When both Nose reshaping (Rhinoplasty) and Eyelid surgery (Blepharoplasty) are done together, it is called Combining Rhinoplasty with Blepharoplasty. This unified approach will now allow joint changes of the nose and the eye area. The basic aim is to improve the aesthetic or functional qualities of these important facial features during one coordinated surgery and not separate procedures at different times. It is a combination method to manage the issues of the upper nose and eyelids at the same time.
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What does undergoing Rhinoplasty with Blepharoplasty specifically mean for the nose?
A nose job, otherwise known as Rhinoplasty is a procedure to change the shape of a person’s nose or improve how it functions. People choose this surgery for lots of reasons. Some people may want to modify their nose size to enhance its aesthetics. Some may want to make it smaller or change its width. You may want to smooth the bridge bump, or refine the tip if it is wide, droopy, or turned up. The final goal is a nose which looks natural, and is in harmony with your other features. This can really help with self-confidence.
Rhinoplasty goes beyond aesthetics and often helps in improving function too. Difficulty breathing through your nose may be the sign of a deviated septum. Your septum is the wall inside your nose that separates your nostrils. Rhinoplasty can correct this, making breathing much easier. It also helps to fix the nose after an injury like a fracture and to correct birth defects.
How is the nose surgery part of Rhinoplasty with Blepharoplasty performed?
Rhinoplasty with Blepharoplasty surgeons usually opt for one of the two techniques for rhinoplasty.
The “open rhinoplasty” technique requires a small incision on the columella, or the small strip of skin between the nostrils. It is particularly useful for complex reshaping work as it provides the surgeon with a clear view of the bones and cartilage within the nose.
Closed rhinoplasty means all the incisions are made completely inside your nostrils. The big advantage here is no visible external scars. Usually recommended for patients who require less extensive changes. Perhaps just a change to the bridge or the tip which just needs a few refinements. The most detailed aspect of nose surgery often involves sculpting the tip of the nose.
What techniques are used for the eyelid surgery in Rhinoplasty with Blepharoplasty?
The techniques for the blepharoplasty in Rhinoplasty with Blepharoplasty depend on whether the upper or lower eyelids is involved.
Generally, for an upper blepharoplasty, the doctor makes an incision in the natural crease of your eyelid. The advantage is that the scar is very difficult to see when the recipient’s eye is open. The surgeon is able to take out or reposition any surplus skin, muscle and protruding fat through this incision. Every so often, fat can even be shifted toward an area which is hollow for a smoother contour.
One of the most common lower blepharoplasty incisions is just below the eyelashes, concealed within a natural skin crease. Through this process, the surgeon can eliminate or redistribute surplus fat, muscle, and loose skin. The transconjunctival approach is another popular choice, especially if puffy fat bags are the main thing to be fixed, and not so much loose skin. In this cosmetic surgery, the cut is made at the inside of lower eyelid so that there is no visible scar on the outside at all.
Who is typically considered a good candidate for Rhinoplasty with Blepharoplasty?
Individuals who are planning Rhinoplasty with Blepharoplasty, the ideal candidates for the rhinoplasty part should have finished their facial growth. This usually happens in the mid-to-late teens. They also need to be in good general physical health. It is great if they are non-smokers, or at least agreeable to quitting for a nice stretch of time before the procedure and after, as it can slow healing. It is vital that candidates have realistic expectations about the outcomes of the surgery and that they choose to have it for their own reasons rather than someone else’s.
For the blepharoplasty part, most often, healthy adults aged at least 30 are good candidates for this procedure. However, younger adults can also undergo this surgery if eyelid issues run in the family. Before surgery, the doctor and ophthalmologist must do a full examination of the eye. During this phase, various tests will be performed. For example, your specialist will check how much you produce tears. And look for dry eye syndrome or glaucoma. These conditions can affect your plan and healing. It’s essential to identify pre-existing dry eye as eyelid surgery can exacerbate the condition.
Why might someone choose to have combined Rhinoplasty with Blepharoplasty for facial harmony?
Many people choose to have Rhinoplasty combined with Blepharoplasty because they want to achieve a better overall harmony to the face. The most striking features of your face are its central portions – your nose and eyes. Performing changes to both areas efficiently may produce a better result than changing each area separately.
improving the way you look works better than improving one thing at a time. So, if your eyelids are droopy making you look tired and your nose doesn’t have the accommodating shape, then improving both together makes them complement each other. Through Rhinoplasty with Blepharoplasty, we aim for a rejuvenated, balanced appearance where the operations complement one another. This way, we avoid a situation where one correct feature highlights an uncorrected feature in the other.
What are the practical benefits of a single recovery period with Rhinoplasty with Blepharoplasty?
Having combined Rhinoplasty with Blepharoplasty allows for a single recovery period, which is one of the major practical advantages. You undergo only one healing phase instead of two, thus minimizing the downtime. You will take less overall time off work, social activity, and your everyday life, than if you had the surgeries at different times.
This streamlined approach can make a big difference. It is often more alluring and creates a lesser disturbance in your personal and professional life. Rhinoplasty with Blepharoplasty result for faster recovery as compared to recovering from two surgeries separately. The first stage of recovery may feel more intense since two areas are healing.
Can combining procedures in Rhinoplasty with Blepharoplasty lead to cost savings?
It should not be the main reason for choosing this procedure, nor is it a guarantee. However, surgeries such as with Blepharoplasty can indeed be more cost effective when combined with surgery like in Rhinoplasty. Certain fixed costs are part of any surgical procedure. Operating room charges, anesthesia administration, and other pre-operative assessments are just a few of these.
When rhinoplasty and blepharoplasty are done together, these kinds of fees are charged just once. If you had your nose surgery and eyelid surgery done separately, you will likely bear these fixed costs twice. This efficiency can mean a lower total surgical cost to you than the combined cost of two entirely separate surgeries.
How can Rhinoplasty with Blepharoplasty address functional issues simultaneously?
For some individuals, these Rhinoplasty and Blepharoplasty procedures are not only about how they look but also about how their nose or eyelids work. If you experience functional problems in both areas, a combined procedure offers a straightforward and practical way to look after both health-related issues at once.
For instance, if you have a deviated septum giving rise to breathing difficulties, and drooping upper eyelids blocking your field of vision, you can combine the two. You can get a rhinoplasty to fix the septum, and a blepharoplasty to lift the eyelids. To make life considerably easier for you as well as improve your breathing and vision, a single procedure and recovery can do a lot just with your Rhinoplasty with Blepharoplasty.
Does undergoing Rhinoplasty with Blepharoplasty lead to greater patient satisfaction?
Patients’ satisfaction concerning the end result can get better when they undergo gesture the surgery to correct more than one part of the face. An example of this is rhinoplasty with blepharoplasty. Patients report feeling more satisfied with their outcomes when they adopt the combined approach because it feels more transformative for their appearance.
Having a single, more major operation may reduce anxiety and psychological stress associated with the anticipation and experience of several operations and their recovery periods, in some cases. Rhinoplasty with Blepharoplasty’s convenience and comprehensive result can certainly increase the overall experience positively.
What general health status is needed for combined Rhinoplasty with Blepharoplasty?
Having good health is important whether you are planning to undergo an elective surgery. Similarly, having good health is particularly essential for multiple procedures together. For example: Rhinoplasty with Blepharoplasty. You should not have any serious uncontrolled medical conditions that would increase risks during surgery or limit your ability to heal.
It is highly recommended that you be a non-smoker or be willing to quit smoking long before your surgery and during your recovery. Smoking impairs wound healing and can further increase complication risk after Rhinoplasty with Blepharoplasty. Your surgeon will want to make sure you’re as healthy as possible for the surgery and the healing process.
Are specific nasal and eyelid concerns necessary for Rhinoplasty with Blepharoplasty?
Indeed, the principal motivation that can give rise to a cosmetic surgery consideration of combined Rhinoplasty with Blepharoplasty is the presence of genuine concerns and clear surgical indications for both. For the rhinoplasty portion of the consultation, this means you aren’t content with the appearance of your nose. For example, the size, shape of the bridge or tip, or characteristics of the nostrils. Another possibility is that you have functional issues like chronic nasal obstruction from a deviated septum.
For the blepharoplasty part, the usual indications about drooping or baggy upper eyelids that make you appear “tired” and/or affect your side vision. Lower eyelids can also have problems that appear puffy, did have bags or excess wrinkled skin. A patient who, for example, has drooping eyelids and also wants to reshape their nose for better proportion would have these dual indications for Rhinoplasty with Blepharoplasty.
How important are realistic expectations for Rhinoplasty with Blepharoplasty?
Having realistic expectations is very important for anyone having Rhinoplasty with Blepharoplasty. It is important to have a sound knowledge about what the combined surgery can do and, just as importantly, what it can’t do. Being psychologically stable and being motivated by yourself not with outside forces and unattainable ideals is crucial.
It is important to know and accept recovery to be psychologically ready for Rhinoplasty with Blepharoplasty. Two different areas of the face will heal, bruise, and swell at the same time. You need to remember that seeing the final aesthetic result will not be instant.
Do age considerations play a role in candidacy for Rhinoplasty with Blepharoplasty?
When considering whether or not a person is a suitable candidate for combined Rhinoplasty with Blepharoplasty, age does play a role. Patients generally should have completed their facial growth for the rhinoplasty part. In general, females will experience this in their mid-to-late teens. Males will endure this at a slightly older age.
On the other hand, those who are aged 30 and above usually undergo a blepharoplasty. This is because age-related changes in eyelids become more apparent starting this age. Younger people may benefit from blepharoplasty, but only if they have inherited eyelid issues or have developing due to other factors. The age considerations for a combined Procedure must be in accordance. For a younger patient suitable for rhinoplasty, blepharoplasty may not be necessary or suitable for that patient.
What medical conditions might prevent someone from having Rhinoplasty with Blepharoplasty?
Some medical problems already being experienced by the patient can make the surgery risky or the patient unfit for the combined procedure. Regarding the blepharoplasty component, uncontrolled eye conditions are generally contraindications. Examples include severe dry eye syndrome, active glaucoma, or detached retina. Diseases that affect the eyes like Graves’ goiter are also to be considered very carefully.
In general, contraindications for a major elective operation include uncontrolled diabetes, severe heart disease or unstable cardiovascular disease, and major bleeding disorders. If the patient has an active infection, especially on the face, then the procedure will be postponed until the infection clears up. The use of a careful selection of the patients avoids serious complications with Rhinoplasty with Blepharoplasty.
What does the initial consultation for Rhinoplasty with Blepharoplasty involve regarding medical history?
The process of combined Rhinoplasty with Blepharoplasty begins with a thorough evaluation of your complete medical history. This means talking about any illnesses you’ve had, any operations (even on your face), and a complete list of everything you take. You should note all the prescription drugs, over-the-counter medications, vitamins and herbal supplements in this list. We should also be informed of any known allergies, especially to medicines or anaesthesia.
For the blepharoplasty part of your Rhinoplasty with Blepharoplasty I need a detailed ophthalmic (eye) history.. We will ask you what you see like without your glasses or contact lenses, if you have had any eye trauma, if you suffer from glaucoma or excessive tearing, and especially whether you have any symptoms of dry eye syndrome. This condition can sometimes be worsened by eyelid surgery.

1976 yılında İzmir’de doğan Prof. Dr. Murat Songu, İzmir Atatürk Lisesi sonrası 1994 yılında Ege Üniversitesi Tıp Fakültesi’ne girdi. Kulak Burun Boğaz Hastalıkları uzmanlık eğitimini Celal Bayar Üniversitesi’nde tamamladı. 5 Eylül 2014 tarihinde Ankara Dışkapı Yıldırım Beyazıt Hastanesi’nde yapılan sözlü sınavı ile “Kulak Burun Boğaz Hastalıkları Doçenti” olmaya hak kazandı. Türk Kulak Burun Boğaz ve Baş Boyun Cerrahisi Derneği Bursu’nu kazanarak Şubat 2016 – Mayıs 2016 tarihleri arasında Amerika’da Pittsburgh şehrinde UPMC (University of Pittsburgh Medical Center)’da Robotik Cerrahi Ünitesi’nde çalıştı. 2 Nisan 2021 tarihinde “Kulak Burun Boğaz Hastalıkları Profesörü” olmaya hak kazandı. Evli ve iki çocuk (Ayşe Songu, Selim Songu) babasıdır.