Letdown-Pushdown Rinoplasti

How is Letdown Rhinoplasty surgery performed?

In normal rhinoplasty surgeries; the bone and/or cartilage on the back of the nose is removed, the arched part is separated from the upper part of the bone by breaking or filing. This application naturally causes disruption of the anatomical structure of the dorsum of the nose.

In Letdown rhinoplasty surgery, the nasal ridge bone or cartilage is not removed, but a piece is removed from the lower part of the nasal ridge bone, usually from the side walls, and the arch at the top is moved down and eliminated in this way. After the excess is removed, the nasal ridge bone, which preserves its naturalness, is lowered down and placed in the nasal cavity. In this way, the nose is shaped without disturbing the natural nasal roof, the eyebrow-nose aesthetic line is preserved, and possible visual disturbances that may occur as a result of reshaping the nasal roof by the surgeon are prevented. By removing only the excess bone or cartilage and moving the roof within the nasal cavity, the normal relationship between the dorsal bone, cartilage and tissues is preserved, the airway is not narrowed, and the surgeon is free to operate.

What is Pushdown Rhinoplasty?

Another rhinoplasty application is pushdown rhinoplasty (pushing down / pressing down) technique. As in the letdown rhinoplasty technique, it is a technique applied to restore the slightly arched nasal structure to a normal appearance. During the operation, without disturbing the natural structure of the nasal dorsum bone, without removing bone from the nasal bone, the nasal dorsum bone is pressed downward in the nasal cavity. In this application, since the naturalness of the dorsum of the nose is not disturbed, there is no change in the light and shadows reflected from the nose, and the naturalness is preserved.

The first applications were seen in the 1970s. Today, it has been revised with minor differences and reused as Letdown rhinoplasty technique. Because pushdown rhinoplasty technique has limitations. The limit of pressing the dorsal bone downwards is limited by the size of the nasal cavity. In addition, displacement without a decrease in bone structure can cause narrowing of the airway. For this reason, the Letdown rhinoplasty technique, which is performed by removing bone or cartilage, gives the surgeon an advantage in terms of freedom of movement and shaping. With this technique, the naturalness of the nasal structure is preserved and an aesthetic appearance is achieved.

How is Pushdown Rhinoplasty Surgery Performed?

In pushdown rhinoplasty surgery, the nasal ridge bone or cartilage is not removed, the lower side of the nasal ridge bone is cut through the nose and placed into the nasal cavity by pressing down without removing the bone or cartilage. In this way, the nose is shaped without disturbing the natural nasal roof, the eyebrow-nose aesthetic line is preserved, and possible visual disturbances that may occur as a result of the reshaping of the nasal roof by the surgeon are prevented.

Due to advancing technology and medical equipment, the need for tampons in both Letdown rhinoplasty and Pushdown rhinoplasty techniques after surgery has decreased day by day. Silicone splints with air holes that allow the patient to breathe have been widely used.

During the application, blood leaking from the intervened bone and soft tissues around the bone collects in the under-eye pits. For this reason, bruising and swelling appear on the upper and lower eyelids after surgery. Bruising and swelling does not mean that the patient is in pain. Bruising and swelling are minimized after the use of modern surgical instruments (piezo surgery, tour, motor) and disappear after an average of one week. Another reason for bruising is that the patient's skin structure is prone to bruising. Especially in white-skinned people, postoperative bruising is seen a little more.

The silicone splints are removed two to three days after discharge on the day of the operation or the next day. At the end of this period, the head area can be showered without getting wet and only washing the body. Within a week, the splints placed on the nose are removed and the tapes are glued. Normal shower can be taken during this period. On the tenth day, the tapes are removed. The stitches placed in the nose fall off spontaneously within 15-20 days. You can swim in the pool or sea 15 days after the operation. Then the control process to be carried out by the doctor begins.

There is no restriction in eating and drinking after the second day. After the bandages and splints are removed on the tenth day, normal daily life can be resumed and airplanes can be boarded. Do not go out in the sun as long as the bruising under or above the eyes does not disappear, and if you have to go out, a hat must be used. However, glasses should not be worn for at least 2 months. This period may increase to 6 months depending on the situation.

If you are not satisfied with the arched structure of your nose, you can contact us using our contact information for our Letdown rhinoplasty and Pushdown rhinoplasty applications.