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 at the centre of the work of Dr. Teker, an ear, nose and throat specialist since 2001.
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? Because shape and breathing are linked, 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 is planned, what is realistic for you, and why.
How the face and the nose are analysed
A nose is never judged on its own: the eye reads it together with the brow, the cheeks, the lips and the chin. So before anything is decided, the following are measured on standardised photographs.
The profile. The line from the brow to the tip, called the dorsum, is the most noticed feature of the nose. A hump interrupts it; an over-scooped bridge makes a face look operated on.
The angles. The angle between the forehead and the nose, and the angle between the nose and the upper lip, decide whether a nose looks long, short, lifted or drooping. Their comfortable ranges differ slightly between women and men.
The tip. How far the tip stands out from the face (projection), and whether it points slightly up or down (rotation), changes the character of the whole profile.
Width and proportion. From the front, the width of the bridge, the tip and the nostril base relates to the distance between the eyes. The face divides roughly into thirds: hairline to brow, brow to the base of the nose, and the base of the nose to the chin. A nose that is too long or too short shifts that balance.
What is realistic depends on your tissue: thick skin hides fine definition and stays swollen for longer, and weak cartilage needs support before it can be reshaped. Nothing in the plan is copied from another patient. The aim is a nose that looks like yours and suits the rest of your face.
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 usually 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. The aim of this structural approach is a shape that stays stable over the years and an airway that stays open.