Let Down Rhinoplasty

Rhinoplasty is one of the most common cosmetic surgical operations worldwide. Although it is generally preferred for cosmetic concerns, it is of great importance to improve the functional as well as aesthetic appearance of the nose. Therefore, a balance between aesthetic and functional goals should be achieved during rhinoplasty.

The Unity of Form and Function in Nose Aesthetics

The nose should be considered as a functional unit beyond being an aesthetic structure. Separating aesthetics and function in rhinoplasty is an important mistake in terms of obtaining healthy and natural results. Form and function are complementary elements and both aspects should be in balance.

Nasal structures should not be evaluated separately. Changes in the dorsum of the nose, nasal tips and any intervention in the septum may affect the entire nasal structure. Therefore, it should be taken into consideration that each change will affect each other aesthetically and functionally.

To achieve successful results in rhinoplasty, it is critical to understand the dynamic relationship of the components. By establishing the right balance between correction of the nasal skeleton and soft tissues, natural and pleasing results can be achieved without surgical scarring. This approach is based on the philosophy of preserving tissues and repositioning them when necessary. As a result, a functional nose can be achieved where function is not sacrificed for the sake of shape.

Let Down Rhinoplasty Technique

The Let Down technique is an effective approach used in rhinoplasty. The key to a successful rhinoplasty lies in the nasal septum. Proper alignment of the septum ensures stabilization of the center of the nose. The Let Down technique makes it possible to correct the problems found in the septum by preserving the natural connection between the nasal ridge and the bone structure, cartilage tissue and lobule. This technique aims at aesthetic and functional improvement of the nose without disturbing the natural structure.

In the Let Down technique, the face and nose are fully evaluated. The basis of success in rhinoplasty is correct diagnosis. For this reason, a detailed evaluation process is required before the surgical procedure. The evaluation includes the patient’s preoperative photographs, nasal videoendoscope results and a complete clinical examination. This process is one of the important factors that directly affect the success of the operation.

How to Prepare for Let Down Rhinoplasty?

Before Let Down rhinoplasty, the structure of the nose should be evaluated in detail. The bony and cartilaginous nasal pyramid is an important element that needs special attention. At this stage, it is checked whether the nasal midline is correctly aligned, whether the nose is high and tense, whether there is any deviation towards the right or left side. In addition, the presence of septal cartilage pathology is examined. If this pathology has caused asymmetry and deviations in the nasal structure, the relationship of the upper lateral cartilages (ULC) and lower lateral cartilages (LLC) with the septal cartilage is evaluated.

Once the pathology has been identified, an integrated diagnosis and individualized planning is carried out. A successful septorhinoplasty involves correct alignment of the septum, release of coronal and axial tension, and central stability of the nose.

How is Let Down Nose Aesthetics Applied?

The Let Down technique is usually performed with a closed technique and takes an average of 2 hours. This procedure is performed under general anesthesia. By preserving the connective tissues in the nose, the nasal bone and cartilage structures are corrected. Since the incisions are made inside the nostrils, there is no scarring on the outside. During the operation, a splint is placed on the back of the nose and a protective band is placed under the splint. Patients usually stay in the hospital for one night after the operation.

Care After Let Down Rhinoplasty

The recovery time after Let Down rhinoplasty is faster. Patients can usually return to their normal work life within 7 days. Bruising is quite rare and if it occurs, it heals quickly. Swelling may increase in the first 48 hours, but this swelling decreases rapidly. Postoperative pain levels are low and mild aching pain can be easily controlled with painkillers.

The general rest period for patients is around one week. It is necessary to take care to rest during this period. After the first week, light-paced sports can be started gradually.

When applied correctly, the Let Down technique provides aesthetically satisfying results while preserving the function of the nose.