• Open Rhinoplasty: During the operation, a small incision is made at the tip of the nose, allowing the inner structure of the nose to be completely seen. Since it provides a clear view, the specialist doctor can have a large area of operation and manoeuvre.

• Closed Rhinoplasty: The incisions are made inside the nasal canal and no visible scar occurs in the external part of the nose. Since the operation is performed in a narrow area with small cameras, the decision-making and manoeuvring space of the specialist doctor is limited.

• Ultrasonic/Piezo Rhinoplasty: It is a more controlled and technological method in which bone and cartilage are shaped by using sound waves, instead of classical instruments such as rasp, hammer or such other instruments used during the procedure. Faster healing and less bruising and swelling occur.

• Rhinoplasty without Tampon: The reason for using tampons in rhinoplasty is that the covering called the mucous membrane that covers the inside of the nose approaches each other with the effect of oedema during the healing process and prevents the formation of unwanted adhesions. While it is possible to achieve this with a special stitch without using a tampon, tampons are generally used because it is safer. After the operation, the patient is much more comfortable and there does not occur any breathing problem compared to the other procedure with tampons.

• Dynamic Rhinoplasty: The technique used in surgical procedure is different from structural rhinoplasty. In this type of surgery, no stitches are applied to the area that allows the tip of the nose to move, and the muscle tissue is not damaged. The aim is to make the nose more flexible. In this way, the nose can be easily moved to the right, left, up and down.

• Nose Tip Rhinoplasty /Minor Rhinoplasty/Tip Plasty: It is the surgical procedure performed to restore the desired appearance of the cartilage in the front of the nose without touching the nasal bone in patients with curvature, width, coarseness, irregularity in the anterior cartilage of the nose or in patients with wide nostrils.

• Composite Rhinoplasty: This is a surgical procedure applied in cases where there is tissue deficiency and skin thinness in the nose. Composite Rhinoplasty is the process of transferring the patient’s own body fat and the cartilage tissue obtained from certain parts of the body (ear, rib, etc.) to the missing tissue while correcting deformities during rhinoplasty procedure. It is generally applied in revision (correction) surgeries.

Your doctor will determine the best option for you from the above-mentioned surgical techniques and types, taking into the account your current nose, desired nose and physiological needs. More than one technique can be used in combination for one surgery.

There are side factors that affect the success and desired appearance in rhinoplasty surgery:

• The patient’s nose shape
• Functional problems and internal structure of the nose
• Previous nose operations, surgical or non-surgical procedures (such as nose tip lifting and filling)
• Skin type and nasal skin texture (thickness, elasticity, etc.)
• Patient’s expectations and wishes

As the above-mentioned problems increase, patients worry about not being able to get the desired nose. For a perfect result, a specialized and experienced surgeon should be selected who can blend and apply all these factors in the best way. Please note that the aesthetic taste and gusto of the physician, as well as his surgical abilities, are reflected in the nose during the rhinoplasty.

The range of pain is generally 2-3 out of 10. The patient is supported with painkillers for 24 hours.

Averagely on the 7^th day after the surgery, the tampons in the nose, the sutures and the splint on the nose are removed. In this process, nasal sprays are used to prevent solidification in the nose. In this period, the nose appears swollen and more upturned than it should be.

It is possible to return to work and social life within 10-14 days after the surgery. The swelling and upturned appearance of the nose will regress to a reasonable level within 3 weeks following the surgery, and around the third month, 80% of the swelling will pass and the nose will have an appearance close to its final appearance. The remaining 20% of the swelling disappears completely in 24 months.

Since rhinoplasty is performed on the face, which is the most striking part of the person, post-operative skin care and massage is the best option to relieve the person’s mental health and the nose that has been in a bandage for a long time. Patients complain of excessively oily skin in this process. The simplest reason for this is that the face cannot be washed because the nose is bandaged and stitched. Until this process is completed, patients can clean the areas such as cheeks, chin, around the eyes and forehead with cleansing water and cotton, and moisturize them with an oil-free moisturizer. After the dressings are opened, excessive washing of the skin and nose should be avoided and the nose should never be rubbed. Products such as cleansing masks should not be preferred in the first month, the skin flora will begin to recover and return to its original state after a month.

Your doctor should definitely prescribe the time to start the post-operative massage and the technique of the massage. Massage is not the same for every patient and not recommended for some patients.

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