Functional Rhinoplasty

What Is Functional Rhinoplasty? A Solution Combining Aesthetics and Health

Functional rhinoplasty is a surgical procedure performed to improve both the aesthetic appearance of the nose and its breathing function. Unlike traditional rhinoplasty, this method not only corrects the shape of the nose but also addresses structural problems that cause breathing difficulties.

Why Is Functional Rhinoplasty Performed?

Functional rhinoplasty may be performed in the following cases:

  • Septum deviation (crooked nasal septum)

  • Enlarged nasal turbinates (turbinate hypertrophy)

  • Nasal valve collapse or narrowing

  • Post-traumatic nasal deformities

  • Persistent breathing problems after a previous rhinoplasty

This operation makes it possible to achieve both healthy breathing and a balanced, aesthetic nose.

Who Is a Candidate for Functional Rhinoplasty?

  • Individuals suffering from chronic nasal obstruction

  • Patients with snoring or sleep apnea problems

  • People experiencing frequent sinus infections

  • Patients who have had previous nasal surgery without functional improvement

  • Those with both aesthetic concerns and breathing difficulties

How Is Functional Rhinoplasty Performed?

During the operation, both aesthetic and functional techniques are applied together:

  • Deviated septum is corrected (septoplasty)

  • Turbinates may be reduced if necessary

  • Narrowing of nasal valves or nostrils is corrected

  • Aesthetic rhinoplasty is performed at the same time to achieve a harmonious appearance with the face

This combined surgery is also known as septorhinoplasty.

Recovery Process After Functional Rhinoplasty

  • Swelling and bruising may occur during the first week.

  • Most patients can return to social life within 7–10 days.

  • Breathing function usually improves within the first few weeks.

  • The final shape of the nose and resolution of swelling may take 6–12 months.

Cost of Functional Rhinoplasty

The cost of functional rhinoplasty varies depending on the surgeon’s experience, the scope of the surgery, hospital conditions, and any additional procedures. However, since it corrects both aesthetics and function in a single operation, it is considered advantageous in the long term.

Conclusion

Functional rhinoplasty is one of the best solutions from both an aesthetic and health perspective. It allows patients to achieve a natural-looking nose that harmonizes with their facial features while also improving breathing. This procedure should always be performed by an experienced surgeon.

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FAQ about Rhinoplasty

When is from the ear or ribs used in nose surgery?

In rhinoplasty, the preferred approach is always to utilize the patient's own nasal cartilage and bone tissues. This ensures a natural appearance and functional nose. However, in certain cases, the patient's own tissues may be insufficient. This can occur in the following situations:

Previous unsuccessful rhinoplasty: Prior surgeries may have excessively consumed or damaged cartilage and bone tissue.
Severe nasal trauma: Trauma can lead to deformation of cartilage and bone tissue.
Congenital nasal anomalies: Structural deficiencies in the nose may necessitate additional cartilage support. In such cases, cartilage harvesting from the ear or ribs may be necessary.

When performed using proper technique and by an experienced surgeon:

It does not cause any noticeable deformity or functional loss to the ear or rib area.
The harvested cartilage provides a natural appearance and functionality for nasal shaping.

Ear cartilage:

Typically used for shaping the tip of the nose. Its thin and pliable nature contributes to a natural aesthetic.

Rib cartilage:

Preferred for areas like the nasal dorsum and septum due to its stronger structure.

Your doctor will thoroughly examine your nasal structure and determine the most suitable cartilage source and usage method for you. Consulting an expert surgeon is crucial for achieving flawless results without compromising natural beauty in your rhinoplasty procedure.

What should be done before rhinoplasty surgery?​

Before the rhinoplasty operation, it is important to give information about all the medications you are taking and your habits such as smoking or alcohol during the preliminary interview with your doctor.

Just like other surgeries requiring general anesthesia, various tests are performed before rhinoplasty surgery and the anesthesiologist's evaluation is obtained. If the anesthesiologist gives an opinion that the operation will not pose any obstacle, the operation is given the green light. Before the operation, you are usually advised not to eat or drink water for 6-7 hours. In addition, if you are taking medications that can increase the risk of bleeding and dilute the blood (such as aspirin, coumadin), it is recommended to stop using them or switch to alternative medications.

How long do you need to stay in the hospital after rhinoplasty surgery?​

Since I use Piezo (Ultrasonic) technology while performing my surgeries, the amount of bleeding decreases and the healing process accelerates. In this way, patients I operate in the morning can be discharged in the evening of the same day or at the latest in the morning of the next day.

Just like other surgeries requiring general anesthesia, various tests are performed before rhinoplasty surgery and the anesthesiologist's evaluation is obtained. If the anesthesiologist gives an opinion that the operation will not pose any obstacle, the operation is given the green light. Before the operation, you are usually advised not to eat or drink water for 6-7 hours. In addition, if you are taking medications that can increase the risk of bleeding and dilute the blood (such as aspirin, coumadin), it is recommended to stop using them or switch to alternative medications.

When is the plaster removed after surgery, when are the sutures and tampons removed?

Following aesthetic nose surgery, the nasal packs are removed within 1 to 3 days, and the nasal splint is typically taken off on the 5th or 6th day. There's no need to remove the stitches inside the nose since I use self-dissolving sutures. In cases where an open technique is utilized, the cosmetic stitches at the nose tip are removed around the 5th to 6th day. Patients who come from outside the city or from abroad can comfortably return home after the 5th day.

Does removing a nasal tampon cause pain? Which nasal tampons do you use?

I avoid using traditional cloth and large tampons for nose surgeries due to the potential for significant pain and bleeding during removal. Instead, I opt for special silicone tampons with a central hole, which facilitate comfortable breathing. The removal of silicone tampons is nearly painless and minimizes bleeding.

How long after rhinoplasty surgery can I return to work?​

It is not a condition that requires continuous hospitalization after aesthetic nose surgery. If you are working in a job that does not require intense physical effort, there is no harm in starting to work on the 3rd day after the operation. However, if you are in the construction industry or in professions that may cause nasal trauma such as football players and basketball players, it may be more appropriate not to work for at least 6 weeks.

Rhinoplasty surgery can be combined with which other surgeries?​

Rhinoplasty surgery should address issues that impede breathing, such as enlarged nasal turbinates (concha hypertrophy), deviated nasal septum (deviation), polyps, chronic sinusitis, etc., in the same session. In addition to these, procedures like Botox, fillers, eyelid surgery, facelift surgery, and lip enhancements can also be performed alongside rhinoplasty.

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