Nose Job, Rhinoplasty

Rhinoplasty

Rhinoplasty (nose job) is the most common plastic surgery made. It is requested not only by patients who are unhappy with their appearance, but also as reconstructive surgery. Patients who undergo deviation correction surgeries may also request a physical improvement. Patients must reach the age of 16 to 18 as the growth of the nose is complete by this age. In order to maintain facial symmetry, patients may need a chin plastic surgery as well. Rhinoplasty is suggested after the age of 16 for females and 17 for males. During the consultation, the post operative nose size and shape is determined by the help of computer imagery.

Nose tip plastic surgery

Tip Plasty application only made to the tip of the nose, without interference to the rest of the nose. This is very seldom used as usually noses require a more complete remake. It is selected when the tip of the nose is too wide, turned up or down, curved to either side or extremely round, or the nostrils needs modification to balance with the rest of the nose. At times, the shape of the tip obstructs breathing, it can be determined with a simple test of lifting the nose slightly higher to obtain a more eased air flow.

If the nose skin is too thick and oily, it can be thinned via lasers to smooth the skin and have a less porous surface.

During the nose job operation, an intervention from the outside is suggested as the results will be better, and the surgeon will have a clearer view during the process versus entry through the nostrils. During the operation, the lip and nose angles can be adjusted, and does not require casts or tampons post surgery. A small bandage is applied and swelling, bruising will completely disappear within a week.

Septum Deviation

What is Septum deviation?

It is simply “not breathing with ease “. Its stages vary from very mild to extremes, where corrective surgery is highly recommended to improve breath quality.

Why does this happen?

Structural reasons: Sometimes the inner nose separation, called septum is deformed. This can be hereditary or post trauma. 7 % of new born babies have nose issues when passing through the birth canal, causing breathing problems later in life. Children may also cause damage by inserting foreign objects to their noses. These may cause snoring, heavy breathing, or difficulty in breathing. This can affect their school and sports activities as they can not participate as freely.

 Infection: On average, a person has two cases of flu per year, if the nose tissue is infected by the viruses, the internal nose tissue will react by swelling and this will cause difficulty in breathing.

Allergies: Allergies are the body’s reaction to foreign things like pollen, mites, animal residue, and dust particles. At times, food can cause allergies as well. The simplest method of cure is to remove these from our surroundings, or the use of related medication yet antihistaminic medication causes drowsiness and decongestants have the opposite effect. Medication must be used with a doctor’s supervision.

Vasomotor rennet: : This occurs with the nose tissues inflammation, as these tissues contains veins that are capable expanding and contracting, and with adrenalin, they contract, opening the air valves for easier breathing. During allergy attacks and cold weather, the veins expand, causing breathing to be harder.

A corrective surgery is simple and with excellent results. If untreated for a long time, the veins will loose their elasticity and will not respond to treatment

Nose devistons and surgical treatments

Septum deviation or the enlargement of the inner nose related problems must be surgically resolved. During esthetic nose operations, inner problems which causes difficulty in breathing must be addressed during the operation.

Plastic surgeon or a nose specialist?

These operations should be performed by plastic surgeons that are nose specialist’s as a plastic surgeon has more experience in harvesting cartilage.

Plastic surgery on the nose is not solely based on appearance but needs careful consideration of the patients face, shoulders age and other factors and require a trained eye who can view the nose as a part of the whole.

Second nose job (corrective surgery)

A corrective surgery is performed when the patient is unsatisfied with the results or breathing obstructions observed post operation. It is better to separate the secondary operation reasons as below

Correction of minimal discrepancies

Procedures under this category can be made with local anesthesia and are a very simple procedure to apply.

Deformation and breathing malfunction correction

In this group, serious deformations are addressed to, where excess cartilage is removed, or not removed enough; or has not been shaped as desired or where it is asymmetrical. In some cases, the patient may have had many surgeries where the results are disastrous. It is not easy to obtain satisfactory results with these patients. In these cases, cartilage is harvested from the patient to reconstruct their noses

Earlier nose jobs removed excessively cartilage, creating tiny noses, and modern noses jobs are creating noses to the patient’s facial structure, to compliment their faces with a natural look.

The Turkish nose The nose structure of Turks highly differentiates from other ethnic groups and it quite difficult to operate on. It is observed that many Turks require a corrective surgery when their initial operation was performed in Europe or the USA.

Operation treatments

Secondary operations are to complete and correct the initial operations results, and must be done with extreme care by experienced surgeons as it involves cartilage harvesting.

Secondary nose jobs can be performed at least a year after the initial operation and if further operations are needed, there must be at least two years between these operations. The healing time is longer, and smoking is strictly not allowed to allow adequate blood flow to the extremities.