Ultrasonic Rhinoplasty (Aesthetic Nose Surgery)
The ultrasonic rhinoplasty method allows for reshaping the nasal bones in a controlled way using millimetric measurements. As this method prevents any damage to the capillaries in the spaces between the nasal bones, swelling and bruising are minimized.
The ultrasonic rhinoplasty method is approved by the FDA in the US and is used with utmost confidence.
The major advantage of ultrasonic rhinoplasty is that the procedure allows the correction of the bone deformities in the nose without damaging the surrounding soft tissues, minimizing any associated post-operative swelling and bruises.
Controlled bone cutting allows reshaping the nose more elegantly, having a more natural configuration compared to its previous appearance. Noses appear as if they were drawn with a pencil.
It is a type of surgery for correcting the shape of the nose or breathing problems in patients suffering from deformities or dysfunction in the nose. Aesthetic nose surgeries are performed by surgeons trained for this type of operations and specialized in Ear, Nose Throat Surgery of Plastic, Aesthetic and Reconstructive Surgery.
After listening to patient expectations in detail, the possible appearance of the nose after the surgery is demonstrated to the patient using computer programs.
Patient photographs are taken before the operation to plan the operation and compare the outcomes of the surgery with the previous appearance of the nose.
The aim of the rhinoplasty surgery is not to make the patient look like someone else but to restore the original appearance of the patient. Therefore, surgery is planned to achieve harmony with the facial features of the patient.
If the breathing function of the nose is impaired due to several problems (such as deviation or hypertrophy of the turbinates), these problems can be resolved in the same session of the surgery.
How is Rhinoplasty Performed?
After examining the structure of the nose in detail, the patient is prepared for surgery. These examinations help to find the most appropriate shape of the nose that will be suitable for the patient. An elegant and aesthetic nasal appearance in harmony with the personal characteristics of the patient is found out. It is also important that these planned reconstructions should be medically feasible.
A rhinoplasty operation is usually completed under general anesthesia in 1-4 hours. With the incisions made through the nostrils, any deformities inside the nose, nose tip or the nasal hump are corrected conveniently.
Today, new techniques are used to prevent the occurrence of any potential swelling and bruising after the surgery. Reconstruction of the nasal bone and cartilages is possible without causing considerable damage. After completing the reconstruction procedures, tamponades are placed into the nostrils and a plaster splint is placed on the dorsum of the nose. Patients can be discharged on the same day of the operation if no problems arise. Some problems like facial edema, nasal pain, weakness, muscle pain, and headaches may occur after the operation. These problems are easy to overcome.
Nasal Tip Plasty
Nasal tip plasty eliminates the problems at the tip of the nose without making any modifications in the bone and cartilaginous tissues of the nose. This operation is usually performed in people, who do not have a nasal deformity but suffer from problems in the tip of the nose. If there are no curvatures or humps in the nasal dorsum or if no problems of the nasal bones and cartilages exist, a rhinoplasty is unnecessary.
The patient and the surgeon should essentially think each stage over before the nasal tip plasty just like they should do so before rhinoplasty. The patient should share his/her concerns and expectations related to this operation with the surgeon. After identifying any problems at the tip of the nose, cartilage tissue is placed as required during the operation; then, the incision is closed with surgical sutures.
The remodeling of the nose tip is based on the preference of the patient. If required, the excess tissue removed from the nasal tip can be used for augmentation of other body parts.
After The Rhinoplasty
Intranasal tamponades are removed after 2-4 days following the surgery; the sutures at the tip of the nose and the cast over the nose are removed on the seventh day, and the bandages on the dorsum of the nose are removed on the fourteenth day after the surgery.
Finally, nothing will remain other than the nose of the patient after two weeks following the surgery. The patient can take a bath after all the materials over the nose have been removed. However, no contact with water should be allowed when there are bandages on the nose. The patient is allowed to wash his/her hair by leaning the head back at the hairdresser’s.
Transient bruising and swelling may occur around the nose and eyes in patients, who underwent surgery outside the nose. Although these findings are variable among patients, they are temporary and resolve within two to three weeks.
In order to reduce the severity of potential bruising and swelling, ice packs can be applied around the nose for the first three days after the surgery. The patient may return to work and social life after 3-4 weeks following the nasal surgery. However, complete recovery takes a year at the tissue level. Although rare, a second intervention may be required due to untoward recovery outcomes after surgery and this repeat surgery should be performed after one year.
Eyeglasses should not be used for three months after the surgery and exposure to the sun should be avoided. More importantly, any impact such as knocking and bumping on the nose should be avoided for a year.