Nose Aesthetics Questions

Only 20% of the patients who apply to us for rhinoplasty only apply with the complaint of nasal deformity. While the other 80% are uncomfortable with the shape of their nose, they apply with complaints of nasal congestion, difficulty in breathing, nasal discharge, postnasal drip, snoring, morning fatigue, allergic nasal complaints, and nasal headaches.

Of course, one of our most important goals after rhinoplasty is to make the nose look natural, compatible with the face and beautiful. But at the same time, it is important to eliminate other complaints, especially nasal congestion.

If there is nasal cartilage or bone curvature during the aesthetic operation, removing it will eliminate nasal congestion. In the same way, reducing the enlarged nasal concha will greatly contribute to comfortable breathing through the nose.

The presence of adenoid, which we see mostly in children but which is a cause of nasal congestion in adults, can be eliminated during the aesthetic operation and can improve breathing.

In the presence of chronic sinusitis, rhinoplasty and sinusitis surgery can be performed simultaneously in people who come with headache, runny nose or post-nasal drip.

The complaint of snoring with nasal deformity is a condition that often coexists. One of the most important causes of snoring is nasal problems and this problem can be eliminated at the same time.

It should not be forgotten that; Rhinoplasty is an operation that not only aims to beautify the shape of the nose, but also aims to correct the functions of the nose, and eliminates other problems related to the nose at the same time.

Male patients are also increasingly seeking aesthetic nose surgery. In Western countries, one fourth of the patients who have aesthetic nose surgery consists of men.

There are a number of fundamental differences that distinguish men’s rhinoplasty from women:

1. The most important thing in the aesthetic appearance of the male patient is the preservation of the masculine appearance. How to do this may vary according to the face type and harmony of each patient. As a general rule, the tip of the nose is not lifted too much, it is not too thin and an upturned nose is not made (it is rarely done anymore, even in female patients, because it spoils the naturalness). While the angle between the nose and lip is 105 degrees in women, it is kept around 90 degrees in men.

If a straight nose with a slightly raised tip is aimed, the clearer eye contour, cheekbones and jaw lines create a balance that prevents feminisation. A faint chin structure and cheekbones can also make the nose appear larger than it is. Interventions in these areas may also be recommended to the patient in order to maintain balance.

In general, making the nose very small, keeping its height strong even if a straight nose is made, and good projection gives a more natural and positive result.

2. The wishes of male patients do not contain as homogeneous integrity as those of female patients. In other words, male patients may sometimes only apply with complaints of nasal bridge, low nasal tip or width of the tip of the nose. Just having this part done may be enough for them. Because there is no accepted standard aesthetic form for the male nose. A woman’s nose, on the other hand, has an aesthetic shape that is generally desired and can be defined with golden ratios, and all necessary areas of the nose are intervened to achieve this.

3. In some male patients, the main motivation for nose surgery may be to breathe better, visual demands may be caused by secondary changes that occur during the trauma that causes breathing problems.

4. In middle-aged and older men, the body image is usually settled, and making very noticeable changes can make the patient unhappy. On the other hand, conservative but significant changes may be a better option for a patient who is in adolescence and is not comfortable with the nose shape, which is genetically inherited.

5. What kind of image will appear in male patients after surgery should be discussed with digital image techniques on a draft and it should be understood how much change the patient wants.

6. Despite being more cautious, revision rates in male patients are slightly higher than in females.

7. The skin is thicker and oilier in male patients, which causes swelling to last longer after surgery. In order to make this skin a little better and to tighten the pores, applying fractionated carbon dioxide laser before or after aesthetic nose surgery increases the quality of the skin being studied. In middle-aged and older male patients, acne rosacea and its advanced version, rhinophyma, may also be encountered. Since the structure that gives width to the nose tip in such patients is the excessive thickness of the skin rather than the nasal tip cartilages, the aesthetic intervention should be planned accordingly.

8. Thicker bone and cartilage structures in men can cause more bruising and swelling on the face, especially in surgeries that break bones.

9. Male patients have more history of nasal injuries due to sports and trauma than female patients. Septum deviation is seen more or more prominently in male patients. It is absolutely necessary to correct this during aesthetic nose surgery.

10. Ethnic characters are more prominent on men’s noses than women. Ethnic nose types in our country can be classified as ‘Black Sea Cape’ and ‘Arab Cape’.

a. Black Sea Nose: Noses with relatively thin skin, but with a very prominent arch, with the tip of the nose protruding downwards, and not very wide.

b. Arabian Nose: It is a patient with a long, downward-widening and thick skin at the tip of the nose. The tip of the nose is drooping because there is no support.

The fact that the nose is too thin and narrow on the face not only gives an aesthetically unpleasant appearance, but also causes serious shortness of breath.

Nasal strictures
· At the tip of the nose
· In the middle part of the nose
· In the upper part of the nose
· or all three parts together.

In nasal tip stenosis, it is as if the nose was tightened with a clip. This gives an angry expression to the face. In the narrowing of the middle and upper part of the nose, the nose is vaguely like a thin line on the face.

<strong>What is the cause of nasal tip stenosis? What technique should I fix?</strong>

It is two cartilage tissues that give the shape of the tip of the nose. The weakness of this cartilage tissue or the fact that it is less than it should be is the cause of this problem. This problem in cartilage can be congenital or due to previous surgeries. Replacing the missing cartilages and strengthening the weak ones solves the problem.

<strong>How do you solve the narrowing of the middle part of the nose?</strong>

For narrowness in the middle part of the nose, it is necessary to put opener cartilages between the narrowed cartilages. These cartilages are never visible from the outside and cannot be felt by hand.

<strong>What do you do for upper nasal stenosis?</strong>

The reason for the narrowness of the upper part of the nose is that the bones are too close to each other. I cut bones and make them mobile. Then I put these moving bones in their proper place. The plaster is enough to prevent it from slipping back into place.

<strong>Yes, I have a narrow nose, but will it fit my face when the narrowness is corrected?</strong>

Our measurement is your face when relieving the narrowness of your nose. A correction that is compatible with the other structures of your face will look very nice.

<strong>Long Nose Tip: Pointing the nose forward from the face</strong>

We call it the situation where the nose stands longer than it should be forward from the face. It is a condition that spoils the appearance of the face, especially when viewed from the profile. We call it the Pinocchio nose. Those with long nose tips usually have excessive nostrils. This should not be missed when correcting the long nose. The small chin can make the nose seem too long than it is. This is something that needs extreme attention. If the chin is small, no matter how much we shorten the nose, it will still look longer on the face. In such cases, it may be necessary to make minor interventions to the chin.

• After reading your article, I realized that there is a problem with my jaw. How do you get my chin forward?

– There are 3 methods to bring the chin forward.

1. Fat injection to the chin tip; It’s a relatively easy method. We inject the fat we take from your abdomen to the tip of your chin. Painless. There is not much swelling or bruising on the chin and abdomen. About 70% of the fat we inject melts. The remaining 30% is enough to enlarge the chin.

2. Putting a prosthesis on the chin tip: We can put it on the chin tip from the inside of the mouth or under the chin. There are various sizes of prostheses according to the needs. It is made of silicone, myrtylene or other materials. They never melt, they stay the same for life.

3. Taking the jaw bone forward by cutting: The jaw tip is cut and moved forward with wire screws. It is a difficult method for the painful patient. Permanent, does not change for life. We decide which of these three methods are suitable for you, together with the pros and cons.

The width of the nose tip is a common problem and negatively affects the appearance of the person. In this type of nose, the tip of the nose is wide and scattered. The shadows have disappeared. We call this type of nose clown nose. Among the people, it is often called meaty nose. It is the excess of the nasal tip cartilage that gives this meaty and wide appearance.

• My nose tip is too wide, how do you narrow it?

There are many methods to narrow the tip of the nose. The first thing we do is to remove the excess cartilage tissue. Then we shape the remaining cartilage tissue with sutures. The amount of cartilage to be removed varies from person to person. Sometimes the cartilage removal process and suturing techniques may be insufficient to solve the problem. In that case, we will use different methods. If I am going to use this type of different method, I will explain it to you in detail during your examination.

• How do you ensure symmetry while narrowing my nose tip too wide?

I definitely use the open rhinoplasty technique in patients with wide nasal tip. Thanks to this technique, I can directly measure and remove the cartilages that I will remove in millimeters.

• What is tip plasty, do you use it?

Tip plasty is simply replacing the tip of the nose. If there is no problem on the back of the nose or the root of the nose, it can be done. I also use this method in appropriate cases.

A droopy nose tip is very common in Turkish society. The tip of the nose drooped towards the upper lip. The nose is long on the face. The drooping becomes more evident, especially with laughing. The angle that the face makes with the upper lip should normally be 90-100. In a drooping nose, this angle is below 90. A droopy nose makes a person look old. As a result of the elimination of the problem, a younger appearance is achieved.

• My nose tip is actually lower and drooping. But it seems to be sagging more and more as the years go by. Is that possible?
With the effect of time and gravity, there is a sagging in all parts of the body. This sagging is most evident in the nose. As we get older, our nose sags.

• I want my nose tip to be lowered. When I lift my nose with my hand, it gets up on my lips. Will it be like this after the surgery?
There will be absolutely no change in your lip after the surgery.

• I hear it drops again after the tip of the nose is lifted. Are you doing anything to prevent this?
After I lift the tip of the nose to where it should be, I take various precautions so that it does not fall again.
First, I sew additional support cartilage to the tip of the nose. This solidifies the tip.
If I think that this will not be enough, I sew the nasal tip cartilages to the cartilage that forms the middle part of the nose. I use permanent stitches as stitches. This stitch carries the tip of the nose for life.

• One of my fears is that the tip of the nose gets too high? Because I see noses that have undergone surgery around me, which makes me uncomfortable. Why is this happening?
It is really a situation that I see frequently that the tip of the nose is excessively raised. This is mostly the result of excessive removal of the middle part of the nose cartilage. I am being very conservative to avoid this complication. I don’t remove much cartilage. I solve this problem by using seams.

This is one of the most crucial points of plastic surgery. In a significant part of the patients who apply for aesthetic nose surgery, not only deformity but also various problems are seen in the nose. The main of these are the curvatures called “deviation” in the cartilage and bone structures that form the midline of the nose. For this reason, it is very important to deal with aesthetic nose surgery and problems such as deviation and nasal flesh that cause nasal congestion together. If there is a curvature in your nose, if this is not corrected during your plastic surgery, your problem of both curvature and inability to breathe will continue after the surgery. For me, it is indispensable to solve both interventions, namely aesthetic and functional problems.

If the person who will have aesthetic nose surgery insists on a shape that should not be, it may be necessary to meet again and again. Perhaps the person believes that some of the negativities in his life will be corrected by nose surgery.

A marriage that went bad, working in a wrong line of business, a behavior that brings unhappiness, etc. In the end, for a reason that makes the person unhappy, a person may see plastic surgery as a solution to get rid of their problems.

It is very important for the doctor who will perform an aesthetic nose or a different aesthetic surgery to perceive this situation through patient interviews in order to avoid a big mistake.

In order to have nose surgery, the bone, cartilage and skin tissues in the nose must have completed their development. Age restriction differs between men and women.

Contrary to the long nose we call the Pinocchio nose, when the nose tip is too close to the face, we call it a flattened nose tip. The flattened tip of the nose gives an angry expression to the face. The reason is the insufficiency of the nasal cartilage.

• My nose looks flat on my face. How do you troubleshoot?

The reason for the flat nose is the weakness and deficiency of all nasal cartilages. Let’s think of the tip of the nose as a building. If the building has 2 floors, it will be stylish and useful. But in the current situation 1 floor. This one floor is not enough for us. What do we do, we put the 2nd floor on top of the 1st floor with concrete. We raise the building. In a flat nose, we raise the nose by adding additional cartilages to the inadequate nasal tip with the same logic. It is ideal to take the additional cartilages through the nose. If there is not enough cartilage in the nose, we can also take it from behind the ear or from the rib.

You are satisfied with the way you had a rhinoplasty operation, but you cannot breathe easily, you cannot sleep well at night, you are always alone with a nasal congestion. For us, no matter how beautiful your nose is, if you can’t breathe comfortably, it’s not worth it.

The most important task of the nose is respiration, a beautiful nose that can’t breathe does not bring anything to the person. The important thing is to make a nose that can breathe comfortably while targeting a natural, beautiful, face-compatible, personalized nose at the same time.
The way to do this starts with a detailed and meticulous pre-operative examination of the nose. Identifying the problems well is actually the biggest part of my solution…

If the nasal wings are weak, cartilage weakness is present, there is a deviation in the nasal cartilage and bone, the size of the nasal concha or sinusitis is present in the pre-operative evaluation in patients who have not only a shape problem but also a congestion problem in the nose, these should also be determined before the operation and resolved in the same session during the surgery.
The basic principle is not to remove excessive cartilage and bone tissue from the nose during the operation and to adjust the size very well. If this is not done, people who did not have nasal congestion before the surgery may experience new-onset nasal congestion complaints after the surgery.

The main purpose of rhinoplasty is; to create a natural, beautiful, face-appropriate and personalized nose, as well as to protect respiratory functions, and to perform maneuvers and operations at the same time that will enable better breathing.

An aesthetically beautiful and natural nose is a very important organ that stands out in the mutual communication of people, reveals eyebrows and eyes, affects the self-confidence of the person, and determines the expression of the individual.

The nose is not just an important organ in shape. It performs many vital tasks such as breathing, smelling and filtering the air.
Nose; It is a complex anatomy consisting of cartilage, bone, sinuses, subcutaneous fat, muscle, connective tissue, nasal flesh and skin.
In addition to this complex anatomy, it is also a difficult organ because it shows different characteristics in many people.
The operation of an organ with such a complex anatomy, which is vital to preserve its functions, which is always visible in the middle of the face and which is very important from an aesthetic point of view, is a difficult operation that requires intense training, patience, experience and talent for the doctor.

It should be noted that the most common reason for unsuccessful rhinoplasty is the wrong choice of physician. With such an important organ, both aesthetically and functionally, in sight, when deciding on the doctor who will perform your operation, see him face to face, see the operations he has done, and if there is an atmosphere of complete trust, then decide to have the surgery.

Although rhinoplasty operations are a very difficult operation for physicians, we can say that it is a painless and easy operation for the patient, which you can not easily experience in experienced hands.

The risk of bleeding, which is one of the most important risks in nose surgery, can sometimes be serious. Especially if non-aesthetic procedures are to be performed in the nose to relieve nasal congestion, which should be done if necessary, the possibility of unwanted bleeding increases. This possibility is more especially in concha (nasal meatus) resections. It is an organ that contains medium-sized vessels in the nose. But this type of bleeding usually does not reach dangerous levels and can be stopped with simple tampons.

Adhesions called synechiae may develop in the nose after the surgery and these can make it more difficult for you to breathe than before the surgery. This is usually easy to treat but may require a second surgery. Very rarely, a hole may occur in the structure called the “septum”, which forms the middle of the nose. This is usually not a problem, but in rare cases it can cause a sound when breathing. It is difficult to treat and requires reoperation.

It can be said that the infection is almost never seen in the nose. This organ, which has a very strong blood supply, is very resistant to inflammation. If infection develops after this surgery, you can enter the medical literature.

But if you experience aesthetic problems, deformities or don’t like the shape of your nose after this surgery, no one will be surprised. Therefore, the most common complication of this surgery is aesthetic. Among the aesthetic complications, conditions such as collapse of the nasal ridge, open roof (open between the bones on the nasal ridge), curvature of the nose, asymmetry, and inability to breathe as a result of the deterioration of the nasal valve may occur.

Of course, in experienced hands, the probability of these complications occurring in surgical interventions that know what they are doing and do not attempt to try on the patient is almost negligible. As in every surgical intervention, the most important operation is the first operation. Correction of faulty attempts becomes more difficult with each secondary attempt.

If your problem with the nose is only a shape problem, you can have surgery with the doctor in the branch you want. It doesn’t matter whether it’s an otolaryngologist or a plastic surgeon. The important thing is your trust in the doctor who will perform this operation.

However, if the problems in your nose are not just shape-related problems, if you have problems with nasal functions accompanying your complaints, for example, if you have chronic sinusitis, nasal bone slant, nasal concha enlargement, allergic rhinitis, I recommend you to have your surgery by an otolaryngologist. Because at the same time, you can get rid of these functional problems and ensure that the shape of your nose is the way you want.

I would like to emphasize again that the important thing here is that the patient fully trusts his doctor rather than which doctor performs this surgery. For this reason, my advice to everyone is to meet with the doctor who will perform your operation, maybe a few times, and to get enough confidence. If the feeling of complete surrender and trust does not develop to the doctor in front of you, then I advise you not to accept the operation. Remember that this decision is the right one for both you and your doctor.

Since the primary purpose in aesthetic nose operations is aesthetic, the breathing process of the nose is often overlooked.

However, there is another aspect that is ignored, which affects real patient satisfaction in the long run. This dimension is the stance of the nose against time, which is the indispensable dimension of rhinoplasty.

With aging, the nose undergoes a kind of earthquake. Nose surgeries should not accelerate this earthquake, on the contrary, it should make it resistant to time and aging.

How is sheathing done to strengthen the buildings against earthquakes? With the same approach, we can support and strengthen the nose in the surgery to make it resistant to time.

If we remove the materials that keep the nose standing with a logic on reducing the nose in rhinoplasty, we will weaken the nose.

The nose cannot resist time and may collapse. Structural grafting is needed to obtain an aesthetic nose that will withstand time.

In this context, successful rhinoplasty should provide a time-resistant, natural appearance that is compatible with the face and should make breathing even more comfortable.

Nosebleeds are an unpleasant event that has happened to most of us. It usually stops in a short time, but sometimes it can be very heavy bleeding for a long time. Here, instead of giving a lot of information about nosebleeds, I will try to answer questions such as what can be done during bleeding, when should we consult a doctor, and what should we do to be protected.

The first thing we do when our nose starts to bleed is to stay calm and be aware that you have the ability to do things. Because 99% of nosebleeds are bleeding that we can stop spontaneously or with simple interventions. As soon as you notice bleeding, immediately go to the sink or sit down, take a bowl in your hand, tilt your head slightly forward and squeeze both holes of your nose as shown in the pictures below, wait 10 minutes in this state, do not check whether the bleeding has stopped or not.

If the bleeding has stopped after 10 minutes, do not clean your nose for an hour. If the bleeding still continues, put ice on your nose. The most practical way to do this can be with the package obtained by pouring the frozen ice in the ice pack or the ice molds in the freezer into the refrigerator bag. Continue to apply ice for half an hour, meanwhile, keep pinching the tip of your nose with your other hand as in the pictures. If your nose bleed still continues, contact the nearest health institution or call 112 emergency medical assistance for help.

The vast majority of my patients who apply to me have both aesthetic concerns and breathing problems. I think my being an otolaryngologist has an effect on this. To give a ratio
-50% of them have aesthetic and functional problems together.
-25% of them are purely aesthetic problems
-25% have only functional problems

Recently, there has been a demand from people from all walks of life and all ages in rhinoplasty. I think it is effective that the results are successful in the widespread use of rhinoplasty.

People are now in favor of the natural nose. They want noses that match their faces. In the past, I used to have patients who came to me with their famous pictures and told me to make this nose, doctor. In the last few years, no such request has come from any of my patients. Because it is an indisputable fact that the nose is personal. A nose that suits someone else may not suit another.

Aesthetically, the shape of the nose must be planned according to the facial features of the person.
It should be natural, in harmony with the other structures of your face.
Someone who does not know you should not understand that your nose is aesthetic.
Your close friends who know that you have surgery should notice the positive change.
If there are complaints of not breathing, it should be resolved at the same time.
In the long term, there should be no collapses or curvatures in the nose.
After a successful surgery, after the swelling has dissipated, the nose fits well to the face. Since the result is natural, the person never finds his new state strange and adapts easily. Many people even forget their old nose. A well-made nose will reveal the person’s gaze first. The expression becomes clear and then the other beauties of the face appear.
While a bad nose gives a person a harsh and angry expression, a more affectionate expression emerges after a well-made nose, positive changes occur even in the mental structure of the person after a successful operation. Self-expression and self-confidence increase, he looks at life more positively.

In my opinion, the most important factor that increases success is that the physician analyzes the patient’s nose well.

In each nose, there are ligaments that carry the nose and cartilages that shape the tip of the nose. During the surgery, we work on these ligaments and cartilages in order to shape the nose. If more ligaments and cartilage are cut than necessary or if these ligaments are not repaired later, the nose falls, collapses or looks like it is squeezed. In order to avoid these problems, I remove the minimum amount of cartilage from the cartilage structures at the tip of the nose. I repair and strengthen the ligaments that carry the nose. More importantly, I reinforce the cartilage and ligaments that carry the tip of the nose with cartilages from the nose.
Nose plastic surgery can be done in two ways as open and closed technique. In the closed technique, all incisions are made inside the nose. The surgeon completes the operation without seeing it, working from the inside. In the open technique, a 3-4 mm incision is made at the tip of the nose and the tip of the nose is opened. In this way, it is possible to reach all nasal structures and the operation is performed by seeing, leaving nothing to chance. I do my surgeries with open technique. Because with the open technique, it is possible to have full control of the nose.

The Incision We Use in Open Technique

I always give the following example to my patients; Your car is broken. You went to the mechanic. He needs to look at the engine and fix the problem. Is it right to repair the engine without opening the hood or by opening it? Of course, it is better to open it and see the problem directly and then fix it.
The shape of the nose is given by working on the cartilages and bones. These cartilage structures, which are different in each person, should be analyzed one by one and after identifying the problems, it is necessary to apply appropriate solution techniques to these problems. Aesthetic nose surgery; it is a kind of chess in which the doctor plays with the patient’s nose anatomy. Therefore, it is essential that the physician calculates the short and long-term effects of the maneuvers performed by the surgeon on the result, be patient and does not rush. It is an operation that you will be very satisfied if done well, but difficult to correct if done poorly. While working on cartilage and bone, it is necessary to avoid damaging the structures that carry the nose. Damage to these tissues, removing excess bone and cartilage, crushing and chopping cartilage are the most important causes of serious deformities in the nose in the short, medium and long term. If this is done, the nose collapses, it looks as if it is tightened with a latch, it is excessively raised, and even breathing problems occur.

In order to avoid these complications, I shape the cartilages by using stitches, supporting and reinforcing, not by crushing, removing excessively, chopping. In fact, sometimes it’s just a few brushstrokes to add to a beautiful painting I’ve done.

“Everything in the right proportion is beautiful.” Umberto Eco
In the light of this information, it would not be an exaggeration to say that rhinoplasty is the most difficult plastic surgery. Indeed, it is a surgery where science and art meet. This surgery is one of the aesthetic surgeries where technique, experience and dexterity are at the forefront. Aesthetic nose surgery is difficult because every nose is different from person to person. There is no such thing as a difficult nose and an easy nose. Every nose needs the same amount of care. Whether the ENT performs the surgery or the plastic surgeon, it requires such attention and care that the physician will never even have time to deal with other surgeries.
Nose aesthetic surgery is an operation of the facial aesthetics (Facial Plastic) branch. Otorhinolaryngology specialists make up 60% of the American Academy of Facial Plastic and Reconstructive Surgery members. An otolaryngologist is a head and neck surgeon. The only branch that has nose surgery in its basic education is ENT specialization. Facial plastic surgery is rapidly spreading all over the world as a sub-branch of ENT specialty. An ENT specialist dealing with facial plastic surgery will ideally solve this question. The important thing is the experience of the physician in nose surgery. However, you will still make the right decision about choosing your doctor.

There is no upper age limit for this surgery. At the age of 70, I had patients that I operated on. The lower age limit differs between boys and girls. Aesthetic nose surgery can be performed after the age of 14-15 in girls and 17-18 in boys.
Before the surgery, the inside and outside of your nose are examined in detail with the help of endoscopic devices. Problems outside your nose are evaluated and discussed with you. Your face is photographed from 8 different angles, these poses are used to plan the surgery. In addition, the images taken with a digital camera are studied (imagining). Thus, you will have an idea about the image that will occur after the surgery.
We plan what we will do with you on the photos I took before the surgery and our alternatives in the digital environment. I use a professional computer program called united imaging for this. The most important difference of this program is that it provides the opportunity to work with the profile and from the front view.
I perform my surgeries under general anesthesia and in fully equipped hospitals. In principle, I do not perform surgical intervention in my office.
The duration of the operation varies according to the size of the problems in the patient. Since I pay attention to details in my surgeries, the duration of the surgery is not very short, that is, it takes 3 to 4 hours on average.

General anesthesia will be applied to you so that you do not feel and remember what was done during the surgical procedure.

These practices are scientifically and ethically accepted practices all over the world.

When they bring you to the preparation section for pre-operative preparation for the operation, if your anesthetist deems it appropriate, a medication will be given before you are taken to the operating room. This medicine can cause dry mouth, temporary forgetfulness and drowsiness.

Then you will be taken to the operating room and during this time;

• ECG electrodes will be attached to your body to evaluate the condition of your heart,

• Your vein will be entered with a special needle for serum insertion,

• A device that shows the oxygenation of the blood will be attached to your finger,

• A sphygmomanometer will be attached to your arm.

Apart from these, special applications can be made that your anesthetist deems necessary. If it will be done, you will be given detailed information about these applications.

You will be able to sleep with the drugs to be given through the needle inserted into your vein or the oxygen and anesthetic drug mixture to be breathed through the mask, if necessary, your breathing will be stopped with drugs and controlled with the help of instruments. You will not remember these actions. If deemed necessary for respiratory control, oxygen and anesthetic medication will continue to be given through the tube to be inserted into your windpipe.

After these procedures, the operation will be allowed to begin. Your vital functions will be constantly monitored during your surgery. Drug administration and arrangements will be made when necessary. All procedures will be recorded on the “Anesthesia Monitoring Form”.

After the operation is over, we will stop administering the drugs other than the oxygen we give you. We will give you drugs that counteract some of their effects. If it is stuck, we will remove the tube in your throat. We’ll take your condition to the recovery room for follow-up. After it is determined that you are well awake, you will be sent to the surgical clinic.

This is one of the most crucial points of plastic surgery. In a significant part of the patients who apply for aesthetic nose surgery, not only deformity but also various problems are seen in the nose. The main of these are the curvatures called “deviation” in the cartilage and bone structures that form the midline of the nose. For this reason, it is very important to deal with aesthetic nose surgery and problems such as deviation and nasal flesh that cause nasal congestion together. If there is a curvature in your nose, if this is not corrected during your plastic surgery, your problem of both curvature and inability to breathe will continue after the surgery. For me, it is indispensable to solve both interventions, namely aesthetic and functional problems.

FREE NOSE ANALYSIS
If you want to have a free nose analysis about Rhinoplasty, please call 0212 442 66 99 or make an appointment by filling out our Appointment Form.

All living things have three basic vital needs.
To eat,
Drinking water,
Breath
Just as malnutrition and the use of unhealthy beverages threaten our health, poor quality breathing affects our health negatively. The way of quality breathing also starts from the nose. Because the nose is the entrance to the lungs of the air we breathe. In a normal healthy adult, between 18000 and 200000 liters of air pass through the nose daily.
Your nose protects your lungs;

It cleans the dust and particles in the air you breathe with 100% efficiency,
It humidifies the air you breathe. This prevents the lungs from drying out.
It warms the air before it reaches the lungs. It prevents the lung from contacting with cold air.
For this and many other reasons, normal nasal breathing is indispensable for life. If you cannot breathe easily through your nose, you should find the cause and resolve it as soon as possible.
Intranasal cartilage and bone curvature (deviation) is one of the most important causes of nasal congestion. Based on this, patients who apply to the doctor with the complaint of nasal congestion are evaluated in this respect. Intranasal examination is done and if there is no curvature, it is said that you do not have a problem, there is no better breathing, you should be content with it, the aesthetic appearance of the nose was neglected. It was thought that aesthetic appearance and breathing had nothing to do with it. However, recent studies have shown definitively that; It is wrong to separate the nose as inside and outside. Now we know that the shape of the nose is directly related to the functions of the nose. An ugly and unpleasant nose can not only spoil the image, but also disrupt breathing. With the same logic, the image and breathing will be inextricably bad in a badly done rhinoplasty.

Nose aesthetic problems can negatively affect our breathing. Even though there is no problem in the nose. How Does?

Let’s try to explain with a few examples.

If the angle of the nose tip with the lip is insufficient, that is, if the tip of the nose is low, the air will have difficulty entering the nose. If you have this problem, lift your nose slightly with your hand, you will feel that you are breathing better. Lifting your nose tip with plastic surgery will both change your appearance and allow you to breathe better.

· If there are cavities at the tip of the nose, that is, if the tip of the nose is tightened with a latch, as soon as the air enters the nose, it will prevent it from going further. (We call it external valve failure of the nose). The problem can only be corrected with plastic surgery. When we strengthen the weak and hollow cartilages with the cartilages we take from the nose, your airway will be opened and you will have a beautiful nose.

· If your nose is narrow in shape, it is inevitable that this narrowness will also be reflected in the nose. Air will have difficulty passing through a narrow passage in the nose. Thanks to the opening grafts that we placed in the narrow parts after a plastic surgery to be done to you. You will have a natural nose and you will be able to breathe better.

If the middle part of the nose is flat but curved in shape, this inclination may affect your breathing. If the outer curve is corrected, you will not only have a symmetrical nose, but you will be able to breathe better.

If you cannot breathe well even though the inside of the nose is normal in all examinations, the problem may be caused by the external shape of your nose. With the plastic surgery to be performed, you can both improve your appearance and breathe better.