Ankara Rhinoplasty Specialist

Rhinoplasty surgery generally takes between 1.5 and 3 hours; however, this duration may vary depending on the scope of the procedure. For limited interventions such as nasal tip reshaping alone, the surgery can be as short as 1-1.5 hours, while comprehensive procedures involving open rhinoplasty combined with septum correction, turbinate reduction, and piezo bone shaping may exceed 3 hours. In revision rhinoplasty cases, the surgery typically takes longer due to scar tissue from previous operations and altered anatomy. Thanks to the detailed pre-operative planning by Op. Dr. İrfan Erdem, the surgical duration can be predicted in advance and communicated to the patient. The length of surgery does not negatively affect the outcome; what matters is that each step is performed meticulously and correctly.

The recovery process after rhinoplasty consists of several stages and requires patience. On the first day after surgery, your nose is supported with silicone splints placed inside the nose and a cast applied on top; you are discharged after 1 night hospital stay. Swelling on the face and bruising around the eyes are at their most intense during the first 2-3 days, and keeping the head elevated and applying cold compresses are recommended during this period. After 7-10 days, the cast and splints are removed; at this stage, the general contours of the nose become visible but significant swelling is still present. The majority of swelling decreases within the first 3-4 weeks, and patients can typically return to social life after 2 weeks and work life after 3-4 weeks. The subtle swelling at the nasal tip fully resolves within 6-12 months revealing the final result; in patients with thick skin, this period may extend up to 18 months.

In open rhinoplasty, a small incision is made in the columella area at the base of the nose, the nasal skin is lifted upward, and direct full visibility of the nasal skeleton is achieved; this technique is particularly preferred in complex cases, advanced nasal tip reshaping, asymmetry corrections, and revision surgeries. In closed rhinoplasty, all incisions are made through the nostrils, leaving no visible external scars, and the recovery period is generally shorter; this technique is ideal for less extensive corrections, dorsal hump filing, and minor nasal tip interventions. With the open technique, the surgeon can see the nasal cartilage and bone structure three-dimensionally, enabling more precise and controlled intervention. With the closed technique, tissue trauma is less, so post-operative swelling and bruising are generally milder. Op. Dr. İrfan Erdem determines the most suitable technique by thoroughly evaluating each patient's nasal anatomy, skin structure, and aesthetic goals. Excellent results can be achieved with both techniques in the hands of an experienced surgeon; what matters is choosing the right technique for the right patient.

Since rhinoplasty is performed under general anesthesia, the patient feels no pain or discomfort during the surgery. After the operation, patients typically describe a feeling of fullness in the nose, mild pressure and tension rather than severe pain; this discomfort is easily controlled with prescribed painkillers. The first 24-48 hours are the most uncomfortable period, but even during this time, the pain level is much lower than most patients expect. Patients who undergo piezo rhinoplasty experience significantly less post-operative pain and discomfort compared to traditional methods, as the ultrasonic device works only on bone without damaging soft tissues. Thanks to modern silicone splints, nasal packing has also become much more comfortable compared to older techniques. Regular medication use after surgery and following the doctor's care instructions greatly ease the recovery process.

Piezo rhinoplasty is an advanced rhinoplasty technique that enables extremely precise and controlled shaping of the nasal bone using a special surgical device that utilizes ultrasonic piezoelectric energy. This device is effective only on hard bone tissue, protecting the surrounding soft tissues, blood vessels, cartilage, and nerves; as a result, significantly less trauma occurs compared to the traditional osteotome and mallet method. The most notable advantages of piezo rhinoplasty include 50-70% less post-operative bruising and swelling, a faster recovery period, and more predictable surgical results. Since millimetric precision is achieved in bone cuts, the risk of unwanted fracture lines and irregularities is minimized. Op. Dr. İrfan Erdem routinely uses piezo rhinoplasty technology and confirms through his experience that this method yields superior results particularly in dorsal correction, bone hump removal, and lateral osteotomy procedures. Piezo technology is regarded as one of the most important innovations in aesthetic surgery, enhancing both patient comfort and surgical success.

The ideal age for rhinoplasty is when the nasal bone and cartilage development is complete; this typically corresponds to around ages 16-17 for females and 17-18 for males. Early intervention is not recommended for surgeries before nasal development is complete, as results may change due to ongoing growth. While there is no upper age limit, factors such as decreased skin elasticity, longer recovery time, and overall health status in older patients are taken into consideration during surgical planning. In adolescent patients, psychological maturity is an important criterion alongside physical development; the patient must make the surgery decision consciously and have realistic expectations. Op. Dr. İrfan Erdem decides on the suitability of surgery based on the patient's age, general health status, nasal anatomy, and expectations during the comprehensive pre-operative examination and evaluation process. Rhinoplasty can be safely performed even in patients aged 60 and above, as long as their overall health condition is good.

In closed rhinoplasty, all surgical incisions are made through the nostrils, so absolutely no external scars or marks remain; this is one of the most important advantages of this technique. In open rhinoplasty, a very small incision of approximately 4-5 mm is made in the columella area at the base of the nose; this incision is closed with special sutures and fades almost completely over time, becoming invisible to the naked eye. The scar healing process generally completes within 3-6 months, and by 1 year, the scar becomes nearly entirely invisible. The risk of scarring is directly related to the surgeon's suturing technique, the patient's skin type, and compliance with wound care; additional precautions are taken for patients with darker skin tones or keloid tendency. Op. Dr. İrfan Erdem minimizes scarring risk by using microsurgical suturing techniques and provides detailed post-operative scar care instructions to his patients. In nostril narrowing (alar resection) procedures, small incisions are hidden in the natural creases of the nostrils and also become unnoticeable over time.

Revision rhinoplasty is a secondary corrective surgery performed when the patient is dissatisfied aesthetically or functionally with the results of one or more previous rhinoplasty surgeries. This surgery is recommended at least 12-18 months after the initial operation, as this period allows all swelling to resolve, scar tissue to mature, and tissues to fully heal. Revision rhinoplasty is technically much more difficult and complex compared to primary rhinoplasty, as the anatomy has changed in a previously operated nose, scar tissue has formed, and the existing cartilage and bone structure may have weakened. Revision surgeries, generally performed with the open rhinoplasty technique, may utilize ear cartilage, septal cartilage, or in rare cases, rib cartilage grafts to provide structural support. Op. Dr. İrfan Erdem has extensive experience in revision rhinoplasty and specializes in correcting unsuccessful surgeries performed at other centers. The success of revision surgery largely depends on the surgeon's experience, correct technique selection, and comprehensive pre-operative planning.

Yes, structural problems causing breathing difficulties are simultaneously corrected during rhinoplasty surgery; this approach is called functional rhinoplasty. Septum deviation (curvature of the nasal septum) is the structural problem that most affects nasal breathing quality, and it is corrected through septoplasty during rhinoplasty, widening the internal nasal airway. Turbinate hypertrophy (enlargement of the inferior turbinates) is also a common cause of nasal obstruction and is treated with radiofrequency or surgical reduction. Nasal valve stenosis, a condition particularly caused by the collapse of the lateral nasal walls that seriously impairs breathing, is permanently corrected with spreader grafts or flap techniques. Op. Dr. İrfan Erdem always evaluates functional issues alongside aesthetic improvements, because a beautiful-looking nose should also be a nose that breathes well. Before surgery, the source of breathing problems is identified through endoscopic nasal examination and, when necessary, computed tomography, and is incorporated into the treatment plan.

There are many important considerations to be aware of before rhinoplasty surgery. At least 2 weeks before surgery, blood-thinning medications such as aspirin and ibuprofen, vitamin E supplements, omega-3, ginkgo biloba, and other herbal supplements should be discontinued, as these substances increase the risk of bleeding during and after surgery. Smoking should be stopped at least 2-4 weeks before surgery and not resumed for at least 4 weeks after; smoking constricts blood vessels, impairs circulation, and seriously slows tissue healing, increasing the risk of infection and poor scarring. Food and drink consumption should be stopped at least 8 hours before surgery day, as general anesthesia must be administered on an empty stomach. A detailed consultation is held with Op. Dr. İrfan Erdem before surgery; during this meeting, all medications being used, allergies, previous surgeries, and chronic conditions should be shared. Since at least 1 week of rest will be needed after surgery, necessary arrangements in work and social life should be made in advance, a comfortable resting environment should be prepared at home, and someone should be available to help you. Additionally, it is crucial to complete pre-operative preparations such as required blood tests, ECG, and anesthesia evaluation on time.

After rhinoplasty, the nose does not take its final shape immediately after surgery; the shape change is a gradual process that requires patience. In the first weeks after surgery, the nose may appear larger and more shapeless than it actually is due to swelling, which is completely normal and patients should not worry. After the cast is removed, the general contours of the nose begin to become clearer, but edema continues especially at the nasal tip and under the skin. Within the first 3 months, the majority of swelling resolves and the nose shape improves significantly; by the 6th month, approximately 80-90% of the nose takes its final shape. The complete and definitive result typically appears after 12 months; in patients with thick and oily skin, this period may extend up to 18 months. Op. Dr. İrfan Erdem closely monitors the healing process through regular post-operative follow-up appointments and advises his patients to be patient during this period.

The return to sports after rhinoplasty should be gradual and carried out with the doctor's approval. Complete rest is recommended during the first week after surgery; however, light-paced walks can be started after 1 week. After 3-4 weeks, low-intensity sports such as light cardio exercises, cycling, and light weight training can be resumed; however, movements that excessively raise blood pressure should be avoided. Swimming pool entry can generally begin after 6 weeks, without submerging the face in water; caution should be exercised as chlorine and water pressure may affect nasal healing. Contact sports with a high risk of nasal impact such as football, basketball, boxing, and martial arts should absolutely not be performed for at least 3 months. Heavy weight lifting and intense exercises are also among the activities to be avoided for the first 6 weeks, as excessive exertion can raise blood pressure and cause intranasal bleeding.

Under-eye bruising after rhinoplasty is a natural result of the surgery and varies in intensity among patients. Bruises typically become apparent within the first 24-48 hours after surgery and reach their peak intensity on days 2-3, appearing in dark purple or bluish tones. From day 4-5, bruises begin to turn yellowish-greenish tones and gradually start to fade. In most patients, bruises largely disappear within 7-10 days and can be easily concealed with makeup. Patients who undergo piezo rhinoplasty experience much less and shorter-lasting bruising compared to traditional methods, as the piezo device works without damaging soft tissues and blood vessels. To shorten the duration of bruising, cold compress application during the first 48 hours after surgery, keeping the head elevated, and using arnica-based creams recommended by the doctor are beneficial.

Rhinoplasty surgery can theoretically be repeated multiple times; however, since each repeated surgery reduces tissue quality and increases surgical difficulty, the ideal approach is to achieve the best result in the first operation. When revision surgery is needed, it is recommended to wait at least 12-18 months after the initial surgery to allow complete tissue healing and full resolution of swelling. Generally, 2-3 revision surgeries can be performed; however, as existing cartilage and bone tissue decreases with each procedure, additional graft material (ear cartilage, rib cartilage) may be needed. In noses that have undergone multiple surgeries, complication risks such as increased scar tissue, skin thinning, and impaired blood circulation are elevated. Therefore, it is crucial that the first surgery is performed by an experienced surgeon to achieve the correct result on the first attempt. Op. Dr. İrfan Erdem, with his extensive experience in revision rhinoplasty, individually evaluates each patient's condition to determine the safest approach.

Rhinoplasty and septoplasty are two separate surgical procedures that are frequently confused but serve different purposes. Rhinoplasty is a surgery aimed at aesthetically correcting the external appearance of the nose, involving changes to the nasal bridge, nasal tip, nostrils, and overall nose shape. Septoplasty is an entirely functional surgery aimed at improving breathing function by correcting the curvature of the nasal septum, with no changes intended to the external appearance of the nose. Since many patients have both aesthetic and functional problems simultaneously, rhinoplasty and septoplasty can be performed together in the same surgical session; this is called septorhinoplasty. When septoplasty is performed alone, it can generally be covered by health insurance, whereas rhinoplasty falls outside insurance coverage as it is performed for aesthetic purposes. Op. Dr. İrfan Erdem creates the most appropriate treatment plan for each patient's needs by performing both aesthetic and functional evaluations during the pre-operative examination.

Rhinoplasty surgery is generally performed under general anesthesia, ensuring the patient sleeps completely throughout the operation and feels no pain or discomfort. General anesthesia allows the surgeon to work comfortably and in a controlled manner while maintaining the highest level of patient safety. Before surgery, a detailed evaluation is conducted by an experienced anesthesiologist; the patient's general health status, allergies, medications, and previous anesthesia experiences are examined. In rare cases, for very limited interventions, a combination of local anesthesia with sedation may also be preferred; with this method, the patient is awake but relaxed and the surgical area is numbed. Pre-operative tests such as blood work, ECG, and chest X-ray requested for anesthesia safety are of great importance. Op. Dr. İrfan Erdem performs all his surgeries in a fully equipped hospital environment with an experienced anesthesia team, always prioritizing patient safety.

Nasal packing is one of the subjects that concerns many patients most before rhinoplasty surgery; however, modern surgical methods have largely eliminated this concern. Today, the gauze packing used in earlier times has been replaced by silicone splints that allow air passage; these splints are placed inside the nose, enabling the patient to breathe through the nose rather than the mouth after surgery. While the silicone splints are in place, a feeling of fullness and mild pressure in the nose may occur, but pain is generally minimal. The removal of splints is typically performed on post-operative day 5-7 and takes only a few seconds; most patients find this process uncomfortable but do not describe it as painful. Op. Dr. İrfan Erdem prioritizes patient comfort by using the most modern and patient-friendly packing systems. The painful packing removal experience of older methods has become a thing of the past with today's silicone splint technology, and patients experience a much more comfortable post-operative period.

Proper nutrition after rhinoplasty is of great importance for accelerating the healing process and reducing the risk of complications. During the first 2-3 days after surgery, soft and warm foods should be preferred; foods that do not require chewing such as soup, yogurt, puree, pudding, and soft fruits should be consumed. Very hot foods and drinks should be avoided during the first week as they can trigger swelling and bleeding by increasing blood flow to the nasal area; similarly, spicy, hot, and salty foods should be limited as they can increase swelling. A protein-rich diet (eggs, chicken, fish, dairy products) is critically important for tissue repair and wound healing; the body requires more protein than normal during the post-operative recovery process. Foods containing vitamin C (citrus fruits, kiwi, peppers) and zinc (red meat, pumpkin seeds, nuts) support healing by strengthening the immune system. Adequate water consumption is essential for tissue hydration and toxin elimination; drinking at least 2-2.5 liters of water per day is recommended, while alcohol and caffeine should be limited for the first 2 weeks.