Tag: rhinoplasty

Allergic Rhinitis and Rhinoplasty

Allergic Rhinitis and Rhinoplasty

In this article we will be sharing the answer to this question ” Will Rhinoplasty help the 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 the allergic rhinitis?

We can list the symptoms of the 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.

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 the Allergic Rhinitis seen?

There are many allergic diseases. Allergic rhinitis is one of the most common of these diseases. Approximately 20% of the society suffers from this problem. This disease is a type of illness which is mild for some and severe for others. It affects negatively the quality of life of patients with allergic rhinitis. As it 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 the various factors. We can explain the types of allergic rhinitis as follows;

  • Seasonal Allergic Rhinitis (also known as the 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 the 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 allergen and drug treatment, vaccine treatment is applied. When a functional disorder in the nose is revealed, allergic rhinitis treatment is performed by the surgical intervention. These functional disorders can be caused by the current state of the nasal turbinates (chonca).

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 of allergic rhinitis. With this surgery, the surface that faces the allergen in the epithelial tissue of the upper respiratory tract decreases. This provides physical benefit and reduces sensitivity. Allergens stick to the area less and the person can improve the 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 of 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 on +90 543 456 36 93.

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:

  • Nose asymmetry
  • Too big or too small nose size
  • Humpy nose
  • Excessively large nostrils (alar flaring)
  • Droopy tip
  • Crooked nose
  • Wide alar base (wide alas)
  • Collapse of the nose
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.

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:

  • Chronic sinus congestion due to severe allergies
  • Congestion of the nostrils as a result of the septum deviation
  • Large cartilages that can cause problems in the respiratory tract
  • Nose polyps
  • Nose traumas
  • Functional disorders caused by a failed rhinoplasty in the past

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.

 

Rhinoplasty Experience

In this blog, you will find rhinoplasty (nose job) step by step experience 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.

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.

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

 

Skin Thickness for Rhinoplasty

This week we will give you all the information and details about skin thickness for rhinoplasty. During rhinoplasty, the type of skin plays a huge and an important role and can affect the shape of your nose. Skin is the largest part of our body and each person’s skin thickness and structure is different and unique to the person.

The skin thickness on the nose is mainly divided into two parts;

  • Thick skinned noses
  • Thin skinned noses

 

Thick skinned nose
Patients with thick skin are more likely to own a thick and oily nose. Usually, this type of skin is genetic. The skin on the nose is more noticeable. The healing process after rhinoplasty takes more time. The thick skin seems like a thick blanket, this thick skin covers the shape of the nose. The patients with thick skin also have a rhinoplasty, but the process needs more control and may need to apply extra treatments before rhinoplasty and after rhinoplasty. The aim is to make the skin thinner. With extra treatments, a much more positive and satisfying result can be achieved after rhinoplasty by the right surgeon.

 

Thin skinned noses

 

Thin skinned nose, as its name implies, is a very thin structure covering the nose. Patients, who are thinking to have a rhinoplasty, should be well analyzed about skin thickness. Patients with a thin skinned nose have more advantages compared to patients with thick skin. Because they tend to recover faster than those with thick skins. Having a thin skinned nose is one of the desired condition to have a rhinoplasty. Nasal lines and shape will be more visible on the thin skinned noses with the help of all the fine workmanship. The disadvantage of being thin skinned is that it may show even minimal differences. The thin skin seems like a thin sheet on the bed.

 

Skin thickness is not a barrier for the patients who want to have a rhinoplasty. An experienced rhinoplasty surgeon can analyze and get a good sense of your skin type, thickness, and quality during the examination. And the surgeon can give you a very good idea about the healing process and an achievable result. Therefore, the process will be more positive since the patient and the surgeon knows the big picture.

Is There Scarring After a Rhinoplasty (Nose Job)?

The most common question, from the patients who want to have a rhinoplasty, is if there will be any scar after rhinoplasty. Nose jobs can be done with many different methods and techniques. Basically;

  1. Rhinoplasty with Open Technique
  2. Rhinoplasty with Closed Technique

 

Rhinoplasty with Open Technique

With open technique, a bridging incision was created and the nasal skin is folded upward to execute the operation. After the operation, there will be a scar on the tip of the nose due to this cut. There are some interventions due to minimize the scar;

  • Use medicines regularly given by your doctor after the operation
  • Protect your nose skin from the sun

Despite all these precautions, unfortunately a treatment that completely prevents the scar is not available.

 

Rhinoplasty with Closed Technique

With closed technique, there is no incision on the nose or on the pitanguy ligament. All surgical incisions are positioned inside the nostrils with no external scar. Since there is no incision on the nose, the healing process is much faster than the open technique. All tissues, nerves, and veins are preserved with the closed technique. So, the nose continues to be fed from the protected tissues after the surgery and this makes the patient have more comfortable time. There are no stitches, because there is no external incision, and there is no mark because there is no stitch. You can think “How this is possible?” With the experience and expertise of the surgeon, you can have the most natural, most compatible and no scarring rhinoplasty process.

rhinoplasty before and after hump treatment

In Which Season a Rhinoplasty or Nose Job Can Be Performed?

The used technique in a rhinoplasty or nose job is an important influencer.

In the open technique, the incision, made on the nose, creates a permanent scar because of the sun. Many surgeons who prefer open technique do not prefer to perform a rhinoplasty during the summer.

In the closed technique, there is no scar because there is no external incision. So, the sun cannot cause a problem after the surgery. With closed technique, the operation can be performed in summer or winter.

 

When is the Most Optimum Time for a Rhinoplasty?

The most optimum time is when the patient can save a quality time to rest after the operation. During this quality time, the patient will focus on the healing process and complete this process faster.

Most Frequently Asked 10 Questions about Rhinoplasty (Nose Job)

1. What is Closed Rhinoplasty Technique?

Rhinoplasty can be performed with a closed or open technique. While there is a cut in open rhinoplasty technique, there is no cut in closed rhinoplasty technique and the whole operation is performed within the nose. Since there is no cut on the nose, there are no scars or stitches. With closed technique, we protect the nerve, ligament, vascular tissue at nose tip so, nose blood vessels and nose’s flexibility ability is not deteriorated. With the closed and atraumatic technique, we aim to get the most natural results by giving least damage to the nose.

2. I want to have a rhinoplasty, but I have a problem of breathing. Are you intervening in the airway?

It is important to have a nose that matches your face with golden ratios after rhinoplasty. But if there is a functional deficiency, your beautiful nose will be missing. Therefore, before your nose surgery, we determine if there is an airway problem by evaluating the nose with our endoscopy device before visual beauty during detailed examination. During your nose surgery, first, we solve your airway problems and then aesthetic concerns. We address both concerns without needing another doctor.

3. In which hospitals do you perform surgeries?

We perform our surgeries in the hospitals we deal with. We have an agreement with American Hospital and Acıbadem Fulya Hospital.

4. How long do I need to stay at the hospital?

After the operation, we want you to stay 1 night under observation at the hospital. The next day, you will be discharged.

5. Do you perform rhinoplasty with local or general anesthesia?

We prefer to perform rhinoplasty (nose Job) under general anesthesia.

6. When do you remove the splint and bandages?

1 week later, we remove the splint and bandages at our clinic.

7. How long after can I return my social life?

The day we remove the splints and bandages you can continue from where you have left your social life. We advise you to get quality rest for a good healing process until splint and bandages are removed.

8. After rhinoplasty, how long does the recovery process take?

The time you need to take care of is 2 months after split removal day. It is strictly forbidden to have any trauma during this process. When you come for the 2nd month control, your nose will be about to finish the healing process. However, the complete recovery will take 1 year.

9. I do smoke. Is it a barrier for rhinoplasty?

Smoking is not a barrier for your nose surgery. However, it prevents the healing process after the operation. For this reason, the patients who smoke should quit smoking at least 6 months before the surgery and never smoke after the operation.

10. Do you perform surgery abroad or out of Istanbul?

Our clinic is in Istanbul. We do detailed examinations in our clinic and perform surgeries at the hospitals we deal with. We do not even go to a hospital that we don’t have any deal. Because, this is an operation that requires great care. So, we are performing surgeries in specific hospitals where we can display full concentration, create a dedicated team, and not face with any surprises.

 

After Rhinoplasty

In this article, we have discussed what patients should do after rhinoplasty and how they can handle this process easier. We can examine this process in two headlines; Cast Removal Day and After Removing the Cast.

The patient who had rhinoplasty is free to go her/his home after staying one night at the hospital and is invited to our clinic after 7 – 10 days from the operation to have cast and splint removal.

Cast Removal Day

This is the process that patients are most afraid of. In fact, these fears are very unnecessary. With the help of new generation silicon splints which are very elastic and are designed in line with the nose structure, removing splints is very painless.

The thermoplastic splint on the nose is removed without any pain with the help of its adhesive structure.

The patient’s blood pressure may drop due to excitement that occurs when the patient thinks about how she/he will look on the mirror. To prevent this condition, the patient should come to cast removal day with a full stomach. The patient may take a shower one day before or in the morning of the cast removal day that the cast will come out much easier.

After Removing the Cast

We do not need any bandages after removing the cast. However, some of our colleagues are using bandages. In this case, the patient must follow the instructions of the Doctor.

The patient, who is having cast removal, passes through the mirror after the adhesives on the nose are cleaned. This is the most exciting part. The patient, aware of their swelling, knows that most of the swelling will go away in 2 months. However, the patient who is unaware of the swelling and thinks that the result can be seen immediately, may fall into the void after seeing swelling on the face. Here the psychological dimension begins. After the nose surgery, the brain tends to find strange seeing the new face in front of the mirror. This is a normal process and can last up to 2-3 weeks. Patient relatives get used to this change process more quickly than the patient itself. This process is overcome with the support of our clinic psychologist and support of patients’ relatives.

The patient, who has cast and splint removal, should know that there will be some swelling on the nose and face. Depending on the skin’s quality, lubrication, acne or redness may appear on the surface of the skin. This can be eliminated in a short time using cleaning soap and lotion which are suitable for the skin type.

The delicate process that you need to be aware of after removing cast is 2 months. For a healthy healing, there should not be any strike or trauma at that period. Recommended massages should be done effectively and medicines should be used regularly. After 2 months, it is seen that most of the swelling is gone. However, it should not be forgotten that the result comes out after minimum 1 year.

It is important to attend 2 month and 1 year follow up appointments to have a healthy and complete rhinoplasty process.

Ultrasonic Rhinoplasty / Piezo Surgery / Micromotor Technology

In this article, I will handle ultrasonic rhinoplasty, piezo surgery and micromotor terms which are recently popular in rhinoplasty procedures. A technique known as ultrasonic and piezo surgery are surgical instruments that cut or rasp nose bone with vibrations of sound waves only during the nose surgery instead of micromotor or osteotome.

Ultrasonic surgery, which is about 30 years old technology, was originally designed by dentists for use in dental reconstructive surgery. Since bleeding complications occur usually in dental surgery, this device cuts the bone slowly but it causes less bleeding by using the sound waves. So, this technique has been adopted by dentists and has become popular in a short time.

Later in 1992, ultrasonic technology has begun to be used in rhinoplasty by an Italian plastic surgeon and this idea quickly spread to many countries, helping all surgeons to experiment this technology. Where do the ultrasonic or piezo names come from? This instrument, based on the principle of sound waves, creates a vibration, which is then transmitted to a single point through an L-shaped tip and makes cut off the point. Based on this principle, it is called ultrasonic. But it is completely different from the ultrasound which is commonly known. Ultrasound is a diagnostic imaging technique and Ultrasonic is a surgical instrument. Piezo is a word that created and patented by a business firm which is the producer of this instrument. So, generally those who use the instrument of this company use the piezo name, while those using the devices of other companies use ultrasonic rhinoplasty name.

The advantages of this technique are the possibility of cutting the bone in a smoother manner than the typical rasping and osteotome and may cause less bleeding while cutting the bone. Less bleeding will ensure less swelling and less bruising.

Micromotor technology is also a new technology and has been used in rhinoplasty for about 10 years. The motor technology, used to shape the bone almost 70 years in many areas such as facial/ body aesthetics and neurosurgery, was designed in microstructure to ensure surgery in small areas such as the nose. With micromotor technology, the nasal bone can be reshaped smoothly with a system based on electrical energy. With this to the point intervention, the possibility of edema and bleeding can be reduced and a much faster healing period can be created. We wish that all these technological improvements will be better and more every day.

 

 

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