinoplasty is not very common. If you experience pain, you may take the prescribed painkiller once in 3 hours. If you don't have pain, don't use painkillers.
• If a nose tampon is used, rhinitis-like complaints may occur due to the tampon. These complaints will be eliminated after the tampon is removed.
• The tampon may stay in the nose for 1-3 days. The removal of the tampon is painless.
 
Nutrition after surgery should be as follows:
• Avoid solid, dry and hot foods for 4 days.
• Prefer warm or cold foods that are juicy, soft and that don't require much chewing.
• Avoid excessive mimics (straining, laughing, crying, shouting, yawning, etc.).
• You may have blood leaks from your nose for two to four days. You can wipe the leaks lightly from time to time. Don't push too hard or bruise when wiping.
• Avoid snorting or sneezing for three weeks.
• You can have a warm shower on the second day after surgery. Your plaster may be wetted since it is special.
• To prevent scabbing on nostrils, you may clean the interior of the nose by dipping a q-tip to oxygenated water for 3-4 times a day for the first 4 days. Don't insert more than the cotton part into the nose.
• Avoid straining physical activities (swimming, aerobics, jogging, cycling, etc.) for three weeks.
• Protect your nose from impact for six weeks.
• Don't use glasses for the first 4 weeks.
 
The skin of your nose will be sensitive to sunlight after surgery. This is why you should protect your nose from sunlight for 8 weeks (solarium, tanning). When you need to stay out in the sun for a prolonged period, you can use sun blockers with sun protection factors (SPF-28).
 

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Should cosmetic nose surgery be performed based on the individual's requests?

Should cosmetic nose surgery be performed based on the individual's requests?
 
If the person who will undergo cosmetic nose surgery insists on an unreasonable shape, a reevaluation may be necessary. Maybe the individual believes that certain problems in their life will
be fixed through the nose surgery.
 
A bad marriage, working in the wrong line of work, an act that causes unhappiness, etc. any reason that causes unhappiness may lead to the idea that a cosmetic surgery will be the answer to the problems.
 
The doctor that will carry out the cosmetic nose surgery or other cosmetic surgery has to evaluate the patient through interviews in order to avoid a terrible mistake.
 

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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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Basic problems of patients applying for cosmetic nose surgery

The most important problem in patients who apply for cosmetic nose surgery is, of course, deformation.
 
The most common among these is the bridged nose. Additionally, long nose, large nose, wide nose, wide nose tip, wide nose flaps, traumatic nose, crooked nose, irregular nose ridge, nose
with no proportion to the face, narrow nose, low nose tip, strained nose that causes an older and harder look, and many similar complaints are also encountered.
 
Most patients who apply with cosmetic problems also have functional issues. For example, most of them have accompanying breathing problems. Some of them also have problems such as
allergic rhinitis and sinusitis that cause headaches, nasal and postnasal dripping, etc.
 
In this situation, I think the functions have to be taken into consideration as much as the shape of the nose in a cosmetic nose surgery. The nose has to be as desired after the operation,
moreover, nasal congestion, headaches, allergic problems and sinusitis have to be also eliminated at the same time.
 
The indispensable part of cosmetic nose surgery philosophy is to create a nose that is both beautiful, and that can breathe properly, without any other health issues.
 

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Crooked Nose

A crooked nose is a rhinoplasty problem that requires much technical knowledge, experience and skill. An experienced and skillful surgeon can achieve significant improvements. Sometimes, the patient may request a slight crookedness rather than a strictly straight nose.
 
Some of the frequently asked questions about crooked noses:
 
• My nose is crooked, what kind of cosmetic nose surgery (rhinoplasty) operation you perform to fix this?
 
A crooked nose is a rhinoplasty problem that requires much technical knowledge, experience and skill.  An experienced and skillful surgeon can achieve significant improvements. Sometimes, the patient may request a slight crookedness rather than a strictly straight nose. The method applied
on each patient varies according to the cause of crookedness. We can consider the nose in 3 sections. The upper 1/3 is bony, the middle 1/3 is the cartilaginous bridge, and the lower 1/3 is the nose tip. Each part of the nose that may lead to crookedness has to be carefully analyzed by the
surgeon. The surgical method will vary according to the nose section causing the crookedness. The crookedness in each section requires a different surgical plan design. A simple deviation (crookedness) requires a simple plan, while a complicated crookedness requires a complicated surgical
plan.
 
If the cause of the crookedness is the upper 1/3, the bony part, I prefer breaking the nose bones to reshape them in a straight position.
 
If the crookedness is caused by the nose tip, I correct the nose tip through various nose cartilage practices.
 
If the middle section, the 'cartilaginous bridge' is the cause of crookedness, I combine different methods to correct the crookedness.
 
• Why is my nose so crooked?
 
It may be due to previous nose breakages, or congenital reasons. Sometimes, both causes may play a part.
 
• Do you remove tissue from one side and add to the other side, or both, to fix a crooked nose.
 
Both. Additionally, we have to rearrange and reshape nose tissues.
 
• My nose is completely crooked; thus, my nostrils are not straight. Will they be fixed too?
 
The nostrils are air holes that are surrounded by tissues. When the nose tip is corrected, these holes will also become straight.
 
• I'm not totally sure if my nose is crooked, I think that a bump on one side makes it look crooked. Do you perform the same surgical procedure to fix this?
Not exactly. To answer this, I have to examine you in detail, and understand the cause of the problem. Then we will create a surgical plan for the correction you actually need. This completely depends on the cause of your problem.
 
 
 

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Will cosmetic nose surgery resolve the nasal congestion problem?

You underwent cosmetic nose surgery, you are satisfied with the shape but you can't breathe easily, you can't sleep well at night, your nose is always congested. For us, however beautiful your nose, if you can't breathe easily, the beauty doesn't count.
 
The most important function of the nose is breathing. A beautiful nose that can't properly breathe won't provide anything to the individual. The important thing is to simultaneously provide a natural, beautiful, unique nose that suits the face, and that can breathe easily.
 
This begins with a detailed and meticulous pre-operative examination of the nose. Identifying the problems is the most important step in resolving them.
 
For patients who not only have shape issues but also congestion issues in their noses, if the nose flaps are weak, cartilages are vulnerable, nose cartilage or bone is deviated, if the conchae are enlarged, or sinusitis is present in the pre-operative evaluation, these have to be identified before the operation and resolved in the same surgical session.
 
The fundamental principle in surgery is to avoid excessive cartilage and bone removal from the nose, and to find the balance. Failure in this may cause nasal congestion complaints after surgery in patients who didn't have such problems before.
 
The main purpose of cosmetic nose surgery is to create a natural, beautiful, unique nose that suits the face, in addition to maintain the breathing functions, and to simultaneously carry out the maneuvers and procedures that will allow better breathing.
 

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Open and Closed Cosmetic Nose Surgery Methods

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.
 
Incision Made in Open Method Nose Aesthetics
 
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.
 
Open method or closed method in cosmetic nose surgery?
Open rhinoplasty or closed rhinoplasty?
Closed nose surgery or open surgery?
What are Open and Closed Methods? Why are these methods important?
Open technique or closed technique in rhinoplasty?
Should cosmetic nose surgery procedures be carried out open or closed?
Rhinoplasty (Cosmetic Nose Surgery): Open Method or Closed Method?
 

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Should cosmetic nose surgery be performed by an otorhinolaryngologist or a plastic surgeon?

If your nose complaint is only aesthetical, you can undergo surgery by a doctor of any specialty. This may be an otorhinolaryngologist, or a plastic surgeon, it doesn't matter. What matters is your trust to the surgeon.
 
However, if the problems in your nose are not only aesthetical, if you also have functional complaints with your nose, for example chronic sinusitis, crooked nasal bone, enlarged conchae, allergic rhinitis, etc., I'd recommend having an otorhinolaryngologist perform your surgery. This way you can both eliminate your functional problems, and have your nose shaped to your desire.
 
I would like to repeat that what matters is the patient's full trust to the doctor, rather than the specialty of the doctor performing the surgery. This is why I recommend to interview your surgeon, maybe multiple times, and to establish adequate trust. If you can't completely trust and let yourself to the hands of your doctor, I'd advise not to undergo the surgery. Remember that this is the right decision both for you, and your doctor.
 

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Who are good cosmetic nose surgery candidates?

Cosmetic nose surgery can be performed on men and women in all ages.
 
However, cosmetic nose surgery is not recommended before development is completed around 16-17 years of age. If you think that your nose is not properly proportioned, if your nose is
bridged, if your nose looks too large when viewed from the front, if your nose is crooked or if your nostrils are too wide and large, you are a good candidate for this operation.
 
The first step before cosmetic nose surgery is to meet with a plastic surgeon. Your doctor will examine your psychological and physical health, and inform you about the operation.
Additionally, you should inform your doctor about the treatments you had, the medication you use, any allergies that hinder your breathing, your frequency of nasal spray use, etc.
 
Your doctor will investigate your nasal bones, nose shape and size during physical evaluation. Moreover your doctor may recommend other treatments in addition to cosmetic nose
surgery in order to meet your expectations to the fullest.
 
Cosmetic nose surgery
 
First step: Anesthesia.
 
A few medications are administered in order to make you feel more comfortable during cosmetic nose surgery. The operation is carried out under general anesthesia or painkillers. Your
doctor will present the most appropriate option.
 
Second step: Cutting.
 
Cosmetic nose surgery may be performed using one of two different methods: open and closed. In closed nose surgery, the incisions are made from within the nose, while in open nose surgeries, the operation is performed through the nose flaps.
 
Third step: Reshaping the nose.
 
Fourth step: Fixing crookedness
 
If there is some crookedness in the nose cartilage or bone, this is fixed.
 
Fifth step: Closing the surgical operation area.
 
After shaping the nose bone to preferences, the skin is closed and the incisions are stitched. Incisions may also be made around nostrils to change the dimensions of the nose.
 
Sixth step: Conclusion
 
A plaster mask is placed on your nose for your one week period of healing. Swellings will fade in one month, while the shape of your nose will take one year to fully establish. You will also
note these changes on your nose.
 
What should I do on the day of my cosmetic nose surgery?
 
Cosmetic nose surgery can be performed in private clinics or hospitals. If you undergo surgery in a clinic or hospital, a one night stay will be enough. Medications will be administered in
order to make you feel more comfortable during cosmetic nose surgery. Cosmetic nose surgery is performed under local or general anesthesia. General anesthesia is more commonly
preferred.
 
How will I feel after my cosmetic nose surgery?
 
After the cosmetic nose surgery is complete, the patient will be taken to the resting room where he/she will spend the night. Any discomfort after the operation will be controlled with
medication recommended by your doctor. Although the healing process is different for everyone, it is generally as follows:
 
First day after cosmetic nose surgery:
 
The first day of healing, you should rest all day to minimize swelling. You must avoid excessive activity. There may be bleeding on the first day.
 
First ten days after cosmetic nose surgery:
 
The swelling reaches its peak, and starts to slowly fade.
 
Bruises fade.
 
You can apply makeup easily to cover the bruises on your face.
 
The stitches will be removed.
 
The plaster can be removed after one week.
 
You can go back to school or work after one week.
 
In  few weeks,
 
You will be able to go back to your daily life.
 
Most of the swelling on your face will be gone.
 
The consequences of cosmetic nose surgery are long-term.
 
The total disappearance of the swelling and the complete shaping of your nose will take a couple of months, or even a year. The results of cosmetic nose surgery are permanent,
however the cartilage may continue to change.
 
NOSE ANALYSIS
 
If you wish to have a free nose analysis for cosmetic, please call (+90 0212 442 3556), or make an appointment using our Appointment Form.
 

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Nose bleeding

Nose bleeding is an undesirable condition that most of us have experienced. It usually stops in a short while, but sometimes my present in a prolonged, severe form. Instead of presenting information about nose bleeding, I'll try to provide some guidance about what can be done when the nose is bleeding, when to go to a doctor, and what to do to avoid it.
 
The first thing to do when our nose starts to bleed is to remain calm, and be aware that we can do something to resolve the issue. Because 99% of nose bleeding stops on its own, or can be stopped through simple interventions. Go to the sink the moment you realize that your nose is bleeding, or sit down somewhere, take a container in your hand, slightly bend your head
forward and squeeze both nostrils as shown in the image below. Remain in that position for 10 minutes. Don't check whether the bleeding stopped in this period.
 
If the bleeding stops after 10 minutes, don't clean your nose for one hour. If the bleeding is going on, place ice on your nose. The most convenient method for this is using an ice battery, or
putting ice in refrigerator bags. Continue applying the ice for half an hour, while continuing to squeeze with your other hand as shown in the image. If your nose is still bleeding, apply to the nearest healthcare institution or call 112 emergency services for help.
 

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Bridged Nose

Most people who apply for cosmetic nose surgery request a correction for their bridged noses. Bridged noses are common in our country. The objective when correcting bridged male noses should be a straight nose ridge. While a straight nose ridge is suitable for ladies, a slight curve can also be provided upon request. By "curve," I mean a slight curve. More than a slight curve will not look pleasant on the nose.
 
Do you remove the bridge by filing or by shaving?
 
The bridge consists of two parts: cartilage and bone. The excess in the cartilage is removed by shaving. The excess in the bone may be removed by filing or by shaving.
 
I like both methods. If the bridge is large, I shave. I prefer filing for small bridges. Whatever the method used, the important part is being meticulous in application in order to obtain a straight nose ridge.
 
Will my bones be broken in surgery after removing the bridge?
 
We call breaking or cutting nose bones "osteotomy." Osteotomy is not required in all nose surgeries. However, it is required in all cosmetic surgeries where the bridge is removed. The purpose is to close the gap that is left behind after the bridge is removed. The osteotomy procedure can be
performed from within the nose, or from the cheeks. Bone cutting tools of various sizes can be used for this procedure. I prefer very small bone cutters of 2 mm. This causes less trauma. This results in less swelling and bruises after surgery.
 
Will the nose ridge be painful after the bridge is removed?
 
Whatever the size of the bridge, there will be no pain after it is removed. However, it is normal to have some sensitivity that usually fades rapidly.
 

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Why is face analysis important for cosmetic nose surgery?

People naturally have different face and nose shapes. Although nose structures look similar, they widely differ among individuals. Thus, nose restructuring will also be different for different people.
 
The most important consideration in cosmetic nose surgery is meticulously analyzing the face and the nose, which requires individual planning for every face.
 
The shape of the face is very important in determining the kind of cosmetic nose surgery. The nose for a small face will not be the same as the nose for a fuller face. While a short nose will
not be proper for a long face, a rough nose cannot be considered for a small face. For tall individuals, a curved nose ridge rather than a straight nose will impart character to the facial
expression.
 
The shape of the lips, the chin structure, the cheekbones, the width of forehead, the distance between the lips and the nose, the position of brows, the eyes, the angle between the forehead
and the nose, the skin and its thickness deeply affect cosmetic nose surgery planning, and must be very carefully analyzed before surgery.
 
One of the most important points for us is the fact that each nose has to be unique. Creating the same nose regardless of the nose and face shapes is similar to factory production, so to
speak, and we never want that.
 
The main goal should be to create a natural and beautiful nose that doesn't look operated, that is customized, and that is shaped based on meticulous study, analysis and planning according to each individual face.
 

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Is it possible for the nose tip to drop after cosmetic nose surgery?

This is one of the most frequently asked questions by the patients who apply for cosmetic nose surgery.
 
Is it possible for the nose tip to drop after cosmetic nose surgery?
 
Patients are rightly concerned about this, since they saw people who underwent cosmetic nose surgery years ago, and whose nose tips fell off. Since cosmetic nose surgeries currently use new methods and nose supports, a falling nose tip after surgery is not possible. The new methods and philosophy of cosmetic nose surgery prescribes nose supports in surgery. Now, cosmetic nose surgeries make the nose stronger, more supported. This prevents the nose tip from falling off.
 

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Nasal congestion

The nose is one of the most important organs for human health. Nose breathing is essential for healthy respiratory function and a healthy body. The nose is not just an organ that allows the entry and exit of air. In addition to breathing, the nose allows humidification and heating of air, smelling functions, and the ventilation of the middle ear. Prolonged nasal congestion will definitely cause other health problems. In summary, nasal congestion will not only disrupt the patient's quality of life, but failure to intervene in a timely manner will also disrupt the patient's health.
 
What are the complaints of patients with nasal congestion?
- Having to continuously breathe through the mouth; Repeated throat infections, chronic pharyngitis.
- Snoring and sleep disorders.
- Exacerbates lung and heart problems.
- Causes dry mouth in the morning.
- Causes sexual function disorders.
- Causes a predisposition towards psychological issues.
- Disrupts voice quality, causes nasal talking.
- May cause incontinence at night in children.
 
Evidently, nasal congestion severely disrupts the quality of life.
 
Causes of nasal congestion
 
Deviation in the septum.
 
Septum is the cartilaginous section in the middle of the nose that divides the nose into right and left nostrils. It acts like the pole of a tent. Deviations in this cartilaginous tissue will narrow the air ways in the nostrils and prevent breathing. Enlarged conchae.
 
Conchae are nasal tissues exist in all individuals, heat, humidify and clean the air we breathe. These tissues may excessively enlarge for various reasons, and narrow the nasal passages.
 
Narrowed nose ridge (valve narrowing)
 
This is a congenital problem. The nose looks like it's pinched with latches.
 
Enlarged adenoid 
 
This is the most common cause of childhood nasal congestion. It may adversely affect the development and growth of the child. It may also cause hearing problems.
 
Widespread intranasal polyps
 
This is a metabolic problem. These are transparent, water-filled tissues like grapes. These causes may individually or jointly cause nasal congestion.
 
Treatment of nasal congestion.
 
Septum correction (deviation surgery): This is a surgical operation that lasts about half an hour. It is an easy procedure. It doesn't require staying at the hospital. The patient may return to
routine daily life the day after.
 
Conchae reduction: Conchae are useful, and must not be completely removed, only reduced to a size that won't lose functionality. Recent advances in technology made this procedure much easier. We reduce the conchae by sending sound waves inside the conchae. (Radio frequency). This procedure can be carried out without pain, tampons and blood even in the doctor's office.
 
Nose ridge opening (valve surgery): This is possible through cosmetic nose surgery.
Adenoid removal: This is a short procedure carried out in the hospital under general anesthesia.
Nasal polyp treatment: We treat polyps both with medication, and endoscopic surgery.
 

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Durability of cosmetic nose surgery.

Since the primary goal in cosmetic nose surgery is aesthetics, the breathing function of the nose is often disregarded.
 
However, there is another matter that is disregarded that affects long-term patient satisfaction. This is the durability of the nose, which is an indispensable part of rhinoplasty.
 
Aging causes a kind of earthquake for the nose. Nose surgeries must not speed up this earthquake, just the opposite, it must make the nose resistant to aging.
 
This is achieved in a similar way to building jacketing to reinforce against earthquakes. The nose is supported and reinforced during surgery in order to make it stronger against the passage of time.
 
In cosmetic nose surgery, if we remove the materials that support the nose in order to reduce its size, we weaken the nose.
 
The nose will not be durable and may collapse. To achieve a durable and aesthetically pleasing nose, we need structural grafting.
 
A successful cosmetic nose surgery should provide a durable, natural look that can stand the test of time, and that makes breathing easier.
 

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Which Surgeries can be Performed Along with Nose Surgery?

Only 20(%) of patients who apply for cosmetic nose surgery (rhinoplasty) apply only complaining from a nose deformation. The remaining 80(%), while being uncomfortable with the shape of their noses, also have complaints such as nose congestion, difficulty breathing, runny nose, postnasal drainage, snoring, morning fatigue, allergic nose complaints, and nose-induced headaches.
 
One of the most important objectives following cosmetic nose surgery is to have a natural, beautiful nose that conforms to the face. However, it is also important to eliminate other complaints, especially nose congestion.
 
If there is a nose cartilage or bone deviation, eliminating this problem during cosmetic surgery will eliminate nose congestion. Similarly, reducing the size of enlarged concha will significantly contribute to easy breathing through the nose.
 
The presence of adenoids, which significantly contributes to nasal congestion in children and adults may be eliminated during the cosmetic surgery and may greatly improve breathing.
 
If chronic sinusitis is identified in people who apply with complaints such as headaches, runny nose or postnasal dripping, cosmetic nose surgery and sinusitis surgery may be performed simultaneously.
 
Snoring is a commonly identified complaint in case of deformed nose. One of the most important causes of snoring is a problematic nose, and this problem can also be eliminated in the surgery.
 
We should note that the aim of cosmetic nose surgery is not only to beautify the shape of the nose, but to correct the functions of the nose, and to eliminate other problems that are identified simultaneously.
 

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Who Can Have Cosmetic Nose Surgery?

Cosmetic surgical interventions are surgeries that people undergo "to feel better."
If there is an obvious deformation on your nose and having it corrected will make you feel more comfortable, conforming and secure, you may be a suitable candidate.
If your nose is too large or too small
If the tip of your nose is low or hanging,
If your nose is wide when viewed from the front,
If there are external or internal deviations,
If the two sides of the nose are asymmetrical,
If there are problems with your nostrils,
If the tip of your nose is very mobile when talking or laughing,
If you have breathing problems, you are a candidate for the surgery.
In the next step, you should visit your doctor for an examination, and see what can be done on your nose based on your complaints through a computer simulation.
While simulations don't reflect the exact results of the surgery, they are beneficial for you and your doctor because they provide a concrete basis to discuss.
In addition to cosmetic expectations, you may have functional problems. Problems such as deviations, asymmetry due to accidents, enlarged concha, etc. can be fixed with a nose surgery, moreover, this is recommended. The age limit for surgery may be considered 16-17 for women, and 17-18 for men. Your feelings before the surgery are also important because the results will actually lead to psychological healing. In this regard, you can complete the following test to assess yourself.
Factors affecting good results are the following:
- Nose skin thickness
- Presence of deviation
- Previous surgeries.
 

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How do you Narrow a Very Wide Nose Base?

Your nose may seem very wide and large on your face when viewed from the front. This width may be caused by the bones, nose tip or nose base. In particular, large nose bases become more prominent through mimics. Wide upper bones impart the face a chubby look. The eyes seem set very wide apart.
 
How do you narrow a very wide nose base?
 
We remove 3-5 mm of tissue from the nose base and the nose entrance, as necessary. You can see the incision from the outside. We close the incision using special stitches that are removed 7 to 10 days later. After the stitches are removed, the incision area may be red for about a month.
Usually, no traces of the stitches are left. While sometimes an indistinct trace is left, it is negligible.
 
My nose is not very wide when viewed from the front. But it seems large, how can I be sure whether it is large for my face?
 
Draw an imaginary line from the innermost points of both your eyes towards your chin. In the ideal nose, the nose doesn't exceed these lines. If it does, your nose is large for your face.
 

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What are the risks in cosmetic nose surgery?

One of the most serious risks in nose surgery is bleeding, and this risk may be very high sometimes. Especially if non-cosmetic procedures will be carried out inside the nose - and they
should be, if necessary- the probability of undesired bleeding increases. This is especially high in conchae resections. The nose is an organ that contains medium-sized blood vessels. But
this bleeding usually doesn't reach dangerous dimensions, and can be stopped with simple tampons.
 
Stickiness called 'synechia' may develop inside the nose after surgery, and these may make breathing harder than before surgery. This can usually be easily treated, but may also require a
secondary surgery. Very rarely, a hole may occur in the structure called 'septum' that constitutes the middle of the nose. This usually is not a problem, but may rarely cause breathing
sounds. It is difficult to treat and requires secondary surgery.
 
Infections are virtually non-existent in the nose. This organ is well-blooded, and is very resistant against infections. Your place in medical literature will be guaranteed if you develop an
infection after this surgery.
 
However, nobody will be surprised if you have aesthetic problems or deformities, or don't like the shape of your nose after this surgery. Thus, the most common complication of this operation
is aesthetics. Aesthetic complications include conditions such as nose ridge collapse, open roof (gap between nose ridge bones), crooked nose, asymmetry, and difficulty breathing due to
malfunctioning nasal valve.
 
Of course, these complications are virtually impossible in experienced, capable hands that don't use patients for trials. The most important surgery, as in all surgical interventions, is the first one. Fixing improper interventions becomes harder in each secondary intervention.
 

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