Ear Nose and Throat Doctor - Otorhinolaryngologist in Istanbul

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