Patient Information

Rhinoplasty is suitable for people who are unhappy with the shape of their nose and/or have breathing difficulties, whose nasal growth is complete (generally over 17-18 years of age), who are in good general health for surgery and who have realistic expectations. Suitability is determined by a detailed examination.

Swelling, mild bruising, nasal congestion and temporary changes in sensation are expected after surgery. You are discharged on the first day after the operation. Bruising around the eyes usually disappears completely within 2 weeks; skin swelling generally starts to subside from the 3rd week, and full settling of the nose can take up to a year. Follow-up visits are scheduled at week 1, week 2 and month 1.

The day before surgery, blood tests, an ECG and a chest X-ray are done for anesthesia preparation. Unless your anesthesia team gives you a different time, nothing should be eaten or drunk, including water, from midnight (00:00) on the night before surgery. Smoking and nicotine impair wound healing; stopping around the time of surgery is recommended, with the timing guided by your surgeon and anesthesia team. If you develop a cold sore on your lip or face within a week before surgery, please let us know.

Nasal care is the most critical part of healing. Unless your doctor advises a different frequency, rinse your nose with sea water / saline spray 8 times a day, and apply a nasal moisturizer right after each rinse. Gently clean the sutures with a wet cotton swab, softening any crusts and removing them without force. Absorbable sutures are generally used; if a suture needs to be removed, this is done at your follow-up visit. From week 1, nasal massage is started as demonstrated at your follow-up visit.

For the first 3 weeks, activities that raise your heart rate (running, weight lifting, etc.) are not recommended; light daily walks are fine. From week 3 you can start cardio exercise and swim in the sea. The pool is not recommended for 2 months because of the chemicals in the water. Weight training can be resumed after month 3.

When you can wear glasses that rest on the nasal bridge depends on whether osteotomies were performed, on bone healing and on the surgical technique; unless your surgeon advises a different period, such glasses should not be worn for 8 months, and if needed they can be worn taped to the forehead during this time. Do not let water touch your nose for the first 2 weeks; after week 2 the nose may get wet, and if taping is considered necessary at your follow-up visit, you will do it yourself from then on. Also, do not blow or wipe your nose harshly, keep your mouth open when sneezing, and protect your nose from the sun in the early period.

Contact us without delay in case of nosebleed that does not stop or keeps increasing, severe pain that does not respond to painkillers, fever above 38°C, chills or increasing redness/swelling, foul-smelling or heavy discharge from the suture area, or sudden shortness of breath: +90 544 450 96 77 (24/7).

Yes. The internal structures of the nose are evaluated during planning; a deviated septum or enlarged turbinates can be corrected in the same session. The goal is both aesthetic and functional improvement.

Operations are performed in fully equipped hospital operating rooms with an anesthesia team. Detailed information about the location and the process is provided during the examination.

In the first days, plenty of fluids and soft, lukewarm foods are recommended; avoid acidic, hard and very hot foods. A sore throat is normal in the first week. In case of fever or bleeding, contact your physician without delay.

Hoarseness lasting longer than 3 weeks — especially in smokers — must be evaluated endoscopically by an ENT specialist. If difficulty swallowing, shortness of breath or a neck lump accompanies it, seek care without delay. Learn more →

Voice rest, drinking plenty of water, avoiding whispering and shouting, and not smoking all speed up recovery. Hoarseness that does not improve within one to two weeks should be investigated.

Usually not; the main treatment for nodules is voice therapy. Polyps and cysts, however, generally require microlaryngeal surgery. The decision is based on endoscopic findings.

Tinnitus in one ear only, accompanied by hearing loss, dizziness or a pulsating quality, or lasting longer than a few weeks should be evaluated by an ENT specialist. If it comes with sudden hearing loss, do not wait; see an ENT specialist the same day. Learn more →

In palsy of the facial nerve itself (Bell’s palsy) the whole of that side of the face is affected: the forehead cannot be wrinkled, the eye will not close and the corner of the mouth droops. In a stroke the forehead keeps moving, and arm or leg weakness, slurred speech or double vision may accompany it; those signs need an emergency call. Either way the patient should be assessed the same day; in Bell’s palsy, steroids started within 72 hours clearly improve the chance of full recovery. Read the article

A painful swelling that appears suddenly with meals and settles within hours is usually a salivary gland stone; a red, feverish swelling points to infection. A painless lump that keeps growing for weeks is treated as a tumour: most parotid lumps are benign, but the diagnosis rests on ultrasound and fine-needle biopsy. Any swelling lasting more than two weeks needs an ENT examination. Read the article

Yes. Pitch is set by the length, tension and mass of the vocal folds; glottoplasty shortens the folds to raise the voice, and type 3 thyroplasty slackens them to lower it. Both operations are permanent; one to two weeks of voice rest follow surgery and the voice settles at its new pitch in three to six months. Surgery changes pitch only; speaking style and intonation remain the person’s own. Read the article

It depends on the cause: tinnitus due to earwax or a middle-ear problem can resolve completely with treatment. In chronic tinnitus related to hearing loss, hearing aids and sound therapies bring substantial relief.

Cutting down caffeine, regular sleep, avoiding stress and using soft background sound in quiet rooms all reduce the complaint. Protecting your ears from loud noise is part of both treatment and prevention.

If available, bring your previous test results (CT, MRI, hearing tests, blood tests), a list of the medications you take regularly, and reports of any previous operations; these make the evaluation easier.

It is usually caused by overaction of a small muscle running from the upper lip to the nasal tip, the depressor septi nasi, together with weak tip support. Botulinum toxin reduces the muscle’s effect temporarily; a lasting result requires releasing the muscle during rhinoplasty and, in most cases, strengthening tip support. Read the article

Decongestant sprays used for more than a week block the nose more as each dose wears off; this cycle is called rhinitis medicamentosa. Treatment means stopping the spray, all at once or gradually, with a steroid nasal spray started on medical advice and nasal rinsing; most people feel clearly better within one to two weeks. The deviated septum, enlarged turbinates or allergy that led to the spray should also be treated. Read the article

Once mouth and dental causes are ruled out, the most common sources of persistent bad breath are tonsil stones, chronic tonsillitis, sinusitis and postnasal drip, reflux, and dry mouth from nasal blockage. The mouth, the tonsils and, endoscopically, the nose are examined, and treatment is planned according to the cause. For frequently recurring tonsil stones, removing the tonsils provides a permanent solution. Read the article

A cold is a contagious infection caused by viruses; it starts with a sore throat, tiredness and sometimes a mild fever, the discharge may thicken over time, and it usually clears up on its own within a short time. In allergic rhinitis there is no fever; a clear, watery discharge, repeated sneezing and itching of the nose and eyes are the main features. Symptoms that last for weeks, or that recur in the same season every year, in dusty surroundings or after contact with an animal, suggest allergic rhinitis. Read the article

You can book an appointment by writing to our WhatsApp line (+90 544 450 96 77) or by calling the same number. You can also send your questions via Instagram (@jasafov.md).