Rhinoplasty Ankara is a surgical application that aims to solve the aesthetic and functional problems of the nose. Nose problems may be due to genetic, developmental or acquired causes. While rhinoplasty surgery corrects the aesthetics of the nose, it also restructures the aesthetic balance of the face and gives the person self-confidence.
Rhinoplasty surgery in Ankara is among the most frequently performed aesthetic surgeries both in our country and in the world. The goal of rhinoplasty is to obtain a natural, balanced, harmonious and beautiful nose structure. The aesthetic goals of the surgery are affected by factors such as gender, ethnicity, patient expectations, and facial anatomy.
Our goal in rhinoplasty (nose aesthetics) surgery is to preserve the natural nose structure and to eliminate breathing problems. We analyze and preserve the beautiful features of the nose itself. The parts that negatively affect the aesthetic structure of the nose are changed. In this way, a personalized nose that does not go away from the original is obtained.
The goal of rhinoplasty is not to draw attention to the nose. When we look at a person’s face during communication, our attention is first focused on the person’s eyes, then around the mouth and then on the frame of the face. In normal face perception, no one looks at your nose for a long time. In cases where the nose is large, arched nose, curved nose, wide nose, low nose, long nose, attention is focused on the nose. The aim is to fix the nose problems and get the attention back to your eyes.
Rhinoplasty (nose plastic surgery) is one of the most challenging operations of plastic surgery and aesthetic surgery. A very well understanding of the internal anatomy of the nose and the three-dimensional bone-cartilage structure requires a very good command of surgical techniques. It is difficult to learn. As the surgeon’s experience increases, the surgical results and revision rates improve.
Most of the rhinoplasty candidate patients also have functional problems inside the nose. These are the most common problems;
- Curvature of the nasal central cartilage and bone (septum deviation)
- Structural insufficiency of nasal valves
- Nasal bone entry stenosis
- Nose external bone curvatures
- Enlargement of the conchae (concha hypertrophy)
- Intranasal polyps
Nose curvature surgery is almost always performed simultaneously with rhinoplasty and is essentially a single operation. Without correcting the curvature of the nasal septum, neither good breathing nor a symmetrical nose structure can be achieved.
From an aesthetic point of view, concepts such as the perfect nose and the best nose doctor cannot be mentioned. Every nose is different, every surgeon has good and not-so-good results. In nose surgery, the nose should be balanced and natural. In rhinoplasty, goals such as nose reduction, nose narrowing, nose tip lifting, nasal arch aesthetics, shaping the nasal tip cartilages can be achieved. During rhinoplasty, wide nose wings can be narrowed and large nostrils can be reduced.
Who is suitable for Rhinoplasty Surgery?
Ideal candidates for rhinoplasty surgery are healthy individuals with normal body perception, realistic goals, and a good understanding of the limits of surgery. For rhinoplasty, we expect the development of facial bones to be completed. Surgery can be performed after puberty. Turning 18 is required by law, not medically. If there is family permission, rhinoplasty can be performed before the age of 18.
The first step of rhinoplasty is examination. During the examination, you will learn things that you did not know about your nose. You will receive information about what is possible in terms of aesthetics and how to plan a nose. During the examination, you will be able to visually learn the operation plan of your doctor with computerized nose planning. Nasal surgery doctors consider individual factors when planning. This is what personal rhinoplasty means. During the rhinoplasty examination, you can also get information about rhinoplasty prices and other nose surgery prices. Your doctor will give you verbal and written explanations about the risks and side effects of rhinoplasty surgery. In the rhinoplasty examination, you can see the before and after photos of the rhinoplasty and get an idea about your doctor’s technique. During the examination, you can decide together with your doctor which rhinoplasty technique is best for you.
Preparation for Rhinoplasty Surgery
In order for patients preparing for this surgery to have the best possible experience, we recommend that they pay attention to the following points before the surgery:
- You must seek assistance from a driver who will accompany you, as you cannot drive on the way to the surgery and on the way home from the surgery.
- Smokers should quit smoking at least 3 weeks before
- You should inform your doctor about all the medications the patient is using, especially blood thinners, before the operation.
- Herbal teas, medications, vitamins and nutritional supplements can be discontinued by your doctor before surgery.
- You should prepare yourself to stay in the hospital for one night after the surgery.
- You should get information about the cost of rhinoplasty surgery and be prepared financially.
Ankara Rhinoplasty Surgery Techniques
Nose aesthetic surgeries can be examined in two categories as primary and secondary. Primary rhinoplasty operations describe the surgery that will be the first time for patients who have not had nasal surgery, nasal curvature surgery or intranasal surgery before. Secondary rhinoplasty, also known as revision nose surgery, describes the secondary surgeries to be performed by patients who have had previous nose surgery but are not satisfied with the shape or function of the nose. As a general rule, primary rhinoplasty operations are easier than revision rhinoplasty operations. Nose aesthetic surgeries can be performed with open technique or closed technique.
In open rhinoplasty, an incision of 2-3 millimeters is made in the bridge-shaped area that separates the two nostrils, which we call columella. When this incision is combined with intranasal incisions, the skin of the entire nose is reversed and the entire nasal skeleton can be seen. In this way, both nasal deformities can be seen and nasal surgery techniques can be performed visually. We frequently encounter the question of whether there is a scar on the nose in open rhinoplasty surgery. In open nose surgery, a scar remains, but after 3-6 months, you cannot easily see this scar even if you look closely. The open rhinoplasty approach allows for piezzo rhinoplasty, ultrasonic rhinoplasty and structural rhinoplasty approaches. It is the most preferred form of rhinoplasty worldwide.
In the closed rhinoplasty approach, the nasal cartilages and nasal bones are reached with the incisions made inside the nostrils. Nasal bones and cartilages can also be shaped effectively with this approach. However, these maneuvers are a little more error-prone, as they are only done from the outside. However, factors such as appropriate patient selection and surgeon’s experience reduced the complication rates between the two techniques to a similar level.
Nose Tip Rhinoplasty (Tip Rhinoplasty)
In nasal tip rhinoplasty, only the cartilage at the tip of the nose and the nose wings are shaped. Bone structure and nasal bridge are not interfered with. Nose tip surgery does not correct the nasal arch, but when the nose tip is moved to a higher level than the nasal arch, the arched appearance disappears. Sometimes what patients describe as an arched nose is a nose with a long and low nose tip and a normal arch height. It is necessary to pay attention to this visual illusion between the tip of the nose and the back of the nose during the planning of the nose surgery. Some patients can achieve a beautiful nose with only nasal tip cartilage surgery.
Ultrasonic Rhinoplasty / Piezzo Rhinoplasty
In this technique, the nasal bones are shaped using a microsaw that cuts the bone with ultrasonic sound waves. It cannot be broken with hammer and chisel like the bones in classical surgeries. These technologies greatly increase the sensitivity of the surgery on the bone. Postoperative bone shifts, unwanted fracture lines, bone irregularities, step deformities, nasal bone roughness are much less common. The bruising after nose surgery is more limited. It is the most advanced form of nasal bone aesthetics. Some maneuvers that cannot be performed in classical nasal bone surgeries can be performed with this technology. It is possible to shape the nasal bones, lower the nasal arch, narrow the wide noses, and correct the curved nasal bones with piezzo.
Septorhinoplasty (Curved Nose Aesthetics)
Curvatures inside the nose are always seen together with curvatures outside the nose. Nasal curvature surgery involves correcting the curved septum structure inside the nose. In curved nose surgery, nasal cartilage curvatures and nasal bone curvatures are corrected first, and then nasal tip cartilages are built on this flat structure. During curved rhinoplasty, asymmetries in the wings of the nose, differences in the nostrils, curvature of the nose tip can also be improved. It is not possible to achieve a perfect symmetry in curved nose surgeries due to cartilage memory and healing differences. Since the deviation of the septum affects the patient’s breathing negatively, correction of the septum curvature in curved nose aesthetics (septorhinoplasty) operations improves the breathing flow of the patients. Sports performance and sleep quality increase significantly. Nose curvature surgeries are more difficult and take longer than normal surgeries. Nasal surgery prices are also typically slightly higher for curved noses. We prefer the structural rhinoplasty approach in curved rhinoplasty. In this approach, the excess cartilage in the nose is not expelled, they are used in the construction of the nose to support and strengthen the critical areas of the nose. Correcting your nasal curvature is difficult, but possible. The choice of the best technique for you in curved rhinoplasty will emerge as a result of your conversation with your doctor.
In this surgical technique, a flexible and mobile nasal tip is obtained by preserving the connective tissue and ligaments that support the tip of the nose. The flexibility of the tip of the nose positively affects the comfort of life. Patients should be selected very carefully for dynamic surgeries. The nose tip position may change over time after dynamic rhinoplasty surgeries. Nasal tip drooping is more likely after this technique. Individuals with low nasal tip, thick nasal skin, hyperactive lip muscles, and nasal cartilage weakness are at risk in terms of nasal tip drooping when this technique is used. It is a safer option to prefer structural rhinoplasty approaches instead of dynamic rhinoplasty to prevent nasal tip drooping after surgery.
In the structural rhinoplasty technique, the tip of the nose is strengthened as much as possible and the principle of durability is kept in the foreground. Most of the time, the nasal tip cartilages are fixed to the septum cartilage. There are also approaches in which the nasal cartilages are partially fixed to the septum and partially strengthened by pairing the cartilages with other cartilages coming out of the nose. The advantage of structural rhinoplasty is that the strong structure obtained is resistant to changes in the long term and to deterioration in the post-operative healing process. In structural rhinoplasty, the tip of the nose is more stable and the tip of the nose does not easily lose height or angulation. The disadvantage of structural rhinoplasty is that a harder nose tip is obtained.
Let down/Push down techniques are approaches used in rhinoplasty and to protect the back of the nose. These techniques are preferred for individuals with a relatively low nasal bridge and a smooth curve. In let down/push down rhinoplasty techniques, bone is removed from the base of the nasal bones, not from the back of the nose. The roof of the bone pyramid does not open. The cartilage just below the roof is removed and the thin and delicate bone in the roof of the nose is shaped by collapsing with external pressure. The indications of the let down technique are limited. The results are unpredictable in patients with a high nasal bridge, an asymmetric nasal ridge, and an irregular nasal ridge. The long-term results of this technique have not been published and its complications have not been adequately analyzed, yet. Appropriate patient selection is very important in rhinoplasty with the letdown technique.
Undesirable results are inevitable in a group of patients after rhinoplasty surgery. Corrective surgeries performed in these cases are called revision rhinoplasty surgery or secondary rhinoplasty. In revision rhinoplasty surgeries, it may be necessary to supplement the nasal cartilage from the outside to support the nasal structure. Revision rhinoplasty operations are classically more difficult than the first operations, the operation time is longer and requires advanced surgical experience. Revision rhinoplasty surgery prices are also higher than the first surgeries due to these reasons. Treatment of minor problems after rhinoplasty can be performed with local anesthesia in clinical conditions. Sometimes minor defects such as simple cartilage insertion, suturing techniques, rasp, nasal wing asymmetries with injection treatments, nasal tip slippage, nasal tip sagging, nasal ridge irregularities can be corrected. These types of procedures are not considered within the scope of revision rhinoplasty (secondary rhinoplasty). Nose surgery revision is a psychologically challenging process. Although revision rhinoplasty surgeries scare the candidate patients because of the disappointment of the first surgery, it is the only permanent way to prevent this disappointment from being permanent in experienced hands.
Revision Rhinoplasty with Rib Cartilage Graft (Secondary Rhinoplasty)
After rhinoplasty, additional cartilage resources are needed in cases with severe nasal cartilage deficiency, nasal dorsum collapse, saddle nose deformity, and reverse V deformity. Since the inner cartilage of the nose is sufficient, we take the cartilage material from the ribs, which is hard enough to provide structural support. With a 2-3 cm incision made under the breast, cartilage that is not vital for the body but can change a lot for the nose can be taken. In cases where rhinoplasty is performed with rib cartilage, there may be a pain that lasts for 1-2 days at the place where the cartilage is removed. Since rib cartilage removal and shaping is a separate step, the operation time is long. Rib cartilages often offer the structural support we need in the long run. It is possible for rib cartilages to melt, bend and twist where they are transplanted. Since rib cartilage is a hard material, the nose obtained after surgery will also have a rigid structure. A detailed pre-operative examination is required for nasal problems that require rib cartilage.
Rhinoplasty with Ear Cartilage
Severe deformations in the nasal cartilages and nasal cartilage deficiencies may require transplantation of the ear cartilage to the tip of the nose. The technique of rhinoplasty with ear cartilage is used in the treatment of nasal tip volume deficiencies, nasal tip cartilage weaknesses, nasal wing asymmetries. Cartilage can be taken from a 2-3 cm incision behind the ear. Removing a cartilage of this size often does not cause any visible deficiencies or problems in the ear. The use of ear cartilage in rhinoplasty certainly does not cause hearing problems. Since ear cartilage is soft, it is a suitable replacement part for nasal tip cartilages. Ear cartilage can sometimes be chopped and made into a very thin paste and used to correct the collapses on the nose back and side walls.
Recovery After Nose Surgery and Return to Social Life
Nose aesthetic surgery is performed under general anesthesia and takes approximately 1-4 hours. Patients can go home the same day. Sometimes, in cases where the operation is prolonged or anesthesia-related nausea and vomiting are observed, 1 night hospitalization may be required. A slight pain, slight swelling and slight bruising are expected after rhinoplasty. Postoperative pain relievers and antibiotics are prescribed. In the morning after the surgery, your doctor will see you and the dressing will be changed. If a nasal tampon is used, it will be removed from it between 3-7 days after the surgery. The sutures at the tip of the nose are removed between 5-10 days. A protective splint is used to protect the nose after surgery, this splint is removed between 7-10 days. You will be able to take a bath after the splint is removed and the nose is opened. When your nose is first opened, it will be swollen and upturned, but within the next 2-3 weeks it will gradually take shape and the swelling will decrease. Edema and swelling after rhinoplasty go away within a year and a half. During this period, your doctor will call you for controls.
You cannot drive on the way home from the surgery. It is recommended not to sleep on your side as much as possible for the first 2-3 weeks. You can continue your sports activities in the 6th week after rhinoplasty, but you should avoid getting hit. It is possible to return to work or school within 2-3 weeks after rhinoplasty.
Ankara Rhinoplasty Prices 2022
Rhinoplasty prices vary according to the technique, duration, difficulty of the surgery, surgeon’s experience, hospital prices, country and city. It is impossible to determine an exact price without inspection. You can contact us by phone to get information about the average prices of rhinoplasty. Ankara is a city where rhinoplasty prices are below the world average. It is possible to reach good surgeons at reasonable prices. For this reason, rhinoplasty patients from many parts of the world visit Ankara. If you are in search of an experienced surgeon in rhinoplasty in Ankara, you can contact Associate Professor Ozan Bitik. It will be futile if you make an effort like “I will find the best rhinoplasty doctor in Ankara, I will find the best plastic surgeon in Ankara, I will choose the best nose surgeon” during the research process, and it will wear you out. There is no such thing as the best plastic surgeon or the best nose surgeon. Every surgeon has good and not good enough results. The important thing is to reach a doctor who is specialized in his work and with whom you can communicate comfortably.
For more detailed information about Nose Aesthetic Surgery, you can click on the BLOG section of our website to access www.yeniyuzyenihayat.com, one of the most comprehensive Turkish resources on the internet in the field of facial aesthetics, created by Associate Professor Ozan Bitik.