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Letdown-Pushdown Rhinoplasty

What is Letdown-Pushdown Rhinoplasty?

Letdown rhinoplasty (lowering) technique, which is one of the rhinoplasty applications, is a technique applied especially for the purpose of restoring the slightly arched nose structure to a normal appearance.

During the operation, the bone is removed from the side walls of the nasal bone without disturbing the natural structure of the nasal ridge bone, and the nasal ridge bone is lowered in layers.

Since the naturalness of the dorsum of the nose is not disturbed in this application, there is no change in the light and shadows reflected from the nose, and the naturalness is preserved. In fact, the pushdown rhinoplasty technique, which was applied in the 1970s and then abandoned for a while, is revised and reused with minor differences today.

In normal rhinoplasty surgeries; the bone and / or cartilage of the back of the nose is removed, the arched part is separated from the upper part of the bone by breaking or filing. This application naturally causes the anatomical structure of the back of the nose to deteriorate.

In letdown rhinoplasty surgery, the bone or cartilage of the dorsum of the nose is not removed, a piece is removed from the lower part of the dorsum of the nose, usually from the side walls, and the arch on the upper part is eliminated by moving down in this way. After the excess is removed, the nasal ridge bone, which preserves its naturalness, is lowered down and placed in the nasal cavity. In this way, the nose is shaped without disturbing the natural nasal roof, the eyebrow-nose aesthetic line is preserved, and possible visual disturbances that may occur as a result of reshaping the nasal roof by the surgeon are prevented. By removing only the excess in the bone or cartilage and moving the roof within the nasal cavity, the normal relationship between the dorsal bone, cartilage and tissues is preserved, the airway is not narrowed, and the surgeon is free to operate.

TREATMENT PROCESS

Letdown-Pushdown Rhinoplasty

How many sessions are performed

1 Session

Sensitivity Time

10 Days

Duration of Persistence

Lifetime

Processing Time

2.5 hours

When to Return to Work

10 days later

Anaesthesia

General Anaesthesia

Full Recovery Time

20 Days

How is Letdown Rhinoplasty surgery performed?

In normal rhinoplasty surgeries; the bone and / or cartilage of the back of the nose is removed, the arched part is separated from the upper part of the bone by breaking or filing. This application naturally causes the anatomical structure of the back of the nose to deteriorate.

In letdown rhinoplasty surgery, the bone or cartilage of the dorsum of the nose is not removed, a piece is removed from the lower part of the dorsum of the nose, usually from the side walls, and the arch on the upper part is eliminated by moving down in this way. After the excess is removed, the nasal ridge bone, which preserves its naturalness, is lowered down and placed in the nasal cavity. In this way, the nose is shaped without disturbing the natural nasal roof, the eyebrow-nose aesthetic line is preserved, and possible visual disturbances that may occur as a result of reshaping the nasal roof by the surgeon are prevented. By removing only the excess in the bone or cartilage and moving the roof within the nasal cavity, the normal relationship between the dorsal bone, cartilage and tissues is preserved, the airway is not narrowed, and the surgeon is free to operate.

What is Pushdown Rhinoplasty?

Another one of the rhinoplasty applications is pushdown rhinoplasty (pushing down / pressing down) technique. As in the Letdown rhinoplasty technique, it is a technique applied to restore the slightly arched nasal structure to a normal appearance. During the operation, without disturbing the natural structure of the nasal ridge bone, without removing bone from the nasal bone, the nasal ridge bone is pressed downwards in the nasal cavity. In this application , the naturalness of the dorsum of the nose is not disturbed, no change in the light and shadows reflected from the nose, naturalness is preserved.

The first applications were seen in the 1970s. Today, it has been revised with minor differences and reused as Letdown rhinoplasty technique. Because the pushdown rhinoplasty technique has limitations. The limit of pressing the dorsal bone downwards is limited by the size of the nasal cavity. In addition, displacement without a decrease in bone structure can also cause narrowing of the airway. For this reason, the Letdown rhinoplasty technique, which is performed by removing bone or cartilage, provides an advantage to the surgeon in terms of freedom of movement and shaping.

Frequently Asked Questions

How is the recovery process after the operation?
The healing process can vary from individual to individual, However, mild swelling and bruising usually subsides within a few days. Full recovery may take several weeks and it is important to act in accordance with your surgeon’s recommendations.
Mild pain or discomfort after the operation is normal, but can usually be controlled with pain management. It is important to use the painkillers recommended by your surgeon.