Medipol Mega University Hospital, Department of Otorhinolaryngology Assoc. Dr. Erkan Soylu, 'Since the reduction of the nostrils is a procedure that can be performed under local anesthesia, if there is the slightest hesitation that there may be difficulty in breathing when applied during the surgery, the reduction should not be performed, but should be re-evaluated after the healing is completed.' said.
Assoc. Dr. Erkan Soylu made important explanations about how the nostrils should be in rhinoplasty, that is, in rhinoplasty. Assoc. Dr. Stating that the nostrils are one of the most important parts of the nose through which the breath, which is the first necessity of life, passes, Soylu said, “The nostrils are so important functionally, they also contribute to the beauty of our nose and face. Adjusting and arranging rhinoplasty is the most complex and challenging part for surgeons. The nostrils, from the root of the nose to the tip, are the places where all the obvious or non-obvious problems are collected and reflected. The nostrils are formed by the base of the nose, the middle part of the nose and the side walls of the nose. Problems that exist in one or more of these structures appear as nostril problems.
“The ideal shape of the nostrils should be drop-like and similar in shape”
Saying that ideal nostrils should be wide and strong enough to breathe comfortably during rest, exercise and sleep, Soylu said, “Nostrils should be symmetrical and similar in shape to the shape of the wings of a seagull flying in the sky at the opposite view. When viewed by raising the head from the base, the total base should be either equilateral or isosceles triangular depending on the patient's facial features and nose tip height. The optimum natural shape of the nostrils, which may not be the case for everyone, should resemble the shape of a drop. It should not be forgotten that all people have more or less facial asymmetry. In other words, when we divide our face like dividing an apple, both sides are not exactly the same. Therefore, the two sides of our nose, which is an element of our face, are not expected to be equal or completely the same. When we look at our nose from below in the mirror, it is not possible for most of us to see our nostrils exactly the same or equal. Normal nostrils should look similar when looking straight ahead, which is a normal living position, and should not have obvious asymmetry. The symmetry of the nostrils is the issue that our patients are rightly most concerned about. The nature and creation of this region has a very special structure. It is a matter of concern if it loses its naturalness after surgery, has obvious asymmetry or is not enough to breathe,” he added.
“Too much reduction can cause breathing problems”
Emphasizing that as nose surgeons, they do a much more meticulous and careful study in this region, Assoc. Dr. Soylu concluded his words as follows: “The nostrils will usually be symmetrical in patients whose middle part of the nose is properly corrected and who do not have obvious facial asymmetry. Since the reduction of the nostrils is a procedure that can be performed under local anesthesia, if there is the slightest hesitation that there may be difficulty in breathing when applied during the surgery, the reduction procedure should not be performed and should be re-evaluated after the healing is completed. After recovery, if the patient's breathing is quite adequate, but the nostrils seem too large, it can be completed in a short time as an additional procedure under local anesthesia. Not every wide nostril can be reduced. For example, in patients whose nostrils are long and wide, but the base of the nose is narrow, the nostrils should not be reduced. In these patients, it is a small fold at the base of the nose that keeps the nostrils open, and if removed, it can lead to breathing problems that are very difficult to correct. Finally, I advise my young colleagues not to do the nostril reduction procedure as much as possible, if it is very necessary, at the very last stage of the surgery and without overdoing it.”