One of the most distinctive features that any person has is his nose. Everyone has his or her own unique size and shape, which can be altered and improved with the help of a nasal surgical procedure called Rhinoplasty. This aims to give satisfaction to the patient through altering their nose shape and size to one that fits them better. This procedure is not only for aesthetic purposes, but also to help those who have nasal difficulties and problems.
The critical life functions that our facial organs perform may seem pretty obvious. Yet, when it comes to the nose, there is more than meets the eye. Our nose is the starting point of the oxygen circulation in our body. Therefore, it plays a critical role in protecting the lungs and the respiratory tract. Moreover, when we scrutinize intranasal structures, it is not difficult to understand that there is an enormous anatomical engineering and functional complexity included. Rhinoplasty, as a medical technique, increases this functionality and adds visual value to the nose structure.
Dr. Yakup Avsar had designed a full system for endoscopic plastic surgery and endoscopic micro rhinoplasty. This system is called ‘’AVSARM.’’ This system allow the doctor to use an ultra micro tools during the operation and ensures that each movement of the surgery is performed through seeing and monitoring at the same time.
One of the most things that concerns most of the Aesthetic Plastic Surgeons is to find new ways that improve the recovery time without impacting the results. Therefore By using a video endoscope during a closed rhinoplasty procedure, the recovery time is reduced to more than its half. Why? How? That’s because this technique is based on the visualization concept that is usually only available during the surgeries that help to expose the entire nasal framework.
Some Aesthetic and ENT surgeons maintain that while this concept may increase the visualization, it still does not equal the full exposure offered by an open rhinoplasty. Nevertheless, if video endoscopy technologies are used correctly, then open rhinoplasty is not necessary.
Purposes of Endoscopic Rhinoplasty
Endoscopic rhinoplasty can be a surgical and medical remedy to these:
-A bump on the nose
-The shape of the nose
-The size of the nose
-The angle of the nose
-The width of the nose
-Breathing problems\shape and breathing problems could be solved at the same operation.
-The results will be permanents.
-On the first months, you will see the results will be less obvious but before one year pass you will see the final results.
During an Endoscopic Micro Rhinoplasty, there is less trauma to the nose which means less recovery times. Most patients can get back to typical daily activities one week post-op and return to physical activities in 2 weeks. After removing the nasal plaster, less swelling or bruising is noted, and most leave little trace of having surgery completed.
The ideal candidate for a Video Endoscopic Rhinoplasty is who has a small nasal defects, who want to reshape his nose, who has nose problems, who has more complex revision rhinoplasties, or breathing problems and wishes no visible scarring.
Individuals For Whom Rhinoplasty Is Not Recommended
Endoscopic Micro Rhinoplasty is not recommended for people under the age of seventeen unless an adjustment is due to injury and breathing difficulties. However, the need for surgery must be evaluated individually.
Endoscopic micro rhinoplasty technique applied by Dr. Avşar in rhinoplasty ensures that each stage is performed by seeing and monitoring. How? The secret is that the surgical area is enlarged by nearly twenty times, and that’s what the study is based on, the micro-surgery principles. In this way, both the nasal tip cartilage structure, the nasal-back bone structure and the airway anatomy can be designed and made with precision.
The Endoscopic Micro Rhinoplasty incisions are made inside of the patient’s nose, that means that the nasal structure will not be revealed. Throught the introduction of the endoscope, visualization is enhanced for the surgeon. The post-operative scars will stay inside the nose where they will be unvisible. Lastly an external plastic splint will be positioned upon the nose.
Having realized the importance of accuracy in such work , Dr. Yakup Avşar has become a global brand introducing an innovative approach in the field of nose surgeries. He has managed to thrive in developing an endoscopic arm with the name AVSARM, in addition to micro-cutting and micro-shaping tools and 3D mask techniques.
VIDEO ENDOSCOPIC RHINOPLASTY PROCEDURES
-3D Mask simulation will be prepared before the operation.
-All necessary blood tests will be done right before the operation.
-Blood-thinning medicines must be stopped four weeks before the operation.
-Smoking must be stopped.
-You must limit sun exposure for one week.
-Eating and drinking must be stopped six hours before the operation.
– Anesthesia and sedative will be given to the patient.
-Incisions will be made on the nasal membrane to penetrate several parts of the nose.
-For easier visualization, the endoscope will be inserted.
-Reshaping and redefining the nose.
-Applying stitches to close the cuts.
-Covering the nose with bandage or cast.
-Swelling around the nose may be experienced immediately after the surgery and may be present for two to three weeks after the procedure.
-There may also be a facial bruise.
-Avoid blowing your nose within two weeks after the surgery.
-Use a nasal spray to keep the nostrils moisty always.
-Watch your diet during this period.
-Avoid strenuous exercise -Avoid exposure to sunlight for almost six weeks.
-Reshaping and facial harmony.
-Correction of breathing irregularities.
Patients that are below the age of 18 are not eligible for the endoscopic rhinoplasty except there is a medical necessity because of serious injuries. Children have less emotional and physical ability to manage the process. The perfect patients are those who require nasal treatment without visible scars. Rhinoplasty is for nasal deformities, chronic sinus, or rhinoplasty review.
- Micro incisions
- Better visualization on video endoscope for the nasal structures
- Better visualization of nasal shape by the monitor
- Much faster recovery times than traditional techniques
- Less post-operative swelling then open rhinoplasty
- Less trauma to the tissue for rapid healing
- Magnification near 20 folds using video endoscope for the nasal structures
- No visible scar on the nose
- Limited doctors with expertise; that’s why choosing the right surgeon is so important.
- Much more technically and technologically challenging
AVSAR 3D MASK WITH 3D PRINTING TECHNOLOGY
3D printing is going to open up new opportunities in aesthetic surgery. A few years ago Yakup Avsar M.D. presented 3D printed masks to simulate the results of rhinoplasty, before the operation takes place.. The 3D printer generated 2 prints, one before the operation and the other after the operation provides patients with a better understanding of what the surgery can offer them, whilst also enabling surgeons to explain to them the possibilities and limitations of the surgery.
Dr. Avsar likes to give his patients a clear picture of how their nose surgery will change their appearance. For many years, he has been hand-making three-dimensional physical models to achieve this, however with the advent of 3D printing, he has been able to more clearly show his patients what they could look like post-operatively. Once he watched a demonstration of 3D scanning and printing technology, his wheels started turning. He surmised that it would be possible to scan the face of a patient, easily sculpt that 3D image in CAD tools, and finally produce a mask.
When the patient comes in, their face is 3D scanned using a special software. A digital sculpture is made to areas of the face where surgery would alter their appearance. The final image represents what the patient could likely look like after modifications are made in the operating room. The ‘before and after’ images are then sent to the 3D printer. The face masks are then printed out in color.