Ear Nose and Throat Doctor - Otorhinolaryngologist in Istanbul

Revision Rhinoplasty Surgery For Drooping Columella and Upturned Nose Tip! A male patient who had a rhinoplasty operation 1 year ago applied for treatment because his columella was hanging downwards and the tip of his nose was pointing upwards when viewed from the side, and his nose had a feminine appearance when viewed from the front. As a result of the patient's examination, it was determined that the columella was sagging and the tip of the nose was pointing upwards (columella-lobular angle was greater than normal). We planned a simple open technique revision rhinoplasty operation for the patient. As seen in the image above, an incision was made in the columella area that was cut in the previous surgery. The upper and lower skin was dissected and excess cartilage tissue was resected. The nasal tip skin was dissected and removed. The posterior part of the cap graft was shaved and grafts were placed below the alar dome point, due to the reduction of the columella lobular angle. Th

Small Camouflage Grafts With Suture Placed Under the Skin in the Final Stage of Nose Aesthetic Surgery When rhinoplasty surgeries are completed, the skin stitches can be partially removed and final checks can be made. Generally, the surgeon needs to check the nose from every angle and side. At this last stage, we can camouflage the sunken areas at the tip of the nose by using only small grafts. As seen in the photo above, at the end of the procedure, we can place small cartilage grafts with only one fixation suture. How to mark where to place simple camouflage grafts? After marking the center of the hollow or depressed areas with a dental needle, cartilage grafts or subcutaneous fibroadipose tissue can be used depending on the amount and width of the depression in the area to be placed. I usually use self-absorbing suture materials such as 5/0 PDS or 5/0 rapid vicryl to fix these grafts. In the photo above, there is a small camouflage graft placed at two points under the skin with 5/0

Use of Isotretinoin Before Nose Surgery in Patients With Thick and Pimply Skin Can patients who use drugs containing isotretinoin have rhinoplasty or nose tip surgery?  Patients who use isotretinoin capsules for acne treatment or because they have thick oily nasal skin should not undergo rhinoplasty. Although rare; it may cause an increase in liver enzymes in patients. Low dose (10-20 mg) users are less likely to have side effects on the liver. It may be useful to check liver enzymes while performing surgical examinations before rhinoplasty operation. Should the use of capsules containing isotretinoin be discontinued before nose surgery? It may be appropriate for patients who normally use this medication to stop using it one week before surgery. The drug can be restarted 1 week after the operation process is completed. It may be appropriate for the dermatology doctor and the surgeon performing the rhinoplasty operation to decide together regarding the dosage and the start of the medica

3rd Revision Nose Job We planned a simple revision rhinoplasty operation for the patient, who had undergone two nasal aesthetic operations before, in order to have a limited amount of surgical trauma. The patient's problems with the nose detected before the operation: - anterior view of the supratip region when viewed from the side - crooked light reflection on the nose axis when viewed from the front - a raised and asymmetrical appearance on the left side of the supratip when viewed from below - an asymmetrical notch in the lower part of the right nasal wing when viewed from the front We planned the tertiary revision rhinoplasty with the open technique to the patient. Asymmetric cartilage tissue, which is more prominent on the left side, was resected, partial removal was performed from the left alar cartilage outer leg. Right marginal rim graft and cup graft were placed. At the request of the patient, care was taken not to change the nasal tip angle. The nasal bone was not broken

Natural Nose Aesthetics For Men We performed an open technique rhinoplasty operation on a male patient with crooked and scoliotic nasal features. The surgery we performed on our patient was primary rhinoplasty and the patient's own nasal cartilages were used to restructure his nose. What is understood in the preoperative examination of the patient: - external collapse of the right nasal wing - caudal septum dislocation - severe right nasal septum deviation - asymmetry in the nostrils - pronounced nasal hump - flat nose root - features of thick skin structure We performed micromotor assisted open technique septorhinoplasty to the patient. After the operation, the patient's analoabial angle was widened as limited as possible. The nasal tip support was restructured with the tongue-in-groove technique. Alar dome stitching technique and alar cartilage medial crus overlapping techniques were used. Below you can find the images of the patient before and after the operation. Link group

Regenyal Rhinoplast Regenyal Rhinoplast based on hyaluronic acidespecially nose shaping It is a bio-rivolumetric product designed for applications. It is a filling product that reconstructs the defects in the nose area with non-invasive techniques. This product is produced at Regenyal Laboratories in Italy. It's a new product and I'm very satisfied. Corrections in the nose are carried out through micro-injections with this product containing hyaluronic acid. Medical rhinoplasty has become an increasingly popular treatment among patients. There are products containing hyaluronic acid on the market with many different names for nasal aesthetics with elephants, which is a non-surgical and practical application. By using an injected product, it is possible to correct the small and medium-sized humpback nose structure, and to lift the slightly drooping nose tip. Today I used the new filler product "Regenyal Rhinoplast", which I have been using for a long time and have not

Natural Male Nose Job Before and 3rd Week We performed open technique micromotor assisted rhinoplasty operation in order to obtain a natural appearance to our male patient with arched nose. You can find the patient's third-week images and pre-operative images below. Male rhinoplasty is a surgical procedure aimed at reshaping and altering the appearance of the male nose. Just like in female rhinoplasty, the goal is to achieve a more balanced and harmonious facial appearance while maintaining masculine features. However, there are certain considerations that differentiate male rhinoplasty from its female counterpart. Some aspects to consider in male rhinoplasty include: 1. **Masculine Aesthetics**: The primary goal of male rhinoplasty is to maintain or enhance masculine facial features. Surgeons take into account the patient's facial structure, bone structure, and overall facial proportions to ensure that the nose harmonizes well with other facial features. 2. **Subtle Changes**: