Dr. Cigdem Unal will perform an examination of your nose and face, and will thereafter begin to formulate the plan to give you the rhinoplasty results you desire. She will demonstrate the possible changes after your rhinoplasty procedure on your digital photography by imaging software.

The structural issues addressed during a rhinoplasty are:

• Dorsal hump - the hump at the bridge of the nose
• Nasal Width - a nose that is too wide or too narrow
• Septum deviation - twisted or deviated nose
• Prominent Nasal Tip - a nasal tip that is round, bulbous, fatty, or disproportionate
• Drooping Nasal Tip - the angle between the upper lip and lower nose (columella) is less than 90 degrees
• Post-traumatic deformities – change in function and shape of nose after nasal injury
• Nasal airway problems - internal or external valve collapse and septal deviation

Open & Closed Rinoplasty Approaches

There are two primary rhinoplasty technical approaches: open rhinoplasty, and closed rhinoplasty. Both place incisions within the internal nostril region, and the open rhinoplasty approach adds an inconspicuous incision (a few millimeters) on the undersurface of the columella (between the nostrils). The most appropriate rhinoplasty incisions is best selected based on the specific structural modifications required.

A prominent nasal hump can be reduced, a wide nose can be narrowed, a full nasal tip can be refined, and a drooping nasal tip can be elevated to a more attractive, natural position, among other enhancements. The main aim is to create soft, elegant lines, and a beautiful, natural proportion in harmony with the face.

Creating or maintaining “function” in rhinoplasty is paramount, and all maneuvers to maintain or improve breathing is undertaken. A good example is the use spreader grafts that can be used to improve both the appearance and the function of the nose in those with internal valve problems or narrow nose. For the vast majority of candidates for rhinoplasty, the maneuvers described are often required.

Procedures that can be combined with rhinoplasty

• Jawline augmentation
  In a face with a golden ration; the tip of the nose, upper lip and the most prominent part of the chin are on the same vertical plane. In those who have a retruded mandible (chin bone), jawline augmentation with an implant or fillers can be performed in the same session with a rinoplasty.
• Jawline/ chin reduction
  In those with a prominent chin, chin reduction can be performed in conjunction with a rhinoplasty procedure.
• Eyelid surgery
  Upper eyelid surgery and sometimes a lower eyelid surgery can be combined with a rhinoplasty.
• Fat injection
  Fat injection is an excellent antiaging procedure that enhances the harmony of the face. It is frequently combined with rhinoplasty to augment the cheek, temporal area, lips and chin.