Nose Surgery – Breathing Problem – Simulation – I’M AFRAID OF THE RESULT!!

It can happen. You may perform a procedure thinking you are correcting something and end up disrupting it. The balance must not be disturbed. What already exists must be preserved. If what exists—meaning the breathing function—is not present, it must be re-established. The way to do this is to master the anatomy of the nose, to know what causes nasal obstruction, and while trying to beautify the face or the nose, not to further narrow certain anatomical areas and compromise breathing. The person dealing with this must truly master the nose. Even though some professional groups claim that only they can do it, we as ENT specialists do not make such claims. Because the truth is this: whoever is competent in this field and has the anatomical knowledge can do it without causing harm. The nose has a fourth dimension beyond its three-dimensional structure—its function. You must not damage something that is four-dimensional. Our viewer is afraid that if they encounter a result in the center of the face that they do not like, their daily life—and that fourth dimension I just mentioned, breathing—may be impaired.

The thing called modeling is taking the patient’s photograph beforehand, sitting together in front of the computer, and in various programs lifting the nose, lowering it, shortening it, reducing the nostrils, and performing similar adjustments. But this is not an application that guarantees the result. The purpose of modeling is to establish proper communication with the patient and, so to speak, negotiate about the nose that will emerge. The patient says, “I want you to lift this.” Let’s say, Ms. Aslı, you want this. We can lift your nose, but when viewed from the front, you would not want it to say, “Hello, I’m Aslı, these are my nostrils.” Let it not be too visible; let the sides narrow. Fine, they can narrow. Look, we can narrow it like this, but if we go beyond that, your breathing may be affected. In the future, collapses may occur. Modeling is one of the tools we use to establish proper communication. But neither should the patient rely on modeling and say, “I planned something wonderful; the doctor guaranteed this exact result in surgery,” nor should the doctor say, “Look, I guarantee you this.” The doctor must stand by every possible outcome that may arise, care for the patient, support them in every way, and implement a proper follow-up system.