Assoc. Prof. Dr. Ali Seyed Resuli Informs-5

Surgical Consultation
I would like to explain a little about what patients encounter.
When a patient comes in for surgery, we first perform a detailed ear, nose, and throat examination. We check the internal structure of the nose to see if there are any breathing-related issues, allergies, or sinusitis problems. We carefully examine these aspects. Then, we discuss the patient's expectations regarding the shape of the nose and the visual appearance they desire. We take some pre-operative photos and use Photoshop programs to discuss in detail which nasal features would suit the patient's anatomical face structure. Together, we decide on the most ideal and functional outcome, both visually and functionally.

So, what happens when the patient decides to proceed with surgery? First, we perform a series of tests. These include COVID-19-related tests as well as general health tests to determine if there are any health issues that would prevent surgery. The first test is a blood test, followed by lung and heart function tests related to anesthesia. If there are no issues in the blood tests or anesthesia examination, we schedule the surgery.

For the surgery appointment, patients are required to fast, meaning they must not eat or drink for about five hours prior to the procedure. On the same day, we have our final consultation with the patient. We take photos of the nose from different angles before the surgery, as we calculate the facial structure, cartilage, and bone proportions to determine the most ideal, natural-looking shape. Then, we proceed with the surgery.

Our surgeries typically last about two hours, and we use a special technique called Piozao, a unique rhinoplasty technique. After the surgery, we keep the patient in the hospital for one night for rest and general observation. We use special silicone tampons and a special nasal covering. We remove the tampons after about 48 to 72 hours. The external plastic thermo-plastic covering (cast) is removed after about seven days.

With the Piozao technique, swelling and bruising are reduced by 90% compared to traditional methods, and pain is minimized. Since we don’t use aesthetic stitches in our surgeries, there are no stitches to remove after the procedure. About ten days after the surgery, our patients can return to their daily routine, social life, and work. They can also do light activities such as swimming or walking. After one month, they can engage in all their regular activities, and their noses will be comfortable for breathing, aesthetically pleasing, and fully functional.