The place that attracts attention of the people at first glance is their face. For this reason, the aesthetic perception of the face is very important psychologically. The interest in aesthetic surgeries has increased with the changing and facilitating medical methods along with the developing latest technologies. The choice of people who have many problems related to the nose is surgery. The decision whether these surgeries will be closed or open is made by the doctor. Another question frequently asked by people who will have nose surgery is whether there will be a scar after the surgery. Nose surgeries and rhinoplasty, which have been performed since ancient times, are operations that can be performed without leaving any traces thanks to many scientific and technological developments today. The technique of the operation to be performed in nose surgeries is very important. Rhinoplasty is performed in two types, open and closed. However, before the type of surgery, the doctor should specify whether the nose needs surgery or not. Closed nose surgery is the most preferred surgical method.
Closed nose surgeries are made by entering the surgical incisions through the inside of the nostrils. In closed surgeries, no scars are left. The surgeon who performs closed nose surgery, which is one of the most difficult operations, should be a specialist physician. If patients with closed nose surgery follow the advice given by the doctor, the healing process is completed within 7-10 days. Closed nose surgery is called “Rhinoplasty” surgery. In rhinoplasty operations, the incisions are inside the nose, that is, it is an operation performed with a closed technique. Since the incision made inside the nostrils is not visible, there is no possibility of a suture mark on the outside.
There are two different types of nose surgery techniques that are widely preferred, one of them is closed nose surgery, that is, rhinoplasty. The biggest advantage in open rhinoplasty is that the angle of view for doctor is wider, but open rhinoplasty takes longer to heal. Postoperative bruising and edema are also among the post-operative problems. During closed nose surgery, the incision remains inside the nostrils. The surgeon has very little field of view but takes a shorter time to heal. Closed nose surgeries are generally preferred for the correction of minor deformities. However, when the size of the problem is the cause, open nose surgery may be necessary.
Closed nose surgery can be done for an aesthetic facial appearance. It can also be done for the purpose of disliking the shape of the nose or deformity that develops due to traumas. The main problem here may be difficulty in breathing due to a congenital or acquired deformity.
Deformity that causes respiratory problems can also lead to a visible aesthetic concern. Deformities and excessive size observed in the cartilage structure of the nose are other reasons. Nasal aesthetics can be performed due to reasons such as arched nose, long nose, and low nasal tip, as well as complaints such as the size or disorder of the nostrils. There are differences between male nose surgeries and women’s nose surgeries. These differences are due to the angle ratio of the nose to the lip.
Recently, today’s aesthetic perception has completely changed and for this reason, there has been a great interest in nose surgeries. Closed nose surgery has been preferred due to its advantages in nose surgeries. Because this operation offers a surgical opportunity without the need for stitches on the nasal skin. Since the nasal ligaments and veins are not cut, much less swelling and less bruising is encountered. For this reason, the recovery of patients is also much faster. One of the most important advantages of this surgery is the preservation of the normal structure of the tip of the nose. Since the nose is not cut, there is no hardness. Because of these, it is known that most patients prefer closed nose surgery. However, as always, the results are in the hands of experienced surgeons who are well-versed in their subject.
The recovery of the patient in nose surgeries varies according to the size of the surgery. Generally, patients are up and about within four or 6 hours after surgery. If there is no nausea and vomiting after 6 hours, eating can be started. Some patients can be discharged on the same day. However, it is preferable to stay under observation overnight. After nasal surgery, a tampon is placed inside the nose. The tampons placed in the nose are removed after a day or two. Sometimes it is necessary to place a mold on the back of the nose, and the nose molds are removed after a week. If no adverse complications have developed after rhinoplasty, patients can return to work within a week or ten days. Mild edema and bruising may occur after closed nose surgery. One month after the operation, 80% of the edema and bruises on the nose are gone and the nose completely heals after 1 year.
Undesirable bleeding may develop even with very sensitive approaches in nose surgeries. Bleeding during closed nose surgery complicates the surgeon’s work. And then it causes swelling and bruises. For this reason, techniques performed by entering under the nasal cartilage membrane and bone membrane from the area where bleeding will be least are preferred. Performing the operations from these areas will reduce the patient’s nosebleeds and prevent bruises that may occur after the surgery. A non-bleeding environment is very important in nose surgeries.
With the examination of experienced doctors, it is decided which operation will be performed for the nose. It is more difficult if correction is to be made on a previously operated nose or when nasal deformations such as nasal tip problems, bone curvature and breathing difficulties occur at the same time. For this reason, the procedure to be performed and the techniques to be used during closed nose surgery will have a role in pricing.
One of the subjects that patients are most curious about is how the recovery process is after closed nose surgery and how actions such as eating and smelling take place after the surgery. The olfactory nerves are close to the arch of the nose. Damage to this nerve may cause problems with the sense of smell in operations where the bridge of the nose needs to be cut or rasped. Nerves may be damaged in the reduction operations of excessively large arched noses. For this reason, there may be a problem with smelling after the surgery. However, this is mostly a temporary problem.
After closed rhinoplasty, the patient can be discharged on the same day or can be discharged the next day after being observed for one day. It is recommended that patients keep their head slightly elevated for the first 2 days and lie down with their head up. It is an process to prevent bruising and swelling of the face. The ice therapy method is recommended for two days. For the first two days, the lying position should be kept as stable as possible and not to lie on the right or left side. In addition, the tampon that the doctor puts on the nose or the mold that he places on the back of the nose for as long as the day recommended by the doctor will accelerate the healing process of the nose. There is no scar after closed rhinoplasty. The patient’s recovery is faster than other surgeries. The skin of the nose is damaged very little, and therefore, after closed nose surgery, it may appear as if there was no surgery. With experienced surgeons and teams, you can have closed nose surgery done in our institution with peace of mind.
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