Push Down Rhinoplasty

Classical nasal bump reduction is based on partial resection of the cartilage and bones of the nose. This method can lead to dorsal deformities such as inverted V deformity, irregularities and open roof. Such deformities can occur as a result of the natural structure of the dorsum of the nose being damaged and not aligned correctly.

Classical Nasal Tumor Reduction and Push Down Techniques

Classical nasal bump reduction is based on partial resection of the nasal bone and cartilage. In this method, the cartilaginous part of the nasal bump consists of three main components; 2 upper lateral cartilages (ULC) and septal cartilage. These components merge at their cephalic parts to form a shape resembling the letter M. However, these structures can be one of the main causes of irregularities and shadowing during the reduction of the mound in classical rhinoplasty. Furthermore, the angle between the septal cartilage and the ULCs is reduced, which can compromise the function of the internal nasal valve, which ensures nasal function.

To prevent these problems, techniques have been developed to preserve the integrity of the nasal dorsum during nasal bump treatment. The nose is a unique structure with bone and cartilage components. Its main structure, the septal nasal cartilage, ULCs and septal cartilage, form an M-shape in the midline and this structure provides nasal function by spring action that opens the internal valve.

In Which Situations Is Push Down Rhinoplasty Performed?

The Push Down technique is a technique applied by preserving the structures on the dorsum of the nose. During dorsal reduction, the bone-cartilage junction in the upper keystone area is preserved and the bump in the nose is corrected with the Push Down technique. Nasal tip surgery can be performed according to the surgeon’s preference.

The operation is performed under general anesthesia and takes an average of 2 hours. After the operation, patients usually stay in the hospital for 1 night and soft silicone leaflets are placed inside the nostrils for protective purposes. Protective tapes and thermoplastic splints are applied on the nose. After these procedures, the splint and silicones are removed within the first week. The postoperative healing process is not different from classical rhinoplasty.

Push Down rhinoplasty is particularly advantageous in terms of preserving the inner valve function and preserving the nasal dorsum. This technique ensures the smoothness of the keystone area during nasal hump treatment. Push Down technique is preferred for mild changes and Let Down technique is preferred for severe changes.

Recovery Process After Nose Surgery

The healing process after rhinoplasty surgery is usually painless and comfortable. However, strenuous exercises should be avoided for the first 2 weeks. Starting from the third week, light exercises can be started.

It is not recommended to wear glasses for the first 3 months.
The skin should be protected from sunlight. It is very important to use sunscreen before going out in the sun, because too much sun exposure can cause permanent discoloration.
Smoking can negatively affect the healing process, so it is recommended not to smoke for 3 weeks before and after surgery. If you smoke, this period may be a good opportunity to quit.