Op. Dr. Yunus Kaplan

Rhinoplasty
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Op. Dr. Yunus Kaplan

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RHINOPLASTY

ABOUT RHINOPLASTY

Rhinoplasty surgery can be done under local or general anesthesia . I do my operations under general anesthesia if there is not a very special situation.I think it is meaningless to discuss it in today’s conditions.

Another important point is:

Absolutelly I do not do my surgeries in the clinic environment.This place should be the operation room that the surgeon must be comfortable with.

What are we do while the surgery is once the nose functions are guaranteed, we do change the cartilage and bone structures to create the desired shape.

Technical issues are starting now at this point.Let’s follow step by step.

AFTER SURGERY

PAIN,BRUISE AND SWELLING- IS IT BUFFER?IS IT SILICONE?DURATION OF HOSPITAL STAY?PLASTER OR SPLINT?

Post-operative pain is almost none to say.There may be bruising and swelling around the eye.There is a wrong idea in this regard,’’There is no bruising according to the equipment or the technique used and the patient is returning to normal.I’m not totally agree with that.There are three main factors that affects bruising and swelling.

1-During anesthesia, the patient’s blood pressure value.

2-Surgical technique and equipment used

3-Personal factors

Yes, some patients have less, some patients have more bruises and swelling

There is something do not affect the result of surgery.

Buffer and silicone content:The most commonly used as the name implies silicone splint, silicone structure and leaf-like materials.

Some of them self-inflicted; another part needs to be removed after the surgery.

 

My most frequent choice in my practice is: Not to use any plasters.Secondly silicones.I mostly use these silicones as a precaution to prevent nasal adhesion after the surgery.I take it on the second or third day after the surgery. They are not very pain full, but when it is removing it makes you feel like a huge mucus coming out of your nose.If I prefer to use sponge structure,I use their spontaneous melt. Well,there is no need to remove it.These are patients with both aesthetic rhinoplasty and endoscopic sinuses surgery.

Duration of hospital stay: When you leave the surgery you can come to yourself in couple of hours and do simple activities.Eating by yourself and using telephone etc.It is possible to be discharged. Sometimesi specially for revision surgeries you must stay in hospital one day.I suggest my patients to take a shower after a day of surgery.This situation makes the patient more relaxy. The proper tapes used and with plasters there is no problem with water contact to the nose for a few minutes.

Plaster and splint:I remove the plastic splint from the nose after a week later of the surgery.After that, reducingswelling faster I use skin color than bands and you jeeo them for a few dats .At the end of the second week a beautiful image comes out.Sometimes it takes 6 months the swellings to pass.But either the patient or people around you they do not understand the swellings.

Glasses: The important point here is the structure of the nasal bone-sometimes I do tolerate the use of the glasses even after 10 days.This period of time can last up to 2 months.In my opinion there is no need to wait about 6 months.

Sunlight exposure:About 3 months there should not be exposed to directly to sunlight.This may cause staining on the skin.When its neccessary hot or sun-protectives can be used.

+IS REVISION OF RHINOPLASTY IS HARD?

Previously,which had undergone one or moren asal operatio and was unable to achieve the desired shape nasal aesthetic surgery ,we call revision rhinoplasty.There are different names are given such as:Secondary rhinoplasty,second rhinoplasy.It is generally accepted that these surgeries are more difficult than the first surgery.Because there is a nasal skeleton has not been altered and has not been succesfull,a skin that has been adapted to it and you are confronted with surprises when you start working.

But if the operation will start with sufficient preparation these operations.What I mean is:

1-Problems must be clearly concisely stated

2-Expectations must be realistic

3-Firstly,there should be enough tissue, especially cartilage tissue.The patients are hardly understand this situatiation.But the subject is so simply.While rhinoplasty surgery we try to do which is closes to natüre anatomy.Because  of this, first of all we need some tissues, especially cartilaginous tissue.In the first surgery, this cartilage reserve presents in the middle of the nose called ‘septum’.But sometimes cartilage tissue is not enough in revision surgeries.In this case, it can be obtained from cadavar called ready cartilage and it is possible to use some castly but reliable equipments by carrying out variouse operations.Or it can be obtained from cartilaginous tissued anywhere in our body.Back of the ear is alternative.But I do not use ear cartilaginous very much.Because its folded structure its not enough and useful.Another option is to get a cartiage anout 3 cm from the ribs in the of the nipple line.

If enough preparations have been made and these operations are performed,the difficulties of the operations are minimizes.

FAQ

FREQUENTLY ASKED QUESTIONS

In the examination, it is predicted that 16-17 in 17-18 women in men according to bone adequacy.

The return to normal life after surgery lasts about 10 days. During this period, the swelling and bruises are greatly reduced. Full recovery takes 6-12 months.

On the 3rd day after the procedure, the process becomes evident and on the 10th day it takes the desired shape. The effect lasts 4-6 months.

It is a FDA approved form of Hyaluronic acid which is produced in our body.