Background: Body position and anesthesia may alter nasal anthropometric measurements, potentially affecting both preoperative assessment and intraoperative decisions in rhinoplasty. Quantifying these effects is essential for the accurate evaluation of nasal morphology. Methods: Thirty-five patients (28 females, 7 males; mean age 27.9 ± 6.95 years) undergoing primary rhinoplasty were prospectively included. Standardized lateral photographs were obtained in three conditions: upright, preanesthetic supine, and postanesthetic supine. Linear distances were measured using a digital caliper in a position replicating the photographic setup, and angular parameters were calculated from the photographs using ImageJ software (version 1.53, National Institutes of Health, Bethesda, MD, USA). Statistical analyses were performed to compare nasal measurements among the three positions. Results: The nasion–pronasale distance increased in the preanesthetic supine compared with the upright position (p < 0.001), while the pronasale–alar curvature distance remained unchanged (p = 0.984). The nasofrontal angle was higher upright (p < 0.001), whereas the nasolabial (p < 0.001) and nasomental (p = 0.010) angles were greater in the preanesthetic supine position. After anesthesia, both nasion–pronasale (p < 0.001) and pronasale–alar curvature (p = 0.001) distances increased further, while the nasofrontal angle remained higher upright (p < 0.001). Conclusions: Supine positioning and anesthesia significantly modify nasal profile parameters. Awareness of these predictable morphologic changes can help surgeons avoid misinterpretation and improve the accuracy of preoperative planning, intraoperative evaluation, and postoperative assessment.

Objectives: In this study, we retrospectively examined the bleeding that occurred in the 5-year patient series. Materials and Methods: One thousand seven hundred seventy-five patients who underwent septorhinoplasty surgery between 2019 and 2023 were included in the study, and 28 of these patients who presented with bleeding complications were examined. All patients underwent open-technique septorhinoplasty surgery with or without concha intervention and were discharged the next day after overnight hospitalization. Results: Of the 1775 patients included in the study, 1415 (79.7%) were female and 360 (20.3%) were male. Bleeding was observed in a total of 28 cases (1.6%). There was no difference regarding age or sex in patients with bleeding. It was also observed that concha intervention did not make a difference in terms of bleeding. The bleeding period ranged from 1 to 9 days, with an average period of 5.53 ± 2.36 days and a median bleeding period of 6 days. All bleeding patients were followed up with supportive treatment and were discharged after a 24-hour bleeding-free period. There was no need for interventions in the operating room or blood transfusions in for any patient. Conclusion: Patients who present with bleeding after rhinoplasty can be observed, and their bleeding can be controlled without further intervention with supportive treatment and sufficient time.