Berke Özücer, MD
Baskent University, Istanbul - Turkey Monday-Friday: 0900-1800 Saturday: 0900-1400 +90-216-554-1500

The operation process starts with the thought of making changes in your nose shape. It is normal to have certain concerns and want to have surgery in the first place.

 

Preliminary Research
The general habit of the patients is primarily to do pre-research. Getting information on the internet, talking on social media and with your relatives / people who have had this surgery will give you a rough idea of rhinoplasty. However, since rhinoplasty surgery is personal and each nose / face is unique and each surgeon's working style is different, the best starting point for you to learn the specific process is a doctor's meeting. For this rhinoplasty pre-interview appointment you must create.

 

First doctor meeting
I do the first meeting for free. The interview begins with an intranasal examination and standard photographing. With the nasal aesthetic program, I first listen to your complaints and requests before photoshop (simulating) your nose. Subsequently, we photoshop your nose from the profile (side) and from the front. I am designing the nose that will suit your face. This image we designed is not a promise or a definitive result but a 'target'. With this design, I better understand what you want, and try to find an answer to the question of 'how can you be happy' before actually doing your surgery.

 

Surgery decision
After this meeting, I mark the operation code to be made to you and direct you to the hospitalization department of the hospital to talk about the current conditions and net price information of the hospital. If you want, I make a note of the available surgery days on the dates you consider. I also write down your contact information and examination and give you my Whatsapp number, which we can communicate with by writing directly. I am waiting for your approval for your surgery decision and pre-reservation of your surgery day.

 

Operation preparation and 2nd interview
I definitely want to have a second meeting about 2-3 days before the operation. Here we are talking about the details of the surgery. I give you the informed risk form and wait for you to read it. In addition, I make an appointment for you to meet with the Anesthesiologist who will put you asleep during the operation by giving your pre-surgery laboratory and COVID test. I am prescribing you to take the medications you will use early after the surgery. I am resolving your questions and concerns about the surgery details. I feel confident and make sure that you continue this process without any questions about the surgery.

 

Operation day
Since you will receive general anesthesia on the day of the surgery, you must fast for 8 hours before the operation. Before the operation, you definitely see me in the operating room without sleeping. During the operation, there is a complete pleasant sleep. There is no pain and pain during the operation. How long does the surgery take? A careful rhinoplasty surgery takes about 2.5 hours on my hands, if the nose has too many internal-external problems, it can extend to 3-3.5 hours. The times are so insignificant, I am in no hurry to make sure that your nose will be used for a lifetime is the best it can be. A little note to those who are waiting outside for you here: The surgery does not start as soon as you enter the operating room, and you are not removed from the operating room as soon as the operation is over. Therefore, if you add preparation, anesthesia and awakening after these periods, the total time you spend in the operating room can be over 4 hours. You only have surgery for a part of this period.

 

Postoperative
You can expect to have mold inside and outside of your nose after the surgery is over. There is no pain and pain during the surgery, and there are good painkillers for post-operative pain. I visit you in your room after surgery. When can you eat and drink water? For example, if we started your surgery at 0800 in the morning and were in your room at 1200, it is free to eat and drink by 1500. When can you go home? We prefer the effect of general anesthesia in the hospital for approximately 3-4 hours after the operation. For example, if your surgery is in the morning and you are at around 1200 and you feel good, we can discharge you around 1600-1700 in the evening. If your surgery is in the afternoon and you leave at 1700, we can discharge you around 2100. Or, you may prefer to spend the first night in the hospital and be discharged at 0900 the next morning, however you want. While you are discharged, you do not forget to schedule your first postoperative control appointment. Having your head about 1 inch above your heart after the operation is good for swelling, I want to sleep with 2-3 pillows for about 1 week. I want you to apply ice wrapped in cloth around your eyes and nose for 10 minutes every hour without contact with the skin. I want you to spray the sprays you have already taken into the nose. During this period, we expect to see blood in the form of 'leakage', we call it leakage, not bleeding. It is very normal for this to take 1-2 days, this blood can clot inside in some patients and obstruct the nose, it is temporary and nothing to worry about. You can easily take a shower under the shoulder, and it will be very good.

 

First check after surgery
The removal of inner and outer molds of the nose is done on the 7th day of the operation. For example, if you had surgery on Tuesday and cannot meet next week, it is not a problem; We can do your first check on Monday or Wednesday. At this check, I take the silicone molds inside your nose and clean the inside of the nose, an easy 3-minute process. Then I take the mold on your nose. At this point, I do not expect to see the last appearance of the nose due to various swelling and edema, I evaluate your situation considering the 7th day.

 

Other controls after surgery
Post-operative routine checks 1., 3, 6 and 12 months, e-follow-ups are possible with Zoom for people coming from outside the city and in case of necessity.

Operation Process

Wondering: Frequently Asked Questions

What is nasal aesthetic surgery (rhinoplasty)?

Rhinoplasty is a nose reshaping surgery. Cartilage curvature, nasal meat and similar disorders that prevent breathing in the nose are eliminated. Outside of the nose, aesthetically disturbing curvature, arch, skewness and similar disorders are corrected. Rhinoplasty surgery with open nose surgery technique and closed nose surgery technique can be done.

What is the primary purpose in rhinoplasty?

The priority is to create an attractive nose that looks natural and is compatible with the person's face. The fact that the nose does not look 'done' is the key to successful nose surgery. A nose that breathes well and will make the person happy is a must for rhinoplasty.

What depends on success in rhinoplasty surgery?

The success of the operation depends on the surgeon's knowledge, skills and experience, as well as the patient's age, general health status, the structure of the nasal skin, the degree of nasal appearance, the presence of previous nasal surgery, the strength of wound healing in the tissues, smoking, the state of other structures of the face and the patient-physician relationship. It depends on the harmony.

Who can have rhinoplasty surgery / who are candidates?

BPatients who have urinary obstruction, deviation (cartilage-bone curvature) and nasal swelling and demand a visual / aesthetic improvement in their nose while planning a breathtaking surgery. Patients who demand only an aesthetic improvement without nasal congestion problem. Aesthetic nose surgeries are applied to all patients aged 18 and over who have completed their cartilage-bone development. 

Should I really have rhinoplasty surgery?

If you have a deformity that you see as a 'problem' in your nose. He likes your face but if you think your nose is not in harmony with your face. If you often think of 'not from this angle' when taking a photo. If you often think that people focus on your nose in bilateral relationships and you feel that your self-esteem has been damaged. It would be correct to get a professional opinion.

Is rhinoplasty painful? Is it difficult?

During rhinoplasty General anesthesia is used so that you do not feel and remember what has been done. It has a similar difficulty to sleeping for the patient, it is a pain surgery that can be relieved with simple painkillers such as paracetamol (Minoset / Parol) after surgery. For the surgeon, it would not be wrong to say that it is one of the most difficult operations of aesthetic surgery, where art and surgery meet, which has a difficulty parallel to the disorders in the nose.

How is the surgery done?

Open and closed technique There are two main approaches. In the open technique, the nasal cartilages are exposed with an incision made only between the nostrils and the entire surgery is performed. Nose It provides a more meticulous and more robust working opportunity with open technique. Shape by weakening, strengthening, adding and removing with different methods in cartilage. While changing the bones, the desired changes are created with rasps and chisels. The nose is reshaped by reusing the material in your nose.

How long does the surgery take?

This surgery, which ends in the blinking time for the patient, takes 2 to 5 hours (3 hours on average), although it varies from nose to nose for the surgeon. In fact, it would be correct to answer this question as, 'Whenever the nose sinks into me, then it will end.' If the person has a nose surgery for the first time, the operation time is closer to 2-2.5 hours. But sometimes the first surgeries can be successful, and the person has had a second corrective surgery - that is revision nose surgery - it may have to be. The duration of these surgeries is usually prolonged and it can take 4-5 hours depending on the size of the problem. The important thing is to achieve the goal of a nose that looks better and more attractive, and also breathes well, rather than time.

How does the post-operative period progress?

It is safer and more comfortable to spend the evening of your operation in the hospital. Head-up rest and ice application with a few pillows will reduce swelling and bruising. Bleeding in the form of drip / leakage from the nose is a normal situation. You can go home the next morning. After that, you should wash your nose generously and protect it from impacts. Sutures and tampons are removed within 1 week, although they vary. Afterwards, there is a follow-up period in the 1st, 3rd and 6th month controls. Your nose take its final form It takes 6 months to 1 year.

Is rhinoplasty a painful operation? 

Contrary to popular belief, rhinoplasty is not a painful operation. A simple pain reliever such as paracetamol is sufficient after the surgery. In fact, the surgery is so painless that there is an opinion among the patients who undergo surgery that it is more difficult to remove a "tampon".

Are tampons used in surgery?

Formerly after surgery tampon in the nose While being used, silicone molds are used which are 'grooved inside - thus making it possible to breathe. When you moisten your nose well, this silicone is very easy to remove. It is sufficient for the silicone to stay in your nose for 3-4 days.

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