Rhinoplasty is an operation that can be carried out with general anesthesia or local anesthesia in which the form of the nose is changed through the steps planned beforehandly. Most of the time, problems causing respiratory difficulty such as septum deviation and conca hypertrophy can accompany.With the endoscopic examination done before the operation time,the details of these problems are analysed and their treatments are arranged in the plan of the operation. The length of the operation can be 1-1.5 hours, it depends on the details of the procedure. This length of time is standard for the patients who haven’t had an operation before. It can be longer if the patient has an previous and unsuccessful operation.Not to use intranasal packing in Rhinoplasty Operations is one of the important changes, the inside of the nose is sewn so that there is no need to use it.Rarely, if the patient has much nasal bleeding at the end of operation, a simple tampon having a small line that helps to breathe properly is used. At the end of the Rhinoplasty Operations a small plaster bandage is placed on the nose. After the operation our patient is required to stay at the hospital over a night.
At the end of the operation cold compress is applied and it is possible to eat or drink something and walk.After a week a plastic splint is removed and then no any further dressing is required.(In the previous we used to apply a tape bandage for an additional week after the removal of the plastic splint) After the operation on the first 2 days a patient might have some echimosis and swelling.On the third day it start to decline At the end of the week when the bandage is removed, echimosis and swelling become so reduced that they can be camouflaged with a little make-up.As soon as the plastic splint is removed, the changes in the form of the nose can be seen mostly,but the reformation of the last appearance takes much more time.In the first month,%60-70 of it is certain ,the final appearance would be seen between 6 months and a year.
The operation can be performed in two ways
The difficulties that can be faced after the operation.
A nose ,placed in the middle of our face, is a very important organ in aspects of appearance and respiration. Operations about the nose must be planned and carried deliberately. The information included here is prepared as a guide to the people who consider having a nose surgery. It is necessary to tell all problems about our nose in detail.It must be discussed in detail If you have a respiration difficulties or not, If it is so what is the relation between the seasons and them,do they increase with the activities,or do they cause problems such as; night sleeps,cotton mouth, headache, snoring and nasal flow. Whether you take an operation before or not and the time of it, traumas that are gone through should be noted.The features out of favour about the form and the expectations should be mentioned.Afterwards, the analysis and examination of the nose and the findings are transmitted to you.With the simulation studies, the changes that will be made are discussed..The next stage includes some preliminary preparations(laboratory tests) and is to determine if there is an obstacle to the operation or not.
The Operations can be carried out in two ways
The general anestesia is the most common application that the patient is put to sleep completely in time of the procedure. The other option is so called sedation and local anesthesia which the patient is sleepy during procedure and the operation area is locally anesthetized with local anesthetic injections. These techniques are explained you in detail and then we decide on the most suitable technique for you. The length of the operation may vary according to the details that told to you before the operation but it takes 1.5 or 2 hours generally.After the operation when you recover in your room, you realise that there is a a plastic splint on your nose.After the operation in order to decline the swelling, a cold compress is applied discontinuously.In the first hours, there would be no pain generally,however, sicchasia and dizziness can be seen.In these type of conditions, there will be some medicines in your treatment. “After the 4 hours of the operation, you are permitted to have a liquid food and walk around.” Generally it is possible to go home in the afternoon for the operations carried out in the morning and if the operation is carried out in the afternoon you can go home on the following day.To have a rest after the first 48 hours of the operation, and to apply cold compress to your forehead and cheeks every 2 hours for 15 minutes will relieve you and decline echimosis and swellings.From the third day of the operation echimosis and swellings decline very quickly.You can start doing your daily routines slowly.After a week, a plastic splint is removed.A list consisting the rules about to do and not to do after the operation is given to you.Even if you can see the overall form of your nose when the plastic splint is removed, it takes time to see the details.Especially in the first months in the mornings the nose can be much more swollen,but it declines within the day. The numbness and induration can occur due to the techniques used in the operation and the density of the procedures accordingly. Sometimes it takes months to recover. In the early periods after the operation, the nose must be protected against the traumas for this reason the body contact sports are inconvenient for the first 8 week. Likewise sauna and solarium should be avoided for the same duration.On the other hand,from the second week exercise,swimming, and individual sports can be done.On the first days and in the first weeks after the operation respiration is not so easy due to the oedema and incrustation in the nose. At this time, some medicine droppers and cream are suggested and the use of them help to decline the complaints. In the 1st,3rd,6th and 12th months after the operation, your recovery process is followed by the controls.By the help of photos taken before the operation and in the 6th month after the operation comparisons are made.
Problems That May Occur After the Operation
Some undesirable situations ,commonly taking place in every surgery, can be questioned after the operation.We can categorise them as early and late period problems. In the early period, the problems related with the anesthesia are thought primarily.A condition detected in the preparation period and requiring detailed investigation can lead to postpone your surgery. As these type of operations are not emergent, preparation of the operation is done in a safe way and risk is minimized. .However,anesthesia might have some risks.This risks are tried to be minimized via the modern anesthesia facilities.After the operation, sicchasia is possible.There are medicines reducing and controlling this and they are taken if it is necessary. After the operation, nasal bleeding from the nostrils is possible and it is checked with the gauze placed into the nose in the first hours. The nasal oozing can be observed in the first hours and it decreases after the first 24-48 hours and it changes its colour from red to yellow.
- Intranasal packing is not routine anymore and actually, these are not used in nearly 95 % of our patients. The patients having intranasal packing can have the feeling of sneezing.They may think they are catching cold and getting sick. Actually this feeling is deal with the intranasal packing and it disappears very quickly when it is removed.
- In rare, one of the complications of the operations is infection. Taking antibiotic at the start of the operation for protective purposes mostly reduces the probability of this.If you have an intranasal packing and if symptoms such as having a fever and trembling are seen on the second day of the operation, the intranasal packing must be removed immediately for this reason the doctor must be informed.On the following days, if you have a painful swelling and a sensitivity increasing by touching anywhere on your nose and if you feel yourself exhausted this can be a sign of the incoming infection.In this situation,you are examined and by starting a new treatment, you get a very fast recovery process.
- Another problem that can be faced in an early period of the operation may be traumas which are exposed unintentionally. While slight traumas do not cause any problem,heavy traumas can lead to deformations.In a such case, your immediate application can help to get a favourable result with a simple procedure.
- Problems that can take place in the late period can be related with respiration-breathing and appearance.Problems concerning breathing can be in relation with the operation itself or due to unrecognized existent problem and existent problem that are not realized before the operation but become more obvious after some procedures applied at the time of the operation. In addition to this, breathing problems can appear with the allergic reasons. According to your complaints and your examination findings medical treatment and secondary process can be needed.
- The most common situation that is faced in terms of appearance is the transmission of some formation problems that are experienced without the total recovery of swellings in an early period of the operation.Certainly, expecting a quick result from the operations carrying esthetical purposes is so natural.But It must not be forgotten that recovery after the operation takes a long time and there may be some swelling changes even during the same day.
- The revision rate which is the secondary procedures for unpleasent results is around %5 . The most important way to reduce the secondary procedures is a detailed consultation about the expectations before the operation and things that can be done.Each case has certain constitutional limits and they must be negociated thoroughly.