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Allergic rhinitis and rhinoplasty

Allergic Rhinitis and Rhinoplasty

In this article, we will be sharing the answer to the question ” Will Rhinoplasty help patients with Allergic Rhinitis?

What is Allergic Rhinitis?

Allergic rhinitis is a complaint that occurs with a non-microbial infection. The allergen in the environment is taken into the nose by inhaling and sticks to its inner surface. Some symptoms develop in people who are sensitive to this condition.

What are the symptoms of allergic rhinitis?

We can list the symptoms of allergic rhinitis as follows;

  • Itching felt in the nose, dilution, and runny nose.
  • Sneezing and continuous attacks.
  • Itching on the palate.
  • Desire to clean the throat constantly.
  • Watery and itchy eyes.
  • Tiredness.

Allergic rhinitis and rhinoplasty

Factors Causing Allergic Rhinitis

Animal and plant proteins are light enough to be carried in the air and difficult to see. These proteins accumulate on the membranes in the eyes, nose, and mouth. Particles such as pollen, fungus, animal hair, dust, and membranes also accumulate. Especially in the early spring pollen and trees cause allergic rhinitis. In addition, bacteria that mold bread and fruit, dry leaves, meadows, seeds, and straw cause allergic rhinitis.

How often is Allergic Rhinitis seen?

There are many allergic diseases. Allergic rhinitis is one of the most common of these diseases. Approximately 20% of society suffers from this problem. This disease is a type of illness that is mild for some and severe for others. It affects negatively the quality of life of patients with allergic rhinitis. As can be seen in later years, it generally occurs between 1 and 20 years old. It is possible to encounter a similar disease in the family.

Allergic Rhinitis Types

Allergic rhinitis disease can be categorized according to various factors. We can explain the types of allergic rhinitis as follows;

  • Seasonal Allergic Rhinitis (also known as hay fever): It is the name given to allergic rhinitis triggered by factors such as tree pollen that occurs in a certain season. This season is usually spring and patients are more comfortable in other seasons.
  • Perennial Allergic Rhinitis: We can call perennial allergic rhinitis when the patient is in contact with dust, animal hair, and allergens in various environments throughout the year. The complaints of these patients go on consistently.
  • Occupational Allergic Rhinitis: These patients experience complaints due to the occupational substances they have to deal with in the work environment.

How Is the Allergic Rhinitis Diagnosed?

Factors such as the patient’s environment, age, and previously used medications should be determined. Genetically allergic status should be checked. Allergy tests should be applied. Individuals who do not respond to allergic treatment should have a detailed nasal examination.

Treatment of Allergic Rhinitis

Allergic Rhinitis has different types of treatment. We can list these treatment types as follows;

  • Stop contact with allergens.
  • Treatment with medication.
  • Vaccine therapy.
  • Surgical intervention.

The first goal in the treatment of allergic rhinitis is changing life conditions. Allergy treatment is started by removing the factors that may cause allergies at home, at school, or at work. Drug treatment is a type of treatment that is applied when there are no infectious or functional problems. If the allergic reactions of the person continue despite stopping the contact with the allergen and drug treatment, vaccine treatment is applied. When a functional disorder in the nose is revealed, allergic rhinitis treatment is performed by surgical intervention. These functional disorders can be caused by the current state of the nasal turbinates (chonca).

Allergic rhinitis and rhinoplasty

The Role of Rhinoplasty in the Treatment of Allergic Rhinitis

The operation does not directly treat allergic rhinitis. If patients have conditions such as curvature in the nose, rhinoplasty can be helpful. Nasal cavities in the nose are widened and breathing is relieved. Apart from this, turbinectomy can be performed.

Rhinoplasty surgery is a simple and functional surgery in terms for allergic rhinitis. With this surgery, the surface that faces the allergen in the epithelial tissue of the upper respiratory tract decreases. This provides physical benefits and reduces sensitivity. Allergens stick to the area less and the person can improve their quality of life. Rhinoplasty surgery can be performed to reduce the complaints and usage of the medications.

Assoc. Prof. Dr. Suleyman TAS performs septorhinoplasty surgeries by the Closed Atraumatic Technique for patients with allergic rhinitis and relieved numerous patients so far.  Throughout our article, we have shared with you the factors that cause allergic rhinitis, the treatment methods for allergic rhinitis, rhinoplasty in the treatment of allergic rhinitis, and many other details. For detailed information on this topic, you can browse our rhinoplasty page or contact us via Whatsapp

Aesthetic and functional rhinoplasty

Aesthetic and Functional Rhinoplasty

Rhinoplasty (Nose job) is a surgical intervention to correct the shape, structure and functional disorders of the nose. Rhinoplasty may have many different types, which are also known as aesthetic and functional rhinoplasty. So, what do they mean?

What is Aesthetic Rhinoplasty (Nose Job)?

Aesthetic rhinoplasty aim to eliminate deformities related to the shape and/or structure of the nose via surgical interventions. As a matter of fact, a nose that bends or points too much to the left or right, may cause an asymmetrical and undesirable appearance to the other features of the face. Aesthetic rhinoplasty aimed to eliminate aesthetical deformities via surgical interventions. We can list the major nose deformities that may require cosmetic nose surgery as follows:

Wide alar base (wide alas)

Causes and Treatment of the Nasal Deformities

As can be seen above, there are many reasons that may require aesthetic rhinoplasty. One may have one of these problems, or more than one. Often, correction of a key area can give results that allow the entire nose to achieve a better balance with eyes, mouth, forehead and other parts of the face. For this reason the nose structure and face of the person should be analyzed well; Aesthetic surgery should be applied according to the person’s nose type.

Aesthetic and functional rhinoplasty Aesthetic and functional rhinoplasty Aesthetic and functional rhinoplasty Aesthetic and functional rhinoplasty
What is Functional Rhinoplasty (Nose Job)?

Functional nose surgery requires surgical interventions to correct the functions of the nose, such as breathing and to improve the patient’s quality of life. In this respect, it differs from Aesthetic nose surgery which eliminates formal and aesthetic deformities. However, although functional rhinoplasty and cosmetic rhinoplasty appear different from each other, they can be applied simultaneously in some cases. If the person has problems such as breathing through the nose and has complaints about nasal deformities, the plastic surgeon can perform functional and aesthetical rhinoplasty together. In some cases, the patient refers to the aesthetic doctor with only one complaint. However, as a result of the examination, different problems can be revealed and the patient can be offered both aesthetical and functional rhinoplasty together. We can list the main problems that may require functional rhinoplasty as follows:

Breathing Problems

Aesthetic and functional rhinoplasty Aesthetic and functional rhinoplasty Aesthetic and functional rhinoplasty Aesthetic and functional rhinoplasty

Due to a deep knowledge of the ENT, Maxillofacial areas Assoc. Prof. Dr. Suleyman TAS addresses all aesthetical and functional issues in one surgery by the Closed Atraumatic Rhinoplasty which prevents tissue damage, strengthens weak parts, minimizes swelling and accelerates the recovery process. For detailed information about aesthetic and functional rhinoplasty please contact TAS Aesthetic Surgery via Whatsapp number +90 543 4563693.

Celebrity nose job: before and after

Celebrity Nose Job: Before and After

One of the criteria for the Best Rhinoplasty Surgeon was that the plastic surgeon was chosen by celebrities Because celebrities are very visible and earn their lives in front of the cameras, they are more obsessive about plastic and aesthetic surgeries. So if a celebrity prefers to have a nose job, it may be an important indicator for you. However, celebrities also hide that they have nose jobs. If the celebrity is not hiding from having a nose job, the celebrity may have collaborated with the plastic surgeon most of the time. Because celebrities do not want to be called aesthetically like every patient and want to know that their beauty is natural. So, Angelina Jolie from Hollywood, and Türkan Şoray from Yeşil Çam all had their nose job operations behind closed doors.

Celebrity Nose Job is a philosophy adopted by Assoc. Prof. Dr. Suleyman TAS in achieving scar free, the most natural results, compatible with the patient’s unique facial features with a flash recovery process. Each and every patient, operated on with Closed Atraumatic Rhinoplasty, are one of those Celebrities shining in beauty magazines.  Dr. TAS’s all knowledge, skills, and expertise are aiming to beautify his patient’s faces, help them to gain more confidence, and become happier in their lives than before.

Here you will find some of the Celebrity Nose Job: Before and After pictures which are beautiful and cute noses.

Case 1 (Before and 4 months After):

This stunning beauty had a dorsal hump, and droopy tip with moderate skin before, and now we are able to see absolutely confident, brand new Instagram Celebrity lady.

Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after

 

Case 2 (Before and 6 months After):

This beautiful lady had thick skin, bulbous tip, deviated septum, hump, and droopy with asymmetric nostrils. After 6 months please welcome a brand new Celebrity.

Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after

Case 3 (Before and 1 year After):

Another happy celebrity-style male case with the overall reduction of the nose, elimination of the droopy tip and hump together with the functional issues. The aim in male rhinoplasty cases is to preserve masculinity thus avoiding the reduction in size.

Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after

Case 4 (Before and 7 days After):

Here the nose has been aligned, the hump eliminated, and the overall size of the nose and wings are reduced for a patient with thick skin. As seen before and after dramatic changes have been achieved which changed her life.

Celebrity nose job: before and after Celebrity nose job: before and after 

Case 5 (Before and 7 days After & right after the surgery):

Here, severe deviation of 45 degrees, nostril asymmetries, over projected and big nose has been treated by the Closed Atraumatic Technique at once by Doctor TAS. Aligning crooked noses is a very challenging procedure that requires specific maneuvers, any kind of injury or trauma should be avoided.

Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after

Case 6 (Before and 7 days After):

This attractive male had severe breathing issues, hump, droopy tip, alar asymmetries, and quite a big nose with thick skin. Now we can witness aesthetically pleasant, natural, and proportional facial features results achieved by the Closed Atraumatic Technique.

Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after

 

Case 7 (Before and 7 days & 5 months After):

Here a bulbous and projected tip, with thick and oily skin, hump, and the droopy tip is treated by Assoc.Prof. Dr. Suleyman TAS. The result is a straight and defined nose with such a beautiful profile.

Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after

Celebrity nose job: before and after Celebrity nose job: before and after

Case 8 (Before and 7 days after & right after the surgery):

A male example here, deep radix, deviation, humpy nose, droopy tip, and thick skin on the tip were transformed into celebrity style, proportional with his facial features brand new nose by the Closed Atraumatic technique.

Celebrity nose job: before and after Celebrity nose job: before and after

Live Broadcast right after the surgery:

Case 9 (Before and right after the surgery):

In this case, dorsal irregularities, over the projected nose with a hump and droopy tip, deviation, and nostril asymmetries have been treated by Doctor TAS to achieve aesthetically pleasant results, with a nice ski slope that makes the nose so feminine and beautiful.

Celebrity nose job: before and after Celebrity nose job: before and after

Case 10 (Before and 7 days After):

Here, the treatment of the deviated, bony & humpy nose with a droopy and bulbous tip. The nose is shortened from 55 mm to 42 mm and arranged in line with the face proportions and aimed to have a more natural and aesthetic appearance.

Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after Celebrity nose job: before and after

Case 11 (Before and right after the surgery):

Closed Atraumatic Rhinoplasty addressed to the deviated nose, wide base, and bulbous tip which was aligned to the middle, tip defined, and became symmetric as possible.  This is another perfect example of a Celebrity Nose Job.

Live Broadcast right after the surgery:

 

Celebrity Nose Job: Before And After

For more Nose Job Before and After Pictures: Nose Job Before and After 
More information about Assoc.Prof. Dr. Suleyman TAS:

Assoc.Prof. Dr. Suleyman TAS

Rhinoplasty experience

Rhinoplasty Experience

In this blog, you will find rhinoplasty experience step by step with detailed description performed by Assoc. Prof. Dr. Suleyman TAS with the Closed Atraumatic Technique. Thanks to this technique whole interventions are applied through the nostrils without cutting the tip of your nose, with respect to each tissue and ligament, consequently zero bruising and less swelling with a fast recovery.

During Rhinoplasty: First of all, the surgery will take in average 2-3 hours depending on the severity of the case under general anesthesia administered by the accredited anesthesiologist of the hospital. At the end of the surgery you will be applied a thermoplastic cast and modern silicon tampons in order to stabilise your nose both externally and internally. After being observed in a recovery room for about 30 minutes you will be transferred to your room. You will stay overnight in the hospital under observation, that night you might have some bleeding and leaking which will be significantly less the following days.

48 Hours After Rhinoplasty: First 48 hours after the surgery swelling will reach the maximum level and starts subsiding from the 3rd day. You need to be ready for limited breathing and getting to know breathing through your mouth.  You will be using certain medications and cleaning your nose twice a day.  On the 4th post op day you will be invited to the TAS Aesthetic Surgery Clinic for check up and will be given a special device to reduce the swelling until the cast removal day. It is a proven treatment which is described in details in Dr. TAS’s publication.

7 Days After Rhinoplasty: In average 7 days after discharging your cast and silicon tampons will be removed which is a totally painless procedure. After this procedure you will feel relief and start breathing through your nose. On the cast removal day almost all patients have a presentable look with zero bruising and minimal swelling and the most important thing a natural look as if you were born with that nose. When you will see your nose first time in the mirror you will see a beautiful nose but may feel strange as for your subconsious it is something new. So, now you are breathing freely and returning home as a completely new person with the rhinoplasty experience. People around will keep guessing what has been changed on your face?

Rinoplasti öncesi sonrası Rinoplasti öncesi sonrası Rinoplasti öncesi sonrası Rinoplasti öncesi sonrası

2 Months After Rhinoplasty: After two months the significant amount of swelling will subside and you will be able to see the midterm results as you will be massaging your nose by special techniques which speed up the recovery process. For thick skinned patients the swelling on the upper side of the nose will resolve and come down by the gravity and will be mainly concentrated on the tip of the nose. Since it is made of soft tissues it will recover the latest. The tip settles over time into its final position.

Rhinoplasty experience Rhinoplasty experience Rhinoplasty experience Rhinoplasty experience

1 Year After Rhinoplasty: Nasal structures keep being dynamic and changing throughout the healing process as the swelling doesn’t subside symmetrically. At least after one year you will be able to achieve the final results, if you have a thin skin even earlier than that. Finally your nose, your face, your confidence, your life will be upgraded to the brand new level thanks to the nose surgery done by Assoc. Prof. Dr. Suleyman TAS. For better rhinoplasty experience, the patient should be in touch with the plastic surgeon.

Rhinoplasty experience Rhinoplasty experience Rhinoplasty experience Rhinoplasty experience

To find out more about Closed Atraumatic Rhinoplasty and Reviews of the patients operated by Assoc. Prof. Dr. TAS please click on the subject.

 

Rhinoplasty Experience Videos for a Rhinoplasty with Dr TAS

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90° tas® video | rhinoplasty before and after videos

90° TAS® Video | Rhinoplasty Before and After Videos

In this blog, you will find 90° TAS® Video concept which represents Rhinoplasty Before and After Videos. All cases shows different period of the nose surgery with perfect transparency, the confidence, knowledge and skills of  Assoc. Prof. Dr. Suleyman TAS.

Since the nose is a three dimensional (3D) structure, being able to see and evaluate a nose from all angles is essential which becomes possible with such an innovative approach as 90° TAS® Video. Furthermore, Assoc. Prof. Dr. Suleyman TAS gives great importance in teaching and sharing his knowledge with the patients and doctors as well, thus performs Live Broadcasts right after the surgery. 90° TAS® Videos are demonstrated at various post op periods with the detailed descriptions of the addressed nasal deformities.

Case 1 (Before and 7 Days After):
Here is an amazing example of a reduction rhinoplasty.  A long and deviated nose not proportional to her face and bulbous tip ended up with an aesthetically pleasant and compatible with her facial features nose.

Live broadcast right after the surgery:

Case 2 (Before and 5 Months After):
In this case a deviated nose, dorsal hump, droopy tip and wide nose have been treated by the Closed Atraumatic Rhinoplasty beyond the current knowledge.

Case 3 (Before and 7 Days After):
Here is the treatment of the dorsal hump, droopy tip, wide nose dorsum and base (with a thick skin and oily skin) by the Closed Atraumatic Rhinoplasty which protects the anatomy, strengthens weak parts and prevents tissue damage. A perfect example of tip refinement from boxy to the defined tip.

Live broadcast right after the surgery:

Case 4 (Before and 7 Days After):
A perfect example of a patient in advanced ages which is a challenging case due to the loss of the cartilage elasticity ability, huge skin laxity and wrinkles related to the aging process. Here is a treatment of a deviation and bulbous tip, long nose, droopy tip, hump and nostril asymmetries.

Case 5 (Before and 2 Months After):
Here is an extreme example of a reduction rhinoplasty for a thick skinned patient performed by Assoc. Prof. Dr. Suleyman TAS. A deviation has been aligned, dorsal hump removed, droopy tip eliminated and bulbous tip reduced and refined. Excessive skin has been excellently addressed in this example.

Case 6 (Before and 1 Year After):
Here is a result like a poem of a patient with thick skin. Overall reduction, dorsal hump removal and tip refinement has been performed with Closed Atraumatic Rhinoplasty.

Case 7 (Before and 2 Months After):
This is a live surgery case performed on the Closed Atraumatic Rhinoplasty Course that was organised on 16-17 November 2019. Over 350 plastic surgeons all over the world have been witnessing the instant transformation of this patient. Breathing issues, dorsal hump, asymmetric nostrils and deviation have been treated at once by Assoc.Prof. Dr. Suleyman TAS.

Case 8 (Before and 2 Months After):
Here is a treatment of the deviation starting from the radix, dorsal hump removal, droopy and wide tip when smiling which is one of the common complaints among the patients considering rhinoplasty.

Case 9 (Before and 8 Months After):
A perfect visibility of a revision rhinoplasty results with a rib cartilage usage. Deviation, uneven nostrils, wide nose have been treated and the tip refined by Assoc. Prof. Dr. Suleyman TAS.

Case 10 (Before and 7 days After):
The patient had a closed rhinoplasty previously from another doctor and was complaining of the hump, droopy tip, breathing issues and crooked nose deformities. Here a totally presentable look demonstrated on the 7th day post operation.

Best rhinoplasty before and after pictures

Best Rhinoplasty Before and After Pictures

In this blog, you will find actual rhinoplasty (nose job) before and after pictures by Assoc.Prof. Dr. Suleyman TAS with providing the detailed descriptions at various post op periods. Each case demonstrates different results and interventions to help patients to see different cases. Each result is custom, unique and individualized to the patient.

Case 1 (Before & 4 Months After)

Here the treatment of a wide pyramidal angle, wide dorsum and base and totally crooked nose with thick skin was treated by Closed Atraumatic Rhinoplasty.

Best rhinoplasty before and after pictures

Best rhinoplasty before and after pictures

Rhinoplasty before and after

Best rhinoplasty before and after pictures

Case 2 (Before & 4 Months After)

In this case dorsal hump, droopy tip, asymmetric nostrils and severely crooked nose deformities have been addressed with Closed Atraumatic Rhinoplasty. The patient has a thick and oily skin.

Burun estetiği öncesi sonrası

Burun estetiği öncesi sonrası

Burun estetiği öncesi sonrası

Burun estetiği öncesi sonrası

Case 3 (Before & 1 Year After)

She was suffering from severe breathing issues as she had a C shaped nose, droopy tip and dorsal hump. Here is an amazing transformation after alignment of the nose to the middle, tip refinement and dorsal hump removal.

Rhinoplasty before and after hump treatment

Rhinoplasty before and after hump treatment

Rhinoplasty before and after hump treatment

Rhinoplasty before and after hump treatment

Case 4 (Before & 1 Year After)

Challenging revision rhinoplasty case. This live surgery, during Closed Atraumatic Rhinoplasty Course, case had many bony fragments in the tip area, open roof deformity with a crooked nose and septum deformity. A structural Closed Rhinoplasty has been performed by Assoc.Prof. Dr. Suleyman TAS without any rib cartilage grafting.

Revision rhinoplasty before and after

Revision rhinoplasty before and after

Revision rhinoplasty before and after

Revision rhinoplasty before and after

Case 5 (Before & 10 Days After)

Here the treatment of a severe breathing problem with wide nose, alar flaring and severe asymmetry has been demonstrated. 10 days results of an ethnic rhinoplasty case are shown below.

Best rhinoplasty before and after pictures

Ethnic rhinoplasty before and after

Ethnic rhinoplasty before and after

Ethnic rhinoplasty before and after

Case 6 (Before & 7 days After)

Here is a nice example of treating the long nose, deviation, droopy tip and asymmetric nostrils by the closed Atraumatic Technique.

Rinoplasti öncesi sonrası

Rinoplasti öncesi sonrası

Rinoplasti öncesi sonrası

Rinoplasti öncesi sonrası

Case 7 (Before & 8 Months After)

Another female revision rhinoplasty case. The nose has been aligned to the middle, hanging columella addressed and the tip refined. A rib cartilage has been utilised in this case.

Revision nose job before and after

Revision nose job before and after

Revision nose job before and after

Revision nose job before and after

Case 8 (Before & 1 Year After)  

Here is a challenging nose which had thick dermis and oily subskin, the worst situation to reshape, especially if one requests a reduction rhinoplasty. After special preoperative preparations and Closed Atraumatic rhinoplasty these kind of noses can be improved.

Rhinoplasty before and after thick skin

Rhinoplasty before and after thick skin

Rhinoplasty before and after thick skin

Rhinoplasty before and after thick skin

Case 9 (Before & 4 Months After)

Here the treatment of a wide pyramidal angle, wide dorsum and base was treated by Closed Atraumatic rhinoplasty.

Nose job before and after

Nose job before and after

Nose job before and after

Nose job before and after

Case 10 (Before & 1 Year After)

Here is the treatment of the wide nose, septal deviation, droopy tip by the Closed Atraumatic Rhinoplasty. Nice example of a dramatic yet natural look by preserving the masculinity which is an essential point in male rhinoplasty.

Nose surgery before and after

Nose surgery before and after

Nose surgery before and after

Assoc.Prof. Dr. Suleyman TAS
Plastic, Reconstructive & Aesthetic Surgeon

Image of the month and most popular article in prs journal

Image of the Month and Most Popular Article in PRS Journal

The last scientific study of  Dr.Suleyman Tas has been chosen as “Image of the Month” and Listed through “Most Popular Articles” in PRS Journal which is the best plastic surgery journal in USA

Assoc.Prof.Dr. Suleyman Tas said that “It is really a great honour”. Dr. Suleyman TAS has published his innovative rhinoplasty technique in PRS (Plastic Reconstructive Surgery) Journal which has the highest impact factor through the scientific plastic surgery journals in the World and USA.

In this scientific study entitled; “The Alignment of the nose in rhinoplasty; Fix down concept”, Dr.TAS demonstrated his rhinoplasty approach and tricks to have a nose closed to perfect. Dr.TAS published 7 operation videos and 30 figures with his scientific study to detailed the technique for his colleagues.

His study has been chosen as the most ranked article of the month and titled as “February Image of the Month” and listed through “Most Popular Articles” by PRS Journal.

You can see the publication and the surgical videos through below link of PRS Journal;

 

 

Image of the month prs journal suleyman tasPlastic-And-Reconstructive-Surgery-1

https://journals.lww.com/plasreconsurg/Abstract/2020/02000/The_Alignment_of_the_Nose_in_Rhinoplasty__Fix_Down.21.aspx?context=FeaturedArticles&collectionId=2

You can see the abstract of the study, which posted below;

The Alignment of the Nose in Rhinoplasty: Fix Down Concept

Süleyman Taş, MD, FEBOPRAS, Assoc.Prof.

Plastic, Reconstructive and Aesthetic Surgeon, Private Practice, Istanbul, Turkey

Running Head: Fix Down

Address for correspondence:

Süleyman Taş, MD, Hakkı Yeten Cad, No: 11, Terrace Fulya, Center: 1, Apt: 97 Şişli, Istanbul 34349, Turkey

Tel: +90-532-0563693; Fax: +90 212 9793000

E-mail: drsuleymantas@live.com

Conflict of Interest

The author declares that he has no conflicts of interest, commercial associations, or intent of financial gain regarding this research.

Level of Evidence: IV

Keywords:Fix down, Let down, push down, symmetry, facial asymmetry, conservative, preservation, nose, function, aesthetic, levator alaque nasi, muscle, maxillary hypoplasia

The Alignment of the Nose in Rhinoplasty: Fix Down Concept

Abstract

Background:The current literature on rhinoplasty mainly focusses on the nasal profile (sagittal plane); however, the nose is a 3-dimensional structure, and alignment of the nose in consideration of other aspects is important to achieve an aesthetic result. The author aimed to introduce the fix down concept which includes fix down technique and the adjunct maneuvers for achieving alignment of the nose in 3 anatomical planes and improving the results of rhinoplasty in terms of symmetry.

Methods: Between March 2017 and December 2017, a total of 102 patients (78 female, 24 male), (13 revision, 89 primary cases) underwent septorhinoplasty with the fix down concept. The noses were evaluated in coronal, sagittal, and axial planes and classified according to their deformities.

Results:The functional and aesthetic results were satisfactory for the patients, examiners, and surgeon. No revisions were necessary during the follow-up period. In addition to the fix down technique; ethmoid bone grafting (16 patients); fix up technique (8 patients);dissection of the levator alaeque nasi muscle (14 patients); plication of this muscle (4 patients); superior based transposition flap (39 patients); rim grafts (17 patients); mucosa grafts (12 patients); double layer grafts (9 patients); maxillary deepening (5 patients); maxillary augmentationwith cartilage/bone grafts (21 patients); and supratip onlay grafts (7 patients) were employed as adjunctive maneuvers to achieve symmetry in the frontal, base, and profile views.

Conclusions: The presented fix down concept will help to provide 3-dimensional symmetric noses for rhinosurgeons.

You can see the other publication of Dr.TAS through the link;

https://drsuleymantas.com/publications/

 

 

The reasons of the nasal malformation

The Reasons of The Nasal Malformation

Nose aesthetics is one of the most preferred surgeries among aesthetic surgeries.  Millions of people all over the world every year have their rhinoplasty done because of the various reasons. The main reasons are either genetic or acquired nasal malformation. Generally people are wondering the reasons causing acquired nose deformities which we are going to explain on this weeks blog prepared by Assoc.Prof.Dr.Suleyman TAŞ. All details you have been wondering about the reasons of the nasal deformities, symptoms and treatment you can find in our detailed paper. Hope it will be useful for you and please enjoy reading it.

 

What is the nasal malformation?

Nasal malformation is the general name given for the disinformation caused by the genetics or took place  consequently to the injuries, traumas or the illnesses independent from the genetics. It is a physical problem that may cause aesthetical and functional issues.

 

The reasons of the nasal malformation 

After giving the description of the nasal malformation we can go on counting the reasons causing the nasal deformities.

1) Hormonal disorder
One of the main reasons causing nasal deformity is the hormonal disorder. Because of the hormonal and genetic disorder there might take place deformities in the skin, bone or the cartilage tissues of a nose. This situation may cause the nasal malformation. Especially in the adolescence period correspondingly to the changes happen in the body a nose starts to change as well. By the end of the puberty cartilage wideness, nasal bone disfigures, intranasal malformation caused by the hormonal disorder might become permanent. We can say that two main reasons causing nasal malformation are genetics and hormonal disorders.

2) Traumas and injuries
Cartilage tissues present in the nasal structure may be disfigured by the traumas or severe injuries which can be permanent. Especially the injuries received in the adolescence period may cause the nasal malformation on a still growing facial features.

3) Skin diseases
On the places close to the nose may occur tumours. For instance, the tumours formed on the skin consequently to the skin canser may become more visible on a nose by the time. Therefore, causing nasal deformities and malformation in a long term.

4) Chronic medication usage requirement
Since intranasal structures are affected by the liquid medication regularly used inside the nose it may cause different types of intranasal malformation. The medication which is useful in a short term may change the cartilage structures in a long term. These kind of medications may dissolve and disgfigure the nasal structures. On the other, hand regularly taken drugs like cocain may cause deformities in a long term.

 

Symptoms of the nasal malformation

Here are the symptoms of the nasal malformation

 

  • Crookedness of a nose
  • Tip droopiness
  • Breathing issues and snoring
  • A dorsal hump formation
  • Uneven nostrils

If you have these kind of complaints and symptoms you might have a nasal deformity. You can consider a surgery to fix your nose functionally and aesthetically. Your plastic surgeon will need to have an x-ray and physically examine your nose. After that, your plastic surgeon will share the results and discuss the appropriate surgical plan with you.

This is the end of  this week’s blog prepared by Assoc.Prof.Dr.Suleyman TAŞ about the nasal malformation. If you have any questions regarding these surgeries please contact us via +90 543 456 3693 phone number. We wish you healthy and joyful week.

 

How are nostrils and wings reduction surgeries performed?

How are nostrils and wings reduction surgeries performed?

The nasal wing reduction aesthetics is among the frequently asked questions for those who have wide noses and nostrils and would like to have nose surgery.  Thus, the main two reasons for a wide nose are broad wings and nostrils. In this week’s blog as TAS Aesthetic Plastic Surgery Clinic, we would like to inform you about the reduction of the nostrils and wings of the nose.  Hope it will be helpful for you and please enjoy reading it.

 

What makes a nose wide? 

Before proceeding with the details related to the wide nose reduction surgery we would like to summarize the main reasons for wide wings and nostrils. Certainly, the main reason is genetic. Deformity and excessive cartilage structures can be shown as examples. However, in some cases even when the nose is not broad, it might seem wide which can be seen in the following examples:

1) Lack of Projection

When looking at the profile, if there is not enough projection on the tip, nasal structures might seem wide.

2) The tip of the nose is too much lifted

If the tip of the nose is too much lifted, the nostrils might seem wider, which causes an overall broadness of the nose.

3) Alar retraction

In some cases even if the nostrils and the wings are not wide,  alar retraction might cause the opposite effect.

 

How are nostrils and wing reduction surgeries performed?

After summarizing the main reasons causing wide noses we can answer the questions related to the surgery for narrowing broad noses.

Generally, the reduction of the wings and nostrils is performed as a part of the rhinoplasty. However, for those who have only this complaint, it can be performed as well.  The most common treatment is the removal of limited tissues from the alar base and reshaping treatment. Airway flow shouldn’t deteriorate. In some cases, the wings can be made slimmer by just projecting or deprojecting the tip of the nose. Thus, we have already counted it among the reasons for wide noses.

Besides nostril reduction surgery, there are different techniques being used for the reduction of broad noses.  We use dissolvable stitches after surgical interventions for wide nose aesthetics performed by the Closed and Atraumatic Technique. Therefore there are no external scars after the nostril reduction aesthetics procedure.

This is the end of this week’s blog prepared by the TAS Aesthetic Plastic Surgery about the nostrils and wings reduction. If you have any questions regarding these surgeries please contact us via +90 532 056 3693 phone number. We wish you a healthy and joyful week.

What is the nasal collapse? How can it be addressed?

What is the nasal collapse? How can it be addressed?

The collapse of the nose is a kind of the nasal deformities. Also known as the saddle nose deformity it can be seen in many patients because of different reasons. On this week’s blog as TAS Aesthetic Plastic Surgery Clinic we would like to inform you about the nasal collapse. Throughout our blog we will be answering the frequently asked questions such as ‘What is the nasal collapse? Why does it happen? and How can it be addressed?  Hope it will be helpful for you and please enjoy reading it.

What is the nasal collapse?

The nasal collapse is the pinched nose deformity formed by the space between the bridge and tip of the nose because of various reasons. If we handle it in details; as you know the nose is the most prominent thing on the humans face. Relevant prominency is provided by the nasal bones and cartilages functioning as a roof.  Because of the various reasons between the bridge and the tip there may occur a dent that causes a pinched and collapsed nasal appearance. Coloquially known as the ‘Boxers nose’ nasal collapse is also known as the saddle nose deformity.

What causes the nasal collapse?

There are two main reasons causing nasal collapse. It can be either genetic or acquired. Acquired deformity has two main reasons such as severe external trauma and the other reason is the deformity acquired after failed interventions of the plastic surgeon during rhinoplasty surgery. For instance, it can be gained consequently overreduction of the nose ridge by an unexperienced plastic surgeon. To sum up; the main two reasons of the nasal collapse are traumatic cases and failed aesthetic surgeries.

How can the nasal collapse identified?

Here we will try to give tips about how the nasal collapse can be identified.

 

  • Collapse of a nasal bridge
  • Insuffiecient nose tip support
  • Shortening of the projection
  • Retrusion on the lowest part of the nasal septum

     

How can it be addressed?

Finally we would like to inform you about the treatment and surgery of the saddle nose deformity. There are various methods for addressing this deformity. The main goal is to rehabilitate the functionality of a nose thus, several grafts and materials are utilized in the surgery. Including rib, ear or the radiated cadaver cartilage, titanium or silicon based materials. Preferably to use the tissues taken from the patients body. The main reason is the prevention of the possible infections and tissue reactions that can take place after the surgery. Although it is a matter of various preferences for each surgeon. The graft that will be integrated to a nose is discussed with the patient. After that a nose surgery is performed. As with each surgery there will be post op recommendations that need to be followed. Your surgeon will inform you about them.

This is the end of  this week’s blog prepared by the TAS Aesthetic Plastic Surgery about the saddle nose deformity. If you have any questions regarding these surgeries please contact us via +90 543 456 3693 phone number. We wish you healthy and joyful week.

 

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