Rhinoplasty

Rhinoplasty changes the shape of the nose: the bridge, the tip, the width, the nostrils, or the way the whole nose sits on the face. It is also the operation Dr. Teker has performed most often. Since 2001 he has carried out more than 5,000 nose operations, and the planning has become more careful with each one rather than more routine.

Two questions drive every plan. What would make this nose belong to this face, and what does the airway need so that breathing is at least as good afterwards as before? A nose that looks refined but blocks on one side is not a result Dr. Teker accepts, so the septum, the turbinates and the nasal valves are assessed at the same consultation and corrected in the same operation when needed.

The consultation begins with photographs from the front, both sides and below. Dr. Teker traces the profile, measures the angles that define it and explains which changes are realistic for your skin thickness and cartilage strength. You leave knowing what will change, what will stay, and why.

What can be changed

• A hump on the bridge can be lowered so the dorsum runs in a straight or gently curved line from the brow to the tip.
• A drooping or bulbous tip can be lifted, narrowed and defined with sutures and small cartilage grafts.
• A wide nose can be narrowed by moving the nasal bones inward with controlled cuts called osteotomies.
• Wide nostrils can be reduced at the base with incisions hidden in the crease.
• A nose that is too short, too long or too projected can be brought back into proportion with the lips and chin.

Open or closed technique

In the closed technique all incisions are hidden inside the nostrils. In the open technique a short incision across the columella, the strip of skin between the nostrils, lets Dr. Teker see the tip cartilages directly. He uses both and chooses by what the nose needs: closed for limited changes to the bridge, open when the tip has to be rebuilt or a previous operation is being corrected. The columellar scar fades to a fine line within months.

Preservation and structure

Wherever possible Dr. Teker preserves the natural framework of the nose, reshaping the bridge rather than removing it and keeping the ligaments that support the tip. When cartilage has to be added, it comes from your own septum. This structural approach is what keeps results stable years later and keeps the airway open.

Planning around your face

Nothing in the plan is copied from another patient. Skin thickness, cartilage strength, the height of the bridge, the angle between the nose and the lip, and the balance with the chin are all measured, and each of them changes what is possible. The aim is a nose that nobody notices, because it looks like yours.