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Rhinoplasty

Rhinoplasty is the most commonly performed aesthetic intervention performed in Turkey. Rhinoplasty, often called a nose job, can be totaly cosmetic to reshare the things you don't like about your nose or necessary to improve breathing ability and quality of life. The extensiveness and type of procedure required will be determined by the surgeon.

Are you a candidate for rhinoplasty?

Rhinoplasty is not a procedure with a set series of steps. Each operation is unique and is customized for the specific anatomy and goals of the person undergoing the procedure.

The upper portion of the structure of the nose is bone, and the lower portion is cartilage. Rhinoplasty can modify bone, cartilage, skin, or all three. Talk with your surgeon about whether rhinoplasty is appropriate for you and what it can achieve.

Surgical techniques used for rhinoplasty

Rhinoplasty may be done inside your nose or through a small external incision at the base of your nose, between your nostrils. Your surgeon will likely readjust the bone and cartilage underneath your skin.

Your surgeon can augment your nasal bone or cartilage in several ways, depending on how much needs to be added, the structure of your nose, and available materials. For small changes, the surgeon may use cartilage harvested from deeper inside your nose or from your ear. For larger requirements, the surgeon can use cartilage from your rib, implants or bone from other parts of your body.

Post surgery and recovery

After the surgery you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. Your nose may be congested because of swelling or from the splints placed inside your nose during surgery.

In most cases, the internal dressings remain in place for one to seven days after surgery. Your doctor also tapes a splint to your nose for protection and support. It's usually in place for about one week.

Slight bleeding and drainage of mucus and old blood are common for a few days after the surgery or after removing the dressing. Your doctor may place a "drip pad" — a small piece of gauze held in place with tape — under your nose to absorb drainage. Change the gauze as directed by your doctor. Don't place the drip pad tight against your nose.

To further decrease the chances of bleeding and swelling, your doctor may ask that you follow these precautions for several weeks after surgery:

• Avoid strenuous activities such as aerobics and jogging.

• Take baths instead of showers while you have bandages on your nose.

• Don't blow your nose.

• Eat high-fiber foods, such as fruits and vegetables, to avoid constipation. Constipation can cause you to strain, putting pressure on the surgery site.

• Avoid extreme facial expressions, such as smiling or laughing.

• Brush your teeth gently to limit movement of your upper lip.

• Wear clothes that fasten in the front; don't pull clothing, such as shirts or sweaters, over your head.

In addition, don't rest eyeglasses or sunglasses on your nose for at least four weeks after the surgery, to prevent pressure on your nose. You can use cheek rests, or tape the glasses to your forehead until your nose has healed.

Use SPF 30 sunscreen when you're outside, especially on your nose. Too much sun may cause permanent irregular discoloration in the skin of your nose.

How to manage swelling and return to normal life

Some temporary swelling or black-and-blue discoloration of your eyelids can occur for two to three weeks after nasal surgery. Swelling of the nose takes longer to resolve. The swelling can take many months to resolve although most people stop noticing it after a couple of months. Limiting your dietary sodium will help the swelling go away faster. Don't put anything such as ice or cold packs on your nose after surgery. People are typically back to performing most activities after a week and resuming all activities after two to four weeks.