We spend most of our time in social environments throughout our lives. We are constantly in contact with other people because of our work or private life. Close your eyes briefly and think about yourself!
We come eye to eye with many people every day from business to weddings, from funerals to visiting relatives… Do you know that your nose is the most important organ on your face that people focus on when you first meet with them? I think that’s a detail you haven’t noticed until now. If you feel that your self-confidence is low, or if you find your face nice but you think your nose negatively affects your facial beauty or expression; If a congenital or post-traumatic deviation in your nose prevents you from breathing; If your nose is too large or small, deviated or collapsed; At this point, rhinoplasty, or nose job, a surgical procedure where science and art meets, is performed to fix these problems. Only a few operations can provide such a change in the appearance and self-confidence of the patient.
Well, what can we achieve with this surgery and to what extent can we do what you want?
With aesthetic rhinoplasty, we can change the size of your nose (you can get a smaller or larger nose) or we can fix the deviations if any. We can completely remove the nasal hump. We can make your nostrils more symmetrical and smaller or we can slightly lower your nose if it is upturned (like a piggy nose) or can lift it. If the nasal tip is broad when viewed from the front, we can make it symmetrical, meaning that we can narrow it. Sometimes nasal tip can be narrow as if it were clamped with a latch, so we can expand the nasal tip a little in such cases. If the nose is too long, we can shorten it or if it is shorter than normal, we can extend it by adding cartilage. However, as I told my patients, it shouldn’t be forgotten that these changes can be made to the extent allowed by the structure of your nose.
Although it is important that the nose, which is the most characteristic organ among the five aesthetic structures of the face, is aesthetically beautiful, it is more important for us that there is no functional problem.
Before anything else, we need our noses, which are considered as the starting point of our respiratory system, to smell. Before I forget, I should tell you that our special vocal timbres are also provided by our noses. The thin membrane layer in our nose moisturizes and warms up the air we breathe into the lungs and filters the particles (dust particles) in the air.
In fact, although function and aesthetics seem to be two different concepts for the nose, they are very much related to each other. An aesthetically problematic nose (e.g. large, humped, and curved) also adversely affects the breathing function. That’s why we consider both the inside and outside of the nose. In other words, the idea of “let’s fix the problem inside now; we will fix the problem outside 6 months later” is wrong. Today’s modern rhinoplasty, knowing that aesthetic problems and functional problems are related to each other and planning a treatment accordingly is essential for success. Please don’t forget that if there is a deformity on the shape of the nose, its functions are also impaired partially or completely.
The purpose of rhinoplasty is not only to reshape the nose by changing the shape of the cartilage and bones but also to correct functional problems without causing any disruptions. Excess bone and cartilage parts are removed in some surgeries whereas it may, sometimes, be necessary to make a cartilage and bone tissue supplementation, as with short or collapsed noses.
Rhinoplasty is a surgery performed in the light of scientific norms. It is the most common type of facial aesthetic surgeries performed all over the world and Turkey. Each year, the number of people undergoing rhinoplasty increases compared to the previous year. Our purpose with this surgery is to achieve a nose with a more beautiful appearance and with no functional problems.
The anatomy of the nose is variable, which means that each patient has a different nose structure. Rhinoplasty is a surgery that varies from person to person. Despite the difficulty of surgery, aesthetic and functional problems should be fixed in every patient and the outcome must meet the patient expectation agreed before surgery to some extent. For these reasons, rhinoplasty is considered as the most difficult plastic surgery.
A beautiful but dysfunctional nose is a catastrophe. Unfortunately, there is no magical surgery that will guarantee an excellent result.
So, how should the ideal nose be? In fact, everything is about balance and harmony. The nose must be in harmony and proportionate in itself. In other words, if there is no harmony between the parts such as nasal bridge, nasal wings, nasal tip, and nostrils and they are not proportional, the nose starts to attract attention. Similarly, the balance, harmony, and proportion between the nose and the face should also be compatible with the universal norms of beauty.
The structures of the nose should be in harmony in itself. The lower parts of the nose including nasal tip, nasal bridge, wing, and nostrils should be in harmony with and proportional to not only each other but also other structures of the face. In other words, the nose can be considered to be beautiful and in the correct position aesthetically when there is a balance between the nose and chin, forehead, cheekbones, lips and the region under the chin.
Please remember that a natural and attractive nose is beautiful. We cannot consider an extremely small or upturned nose as beautiful because it is away from the naturalness.
As a surgeon who frequently performs rhinoplasty, I can easily say that unfortunately, some of our colleagues sometimes make very small noses when they are trying to achieve a beautiful nose and the nose may become disproportionate and inharmonious with the face. In these patients, the result is a complete disaster in terms of function and aesthetically unhappy days begin. I believe that the nose should never lose its presence on the face after surgery.
My experience over the years has taught me that the silhouette of a nose disappearing from the face is far from naturalness and beauty.
I understand the desire of having a small and beautiful nose in Turkish society, which has unique characteristics of Anatolian geography, especially in women, but I am constantly telling my patients, who come to me with the desire of “small nose”, that the proportional and balanced nose will not lose the sign of its presence on the face. If the nose they dreamed is not natural, I try to convince them about the points I think wrong.
Of course, I’m showing different alternatives to my patients and I try to guide them correctly before they make their final decisions. The aesthetic perception is certainly relative; so there is not a single truth. Our goal should be to achieve a beautiful nose without moving away from naturalness. The nose should look beautiful and nice in every respect.
My aim in rhinoplasty is to create a nose tip with a sharp curve. Rhinoplasty surgery is successful only to the extent that the patient can achieve what he/she wants. However, in an operation where cartilage shaping is extremely difficult, it is not easy to meet the patient expectation 100% in such a highly variable and difficult anatomical structure. Many factors from the skin thickness to cartilage weakness play a role in the success of a surgical procedure except for the surgical experience and ability.
If you have decided to get a rhinoplasty, show the three details that disturb you in front of the mirror if possible during your first consultation with your physician. This is a clue that will be helpful for the surgeon. I routinely do this in all my patients.
In the aesthetic configuration of the nose, the appearance from the profile is important but is not enough alone. The nose should also look natural and beautiful when looked at from the front. Nobody looks at your nostrils from the bottom, but it should be also symmetrical and nice when looked at from the bottom. A nose that looks good from the profile can look very bad when looked at from the front or cross side. The idea of “It is enough to have a nose with a beautiful side profile view” is misunderstood by society. The nose should look beautiful from every angle. When the light comes on the nasal bridge, shade and brightness should be on the place where they should be. In my opinion, the frontal view of the nose is extremely important because people usually see us from the front and we look at ourselves in the mirror from the front every morning.
The preoperative interview is of great importance because preoperative analysis to be made on the photographs are necessary for the correct detection of the problem on the nose and also for the success of the surgery. I mean by this analysis is identifying all the problems in the anatomy of the nose to the finest point and planning the surgery in the light of these data. If we are aiming at achieving a characteristic and natural nose suitable for every face, this interview and analysis should be extended until maximum efficiency is achieved.