Does Rhinoplasty Affect Nasal Breathing?
At What Age Should Nose Aesthetic Surgery Be Performed?
Rhinoplasty is a surgery that is generally requested by young adults between the ages of 18 and 35 and can be successfully applied up to the 5th and 6th decades. In cases where nasal congestion is advanced, surgery can be performed at an earlier age.
Does Rhinoplasty Affect Nasal Breathing?
It is very important to preserve the physiological functions of the nose while obtaining an aesthetic nose. In other words, highly important functions of the nose should not be sacrificed for aesthetic appearance. Under normal conditions, rhinoplasty does not cause nasal congestion. The nasal septum divides the nose into two equal parts and forms the main support mechanism. Septum deviation may occur due to genetic reasons or trauma. In addition, enlargement of the turbinates originating from the lateral nasal wall may also cause respiratory problems. The mucous membrane covering the inside of the nose may enlarge and swell for reasons such as allergies and smoking. All these reasons can cause nasal congestion in the patient. In this respect, patients should be examined and the findings of the examination should be explained to the patient. All obstructive causes should be corrected during surgery because the air passage narrows by 10% to 20% after rhinoplasty.
It is very important for the patient to identify all complaints that lead the patient to this surgery before meeting with the doctor who will perform the surgery.
In addition to the problems that are desired to be corrected aesthetically, it will help the doctor to determine whether there is a problem in breathing through the nose, whether there are nasal discharge, nasal discharge and headache complaints, and to determine and solve other problems in the nose area during the surgery.
It is absolutely necessary to discuss the problems identified by the patient regarding the shape of the nose and the changes he wants to be made with his doctor. The physician should clearly state whether the patient’s expectations from the surgery match the current facial aesthetic ratios and normal nasal functions, as well as the possibility of surgical techniques. It will be possible to prevent post-operative disappointment by having this discussion adequately and by mutual agreement with the surgeon who will perform the surgery on the planned changes.
Providing visual information on the possible different results of the surgery with digital imaging techniques on the patient’s photographs facilitates the patient’s decision about the shape of the nose profile, nasal tip and nostrils.
Before the operation, the patient should be photographed. The physician photographs from 6 different directions: front view, 2 lateral, 2 oblique and base. Additional photography can be done depending on the patient’s condition. It is necessary to photograph again 6 months and 1 year after the operation.
There are two main approaches in rhinoplasty, endonasal (closed) and external (open) approaches. Since all the incisions are made through the nose in the endonasal approach, scarring does not occur on the skin. The external approach has become a popular approach due to its advantages. In this approach, a V-shaped incision is made through the narrowest part of the nostrils. This method, which does not leave a visible scar, is preferred by 90% of doctors. It is also possible to get good results with the endonasal approach performed by experienced physicians. As a result, which approach will be preferred is completely related to the physician and does not cause any negativity for the patient.
The patient should avoid taking aspirin and similar drugs that can cause bleeding before surgery. If pain occurs, paracetamol or acetaminophen can be used. Smoking should be avoided because nicotine impairs blood circulation and affects wound healing. Blood tests, EKG and chest x-ray should be taken. Alcohol should not be consumed a few days before and a few weeks after surgery because it causes congestion and bleeding.
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