Information on Rhinoplasty Techniques
This section provides general information about the techniques and approaches used in rhinoplasty. The content is not a substitute for medical evaluation, and a physician should be consulted for individual treatment decisions.
Overview of Rhinoplasty Approaches
Rhinoplasty is a surgical process that requires the evaluation of the nose shape and structure, consideration of functional elements, and planning harmonious with the face. Different techniques may vary depending on the patient's anatomy and the physician's evaluation.
General points considered in rhinoplasty applications:
Aesthetic and functional examination of the nasal structure
Preservation or strengthening of supporting tissues
Consideration of the breathing function
Evaluation of the nasal structure's stability over time
Various techniques such as piezo/ultrasonic, preservation, structural, and graft-supported approaches may be used in line with these concepts.
Piezo / Ultrasonic Approach
The Piezo method is a technique where ultrasonic devices are used in shaping bone tissue. The selection of this approach is determined according to the patient's anatomy and the physician's surgical plan.
Points Considered in This Approach
- Providing the opportunity for controlled work on the bone
- Aiming for the preservation of soft tissues
- Clarification of the visual field during the procedure
- Allowing for symmetry evaluation
In Which Cases Can It Be Evaluated?
- Situations requiring shaping of the bone structure
- Nasal structures with deviation or asymmetry
- Cases requiring delicate bone intervention
- Anatomical structures deemed appropriate by the surgeon
Preservation Approach (Pushdown & Letdown)
Preservation rhinoplasty is a technique where certain sections of the nasal dorsum structure are preserved during the operation. Whether it will be used depends on the patient's anatomy.
Aims in This Approach
- Preservation of the natural dorsal structure
- Maintenance of integrity in the nasal dorsum
- Limitation of tissue manipulation
- Planning the surgical intervention in accordance with the anatomical structure
Methods That Can Be Used in the Process
- Pushdown: A method that can be performed over the existing structure of the dorsum
- Letdown: A method that allows for controlled adjustment in the side walls
Structural Approach
The structural approach is a technique that involves strengthening or rearranging the nasal support systems. This method is evaluated according to the physician's planning and the patient's anatomy.
Primary goals of the structural approach:
- Strengthening of supporting tissues
- Shaping the nasal tip with appropriate angles
- Addressing the airway structurally
- Preservation of the nasal skeleton's stability over time
Techniques That Can Be Used
- Septal support grafts
- Spreader grafts
- Nasal tip shaping sutures
- Alar supporting techniques
Graft Types (Autograft, Allograft, Rib, Ear)
Grafts used during rhinoplasty can be preferred for the purpose of supporting or shaping the nasal structure. The type of graft to be used is determined according to the patient's need and the physician's evaluation.
Autograft (Patient's Own Cartilage)
Autograft is typically cartilage obtained from the septum and may be preferred in many rhinoplasty cases.
Rib Cartilage
Rib cartilage may be used in cases requiring greater support.
Ear Cartilage
May be evaluated for nasal tip or contour corrections due to its form.
Allograft (Sterile Cartilage)
Sterile processed cartilage materials can be used as an alternative in certain situations.
Advanced Techniques
In some rhinoplasty cases, advanced methods may be used to evaluate the nasal shape and airway.
Alar base adjustments
Tip refinement suturing techniques
Spreader graft and flap methods
Dorsal line adjustment methods
Nasal Tip Refinement
Nasal tip refinement techniques include adjustments to the structure of the nasal tip. The method to be used is determined based on the nasal anatomy.
Lateral crural adjustment techniques
Rotation adjusting sutures
Projection adjusting sutures
Soft tissue modulation
Alar Base Adjustments
In cases where the nasal wings have a wide structure, surgical adjustments related to the alar base may be performed. The choice of method depends on the physician's evaluation.
Alar wedge excision techniques
Weir-type adjustment methods
Goal: Evaluation of the nasal base ratios in harmony with the facial structure.
Revision Rhinoplasty Approaches
Revision rhinoplasty is a re-adjustment procedure that can be performed on individuals who have previously undergone rhinoplasty. The techniques to be applied are determined according to the results of the first operation and the existing anatomy.
Techniques that can be used in revision:
- Use of rib cartilage
- Sterile allograft materials
- Restructuring of the septal structure
- Reshaping of the dorsal line
General goals aimed at in revision rhinoplasty:
- Addressing structural issues
- Evaluation of the breathing function
- Review of asymmetries
- Balanced structuring of the nasal form
Male vs. Female Approaches
Nasal structure may exhibit different aesthetic expectations and ratios depending on gender. These anatomical differences are taken into account in rhinoplasty planning.
Male Nose Approach
For males, generally straighter dorsal lines and prominent structural contours may be preferred.
Female Nose Approach
For females, softer lines and slightly inclined profiles may be evaluated.
Ethnic Rhinoplasty
The goal in ethnic rhinoplasty is to plan structural and functional adjustments while preserving the person's ethnic nasal character. The techniques used are determined according to skin thickness and anatomical differences.
General evaluation topics in ethnic rhinoplasty:
Preservation of ethnic nasal characteristics
Consideration of skin structure
Strengthening of supporting tissues when necessary
Evaluation of functional structures
Open vs. Closed Approach
Open Rhinoplasty
A surgical method performed with a small incision on the columella, which can provide a wide visual field. It may be preferred in complex cases.
Closed Rhinoplasty
An approach where incisions are made inside the nose, leaving no visible external scar. Evaluated for appropriate anatomy.
Frequently Asked Questions About Techniques
Related Topics
Learn more about rhinoplasty
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