Rhinoplasty in Turkey

Historical Development of Rhinoplasty in Turkey

The history of the rhinoplasty procedure dates back thousands of years. Rhinoplasty is also an ancient operation known long before the BC era, especially in India and during the Islamic Golden Age, including Turkey, known throughout the world as the first country to perform rhinoplasty using Indian and Islamic techniques with the influence of Persian culture. Formally defined as the correction of nasal deformity, the first correctional attempts were carried out by pioneers of the time with primarily traumatic injuries. While significant advancements in the field of medicine and plastic surgery were taking place, the development of the visual arts was gaining prominence. Throughout history, many paintings and portrayals depicted art influenced by beauty standards that fit the modern aesthetic idea of facial harmony today. During this historic period, the conceptualization and historical evolutionary development of the visual representation of ethereal beauty were uniquely individual across Europe, China, Egypt, and the Middle East, where there was a long-established history of rhinoplasty surgery during the Islamic Empire.

Rhinoplasty in Turkey has advanced over the course of the past 100 years through a period of pioneering developments during which it has become a modern practicing art, especially in cosmetics. The earliest forms of nose surgery date back to 3000–2500 BC, as denoted in manuscripts regarding reconstructive surgery to repair the nose. Additionally, the earliest applications of rhinoplasty were reported in suspected Hindu texts and referenced in other documents, where the surgical manipulation to repair the nose section appeared in a detailed and extensive manner utilizing the forehead pedicle flap technique of the time. The varying descriptions and anatomical cross-sections listed by philosophers and medieval surgeons of the time each presented slightly differing rhinoplasty techniques. The methods of forehead and glabella flaps are precisely explained in their descendant work as well as in the works of Maidan Al Jawhari in the 15th century of the Islamic Golden Age. As a point of interest, rhinoplasty is quite a significant accomplishment of Islamic Golden Age surgical development, which fulfills a part of a physician’s duty of healing 14 centuries ago and should rightly stand as a leading example of the exceptional healing abilities and wisdom inherited by society.

Current Trends and Techniques in Turkish Rhinoplasty Practice

The current practice of rhinoplasty depends on a combination of the surgeon’s abilities and skills, as well as the technological tools at their disposal. The information included in this part shows the trends and dissemination of techniques of rhinoplasty practice in Turkey. Open technique is preferred by the surgeons in our study. The primary reason behind the decreased interest in endonasal rhinoplasty is the rise in the demand for the open approach in the last ten years. Moreover, technological advances play a significant part in this increase, as the three-dimensional imaging and computer-aided design systems available are beneficial in demonstrating the preoperative and expected postoperative course to the patient. In the present patient-centered world, each patient constitutes a separate entity; thus, it is a current trend to design and present a procedure to fit only one special patient’s needs. Virtual and physical surgical procedures are acceptable, and preoperatively agreeing on the two procedures is important.

There is a noticeable trend toward innovative non-invasive procedures, as may be observed in the 3D images. Although autologous tissues are considered more natural and safe, synthetic grafts with long life are becoming increasingly popular. The possible reason behind this is the increased costs associated with donor area morbidity in the new generation of Turkey, where individuals prefer a comfortable and elegant lifestyle with minimal effort. Nowadays, the importance of social media posts by patients is listed as prerequisites for the checklists of rhinology and facial plastic surgery societies. The importance of having a surgical one-way with open rhinoplasty has been mentioned as an essential skill that should be highlighted. Therefore, making it easier in the future to compare and refer to trends in different countries will become possible.

Patient Satisfaction and Outcomes in Turkish Rhinoplasty Clinics

The most reliable way to increase satisfaction from treatment and the quality of medical service is to improve the quality standards of clinics. Rhinoplasty success should be a multidimensional information, and the evaluation and assessment of patients are essential. In this procedure, success is evaluated not only in terms of harmonious appearance but also in terms of the functional improvement obtained. Patient history, examination results, clinical research, nasal aesthetics measurements, and acoustic analysis are combined in the objective evaluation of rhinoplasty success.

The result history determines the fate of the patient. Understanding and intelligence of the provider, tactfully organized, accurate, and meaningful data collection results in patient satisfaction and trust. A satisfied patient also increases the reputation of the clinic in terms of the demand for continuing patients and new patients. The quality of clinic services can be measured by satisfaction and failure, quality, productivity, professional interaction, and important signs of success, including accuracy, effectiveness, and morale. Although it is widespread in the context of clinical practices, the outcome knowledge appears to have significant systematic limitations. The outcomes of rhinoplasty clinics have been carried out to share data in an ideal way in this direction. Rehabilitation results may be more efficient in procedures where complications can result in serious problems such as aesthetics, functional outcomes, or physical symptoms. Thus, one of the significant nasalance outcomes of rhinoplasty in reducing complaints such as nasal obstruction is important.

Challenges and Future Directions in Rhinoplasty Practice in Turkey

The rhinoplasty applications are increasing day by day, and there are numerous clinics that perform these operations with prices that go down as well as good opportunities for aesthetic and medical tourism. This situation, apart from increasing the competition in the sector, also increases the necessity of adhering to ethical standards in clinics. However, ensuring that each individual seeking services approaches and provides them in a patient-centered, commonly known, and scientifically proven way is possible in the long run. In clinical excellence, it is not enough to have the highest aesthetic results; the care of the highest quality, patient safety, and patient satisfaction in this process are also of great importance.
Potential negative results occur after rhinoplasty surgery with open and closed techniques. Although experienced physicians strive to minimize the likelihood of complications by carrying out alternative operability options, it is always necessary to take into account the roles of the human body, each individual’s immune system, and ethnic factors. For all these reasons, the development of scientific norms is very important for preventing complications and ensuring the best result in rhinoplasty surgery. The priority is the pursuit and application of a simple, safe, and functional training system to prevent any risks that may arise and lead to complications.

Short nose, irregular nose, humpback, asymmetry, and laryngeal obstruction are just a few of the negative results after rhinoplasty surgery. Revisions can be planned depending on these results. As long as all possibilities are taken into account, and rhinoplasty practices are learned from the ground up, it can provide aesthetic facial integration and breathing comfort when the skin and subcutaneous supports provide robust support. Providing the necessary level of reliable general education for individuals seeking rhinoplasty services, supporting the development of good sub-area interactions in the nose, mouth area, mandible, chin, cheek, head-top, and full-face surgery applications that should be under the assurance of a short and long-term follow-up system will be meaningful. Measuring health and outcomes as a result of new technologies for advanced techniques and personalized medicine can be considered an important issue in the future. In this process, at every stage of care, common understanding and patient-centered care, facilitated through modern communication technologies, have forward-looking importance. Cooperating for the sharing of aesthetic data collected and exchanged in the nose, mouth, and face area as a joint point and common goals is the future vision of rhinoplasty applications.