Rhinoplasty, or nose surgery, is a popular cosmetic procedure that aims to enhance the aesthetic appeal and functionality of the nose. Understanding the different types of rhinoplasty is crucial for individuals considering this transformative surgery. In this comprehensive guide, we will explore various rhinoplasty types to help you make an informed decision about the procedure that best suits your needs.

 

1. Closed Rhinoplasty: The Subtle Approach
 
Closed rhinoplasty is a minimally invasive technique where incisions are made inside the nose, leaving no visible external scars. This approach is ideal for patients seeking subtle changes to the nose's appearance, such as refining the tip or narrowing the bridge. With a quicker recovery time compared to open rhinoplasty, closed rhinoplasty is a popular choice for those desiring a less dramatic transformation.

 

The Subtle Transformation: Benefits of Closed Rhinoplasty
 
● Minimal Scarring: One of the primary advantages of closed rhinoplasty is the absence of external scarring. The incisions made inside the nostrils leave no visible marks, contributing to a more aesthetically pleasing outcome.
 
● Faster Recovery: Closed rhinoplasty typically boasts a quicker recovery period compared to open rhinoplasty. Since there are no external incisions, patients often experience less postoperative swelling and bruising, allowing them to return to their daily activities sooner.
 
● Natural-Looking Results: The closed technique is well-suited for individuals seeking subtle changes to their nasal appearance. The procedure allows for precise alterations, ensuring a natural look that complements the patient's facial features.
 
Who is an Ideal Candidate for Closed Rhinoplasty?
 
Closed rhinoplasty is ideal for individuals seeking minor adjustments to their nasal aesthetics, such as refining the tip, narrowing the nostrils, or addressing small asymmetries. Candidates should be in good overall health and have realistic expectations about the outcomes achievable through this technique.
 
The Procedure Unveiled: What to Expect
 
During closed rhinoplasty, the surgeon makes incisions within the nostrils, providing access to the nasal structures. The cartilage and bone are then sculpted to achieve the desired
shape and proportions. The incisions are closed, and the natural healing process begins. Patients can expect to see the final results as swelling subsides over the following weeks.

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What is Closed Rhinoplasty?

Open rhinoplasty involves an external incision across the columella (the strip of skin between the nostrils), providing the surgeon with better visibility and access to the nasal structure. This technique is often recommended for complex procedures requiring significant reshaping. While open rhinoplasty may result in a small scar, its advantages in terms of precision and control make it a preferred option for more extensive nose transformations.
 
3. Ethnic Rhinoplasty: Celebrating Diversity in Beauty
 
Ethnic rhinoplasty recognizes and respects the unique characteristics of different ethnicities. The goal is to enhance the nose's appearance while maintaining cultural identity. Surgeons performing ethnic rhinoplasty must have a deep understanding of the patient's cultural background to achieve results that are harmonious and natural-looking.
 
4. Revision Rhinoplasty: Correcting Imperfections
Sometimes, individuals may not be satisfied with the results of their initial rhinoplasty. Revision rhinoplasty is a corrective procedure designed to address issues that may have arisen from a previous surgery. This type of rhinoplasty requires a skilled and experienced surgeon who can navigate the challenges posed by scar tissue and altered nasal anatomy.
 
5. Functional Rhinoplasty: Improving Breathing and Functionality
While rhinoplasty is often associated with cosmetic enhancements, functional rhinoplasty focuses on improving nasal functionality. This type of surgery is beneficial for individuals experiencing breathing difficulties due to structural issues like a deviated septum. Functional rhinoplasty aims to combine aesthetic improvements with enhanced respiratory function.

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2. Open Rhinoplasty: Maximum Visibility, Maximum Results

Rhinoplasty, or nose surgery, is a popular cosmetic procedure that aims to enhance the aesthetic appeal and functionality of the nose. Understanding the different types of rhinoplasty is crucial for individuals considering this transformative surgery. In this comprehensive guide, we will explore various rhinoplasty types to help you make an informed decision about the procedure that best suits your needs.

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Rhinoplasty

A Comprehensive Guide to Nasal Health and Aesthetics
Septorhinoplasty, a combination of septoplasty and rhinoplasty, is a surgical procedure designed to address both functional and aesthetic concerns of the nose. In this comprehensive guide, we will explore the intricacies of septorhinoplasty, shedding light on its definition, the conditions it addresses, and why it is a transformative solution for individuals seeking both improved nasal function and enhanced aesthetics.
 
1. Septorhinoplasty Unveiled: Harmonizing Form and Function
 
Septorhinoplasty is a surgical procedure that combines septoplasty and rhinoplasty. Septoplasty focuses on correcting a deviated septum, which can impede airflow and cause breathing difficulties, while rhinoplasty addresses the aesthetic aspects of the nose. This dual-purpose surgery is ideal for individuals looking to improve both the function and appearance of their nasal structure.
 
2. Functional Benefits of Septorhinoplasty: A Breath of Fresh Air
 
● Septoplasty for Deviated Septum: The septum is the cartilage that divides the nasal cavity. A deviated septum can lead to airflow obstruction, causing issues such as snoring, difficulty breathing, and recurrent sinus infections. Septorhinoplasty corrects the deviation, restoring proper airflow and improving breathing function.
 
● Enhanced Nasal Function: Beyond correcting septal deviations, septorhinoplasty can address other structural issues contributing to nasal obstruction. This can include adjusting the size of the turbinates or repairing nasal valve collapse, resulting in improved overall nasal function.
 
3. Aesthetic Transformations: Rhinoplasty in Septorhinoplasty
 
● Refining the Nose's Appearance: In addition to addressing functional concerns, septorhinoplasty allows for aesthetic enhancements. Surgeons can reshape the nose, refine the tip, narrow the bridge, or correct asymmetries, providing patients with the opportunity to achieve a more balanced and aesthetically pleasing facial profile.

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Septorhinoplasty

4. Candidates for Septorhinoplasty: Who Benefits Most?
 
● Breathing Difficulties: Individuals experiencing chronic nasal congestion, difficulty breathing, or snoring due to a deviated septum are prime candidates for septorhinoplasty.
 
● Aesthetic Concerns: Those seeking both functional improvements and aesthetic enhancements to their nasal appearance can also benefit from septorhinoplasty.
 
5. The Procedure in Detail: What to Expect
 
Septorhinoplasty is typically performed under general anesthesia. The surgeon begins by addressing the functional aspects, correcting the deviated septum and addressing other structural issues. The rhinoplasty component follows, allowing for aesthetic adjustments. Recovery time varies, with patients experiencing improved breathing and gradually seeing the final aesthetic results as swelling subsides.
 
Who Should Consider Septorhinoplasty?
 
1. Chronic Nasal Congestion and Breathing Difficulties:
 
If you find yourself constantly battling nasal congestion, difficulty breathing, or snoring, you might be an ideal candidate for septorhinoplasty. The procedure addresses a deviated septum, corrects structural issues impeding airflow, and enhances overall nasal function. Individuals experiencing persistent breathing challenges can significantly benefit from the functional improvements offered by septorhinoplasty.
 
2. Deviated Septum Sufferers:
 
Septorhinoplasty is particularly suitable for individuals with a deviated septum. A deviated septum can lead to a variety of issues, including obstructed breathing, increased susceptibility to sinus infections, and snoring. If you've been diagnosed with a deviated septum, septorhinoplasty can correct this structural problem, restoring proper airflow and alleviating associated symptoms.
 
3. Aesthetic Concerns and Nasal Harmony Seekers:
 
Beyond functional improvements, septorhinoplasty is an excellent choice for individuals seeking aesthetic enhancements to their nasal appearance. If you're unhappy with the shape of your nose, have asymmetries, or desire a more balanced facial profile, septorhinoplasty allows for tailored aesthetic adjustments while addressing functional concerns.
 
4. Previous Nasal Trauma or Injury:
 
Individuals who have experienced nasal trauma or injury may benefit from septorhinoplasty. Trauma can result in structural abnormalities that affect both the function and appearance of the nose. Septorhinoplasty can correct these issues, restoring the nose to its optimal state and improving both breathing and aesthetics.
 
5. Realistic Expectations and Good Overall Health:
 
Candidates for septorhinoplasty should have realistic expectations about the outcomes of the procedure. It's essential to understand that while septorhinoplasty can provide significant improvements, perfection is not always achievable. Additionally, candidates should be in good overall health, as this contributes to a smoother and safer surgical experience.
 
6. Consultation with a Qualified Surgeon:
 
Ultimately, the best way to determine if septorhinoplasty is right for you is through a consultation with a qualified and experienced plastic surgeon. During the consultation, the surgeon will assess your nasal anatomy, discuss your concerns and goals, and provide personalized recommendations based on your unique circumstances.
 
Septorhinoplasty is a transformative procedure that caters to individuals with a range of nasal concerns, from functional issues to aesthetic desires. If you identify with any of the characteristics mentioned above and are considering septorhinoplasty, consult with a skilled surgeon to explore how this procedure can address your specific needs, contributing to both improved nasal function and enhanced aesthetic harmony.

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Candidates for Septorhinoplasty: Who Benefits Most?

Septorhinoplasty, a combination of septoplasty and rhinoplasty, is a surgical procedure designed to address both functional and aesthetic concerns of the nose. In this comprehensive guide, we will explore the intricacies of septorhinoplasty, shedding light on its definition, the conditions it addresses, and why it is a transformative solution for individuals seeking both improved nasal function and enhanced aesthetics.

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What is Rhinoplasty?
 
Rhinoplasty is the name given to surgical operations performed to change the shape of the nose. It is also called nose aesthetics. The purpose of rhinoplasty is to obtain a more pleasant-looking nose structure. When making changes to the nose structure, operations are performed in accordance with personal wishes. Rhinoplasty also includes the removal of deformities that negatively affect nasal functions such as smell and respiration.
 
Thanks to today's advanced medical facilities, nose surgeries are performed more efficiently than in the past. A healthy nose structure can be achieved with procedures performed on the nasal bone and cartilage tissues. At the same time, ideal facial proportion is achieved.
 
Problems such as nasal hump, sagging nose tip and similar problems that visually disturb the person can be eliminated thanks to rhinoplasty operations. It is frequently preferred in the treatment of natural or trauma-induced structural disorders in the nose. Since rhinoplasty is an operation that directly affects facial appearance, it is important to choose changes and operations suitable for the nose structure. At the same time, it is of great importance that the operation is performed by experienced surgeons.
 
How is Rhinoplasty Done?
 
The nose aesthetics process begins with the first examination performed by a specialist doctor. The patient's complaints and desired changes are evaluated. The examination examines whether the patient's wishes are suitable for the nose or facial structure. Thus, a joint decision is reached between the patient and the doctor about the operation to be performed.
 
At the same time, a detailed examination determines whether there is a problem in the nose that may prevent the rhinoplasty operation. If no structural problem is observed, general health checks are performed. It is checked whether there is any condition that may hinder the surgical operation. If the patient is suitable for the operation, he/she requests it from the doctor and communicates again about his/her expectations. It is important for the patient to clearly express his expectations. In this way, undesirable results can be prevented.
 
By taking photographs of the nose from various angles, targeted changes can be made on a large screen. Thus, the patient can clearly see the changes to be made.

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What is Rhinoplasty?

Why is Rhinoplasty Done?
 
Rhinoplasty can be performed for the treatment of unwanted deformities in the nose or a health problem, as well as for many different conditions. Why is rhinoplasty performed? We can summarize it in items as follows:
 
1. Natural or acquired deformities in the nose, 
2. Breathing problems caused by structural disorders, 
3. Complaint of snoring, 
4. Curvature or protrusion in the nasal bone, 
5. Discomfort the person feels with the appearance of his/her nose, 
6. Nostrils being larger or smaller than normal, 
7. The tip of the nose has a drooping, upturned or symmetrical appearance.
 

Who is Rhinoplasty Applied to?
 
Rhinoplasty can be performed by many people for various reasons. It is one of the most commonly performed surgical operations. Rhinoplasty is not an operation performed only for visual purposes. For this reason, the age of the patient is an important factor in rhinoplasty applications. If there is no functional reason for the respiratory and olfactory functions in the nose and there is an operation to be performed only for aesthetic concerns, the patient's cartilage development is expected to be completed.
 
The age at which nasal bone and cartilage development is completed is between the ages of 15 and 18, as recommended by the doctor. Patients who meet the age criteria can undergo rhinoplasty surgery.

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Why is Rhinoplasty Done?

"Rhinoplasty", which you often hear in the field of nose surgery, is the name given to operations performed to change the shape of the nose. What is Rhinoplasty and Why is it Done? In our blog article, we aim to answer the questions you have about rhinoplasty. So, let's answer your questions about rhinoplasty, one by one, starting with the basic information.

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Revision rhinoplasty, also referred to as corrective nasal surgery, is a procedure designed to address unsatisfactory outcomes resulting from a previous rhinoplasty operation. There is some debate regarding the terminology, with some defining revision rhinoplasty as subsequent procedures performed by the same surgeon to rectify issues from the initial operation. In contrast, secondary rhinoplasty is commonly used to describe corrective nasal aesthetic surgery performed for the second or subsequent times, irrespective of the original surgeon. 
 

Unfortunately, not every rhinoplasty procedure yields satisfactory results. Issues such as a broad or pinched tip, asymmetry, droopiness, excessively short or raised nose (pig nose), and uneven nostrils may arise. Problems like alar collapse (nasal sidewalls collapsing) can impede breathing, while a persistent nasal hump or bridge collapse may still be present. The nose may exhibit a parrot’s beak appearance (Polly-beak) due to insufficient cartilage removal or a saddle nose due to excessive cartilage removal. Other concerns include an inverted V appearance, a twisted nose, ongoing deviation, irregularities on the nasal bridge, and the development of excessive scar tissue inside and outside the nose.
 

In fact, the aesthetic and functional complications stemming from primary rhinoplasty contribute to the potential issues addressed in revision rhinoplasty.
 

Unfortunately, 7-15% of primary rhinoplasty cases necessitate secondary (revision) rhinoplasty. Some cases involve minor revisions where small adjustments suffice because the initial results are generally acceptable. Patients may be content with the overall look and feel of their current nose but seek minor refinements. Conversely, major corrective revision surgery is required when the previous rhinoplasty has led to noticeable shape deformities. Unsuccessful rhinoplasty can significantly impact a patient’s self-confidence, deterring them from social activities. Such patients are often discontent with their noses and apprehensive about undergoing revision surgery, grappling with concerns about potential failure or worsening outcomes and questioning their trust in the surgeon.

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What is Revision Rhinoplasty?

How to do Revision rhinoplasty?
 

Revision rhinoplasty, known as corrective nasal surgery, offers two approaches—open and closed—similar to primary rhinoplasty. It's essential to clarify that these approaches are not distinct surgical techniques but rather methods employed to access the nose's cartilage and bone structures.
 

In the open approach, also termed the External approach, a small inverted V or W-shaped incision is made on the columella (the structure dividing the nostrils), allowing the surgeon to lift the skin and access the underlying structures. The incision is discreetly closed at the conclusion of the procedure. Conversely, in the closed approach, all incisions are confined within the nasal passages. The choice between open and closed approaches depends on the specific interventions needed and the most effective execution. The closed approach offers benefits such as no disruption to nasal tip support mechanisms, reduced trauma, accelerated healing, reduced postoperative edema, and absence of postoperative numbness on the nasal tip. For noses with asymmetry or requiring major revisions, particularly in half lip rhinoplasty, I prefer the open approach due to its comprehensive access to the entire nose's cartilage and bone structures, facilitating diverse graft and suture techniques.
 

Revision surgery differs from primary surgery in that tissues may have constricted, valuable cartilage and bone tissues may have been excessively or asymmetrically removed, and weakened cartilages may have twisted. This necessitates more delicate and meticulous work during the operation. Skin and soft tissues play a pivotal role in revision rhinoplasty, often housing scar tissue. Compared to primary rhinoplasty, there is typically more pronounced tissue inflammation in revision cases. In patients with thin skin, protruding structures must be meticulously addressed, grafts appropriately thinned, and if necessary, enveloped in fascia. For those with thick skin, sturdy cartilage is essential to stabilize the nasal tip and withstand the weight of the nose skin, with swelling requiring a longer resolution period, sometimes up to two years. The operation duration varies from 30 minutes to 4 hours, contingent on the nose's shape and the approach applied. While minor adjustments may be completed in 30 minutes, major revisions could extend to 3-4 hours. Grafts are frequently employed in revision rhinoplasty, and depending on the case, cartilage from the nasal septum, ears, or rib (costal) cartilage may be utilized, extending the operation time. Nonetheless, emphasis should be on achieving optimal results rather than the operation's duration.
 

The success of revision rhinoplasty rests on well-developed judgment, competence, knowledge, and, above all, experience. Surgeons must possess significant anatomical knowledge and stay abreast of surgical approaches. Moreover, they should be prepared to address unexpected challenges. Postoperative follow-up is indispensable and should span an extended period.

In my rhinoplasty philosophy, I aspire to be both the inaugural and concluding surgeon performing the operation. Correspondingly, in revision rhinoplasty, my aim is to ensure the patient's contentment and be the ultimate surgeon involved. The postoperative process mirrors that of primary rhinoplasty.
 

Where do you procure the Cartilage from when needed in a Revision Rhinoplasty? 
 


Grafts serve as essential structural components in the process of nose reshaping. My primary choice, when feasible without compromising nasal support, is to utilize cartilage from the septum. If this option is not viable, I turn to cartilage from the ear. In cases where additional support is needed, especially in major revisions, I resort to rib cartilage obtained from the patient.
 

In primary rhinoplasty, cartilage from the septum typically fulfills the grafting requirements. However, in revision rhinoplasty, ear or rib cartilage is often necessary, depending on the extent of deformities and the prior use of septal cartilage in previous surgeries.
 

The removal of cartilage from the nose septum is possible, leaving behind a 1.5cm L-shaped support. I prefer septal cartilage primarily because it is readily available in the operative field, eliminating the need for extra incisions. Additionally, septal cartilage is easily moldable, provides structural support, and retains its shape. Nevertheless, the often inadequate amount of remaining cartilage after previous septal usage in revision rhinoplasty necessitates alternative sources.
 

When obtaining cartilage from the ear, incisions may be made to the front or back of the ear, strategically placed within the ear folds to be inconspicuous after healing. The removal of cartilage only from the pit ensures that there is no alteration in the ear's shape, and there is no impact on hearing. Depending on the requirements, grafts may be obtained from both ears.
 

Ribcage cartilage is sourced from the area where the 7th rib meets the chest bone. Accessing the rib cartilage involves a 2-3cm incision, and the necessary cartilage size is then extracted.
 

This strategic approach ensures that the choice of graft material is tailored to each patient's unique needs, optimizing both functional and aesthetic outcomes in rhinoplasty procedures.

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How to do Revision Rhinoplasty?

Revision rhinoplasty, also referred to as corrective nasal surgery, is a procedure designed to address unsatisfactory outcomes resulting from a previous rhinoplasty operation. There is some debate regarding the terminology, with some defining revision rhinoplasty as subsequent procedures performed by the same surgeon to rectify issues from the initial operation. In contrast, secondary rhinoplasty is commonly used to describe corrective nasal aesthetic surgery performed for the second or subsequent times, irrespective of the original surgeon.

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Revision (Secondary) Rhinoplasty

He graduated from faculty of medicine of Uludag Univercity.He successfully completed specialization training of Ear, nose and throat Department of the same University. After his speciality training, arrived in İstanbul. He worked in Safa Hospital and in the Etiler Entrium ear, nose and throat Center for five years. He performed his operations in Safa Hospital, Bakirkoy Acibadem Hospital and American Hospital.
During this time he perfomed around about 7000 successful surgery different in his branch. He carried out joint subjects with many regarded experts domestically, especially about rhinoplasty, snoring surgery, pediatric ear, nose and throat surgeries, sinusitis operations classically or with balloon, prominent ear operations, eardrum surgeries, dizziness, tinnitus and allergies.

He regularly follows congresses, seminars and courses regarding ear, nose and throat and aesthetic operations related to his branch, held every year at home and abroad. He has domestic and international publications on ear, nose and throat. He is a member of the Turkish Medical Association, Istanbul Medical Chamber, Turkish Ear, Dry Throat and Head and Neck Surgery Association, European Facial Plastic Surgery Association, European Allergy and Immunology Association.

EAR-NOSE-THROAT-HEAD AND NECK SURGEON

Op. Dr. Muhammet DİLBER

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Rhinoplasty, also known as rhinoplasty, is a surgical procedure to reshape the nose structure. With this operation, functional problems such as nasal deformity and nasal congestion are corrected.

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Revision rhinoplasty corrects the problems that occur as a result of previous nose surgery, and the size, width, profile, tip and nasal asymmetry obtained in previous surgeries are resolved spontaneously.

 Revision Rhinoplasty

Septoplasty is the surgical correction of defects and deformities of the nasal septum. The septum is a structure made of bone and cartilage in the central portion of the nose that separates one nasal cavity from another.