Aesthetic and functional aspects are the main issues dealt with by all plastic surgeons interested in the field of nose reshaping. Rhinoplasty is relatively new and unknown in the development of surgery; it did not have its current place until the beginning of the 20th century. Since 1980, many major edits have been published all across the world. At present, many plastic surgeons aim to establish their names through rhinoplasty, a fact that undoubtedly refers to an even greater popularity.
The desire for a “perfect” nose, whether motivated by psychological factors or aesthetic canons, has always been a “fascination” and a realization to which people resort. Rhinoplasty is the most popular procedure of the face, during which the nose undergoes reduction, enlargement, or repositioning. In contemporary lifestyle, feminism is more valued, and a beautiful, youthful, and healthy appearance is a social necessity. Rejection occurs with the non-physical; nose malformations negatively impact quality of life. These congenital malformations guide the person’s physical and mental state from an early age, often affecting psychological aspects and preventing their integration into society. For cosmetic nose surgery needs and usefulness is indicated. Ethical observation and patient consent must be the primary guidelines in performing an operation, which requires generosity, professionalism, and humaneness in patient approach. Consequently, rhinoplasty is used to correct traumatic-deviated noses suffering from airway obstruction. After functional rhinoplasty Turkey, deformities and long-term outcomes should be fully considered. This article is structured with its different parts as a reference targeting plastic surgeons. Among the important goals are to emphasize which people, especially in plastic/rhinoplasty surgery, should undergo rhinoplasty, or more broadly to enlighten those curious about the topic. There are also advantages and resulting benefits provided by rhinoplasty activities.
Aesthetic rhinoplasty Turkey is an operative technique aimed at changing the external appearance of the nose to achieve an improvement in aesthetics characterized by the facial harmony of the patient, which will ultimately alter body image and self-esteem, affecting the psychosocial and professional relationships of the patient. The operation is mainly done through two techniques: the endonasal or closed rhinoplasty, in which the incisions are all hidden within the nostrils, thus eliminating the chances of scarring. The open rhinoplasty, instead of an incision from commissure to commissure, is made under the columella. The advantage of this method is the possibility to work better on the tip of the nose; however, on the other hand, a more satisfactory postoperative nose in terms of shape and symmetry allows for a regular satisfaction from the patients operated on with both techniques.
Aesthetic rhinoplasty Turkey has advantages that are very clear: correction of nasal humps, reduction of a wide nasal back, increase or decrease of the tip of the nose, increase or decrease of the nostrils, changing the angle between the nose and lip, and harmonization of nasal asymmetry. Ever since treating block noses, surgeons have been working on the appearance of the nasal shape of their patients. Cosmetic nose surgery also has a slightly different incentive to which it is associated. Rhinoplasty, an apparently primitive intervention, has not always been able to achieve the truly satisfactory cosmetic nose surgery results that are produced nowadays. In fact, the surgeon’s hand and experience are not enough to obtain the desired results. The technology that surgeons have at their disposal has made great strides, and today the results that are achieved have to be primarily obtained with the use of sophisticated and up-to-date mechanical instruments, rather than relying solely on the surgeon’s ability to position themselves behind an elegant scene. The realization of the rhinoplastic apparatus involves an in-depth knowledge of the anatomy of the area and also a part of embryological knowledge that follows. Overall, this means that the rhinoplastic surgeon must have good manual skills, training in the field of cervical fascial surgery, and a great deal of medical knowledge that surrounds and involves their profession (anatomy, already mentioned; cell biology, well-founded on molecular biology; and materials’ reactivity and resistance). Moreover, the surgeon will have to be an artist, dare we say a designer, to give individual noses the desired and estimated aesthetic satisfaction. Finally, there is one last point to be considered: the psyche of the patient. Do you think that a person who has been repulsed by a defect for years does not deserve a nice nose that respects all the psychological parameters? Lastly, rhinoplasty acts like all the major cosmetic nose surgery on self-esteem and the ability to see the best point of one’s life.
Indications for functional rhinoplasty Turkey are primarily medical. Nasal obstruction is the most common reason patients prefer surgery. Characteristics of the nasal septum, which could disrupt or obstruct normal air circulation in the nasal cavity, include a deflected or deviated septum or a septal spur, at times deviated inferiorly. Deviation of the septum will obstruct the nasal valve and obstruct breathing, and symptoms of nasal obstruction on the ipsilateral side or both sides may be present. Usually, a deviated septum will obstruct a major side of the nose from breathing, and each patient’s possibility of requiring this procedure varies. A comprehensive assessment of nasal symptoms, the rigid and flexible endoscopy in addition to a scan, is used to determine or diagnose the septal pathology in each patient and systematically determine the patients’ characteristics. The outcomes of the functional rhinoplasty Turkey frequently include short- and long-term physiological benefits. The short-term advantages relate to the capacity to operate the nose and improve dilation and drainage of the frontal and maxillary sinuses. Postoperatively, no intubation X-rays are usually performed.
The enhancement of the physiological advantages of the nose is often correlated with functional mucosa, frequently demonstrating a redundant septum. Our outcomes have included patient feedback, in some cases including interviews, as well as patients’ narratives. Other reported adverse events include crusting, possible increased bleeding, and slightly increased discomfort during the peeling process. There might be phlegm for the first 1–2 weeks, which is typical. Nasal blockage may return in two to three weeks and might slowly recede. Patients typically returned to work or school three days following the operation. The otolaryngologist and plastic surgeon collaborated to achieve an excellent functional and aesthetic outcome.
Functional results may be seen quickly after the operation. It offers an added issue advantage in some instances, an unpredictable advantage when a blocked granulating tissue is removed with the irrigations, and a nearly certain drainage or support advantage when a pseudocapsule and associated anomalies and mucus tenaciousness are resolved. Regular check-ups help us to identify and treat early problems such as bleeding, crusting, or infected mucus accumulation. The results improve considerably over time, with the relief from long-term airway obstruction being quantifiable. At 1 year postoperatively, 99% of patients labeled the operations successful and claimed that they would “likely” or “very likely” have the operation performed again. One hundred percent of patients were happy with the appearance of their noses, and 99% claimed that their lives have improved. In the past 3 years, just one patient suffered from a respiratory infection. Data for 3 years were collected from 99% of patients. No patient suffered from cerebrospinal fluid leak, an incident, a pulmonary disease process, fracture or depression of the ocular orbital bone, detachment of the lower lateral eyelid, or eyelid asymmetry. One hundred percent of patients returned to obligatory physical activities.
The integration of aesthetics with functional improvement has been identified in the past as a major added value in establishing a strategy for operative rhinoplasty. Furthermore, working on combining aesthetic and functional rhinoplasty in the same operation potentially provides some advances regarding skin perfusion and overlaying fat graft survival. This can be even more important in the field of revision surgery for cases where the aesthetic gap or the functional compromise has increased over time, and thick scarring and poor peripheral perfusion are present. Although the same operative technique is mostly used in analogy when combining procedures, some tips and tricks are useful when planning the operation. Standard surgery for septorhinoplasty, autologous or prosthetic tipplasty, and septoplasty is carried out. They are performed in order of risk. The choice of whether to do septorhinoplasty or septotipplasty first depends on when the patients’ prime symptoms are considered maximal. An endonasal cannula can be placed in the contralateral nostril of the patient to recreate some degree of geometry. The length of the operative procedure for all steps combined is not significantly different from rhinoplasty alone.
Appearance and rhinoplasty for breathing issues are the two most frequent motives for patients to seek medical advice for rhinoplasty surgery. Mostly, those patients are combining aesthetic and functional rhinoplasty issues. Since a comprehensive psychological evaluation and its impact on the patients’ quality of life should guide the selection of the surgical procedure. Patients are seeking a combined improvement in nasal shape as well as function, as a beauty ideal is often seen in harmony with good breathing. Improvement of some functional aspects such as symptom, perfusion of the nasal tip, and nasal patency is evident in combined septorhinoplasty. Considering the improvements in nasal airflow and the aesthetic success, it should be clear that we benefit from evaluating the impact on rhinoplasty for breathing issues when assessing the result of an operative procedure. Successful rhinoplasty enhances function and does not cause impairment of breathing. This should be just as clear as that a successful septoplasty or turbinate reduction leads to an aesthetically pleasing nose. A simple aesthetic result based only on shape parameters could result in a less convex shape than is ideal or an inharmonious result with the patients’ individual characteristics. Standardized results do not exist in rhinoplasty and exemplify the need for a comprehensive approach to achieve a good result. Major obstacles in getting this result are our aesthetic sense and our knowledge about what constitutes beauty, especially ethnic and individual aspects of beauty.
