GENERAL INFORMATION
The nose is a dynamic skeletal (bone and cartilage) organ consisting of skin and membranous support tissues. Nose aesthetics are surgical procedures performed by specialist physicians in order to eliminate deformities in the cartilage of the nose and / or the structures that form the nose and asymmetry deformities.
The purpose of this surgical nasal aesthetics procedure, which is called rhinoplasty, is to correct deformities of the nose. It is often accompanied by corrective (deviation) surgery of bone / cartilage curvatures that obstruct breathing.
The most important step of nose aesthetics is the shaping of the bones. If a proper bone shaping is not done, problems will occur in the nose in the long term.
During the process of shaping these bones, tunnels are formed inside the nose in the classical surgery technique. We would try to break the bones regularly in an area that we could not see by inserting bone chisels through this tunnel. Of course, the weakened and broken bone that was broken at irregular points could heal irregularly during the healing period.
With the development of technology in recent years, we have started to use special instruments in nose aesthetics.
In this technique, as I describe it, after lifting the nasal skin, the bone tissue is widely exposed by entering under the membrane where the vein and nerve layer are located. Minimal procedures are performed on the bones with the ultrasonic bone cutter, namely piezo. Thus, the part of the bones with , the part that is responsible for the crookedness can be seen and only the bone is shaped without damaging the blood vessels, soft tissues and nerves.
This device works with special vibrations and we can intervene in every part of the nose with nozzles that are chosen according to the intervention area. The tool only works on bone tissue and stops when it touches soft tissues. Recovery is faster because bone is not broken. Bruising, swelling and pain are negligent. We can minimize long-term problems experienced during the recovery period.
1.What is piezo surgery?
The Piezo, an ultrasonic bone cutter or shaper, is actually a controlled bone cutting or breaking method. In the classical method used since the years when modern nose aesthetics was first described, uncontrolled fractures and breakage occurred while the bone was broken with a chisel and hammer. Surgeons tried to avoid this with alternative methods, some surgeons started to break or shave bones with more delicate instruments. At this stage, in parallel with the technological developments, piezo, that is, the ultrasonic bone cutter was developed. Nose aesthetics that use this tool to shape bone is called Piezo Surgery, Ultrasonic Nose Aesthetics.
2.Who can have piezo surgery and what are the advantages?
With Piezo, the ultrasonic bone cutter or shaper, we can cut the bone in a controlled way from the points we want, as if we are drawing with a pencil-like tip attached to the main device, and shape the bone as if sculpting. Although it can be used for all patients, it is especially advantageous for large or wide noses. Since there are no uncontrolled fractures of the bone, we can avoid unwanted consequences that will cause problems for us in the long term. Also, since the work is carried out under the bone membrane and this tool only cuts the bone tissue, less bruising and swelling will occur.
3.What to consider before rhinoplasty
Rhinoplasty is a very special surgery. In fact, it is a process where the patient and the doctor establish a very close and long-term relationship. Nasal aesthetics are very open to personal interpretations, and just as each patient’s request may differ, each physician’s opinion and interpretation of aesthetics are different. Therefore, I think the most important thing we need to do after deciding on rhinoplasty is to choose the right doctor. The right physician, is one who can communicate well, who you can ask any question without hesitation and who can tell you every detail and, most importantly, is confident and is particularly interested in rhinoplasty. As a candidate for surgery, the most important thing you need to do is to keep your expectations realistic. Not every nose will be your dream nose. Skin structure, bone structure, traumas and genetic features affect your surgical outcome. What we try to do is to make your current nose as good as possible.
4.What are the preparation stages of rhinoplasty surgery.
The most important thing in rhinoplasty is face analysis. First, we take certain measurements and calculations by taking photos, and then we plan our operations according to these calculations. It is necessary to plan according to the individual. While some may prefer perky noses, others like straighter ones. A special program enables the forecast of a nose when all these facts are taken into consideration.
5.What do we pay attention to during surgery in rhinoplasty
The most important point in this surgery is the harmony of your nose with your face. We actually imitate what is natural. I like noses that look natural, therefore I prefer that the patient stays away from an artificial and unnatural look. A very small nose will not fit a very wide face, nor a very long nose a very small face. Again, one of the points I take into consideration during surgery is to maintain the natural structure and respect the tissues. The risk of bruising, swelling and undesired consequences also decreases if the surgery is carried out without damaging the tissues, repairing every area that is cut and skeleton and skin compatibility is taken into consideration.
6.How skin thickness affects surgery in rhinoplasty.
Unfortunately, one of the patient groups that we fail to get the desired result in nose aesthetics are patients with thick skin. We do rhinoplasty on the skeleton of the nose, that is the bone and cartilage. No matter how much thin the bone, how much we minimize it, the veil that covers it is of great importance. I always give the following example: imagine that a frame has been established and covered with a sheet, all the lines of the frame will be outlined. However, if that skeleton is covered with a thick duvet no outline will be visible. Of course, patients with thick skin should not bee too pessimistic, we have some illusion techniques to solve this, and we try to achieve the best possible result with these techniques as long as we keep our expectations realistic.
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