15 December 2017

9 Myths About Rhinoplasty

is one of the most common operations in the world. There is also a lot of confusion among the public that turns into urban legends about this surgery. Here are the known 9 myths about and the points that should be true about rhinoplasty:


1. Rhinoplasty surgery is not performed for very young or old ages

The lower limit for these surgeries is 16 for females and 18 for males. However, we can rarely perform this surgery even in younger children with severe difficulty due to airway obstruction.

However, in this childhood nasal aesthetic surgery that we have to apply very much, it is possible to perform this surgery without touching the growth points of cartilage and bone. At an advanced age, there is no upper limit for performing this surgery.

This surgery can be performed at any age, when the general condition of the patient is good and it is not inconvenient for anesthesia, so the age limit is one of 9 myths about rhinoplasty. Sometimes we are at very advanced ages and we can apply all the steps of the nasal aesthetic surgery to those who do not have aesthetic expectations.

With this procedure, which we call valve surgery, we can interfere with breathing problems due to collapses in the nose wings, difficulty in breathing due to extreme angles at the tip of the nose, and weaknesses in the middle roof.

2.All nose surgeries are performed in the same way!

As each individual is unique, each nose structure is unique and individual planning must be done. This surgery may be the only operation that, unlike all other surgeries, has quite a lot of variability compared to both sexes and personal anatomical features.

As variables into business cartilage, bone, skin, the thickness of subcutaneous tissue and the symmetry of the face. I can easily say that the techniques we use in the operation of any patient are not identical to each other. Therefore, I think it would not be wrong to say that this operation was made different for every individual, like a handmade artwork.

3.Scar remains on the open rhinoplasty method

This operation is performed with different techniques. Some surgeons only use the closed method, some choose the open method, and some prefer one of the two according to the nose of the patient. Due to the introduction of all nasal anatomical structures in the open technique, the surgical field can be evaluated in more detail during the operation and problems can be eliminated with appropriate techniques.

If the patient’s only problem is the width of the nose or wings, it may be sufficient to correct this with a closed technique, but if there are many other problems in addition, the closed method is often inadequate. Especially if the nasal structures are both large and advanced, it may be necessary to apply many operations at the same time.

When applied correctly in selected cases, it extends the duration of the open technique operation by about 1 hour, but I think it reduces the possibility of revision greatly and is successful.

With the open method we use today, it is almost impossible to notice the scar with the naked eye after 6 months. The closed method, while being the greatest advantage of finishing in a much shorter time period, has its drawbacks, technical difficulties in working under the skin and interfering with some problems.

4.After rhinoplasty a painful process!

These operations are largely painless, and from the third day after the operation many patients do not feel the need to use pain relievers. With the ultrasonic piezo technology we use today, the bruise can be very small. Although the mentioned harshness and swelling evoke a feeling of suffering from the outsiders, it is not wrong to say that it is a kind of illusion.

The fact that bone sculptures made in surgery are not in a moving region is the reason why the process is painless. In this period, patients are recommended to stay away from situations such as hard chewing, excessive laughing, and soft toothbrushes, which cause the face area to move too much, in order not to cause slight pain. Thus, the patient will have almost no pain.

5.The nose tip drops after rhinoplasty

When surgery is performed on experienced hands, the nose does not fall. Nowadays there are supported the modern rhinoplasty with the front of the nose with the cartilages we call grafts, so it is also one of 9 myths about rhinoplasty that the nose tip drops.

Supporting the tip of the nose in this way is resistant to physiological nasal angles that may develop in later ages and we can say that it is a kind of anti-aging contribution. As a matter of fact, we can say that the nose drop that changed the expression on the face of the aged person would not be in the nose aesthetic operations done with the right technique, but would be much lighter after many years.

Some of rhinoplasty surgeons say it will be “a nostalgic nose”, which is very straightforward.

6.The hardest part of rhinoplasty surgery is nasal dampers and removal of them!

For years surgeons do not use long nose pads that stick to tissue and cause painful pressure and6 are painful when removed. Nowadays we use sewing techniques, self-releasing buffers or silicone buffers to create the buffer effect.

All of these are completely painless and extremely comfortable applications. On the other hand, the materials used in recent years also provide comfort to patients. For the success of this surgery, improving both nasal functions and nasal aesthetics is essential.

7.While rhinoplasty is performed from the outside, breathing surgery is also done from the outside!

It’s a joint inside and outside the nose. Sometimes, although there is no problem in the nose, air jaws are blocked simply because of the axle curvature on the outside. Sometimes, without correcting the cartilaginous curvature in the nose, an aesthetic intervention to be performed outside can be insufficient.

We must think together with the cartilage called septum in the nose and the aesthetic outside. A famous surgeon said, “Nose goes where does septum goes = go there where the cartilage called the septum in the nose goes.” A single incision can intervene both inside and outside the nose.

8.When the nose is aesthetic, the laser application is more successful!

Laser has no place in nasal surgery. The laser will never shape the bone or cartilaginous tissue. However, very rarely, after open technical nose surgery, patients may be directed to a laser for peeling of the skin associated with the laser, i.e., a kind of deep peeling, in order to reduce the complaints of patients with obvious cuts.

In addition, in the past, the meat in the nose has been used to reduce the size of the meat, but today it is abandoned. Today, doctors use radiofrequency for this purpose, and laser-like miniaturization technologies are used intensively.

9.Nasal aesthetic problems can only be corrected by surgical intervention!

Until 10 years ago, there was no alternative method other than surgery in correcting nasal problems. But nowadays, nasal aesthetics without surgery are possible in a few selected cases with technologically compatible filling materials.

However, there is a false perception that all nasal deformities can be corrected by filling, botox or skin stretching, also called “nasal aesthetics”, which is not true. Because these methods are only applied to selected patients who have certain very minor problems.

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