Why is Aesthetic Nose Surgery Difficult
Aesthetic nose surgery is complicated because the nose is like a closed box, and you have to do this surgery on only one side of this box. This surgery has many unknowns because the bones and cartilage that make up the nose structure exist independently of each other but as a whole and may behave differently during the recovery period. For this reason, this plastic surgery is followed by the most frequent revision, namely a second correction surgery. It is usual for a world-class surgeon to make revisions to one out of every 10 cases.
SURGERY
Rhinoplasty surgery can be performed in two ways: open and closed technique.
In the closed technique, all cuts are made inside the nose, and the surgeon completes the operation by working from the inside. In the open technique, a 3-4mm cut is made at the nose’s tip, and the nose’s tip is opened.
The difference between the two techniques is related to the surgeon’s command of the operation. The closed technique made from the tip of the nose is more like operating a bottle. If you are only planning to get something out of the bottle, there will be no problem, but if you want to make a model of a ship inside, it won’t be easy. In the open technique, the surgeon can see the structures in the anterior 2/3 of the nose in front of them.
The doctors who perform this surgery always debate which technique is better, and no decision has been made.
As you can see from my descriptions above, my preference is mainly for the open technique. The most important reason is that I do not believe that the result of exemplary work done without actually seeing what is going on can be good. It is something that even the advocates of the closed technique cannot object, that many surgical maneuvers are possible only with the open technique, and corrections that cannot be imagined with the fast technique are possible with the available technique. The possibility of revision decreases after open surgeries.
The most significant handicap of the open technique is the scar on the tip of the nose. But this scar is almost vague after a well-done surgery and remains under the nose. Many patients forget this scar after surgery.
However, please consult your doctor about this and trust them. Every surgeon will get the best results with the methods they know best and believe they are the best. The above are just my personal opinions.
I SEE VERY BAD RESULTS; WILL I HAVE THEM TOO?
I also see “operated noses” that are unnatural and very small, with nostrils visible when viewed from the front. I explained how you can understand a poorly performed nose surgery on a separate page. Remember that the outcome of the surgery depends entirely on the surgeon’s techniques, skills, and what they want to do.
Giving an upturned nose shape by only making the nose smaller creates an unnatural result. In modern techniques, almost nothing is removed; only the tissues’ locations, positions, and shapes are changed.
If you examine this figure, you can see one of the most common aesthetic mistakes. This is a method often used in old techniques. In the past, the nose was smaller to make the nose look upturned, and the starting point was taken as low as possible. Thus, an illusion was created as if the nose was up, but the result would not be natural. It is necessary to start the nose from where it should start, that is, almost at the level of the pupils, and give its entire shape accordingly.