All Inclusive Rhinoplasty Surgery

How is Rhinoplasty (Nose Job) Surgery Performed?

Rhinoplasty is a highly personalized surgical procedure that aims not only to change the external appearance of the nose but also to improve respiratory functions. The surgery is typically performed under general anesthesia in a sterile operating room environment of a fully equipped hospital and lasts an average of 2 to 4 hours.

1. Preparation and Anesthesia

Before the surgery, the patient’s general health status is evaluated by an anesthesiologist. Rhinoplasty is almost always performed under general anesthesia to ensure the patient’s comfort throughout the surgical process. After the patient is asleep, the surgical team completes the sterilization procedures and begins the operation.

2. Selection of Incision Technique

Rhinoplasty is fundamentally performed using two main techniques:

Open Rhinoplasty: In this technique, a small, inverted “V” incision is made on the columella, the external part separating the nostrils. This incision allows the nasal skin to be lifted and the surgeon to directly visualize and work on the nasal skeletal structure (bone and cartilage). It is preferred for correcting complex deformities, tip shaping, and severe asymmetries.
Closed Rhinoplasty: All incisions are made inside the nostrils. The surgical field of view is more limited, but there is no visible external scar. It may be suitable for smaller corrections and simpler cases.

Today, open rhinoplasty technique is more commonly used because it provides the surgeon with greater control.

3. Shaping the Cartilage and Bone Structure

The most critical stage of the surgery is the reshaping of the nasal skeleton:

Dorsal Reduction (Hump Reduction): If desired, the dorsal hump on the bridge of the nose is carefully removed or filed down. This procedure is often performed with modern, controlled instruments like piezo surgery (ultrasonic bone cutting) to minimize trauma and bruising.
Nasal Tip Shaping (Tip Plasty): The cartilages that form the nasal tip (alar cartilages) are reshaped. The surgeon uses sutures and small pieces of cartilage taken from the nasal septum or ear (grafts) to give the nasal tip projection, definition, and symmetry.
Narrowing the Wide Nasal Bridge (Osteotomy): If the nasal bones remain excessively wide after the dorsal hump is removed, controlled cuts (osteotomy) are made in the nasal bones, and the bones are moved inward to slim the nasal bridge and create an aesthetic transition.
Septum Correction (Septoplasty): Deviations in the nasal septum, which cause breathing problems, are corrected simultaneously.

4. Use of Cartilage Grafts

Cartilage grafts are vital to support the nose’s new structure and ensure long-term stability. These grafts are most often taken from the patient’s own nasal septum, and sometimes from the ear or rib cartilage, and used to strengthen the bridge (strut grafts) or provide support to the tip.

5. Closure and End of Surgery

Once the nose has achieved the desired shape, all incisions (the columella incision in open rhinoplasty) are closed with very fine sutures. Silicone splints or thin splints may be placed inside the nose to support the internal structures and prevent adhesions. Finally, a thermoplastic splint (cast) or special tapes are applied to the nasal bridge to protect the external structure and reduce swelling. The patient is taken to the recovery room to wake up and is typically discharged after being monitored in the hospital overnight.

Day-by-Day Breakdown of the Process

Day 1: Arrival in Turkey – VIP transfer to hotel, rest and relaxation.

Day 2: Consultation with the surgeon and all necessary tests.

Day 3: Surgery Day

Day 3: Post-operative examinations and check-ups continue.

Day 4: Enjoy free time to explore Istanbul before your transfer to the airport (optional).

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Step 1: Contact us for your free consultation and receive a personalized treatment plan.
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All-Inclusive Rhinoplasty Surgery

Explanation of Rhinoplasty Techniques

The name of the technique applied in rhinoplasty operations is determined by how the surgeon accesses the internal structure of the nose. There are two main surgical approaches: Open Rhinoplasty and Closed Rhinoplasty.

1. Open Rhinoplasty

In the Open Rhinoplasty technique, a small, horizontal incision is made across the strip of tissue separating the nostrils (the part called the columella). This incision allows the nasal skin to be lifted upwards, providing a wide and direct view of the underlying cartilage and bone structures.

Advantages: It enables the surgeon to see all the structures clearly, allowing for more complex corrections (advanced deformities, shaping with cartilage grafts, or revision surgeries) to be performed with greater precision.
Disadvantages: A small, externally visible scar remains on the columella area, which usually becomes inconspicuous after healing.

2. Closed Rhinoplasty

In the Closed Rhinoplasty technique, all surgical incisions are made inside the nostrils. There are no external visible scars. The surgeon works through a narrow field, shaping the bone and cartilage structures from within, without lifting the nasal tip.

Advantages: The biggest advantage is the absence of external visible scars. According to some surgeons, swelling and recovery time may potentially be faster.
Disadvantages: The surgeon’s working area and field of view are more limited compared to Open Rhinoplasty. Therefore, it is generally preferred for simpler cases or those requiring limited correction.

Additional Technique: Piezo (Ultrasonic) Rhinoplasty

Piezo Rhinoplasty (or Ultrasonic Rhinoplasty), which has gained popularity in recent years, refers to the method of shaping the bones, independent of the access techniques mentioned above (Open or Closed). In this technique, bone cutting and shaving are performed using special devices (piezoelectric surgical instruments) that generate ultrasonic vibrations, instead of traditional tools.

Purpose: Since ultrasonic waves primarily affect the bone, the risk of damage to the surrounding soft tissues, cartilage, vessels, and nerves is lower compared to traditional methods. This can help reduce bruising and swelling after the surgery.

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What is the difference between Rhinoplasty and Septoplasty?

Rhinoplasty aims to correct both the aesthetic appearance and the function (breathing) of the nose. Septoplasty is a medical operation aimed only at improving the breathing function by straightening the deviation in the nasal septum (the middle partition of the nose).

Who can undergo Rhinoplasty?

It can be performed on individuals who have completed nasal development (generally after age 16 for females and 17-18 for males), are physically healthy, and have realistic expectations from the surgery.

How long does the surgery take?

Although it varies according to the complexity of the operation, it usually lasts between 1 to 3 hours.

What type of anesthesia is used?

Rhinoplasty operations are mostly performed under general anesthesia, where the patient is completely asleep.

Is it necessary to stay in the hospital after surgery?

Most patients are discharged one night after the surgery. Rarely, same-day discharge may be possible for simple procedures.

What is the difference between Open and Closed Rhinoplasty?

Open rhinoplasty is a technique where a small incision is made in the columella (the strip of tissue under the nose), providing the surgeon with a wider angle of view. In closed rhinoplasty, all incisions are made inside the nostrils, leaving no external visible scar.

What is Piezo (Ultrasonic) Rhinoplasty?

Piezo rhinoplasty is a modern method where bone cutting and shaping are performed using ultrasonic vibrations (with special devices), which have a lower risk of damaging surrounding soft tissues.

Is non-surgical rhinoplasty possible?

Non-surgical rhinoplasty is a temporary procedure using dermal fillers to mask small depressions, asymmetries, or bumps in the nose. Surgical rhinoplasty is required for permanent and large-scale shape changes.

What should I pay attention to before the surgery?

At least 10 days before the surgery, blood-thinning medications (aspirin, etc.), certain vitamin supplements, and herbal teas should be stopped. Smoking must be ceased as it negatively affects wound healing

Is there a lot of pain after surgery?

Rhinoplasty is not as painful as commonly thought. There is usually a mild ache that can be managed with simple prescribed painkillers.

How long do bruising and swelling last?

The most intense bruising and swelling are seen within the first 3-4 days. Bruises usually disappear significantly within 10-14 days. Most of the swelling subsides within the first month, but it may take 6 months to 1 year for the nose to fully settle into its final shape.

When is the cast (splint) on the nose removed?

The cast (splint) on the nose is usually removed 5 to 7 days after the operation.

Are nasal splints used? If so, when are they removed?

In modern rhinoplasty, silicone and air-channeled splints are used more frequently. These are usually removed a few days after the surgery (between 2-5 days). The patient’s pain is minimal when silicone splints are removed.

When can I return to my normal life?

Most patients can return to their daily, desk-based work within 1 week. Returning to social life becomes easier after the splints and cast are removed.

When can I start exercising?

Light-paced walking can be resumed after a few weeks. For strenuous exercises, running, and especially contact sports (ball sports, etc.), it is generally necessary to wait 6-8 weeks due to the risk of impact to the nose.

When can I start wearing glasses?

To prevent glasses from putting pressure on the nasal bone, wearing glasses is not recommended for the first 4 to 8 weeks. During this period, lenses or special devices that do not contact the nasal bone can be used.

Are the results of rhinoplasty permanent?

Yes, the shape changes obtained with rhinoplasty are permanent. However, natural processes such as aging and gravity may cause minimal changes in the nasal structure over time.

When does the nose take its final shape?

The nose begins to take shape rapidly in the first months after surgery, but the remaining minimal swelling to fully subside and the final, soft contours of the nose to settle may take between 6 months and 1 year.

What is revision rhinoplasty?

Revision rhinoplasty is a second or subsequent surgical intervention performed to correct the nose when the desired result is not fully achieved after the first rhinoplasty, or when functional problems persist.

What are the risks of rhinoplasty surgery?

Like any surgical procedure, rhinoplasty has risks such as infection, bleeding, anesthesia-related risks, healing problems, and undesirable aesthetic outcomes. However, an experienced surgeon minimizes these risks.

How long does nasal sensitivity last after rhinoplasty?

It is normal to experience numbness and sensitivity around the nasal tip after the surgery. These sensations usually completely resolve within a few weeks or months as the nerves heal.