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Endoscopic Rhinoplasty in Turkey

video endoscopic rhinoplasty 1

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.

AVSARM

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.

Purposes of Endoscopic Rhinoplasty

Endoscopic rhinoplasty can be a surgical and medical remedy to these:

  • Crooked Nose
  • Ethnic nose
  • 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.

FREQUENTLY ASKED QUESTION ABOUT RHINOPLASTY

When many people hear the word ‘rhinoplasty’ they associated it to a’’nose job’’. This is because ‘rhino’ actually means nose or nasal and ‘plasty’ means to modify or beautify. In fact, rhinoplasty is simply a permanent nasal surgical procedure that can be both aesthetic as well as functional. Functional rhinoplasty typically deals with the problems caused by the nasal septum, breathing problems. Whereas, cosmetic rhinoplasty deals with the aesthetical aspects. The purpose of a cosmetic nose surgery is to make a nose suitable for facial profile. The fact that the structure of the nose can be determined by the person, the feeling of lack of self-confidence because of the size, arch or bone protruding of the nose and the desire to get admiration from the external environment, of course, makes rhinoplasty become widespread.

İn general there are two types of rhinoplasty, open and closed.

Open rhinoplasty

With an open rhinoplasty, the surgeon makes a small bridging incision, called a trans-columellar incision, to adjoin the right and left nostril incisions. The nasal skin can be folded upward and provide open visibility of the lower nasal structure. The open rhinoplasty approach allows for minimal distortion of the nasal cartilage and most individual components of the nasal skeleton can remain undisturbed.

Closed rhinoplasty

All surgical incisions made for the endonasal approach are made inside of the nostrils. The parallel incisions encircle about half of the nostril lining, but no part of the incision can be seen externally and there is no visible scar. Although not having a visible scar, shortness of the recovery process and easiness of the operation can be a major benefit, there are considerable challenges and technical limitations associated with this approach.

Non-Surgical Rhinoplasty, also called Rhinofilling, is an alternative to surgical rhinoplasty for certain patients. Instead of surgery, dermal fillers are used to make corrections. However, unlike surgical rhinoplasty, it is not a permanent solution, as injectable fillers last only 6-9 months, on average, so the procedure must be repeated each time the effects wear off in order to maintain correction.

Rhinofilling is not a cure-all solution and does not apply to all situations. It is not recommended for large noses or when the hump is too big. In this situations rhinoplasty is the recommended solution.

– How is Rhinofiller performed?

Rhinofilling is performed at the doctor’s office, Topical numbing cream is applied to the nose. Using a blunt tip cannula, the doctor injects into the areas to be corrected. The combination of numbing cream and the use of the blunt tip cannula makes the experience quite comfortable. As the doctor makes his corrections, you are wide awake and can see the changes as they happen. Want a bit more adjustment? Just ask! Following the injections, you will be given an ice back to minimize any potential swelling, which dissipates quite rapidly. You can immediately see the results and go back to your day’s activities. Rhinofiller normally takes 20 minutes.

One of the most common plastic surgeries that people undergo is rhinoplasty. It is not dangerous – but just like any other medical surgeries, it comes with risks such as bleeding, infection, skin problems, pain or discomfort, serious nasal blockage, etc.

Afar from the risks, rhinoplasty is safe as long as you choose a reliable and highly-accredited rhinoplasty surgeon like Dr. Yakup Avşar. You see, this is where most problems root from – the failure to choose the right medical professional or clinic for the job.

With the modern surgical techniques, combined with the skill, experience and expertise of a trustworthy surgeon, risks are minimised.

An alarplasty, also known as wide nostril reduction surgery, is a cosmetic procedure aimed at changing the shape of the nostrils. This procedure is popular among people willing to modify the look of nasal flaring or make their nose look more symmetrical. So If you have been concerned with the shape of your nose, particularly the width of overall nose and its nostrils, this procedure may have the answer to your concern.

The best outcome is a nose that is in harmony with the facial features. While your rhinoplasty journey may begin with a celebrity inspiration, part of our job is finding a nose shape that looks natural and complements your facial features. Ultimately it is achieving a balance between your ideal and what looks good on your unique face. Because of that, we make a detailed evaluation of the results with our guests before the operation. By using Avşar Mask with 3D Printing Technology, that allows Dr. Avşar to designs the nose which fits to the patient’s face the most. In this technique, the patient’s nose and face are scanned first, and then a 3D shape is created. The data obtained is shaved like a sculpture in the computer environment and the most appropriate nose shape is revealed for patient’s face. the patient is thus much more comfortable.

During pregnancy, the body of the woman will face many changes, from worsening skin, enlarged nose, weight gain, stretch marks, oedema limbs. What makes women have low self-esteem about appearance and hesitate to communicate with people. In spite of that, you should not undergo rhinoplasty or any other elective surgery while pregnant. To do so would put your unborn child at risk. No reputable surgeon would perform rhinoplasty on a pregnant woman.

There are two main reasons why a patient will want further nasal surgery. First, he or she may be unhappy with the appearance of the nose. This is the most common problem, since most people undergo rhinoplasty in the first place to change the nasal appearance. Second, the patient may be experiencing nasal obstruction after surgery. Sometimes the obstruction was present before the first surgery, and did not improve enough. Other times, obstruction can be caused by surgery. So if you are experiencing or you will experience one of these reasons you are likely to undergo a second rhinoplasty surgery.

A rhinoplasty patient should absolutely stop smoking and alcohol four weeks prior and post surgery. Smoking and alcohol both delay and interfere with the healing process. It is not safe to smoke nicotine and tobacco free cigarettes before and after surgery. A patients should wait to engage in intercourse 4-6 weeks post rhinoplasty.

Immediately after rhinoplasty your nose feels blocked and breathing through your nose can be difficult. Your nose can feel congested because of swelling of the inner lining of the nose, this will improve at the end of the first week. Swelling can also alter your sense of smell and this returns over the first 4-6 weeks. Permanent change in sense of smell is very rare.

As the senses of smell and taste are profoundly interconnected, your ability to taste may also be temporarily altered during your recovery from rhinoplasty. As the swelling subsides, your sense of taste will return to normal.

There certainly is a minimum age for rhinoplasty. Dr. Yakup Avşar recommends that teens desiring cosmetic and functional nasal surgery wait until they have gone through puberty. For female patients, this means waiting until they’re at least 17 years old and for males, waiting until they’re at least 18.

A second rhinoplasty operation on the same patient is often called a “rhinoplasty revision” or a “secondary rhinoplasty.” Operating on a nose that has already had surgery is a much more complex procedure than an initial rhinoplasty. You might need rhinoplasty revision if your previous results did not turn out well. Usually, risks are rare or negligible if the procedure is done by the board-certified expert plastic surgeon. Therefore, you need an experienced doctor, like Dr. Yakup Avşar to do your secondary

Breathing problems can occur due to many reasons such as septal deviation, collapsed internal or external nasal valves, turbinate hypertrophy, polyps, vasomotor or allergic rhinitis or even sinusitis.Unless the cause is unknown it is difficult to answer.

As far as rhinoplasty is concerned. Yes, rhinoplasty for breathing problems is very common. Septo-rhinoplasty is a technique that’s used to keep the basic foundation of the nasal structure strong, while fixing breathing difficulties. This technique helps keep the shape of the nose after surgery, reduces the chance of collapse and improves breathing for the patient.

RHINOPLASTY NOTES

Rhinoplasty Result
-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.

Rhinoplasty Recovery
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.

Ideal Candidate
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 RHINOPLASTY

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

1.Before

  • 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.

2.During

  • 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.

3.After

  • 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.

4.Outcomes

  • Reshaping and facial harmony.
  • Correction of breathing irregularities.

5.Eligibilty
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.

6.Advantages

  • 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

7.Disadvantages

  • 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

Rhinoplasty Surgeon - Yakup Avşar

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.