Rhinoplasty, also known as a nose job, is a surgical procedure that involves reshaping the nose to improve its appearance or function. The procedure can be performed to alter the size, shape, or angle of the nose, or to correct defects or injuries.

The procedure typically involves making incisions in the skin around the nostrils and separating the skin from the underlying bone and cartilage. The surgeon will then reshape the bone and cartilage as needed and may use grafts (tissue taken from another part of the body) to add or remove volume. The skin is then draped back over the reshaped structure and the incisions are closed with stitches.

Rhinoplasty, also known as nose reshaping or nose job is one of the most common plastic surgery operations. Only in the United States of America, at least 350 thousand rhinoplasty surgeries are being done in a year. Rhinoplasty surgical procedure reshapes your nose and makes it look much better. Rhinoplasty recovery is the final part of the rhinoplasty operation. The longness of that time varies from patient to patient.

After your rhinoplasty operation, you are requested to follow some medical instructions given by your surgeon. To quicken the recovery, you should completely carry out these instructions. The instructions are essential to achieve a good result.

In this article, we will first have a look at what rhinoplasty is and how rhinoplasty is implemented. Following that, we will mention rhinoplasty techniques and how to choose the right surgeon for rhinoplasty surgery. In the final part, you will read about the rhinoplasty process.

What Is Rhinoplasty?

What is rhinoplasty? Rhinoplasty is a plastic surgery or surgical procedure in which the surgeon aims to change the size and shape of the nose. The lower part of the structure of the nose is cartilage, the upper part is bone. In rhinoplasty surgery, the surgeon can change bone, cartilage, and the skin of the nose. Before the operation, talk to your surgeon, if you are a good candidate for this operation or not. If the answer is yes, make a plan together according to your needs and expectations. But, bear in mind that your expectations should be realistic as a surgeon is not a magician.

In the medical center where you will have rhinoplasty, they will take some pictures of your nose from different angles. The surgeon may use these photographs as a reference point during the operation and later to see the long-term changes in your nose. The surgeon also will give the if you need a “closed rhinoplasty” or an “open rhinoplasty”. You can learn the differences between traditional rhinoplasty and non-surgical rhinoplasty there, they will be happy to explain.

How Is Rhinoplasty Implemented?

Rhinoplasty is a very common surgical procedure but not a very simple one. It can take one to three hours depending on the patient’s condition and needs. It is quite a complex procedure and to avoid risks, you should find a certified medical center and an experienced surgeon. 

During a rhinoplasty surgical procedure;

  • The surgeon makes an incision on the inside of the nostrils if he or she is performing a “closed rhinoplasty”. The surgeon may make another incision across the base of your nose if they perform an “open rhinoplasty”.
  • He or she raises the skin of your nose
  • Reduces the skin, cartilage, or bone to create a new shape of the nose
  • Replaces the skin
  • Uses the stitches to keep the skin in place
  • After the operation, you will be informed about the side effects. Swelling and bruising are among the most common side effect of a rhinoplasty surgical procedure.

Rhinoplasty Techniques

There are different rhinoplasty techniques used for different needs. Some of the common rhinoplasty techniques can be listed and summarized below:

  • Skin and rim incisions: In open rhinoplasty skin incisions and rim incisions are used. The skin incision is placed in the mid-columellar skin of the nose. The rim incision is known as an intranasal incision.
  • Skeletonization: This is done to reach the bony framework of the nose. Collumular and marginal incisions are connected.
  • Tip plates: Tip plates are usually used in complicated cases. It is a combination of different techniques.
  • Interdomal suture: An interdomal suture is a simple suture but is known as the most effective approach to correct boxy and bifid tips.
  • Collumellar strut: The columellar strut aims to reinforce tip support.
  • The cap graft: It is a small ovoid cartilage. It is placed and fixed over domes.

Choosing The Right Rhinoplasty Surgeon

Choosing the right rhinoplasty surgeon is an important step to be taken before the operation. Make sure your surgery will be carried out at a hospital or certified medical center. Before the operation at the preparation stage, you will regularly visit your surgeon there. Do not hesitate to ask anything that bothers you about the rhinoplasty surgical procedure. They will show you some before/after pictures from previous surgical procedures, and it is good proof that they are experts in their field. That will make you feel comfortable with your surgeon. 

Your surgeon will explain you whole procedure, rhinoplasty types like traditional rhinoplasty, and things to do or not to do before the operation like not smoking or doing some exercises. They will tell you the risks and benefits of the operation to make you consider it as a process. A good surgeon is like a teammate with whom you collaborate to win the game.

The Rhinoplasty Process

The details may vary from patient to patient but the rhinoplasty process has six main steps:

  • The first step is anesthesia. The surgeon carries out either general anesthesia or intravenous sedation. This will be decided according to your health data by the surgeon.
  • The incisions are the second step. A closed procedure or an open procedure is used in rhinoplasty. Where the incisions are made depends on the chose
  • After these steps, the surgeon starts reshaping the nose structure.
  • A deviated septum is corrected at that stage to improve breathing.
  • When a desired shape is carried out, incisions are closed by the surgeon.
  • The healing process starts

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Opr. Dr. Cenk MelikoğluOperating Doctor Cenk Melikoğlu was born in Görele, in 1978. In 2002, he graduated from Dokuz Eylül University Faculty of Medicine. Between the years of 2003 and 2010, he did his specialization in İzmir Atatürk Training and Research Hospital, Aesthetic and Plastic Surgery Clinic. In 2015, he worked as a guest lecturer in the American Hospital of Paris. When abroad, he especially focused on the transfer of free vascular lymph nodes for lymphedema treatment, in the field of microsurgery. He participated in numerous training and meetings in this area. There are more than 30 articles in the literature, which were published in national and international journals. Since 2016, he has been working in İzmir Özel Ekol ENT Hospital in Aesthetic Plastic Surgery and Cosmology Clinic. He speaks English well. He is married and has one child. His special interests are; Breast Aesthetics & Dual-Plan Method, Aesthetic nose surgery, Lymphedema surgery, Endoscopic facial stretching, Aesthetic body shaping surgery (abdominal stretching, liposuction, aesthetic breast surgery), Hair transplantation with FUE method, Migraine surgery, Gynecomastia correction, Genital aesthetics (especially penis enlargement), Lymphedema Treatment (Laser Assisted, With Microcannula Lymph Protective Method), Penis Enlargement (Length & Thickness Combined Method), Migraine Surgery (Closed Method with Scopy). He was entitled to receive the "Proficiency Certificate" by being successful in the examination, which was held by the Turkish Plastic Surgery Association in 2010. In 2015, he participated in a scientific competition by Gülhane Military Medical Academy with his study 'Saddle-nose deformity repair with micro-plate-adapted costal cartilage.’ He has won the first place in the field of surgical medicine. In 2018, he worked at Weiss Memorial Hospital in Chicago, USA for three months in April, May and June on advanced techniques on gender reassignment and penis enlargement in men. He is still continuing his academic and scientific studies.
Opr. Dr. Anıl ÖZPAKHe graduated from Samsun Ondokuz Mayıs University Faculty of Medicine in 2011. Between 2013-2019, he received his specialty training in Plastic Reconstructive and Aesthetic Surgery Department at Ankara Dışkapı Training and Research Hospital. He successfully has the Turkish Plastic Reconstructive and Aesthetic Surgery qualification certificate in the 2018 exam. He is a member of the Aesthetic Plastic Surgery Association and the Turkish Plastic Reconstructive Surgery Association and the Turkish Medical Association. He is fluent in English.  Dr. Anıl Özpak is married and has 2 children. Domain Knowledge: Rhinoplasty Eyelid aesthetic Face rejuvenation (face-neck lifting) Otapostatis Breast aesthetics (enlargement, reduction, lifting) Correction of gynecomastia Abdominal stretching Tummy Tuck Arm - Thigh lift Genital aesthetics Lipoedema surgery Liposuction Fat injections Minimal aesthetic applications (filling- neurotoxin) Skin Tumours Facial Traumas Hand Aesthetic surgeries
Opr. Dr. Arif AydınHe graduated from Eskişehir Osmangazi University Faculty of Medicine in 2008. He studied at Kaunas Medical Faculty between the years 2007 and 2008. He completed his specialization on Plastic, Reconstructive and Aesthetic Surgery Department at Afyon Kocatepe University between the years 2009 and 2014. He has 5 original articles published in national and international scientific journals, and 13 verbal and written academic papers presented in national congresses. He continues the academic studies. He received the competence certificate of Turkish Plastic Reconstructive and Aesthetic Surgery after his success in the exam in 2016. He did well in European Plastic Surgery Competence Written Exam that took place in Brussels in 2019. Fields of Interest: Rhinoplasty Neck lift surgery, Face lift Surgery, Otoplasty, Tummy tuck, Liposuction, Breast augmentation / reduction / mastopexy, Gynecomastia, Genital aesthetics, Blepharoplasty, Lipoedema surgery, Penis enlargement (lengthening and thickening surgery), Fat injections 

Frequently Asked Questions

The procedure can be performed by Aesthetic surgeons or Ear, Nose & Throat surgeons who are experienced in this field. You should make good research before choosing your surgeon and be sure to describe your desired result well to them. 13 E.N.T surgeons and 3 Esthetic Surgeons perform Nose Aesthetic Operations in our hospital, giving the patients a wide range of options.
Ekol Hospitals was first founded as an E.N.T. Hospital- the first and the biggest E.N.T hospital in Turkey and in Europe. Thanks to its roots in the field of E.N.T, each surgery in this field is performed by our experienced professors, associate professors or specialists. Patients who prefer to have the surgery done by Aesthetic Surgeons can also choose among our experienced esthetic surgeons and tell them what they need.
The rhinoplasty opeartions can be open or closed operations. Ultrasonic blades, Piezzo method or classical methods can be used for the procedure. In this case, the type of skin, cartilage structure and bonal structure of the nose is important.
Some rhinoplasty procedures can be performed in the clinic by local anesthesia while most of them are performed under general anesthesia in Operating Theater. Mostly one night hospitalization will be needed. You will have silicone splints in your nostrils after the procedures. But don’t be afraid, those are not like the old ones. You will be able to breath through the splints. The plastic cast which is placed outside your nose will be removed by your doctor at the end of 1st week.
No the weather conditions or season is not important. You only will need to be careful about direct sunlight after the operation since it can affect your blood pressure and cause bleeding. You also should be careful for impacts or traumas.
The recovery process after rhinoplasty surgery can take several weeks. You will need to take time off work and avoid strenuous activities during this time. It is important to follow your surgeon's instructions for care after the surgery to ensure proper healing.
Rhinoplasty surgery typically involves making incisions in the skin around the nostrils. While these incisions are usually well-hidden, they will leave scars. The size and appearance of the scars will depend on the extent of the surgery and the individual's healing process.
Some swelling and bruising is normal after rhinoplasty surgery and may persist for several weeks. Your plastic surgeon will provide you with instructions on how to manage these symptoms and minimize their appearance.
The final results of rhinoplasty surgery may not be fully visible for several months, as it takes time for the swelling to completely subside. It is important to be patient and give the nose time to heal and settle into its new shape.
In some cases, rhinoplasty surgery can improve breathing function by correcting structural abnormalities in the nose. However, it is possible that the swelling and inflammation caused by the surgery may temporarily affect breathing. Your plastic surgeon will provide you with instructions on how to manage any breathing issues and ensure proper healing.
It is possible to undergo a revision rhinoplasty surgery if you are not satisfied with the results of your initial surgery. It is important to discuss your concerns and goals with a qualified plastic surgeon before deciding.
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