Rhinoplasty

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Rhinoplasty (Nose Aesthetic Surgery)

Rhinoplasty is a surgical procedure aimed at improving the aesthetic appearance of the nose while also preserving or correcting breathing functions. In modern rhinoplasty, the goal is to achieve natural, functional, and long-term stable results that are harmonious with facial proportions. Rhinoplasty involves reshaping the nasal bone and cartilage structures, aesthetically adjusting the nasal tip and bridge, and repairing functional structures such as the septum and turbinates when necessary.

Who is a Candidate for Rhinoplasty?

  • Those with a hump or irregularities on the nasal bridge
  • Those with a drooping, wide, or asymmetrical nasal tip
  • Individuals with a nose disproportionate to the face
  • Those with post-traumatic nasal deformities
  • Those with nasal obstruction and breathing problems
  • Patients seeking both aesthetic and functional improvement
It is important that nasal growth is complete (usually ≥18 years).

Rhinoplasty Techniques

Open Rhinoplasty
  • Allows direct visualization of the nasal tip and cartilage structures
  • Advantageous in complex tip and asymmetry cases
  • Preferred in patients with a high likelihood of revision
Closed Rhinoplasty
  • All incisions are made inside the nose
  • No visible external scars
  • Faster recovery in suitable patients
The choice of technique is determined based on nasal anatomy and surgical goals.

Functional Rhinoplasty

Functional issues can be addressed alongside aesthetic corrections:
  • Septal deviation
  • Internal nasal valve narrowing
  • Turbinates hypertrophy
This approach is critical for both aesthetics and healthy breathing.

Preoperative Preparation

  • Detailed facial and nasal analysis
  • Functional examination
  • CT scan if necessary
  • Smoking cessation at least 2–3 weeks before surgery
  • Adjustment of blood-thinning medications
  • Setting realistic expectations

Rhinoplasty Surgical Procedure

  • Performed under general anesthesia
  • Duration: 2–3 hours
  • Bone and cartilage structures are reshaped
  • Nasal tip supports are created
  • Functional repairs are performed
  • Silicone splints inside the nose and a splint outside are applied

Postoperative Recovery

  • Swelling and bruising are normal in the first days
  • Splint is usually removed after 5–7 days
  • Return to social life is possible within 1 week
  • Most swelling subsides within 1 month
  • Full resolution of tip swelling may take 6–12 months
  • Final results stabilize over time

Possible Risks and Complications (Rhinoplasty)

  • Bleeding
  • Infection
  • Temporary breathing difficulties
  • Asymmetry
  • Stiffness or sensory changes in the nasal tip
  • In some cases, revision surgery may be needed
With careful planning, experienced surgeons, and proper technique, risks are minimal.

Revision Rhinoplasty (Secondary Nose Surgery)

Revision rhinoplasty is corrective surgery performed on patients who have previously undergone rhinoplasty but did not achieve the desired aesthetic or functional outcome. This procedure is one of the most challenging and experience-demanding subfields of rhinoplasty.

Why is Revision Rhinoplasty Needed?

  • Irregularities on the nasal bridge
  • Drooping or stiff nasal tip
  • Asymmetry
  • Overly reduced nasal structure
  • Persistent breathing problems
  • Deformities that appear over time

Challenges of Revision Rhinoplasty

  • Previously harvested cartilage
  • Presence of scar tissue
  • Distorted anatomical landmarks
  • Altered tissue quality
  • Concurrent functional issues

Surgical Technique (Revision Rhinoplasty)

  • Open rhinoplasty is generally preferred
  • Cartilage grafts may be used:
    • Septum
    • Ear cartilage
    • Rarely rib cartilage
  • Nasal dorsum and tip are supported again
  • Functional repairs are performed simultaneously

Preoperative Special Evaluation

  • Previous surgery reports (if available)
  • Detailed analysis of internal and external nose
  • Functional assessment
  • Discussion of realistic expectations and limitations

Postoperative Recovery of Revision Rhinoplasty

  • Swelling and recovery time are longer than primary rhinoplasty
  • Complete resolution of swelling may take 12–18 months
  • Requires a patient and carefully monitored follow-up

Possible Risks and Complications (Revision Rhinoplasty)

  • Graft resorption
  • Asymmetry
  • Incomplete correction
  • Persistent breathing problems
  • Need for a second revision
The possibility of a second correction is higher in revision rhinoplasty compared to primary surgery, and this should be clearly communicated to the patient.

Longevity of Results

  • Results are long-lasting with proper support and grafting
  • Tissue quality and healing process affect the outcome

F.A.Q

When can revision rhinoplasty be performed?

Generally, at least 12 months should be waited after the first surgery.

Yes, it is technically more difficult.

In most cases, significant improvement is achieved; however, promising perfection is not accurate.

Not in every patient; the decision is made based on need.

Yes, in most cases breathing improves significantly.

Plan a safe and personalized consultation with Dr. Mert Okumuş. We are here to guide you through your aesthetic needs, facial analysis, surgical options, or any questions you may have. Fill out the form below to schedule your appointment.

If you have general questions about our services, treatment processes, or Dr. Mert Okumuş, you can reach us via email or contact us directly.

Email

dr.mertokumus@gmail.com

Phone

+90 532 781 51 23

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