Medical review by Tamer Haliloglu, MD
The questions and fears of most of my patients about rhinoplasty surgery are similar. These are generally information that is caused by or heard from around the internet and is not accurate. I briefly summarized these mistakes that I hear most often:
* A tampon placed in the nose after the operation gives pain and pain and remains in the nose for days. (False)
The most prominent of these questions is usually a tampon inserted into the nose after surgery. In the first years of rhinoplasty, since materials to stop bleeding by creating pressure did not develop, oily glands placed in the nose and left for a day or two were used. Although it provides convenience in terms of surgery, the pain and pain it causes due to its stickiness when it is removed one or two days after the operation did not leave the same effect on the patients.
In recent years, after rhinoplasty surgery, we put air silicone tampons into the nose. It can stay in the nose for up to a week, and it also helps the patient to breathe thanks to the holes in it. We usually remove the silicone air packs we put in the nose, painlessly and painlessly, on the 5th day of the operation. Both tampons, plaster and stitches are removed within 1 week after the operation and my patients can start their daily activities or work.
* After rhinoplasty surgery, a swelling and bruising occurs on my face for weeks. (False)
Another fears that I have heard in my first meetings with my patients and that have developed over time are the bruising and swelling on the face after the operation. I use "tunnel" or "canal technique" methods to minimize the swelling and bruising that occur in the fracture process of the nasal bone on both sides, called osteotomy. Thus, with an ice application for 3-4 hours after the operations, the face, around the eyes and under the eyes will swell a little and the recovery will develop very quickly. As a result, breaking the nasal bone is an essential method in nasal surgery, which forms the basis of the surgery. Performing this in appropriate and experienced hands by respecting the anatomy and surrounding tissues minimizes the swelling and bruising time.
* Even if I have a nose as I want with nasal aesthetics, my breathing will not be the same as before. (False)
As an ENT specialist, the most important thing for me is that my patients can breathe comfortably through their nose after surgery. Generally, there may be surgeons who are afraid to intervene in the nasal partition against the risk of collapse of the nose during rhinoplasty surgery. This may cause breathing problems if there is a curvature in the septum or a condition that affects breathing, even if the shape of the nose is beautiful. Surgical techniques are clear for this. With careful attempts to be applied to the septum cartilage and the reduction attempts to be made on the nasal meat, the desired results are obtained. Thus, the nose fulfills its full function both aesthetically and functionally.
* After rhinoplasty, my nose will be too raised or small, so it does not look natural. (False)
The most frequently asked question before and after surgery is usually 'will my nose look natural after surgery?' there is a question. When it comes to naturalness, the first thing that comes to mind is that there is no nose shape that shows itself much, starting from the nostrils, in accordance with the shape of the face. In other words, taking an arched nose within the limits means that the tip of the nose that is not very raised is raised sufficiently and the nostrils are reduced in a way that does not exceed the inner border of the eye. In this way, it is seen that a patient who has undergone rhinoplasty surgery has a natural nose structure, which is not known from the outside.
* It is not necessary to be over the age of 18 to have a rhinoplasty surgery. (False)
Rhinoplasty surgery can be performed from the age of 17 in women and 18 in men, in proportion to the development of the patient's bone and cartilage tissue. Except in very exceptional cases, rhinoplasty surgery should not be performed on young people who have not completed the development of bone and cartilage tissue.
Written on 09/12/2020
Last Update: 04/02/2021