Nose Esthetics

Nasal aesthetics, referred to as rhinoplasty in medical terminology, is an operation that corrects problems such as congenital and traumatic causes of nasal deformities, asymmetrical appearance, and breathing problems. According to the Edwin Smith papyrus, the birth of rhinoplasty dates back to Ancient Egypt. According to ancient Indian sources, nose surgery was performed for the first time in 600 BC, when the skin was removed from the cheek by doctor Sushruta. In the 15th century, nasal reduction surgery was performed by removing incisions from the outside. In the 18th century, German Surgeon Carl Von Graefe used the word 'rhinoplasty' for the first time and based it on Indian techniques.

In 1891, Otorhinolaryngology Specialist Orlando Rou found the treatment of nasal tip curvature and changed the perspective on rhinoplasty aesthetics and provided the basis for the techniques used with the studies. In 1937, new studies were carried out by developing his own technique in nose surgery in the modern sense. In the first place, the operation was performed only on the correction of fractures, but with the technological developments and changes in the perception of beauty, it began to be considered aesthetically. With the increase in studies, more natural and more aesthetic operations were performed in the operations. In Turkey, operations began to be performed in the 1970s with the expectation of both health and beauty. Nasal aesthetic surgeries all over the world have changed and developed, and today, the building blocks for the realization of natural, permanent operations have been created.

What are the Types of Nose Aesthetics?

The types of surgeries performed to make the nose symmetrical, harmonious and proportional to the face vary depending on the problem in the nose. These are;

• Nasal aesthetics due to deformity (Primary Rhinoplasty)
• Complicated (revision) aesthetics (Complicated Rhinoplasty)
• Nose tip aesthetics (Tipplasty)
• Aesthetics due to breathing problem (Septorinoplasty)
• Concha surgery
• Breathing problem surgery (Septoplasty)
• Non-surgical rhinoplasty

1- Nose Aesthetics Due to Deformity (Primary Rhinoplasty)

It is an aesthetic operation performed to enter the deformities in the nose, which is generally preferred in nose surgeries. If there is a nasal bridge that disrupts the facial symmetry, the nose belt is removed, the cartilages are reduced if necessary and the projection of the nose is shortened.

2- Complicated (Revision) Aesthetics (Complicated Rhinoplasty)

Repetition of surgeries that have undergone nose surgery before but still has not resolved the problem is called complicated or revision. In revision surgeries, the nose is restructured in appearance and a healthy, aesthetic nose is obtained.

3- Nose Tip Aesthetics (Tipplasty)

It is a type of surgery that is performed in order to interfere with the cartilage structure of the nose without touching the area where the nasal arch is, and to correct the deformity at the tip of the nose.

4- Aesthetics Due to Breathing Problems (Septorinoplasty)

It is a type of operation in which the nose is shaped aesthetically and at the same time the breathing problem is eliminated. In rhinoplasty, arch and cartilage curvatures are intervened and the structure that prevents breathing is corrected.

5- Turbinate Surgery

The meat on the inside of the nose is called 'concha'. The turbinates grow over time, sometimes showing allergic symptoms due to environmental and physiological reasons and prevent oxygen intake from the airways. In the operation performed in rhinoplasty, the conchae in the nose is reduced and thus breathing through the air channels is made easier.

6- Breathing Problem Surgery (Septoplasty)

In nose surgery, it is a procedure that is performed by interfering with the polyp, turbinate or septa that prevent breathing in the nose without any aesthetic concerns. Septoplasty operation provides more comfortable breathing by intervening inside the nose. Thus, the quality of life of the person is increased.

7- Non-Surgical Rhinoplasty

In non-surgical rhinoplasty, which is called 'Liquid Rhinoplasty' in medical terminology, it is a type of non-surgical aesthetic performed on the outer surface of the nose, without the need for anesthesia, in order to remove only the deformities of the nose. The deformity in the nose of the person is filled with the nasal filling method, the injection method is applied to the areas that disrupt the structure in the projection image of the nose. This method is a temporary nasal aesthetic method, and after a while, the filler melts without harming the body. Problems such as wrinkled appearance in the nose, contour problems, droopy nasal tip are eliminated with non-surgical rhinoplasty. In the closed rhinoplasty technique, also known as scarless rhinoplasty among the people, it is performed by creating incisions on the inside of the nose. As with open surgery, this technique has some advantages. Expert surgeons decide whether the rhinoplasty procedure should be closed or open.

How Should Nutrition Be Before Nose Surgery?

Consumption of fibrous foods before nose surgery provides relief in digestion. Particular attention should be paid to the intake of collagen and protein-dense foods. All eating and drinking should stop 8 hours before the operation.

What to Do Before Nose Aesthetics?

• Before nose surgery, the person's health history is evaluated. It is determined whether there is a previous surgery.
• Blood analysis is taken the day before and it is checked whether it is suitable for surgery.
• Eating and drinking should be stopped 8 hours before the operation so that the anesthesia does not cause any complications in the body.
• Smoking should be stopped at least 2 days in advance. Thus, the healing speed of the wound can be increased.
• Consumption of medicines, vitamin supplements and herbal teas that are used regularly should be stopped.
• If there are drugs used regularly, the surgeon and anesthesiologist should be informed.
• Photos are taken from both side profiles of the person before and after nose surgery.
• Jewelry should not be worn and comfortable clothes should be preferred.

How is Nose Aesthetic Surgery Performed?

Nose surgeries are started by determining the shape of the nose that is suitable for the person's face under general anesthesia. In rhinoplasty surgery, the type of surgery is determined according to the internal structure of the nose, depending on whether there is a problem of shortness of breath in the nose. If there is a problem such as sinusitis, the breathing problem is eliminated first. Then, the cartilage, bone structure, and curvature in the nose are intervened in the curvature and septum, and the shape of the nose is corrected, so that the nose takes its final shape.

What are the Nose Surgery Techniques?

Two different techniques are used in nose surgery, depending on the doctor's decision and the intervention to be performed. These are;

• Open rhinoplasty
• Closed rhinoplasty

Open Nose Aesthetics

Open nose surgery is generally the preferred technique because of the low nasal tip, bony curvature, large nasal concha (inner nasal concha), a revision required, the collapse of the nasal cartilage and congenital factors. This technique makes it easier to intervene in the cartilage and bone structure in the correct planning of the surgery, making it easier to remove the deformity.

Closed Rhinoplasty

Closed nose surgery, also known as scarless nose surgery, is performed by making incisions in the inner parts of the nose. Recovery time is faster than open nose surgery and scarring is less likely. After the doctor's examination, the doctor decides which technique will be used in the aesthetic operation to be performed on the nose structure.

What Should Be Done After Nose Aesthetics?

• After rhinoplasty, you should rest for 4 days in a head-up position.
• Ice should be applied around the eyes for two days to prevent edema and swelling. However, ice should be kept away from the plaster on the upper surface of the nose.
• Since nasal packing is used, mouth breathing should be done and plenty of water should be consumed for dry mouth.
• Sudden movements should be avoided.
• Sports activities should be interrupted and heavy objects should not be lifted.
• The nose should be protected from all possible blows and movements that will create trauma should be avoided.
• Pay attention to actions such as blowing or sneezing that may injure the nose.
• After removing the nasal packing, she can breathe easily. However, the given drugs should not be continued under the supervision of a doctor.
• To increase the healing of nasal crusts, earwax can be cleaned for the nose by immersing it in oxygenated water.
• Spicy foods that will cause itchy nose should be avoided, and foods that can be easily consumed, facilitate digestion and promote healing should be preferred.
• Care should be taken to consume fruits and vegetables with high fiber content.
• Since the nose will be sensitive in the first place after nose surgery, it should be protected from sunlight and care should be taken to use sunscreen.

What are the Advantages of Nose Aesthetics?

If the person has problems such as sinusitis, polyp or turbinate, nasal canals are opened with nasal surgery. Thus, it provides more comfortable breathing. After the nose surgery, the problem of smelling is eliminated and it is beneficial to smell more comfortably. If there is an infection in the upper respiratory tract, it is eliminated. It helps to reduce heart and vascular problems as it ensures proper breathing. The sleep quality is increased by eliminating the snoring problem due to the person's breathing problem. It helps to get more efficiency in sports and all exercises. It also contributes to the person's self-confidence by having a nose that is compatible with the face he lives in. Thus, positive changes occur in his social life and quality of life.

What are the Disadvantages of Nose Aesthetics?

In the first days of rhinoplasty, which carries less risk than other types of surgery, numbness may be seen at the tip of the nose. However, this situation disappears with the fit of the nose shape. There is a risk of infection due to intranasal sensitivity. In order to prevent the nose from getting infected, the medications given by the doctor should be taken on a scheduled basis. Since the face area does not wash until the nose strips come off, oiliness may occur on the skin surface. However, with the help of cotton, the face can be cleaned with soft touches without touching the nose.