Surgery Is Not A Definitive Science and Its Results Are Unpredictable!
With photoshop and a similar image processing program, different changes can be made easily on the nose. Using the program, the arch on the back of the nose, the thick end of the nose tip, nose-tip angle of what you can easily be corrected. It is not possible to remove these excesses containing different cartilage grafts, bone healing tissue, connective tissue and skin so easily and always leave a nose symmetrically.
In parallel with technological advances, systems have been developed to present nose shapes that are planned before and after rhinoplasty on 3D images.
The operation of the healing mechanisms in the patient's genetics, the care of the patient, the amount of surgical trauma, the amount of asymmetry in the nasal cartilage before the operation will be effective in determining the postoperative shape.
Particularly, "twisted nose" or "C shaped nose" are more likely to remain asymmetry after surgery. In patients with severe septum deviation, there is a possibility of curvature after surgery. You can easily understand this fact, the world 's best and most satisfied physicians on the internet pages, you can reach the photos before and after the patient. When you look carefully, you can find patients who continue asymmetry in the nose, even if most of them have a millimeter asymmetry.
It is very important to have a good dialogue with the physician who decided to undergo surgery, to understand the patient expectations, to examine the nose and to examine the skin characteristics of the patient.
In Complicated Revision Rhinoplasty Operations and Thick Skinned Ethnic Nose Aesthetic Surgeries, Digital Rhinoplasty Animations May Cause Disappointing and Frustrating of Patients!
Difficulties of digital rhinoplasty animation before complicated revision nose job operations
In complicated nose job operations, the surgery itself is already equivalent to "open a surprise box". The results of the surgery during surgery and the results of the surgical procedures to be decided during the surgery cannot be predicted and presented to the patient before the operation. Particularly in a patient with 2 or more nasal surgeries, a cartilage and bone anatomy modified, healing touches and suture reactions, it is not possible to show the exact result with a simple digital animation program.Difficulties of digital rhinoplasty animation before ethnic rhinoplasty operations
Thick skin rhinoplasty, ethnic primary rhinoplasty and ethnic revision after the nose rhinoplasty, skin exaggerated tissue edema can be seen in different skin structure patients. Especially in patients with oily skin features, expectation that a thin nasal tip may be expected and that a short-term outcome may sometimes result in severe frustrations. I have a patient who came to Istanbul to report on ethnic rhinoplasty from many countries of the world. In particular, I would like to advise patients with a broad, thick-skinned nose tip and who want to have a nose structure in which the forehead refractions of the forehead can be seen, by giving information about "healing properties, differences in ethnic rhinoplasty". In patients with very thick skin, a very thin and curved nose expectation "may not go beyond dreaming". Despite the experience of ethnic rhinoplasty and the correct surgical procedures, the genetic healing properties affect the result. Please don't confuse animation with surgery!There are different photographic animation programs before and after nose aesthetics. Perhaps these programs can offer a perfect nose shape. Nose aesthetics is a collection of surgical interventions designed to obtain a natural, attractive, functional nose.
Rhinoplasty operation is the process of forming on live tissue
Rhinoplasty operation is a process of shaping a changing, healing tissue group, unlike stone shaping or sculpture. That is, what the surgeon did not do alone; The patient's postoperative care and personal characteritics of the patient affect the result. It is different from digital animation or painting!Unrealistic Expectations and Patient Selection
Before rhinoplasty, we talk to our patients in detail to understand their expectations. Digital simulation studies are very important in understanding patient expectations. If the following statements are stated or the following questions are asked before the examination comes, it makes one think that the patient's expectations are not realistic and that there may be serious disappointments after the surgery:
- In patients with very thick skin features and a nose of African or Asian origin, the request to have a thin and sharp-edged nose tip, stating that the result can be achieved in a few weeks
- The request of a patient with asymmetrical and thick skin features, who is scheduled for revision rhinoplasty operation, to obtain a fully symmetrical and thin nose
- The request that the rhinoplasty operation be the same as the animation drawn by the patient
- A patient with a C-shaped nasal deformity wants full symmetry with only one operation
- Demanding the shape of the nose outside of its natural proportions and with a special design, excessively pointed or excessively raised (here, it would not be a correct approach to operate completely according to the patient's request and his wishes, to try to apply patient expectations outside of the surgeon's plans except scientifically)
- "Why are you a better doctor than other doctors?" The question may raise debate about what factors are involved in making one physician better than another.
- Associating the success of the rhinoplasty operation with the successes in family and social life, for example, I think my nose shape should be x-shaped in order not to get divorced with my wife or to be successful at work..." and the patient's outcome of the surgery or the success of the surgery is very irrelevant. way of defining
- Having a body dysmorphic disorder or an advanced psychiatric disease and thinking that the problems that may arise related to it can be eliminated by nose surgery
- Before the operation, it is stated that if there is a problem in the shape of the nose, serious problems may occur and that there is an obsession with symmetry
What I wrote here may seem a little exaggerated to you, but I wrote it by summarizing the patient questions I received in my e-mail. Rhinoplasty operation is a living tissue change, cartilage and bone memories can affect the result after the operation. It is not always possible to achieve full symmetry with a single operation in noses with previously crooked or asymmetry (this is written for a realistic expectation, not to mean that full symmetry cannot be achieved). Especially in patients with severe nasal deformities such as c-shaped nose deformity and deviated nose deformity, less than the previous asymmetries can be seen again after the rhinoplasty operation. Here, it is very important that patients do not confuse digital rhinoplasty animation with real rhinoplasty operation and think realistically and scientifically.
In many recently published guidelines, it has been emphasized that the most important criterion for a "successful rhinoplasty doctor" is "suitable patient selection".
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