The nose holds a prominent position on our face, serving as the starting point of our respiratory system. Its appearance and functionality can vary from person to person. It is important to have a better understanding of the different components of the nose before considering any changes to its appearance.
Rhinoplasty surgery is highly individualized, tailored to the specific needs of each patient. The surgical approach may involve incisions made inside the nose or in discreet locations outside the nose. In some cases, rhinoplasty can also address issues related to nasal breathing, allowing for simultaneous improvement in both aesthetics and functionality.
Individuals seeking to enhance the appearance of their nose may be suitable candidates for rhinoplasty surgery. It is important to be in good overall health and have psychological stability before undergoing this procedure. Rhinoplasty can also be performed in conjunction with other surgical interventions, if needed.
Alternative approaches to managing nasal airway disorders exist that do not involve undergoing rhinoplasty surgery. In some cases, specific internal nasal issues may not require any external modifications to the nose. However, it is important to note that alternative treatments, such as septoplasty for correcting nasal airway disorders, also carry risks and potential complications associated with surgical procedures. It is essential to consult with a qualified medical professional to determine the most appropriate course of action based on your individual condition.
What’s normal after Rhinoplasty Surgery
After undergoing rhinoplasty surgery, it is normal to experience certain post-operative effects. Bruising and swelling of the nose, as well as around the eyelids, are common and can be expected to some degree. It is important to note that these effects will gradually subside over time.
You may also experience an altered sensation in the nasal tip, which is a normal part of the healing process. It can take several months for the sensation to fully improve. Temporary numbness of the lip and central teeth may also occur but will typically resolve on its own.
Swelling of the nasal lining can lead to some nasal obstruction, especially during the first two weeks after surgery. It is advised to avoid forcefully blowing your nose for one month following the procedure, although gentle sniffing is generally safe.
It is not uncommon to feel irregularities along the bridge line of the nose, particularly in areas where the nasal bones have been trimmed or divided. In rare cases, these irregularities may be more pronounced and persistent, requiring further surgical intervention. Additionally, there may be initial redness and thickening of any external scars, which will gradually fade with time.
It is important to note that everyone’s healing process is unique, and individual experiences may vary. Following your surgeon’s post-operative instructions and attending scheduled follow-up appointments will help ensure a smooth recovery and address any concerns or questions you may have.
Risks of Rhinoplasty Surgery
It is important that you understand the risks involved with surgery. An individual’s choice to undergo a surgical procedure is based on the comparison of the risk to potential benefit. Although the majority of patients do not experience the following complications, you should discuss each of them with your plastic surgeon to make sure you understand all possible consequences of the planned surgery.
All surgery is associated with some risk. Risks are minimized by appropriate patient selection, careful pre-operative planning, meticulous surgical technique and vigilant post-operative care. In general, the least serious problems occur more often and more serious complications occur rarely. When they do occur, every effort is made to resolve these problems as quickly as possible. Complications prolong the recovery period, but they uncommonly have a permanent effect on the final result. Re-hospitalization is rarely required.
Risks of cosmetic surgery in general
It is important to be aware of the potential risks associated with cosmetic surgery in general. While these risks are relatively rare, it is essential to understand and consider them before undergoing any procedure. Here are some possible risks:
Bleeding and hematoma
Bleeding into the tissues can occur, but it is uncommon for it to require a return to the operating theatre or a blood transfusion. It’s worth noting that taking aspirin or non-steroidal anti-inflammatory drugs up to two weeks prior to surgery, even in small doses, can increase the risk of bleeding. Patients taking anticoagulants require specific peri-operative management.
Wound separation or delayed healing
In some cases, wounds may take longer to heal or separate. This can be due to various factors, including individual healing capabilities and post-operative care.
Inflammation and infection
While infection is relatively rare, there is still a possibility of inflammation and infection following cosmetic surgery. Surgeons take precautionary measures to minimize this risk, such as using sterile techniques and prescribing appropriate antibiotics.
The severity and duration of post-operative pain can vary from patient to patient. It is important to discuss pain management options with your surgeon to ensure your comfort during the recovery process.
Complications related to anesthesia
While rare, there can be certain complications associated with anesthesia. If you have any specific concerns, it is recommended to discuss them with the anesthesiologist before the surgery.
Sensitivity or allergy to dressings and tape
Some individuals may experience sensitivity or allergic reactions to the dressings or tape used during the recovery period. It is important to inform your medical team of any known allergies or sensitivities beforehand.
Thick, wide, depressed, or discolored scars may occur after cosmetic surgery. While efforts are made to minimize scarring, individual healing factors can influence the outcome.
Unsatisfactory result and need for revision surgery
Occasionally, patients may not achieve the desired outcome with their initial surgery and may require revision surgery to achieve their goals. This should be discussed with your surgeon beforehand.
Post-operative fatigue and emotional well-being
Physical recovery from the operation and the effects of anesthesia can lead to post-operative fatigue. Additionally, some patients may experience temporary feelings of emotional low after any surgery that involves hospitalization. These feelings tend to improve over time as the body heals.
It is important to have open and thorough discussions with your surgeon about these risks and any concerns you may have before making a decision about cosmetic surgery. Your surgeon will provide guidance and ensure that you have realistic expectations for the procedure.
- Deep venous thrombosis (DVT)
- DVT can lead to pulmonary embolism (PE). (Blood clots forming in the veins of the legs and floating to and blocking the blood vessels supplying the lungs).
- These events can be fatal (risk 1 in 1000 in major surgery such as abdominoplasty).
- The oral contraceptive pill and hormone replacement therapy (HRT) can increase the risk of a DVT and should be stopped at least a month before surgery.
- Special precautions such as the use of anti embolic stockings and heparin (anticoagulant) injections appear to significantly lower the risk of DVT and PE.
- Severe allergic reactions to drugs used in anaesthesia
- This is also rare (1 in 10,000).
- Chronic pain.
- Other rare complications of surgery include stroke, heart attacks, cardiac arrhythmias, etc. however, these are extremely rare.
Specific Risks to Rhinoplasty
- Unsatisfactory final shape.
- Bony irregularities initially felt along the bridge line where the nasal bones are trimmed or divided are usually not seen.
- Rarely these are severe and persist and require further surgery.
- Structures such as bones, cartilages, skin and other soft tissues contributing to deformity do have “memory” and tend to return to their original shape and position despite the most skilled and well-planned surgery.
- Additional surgery is sometimes required to refine the result further.
- Healing problems.
- Healing problems can cause undesirable changes to the external shape of the nose or airway blockage.
- Thickening of the soft tissues in the first few months after surgery can lead to “parrot-beak” (supratip) deformity just above the tip of the nose.
- Postoperative oedema control with taping may reduce this problem.
- Rarely requires a return to the operating theatre
- External scars, particularly with open rhinoplasty
- Wound or skin break down, leading to unpredictable external scarring
- Loss of septum, leading to the collapse of the bridge line of the nose
- Septal perforation leads to a permanent fistula, which may cause abnormal whistling sounds on breathing, as well as other irritative nasal symptoms.
- Actual or perceived ongoing airway obstruction.
So, if you are considering rhinoplasty surgery, it is important to be aware of the risks involved. However, please keep in mind that these risks are present with any surgical procedure. With proper research and a qualified surgeon, most of these risks can be minimized. If you have any questions or concerns, please do not hesitate to contact us. We would be happy to discuss the surgery with you and see if you are a candidate for this procedure.
Why Choose Dr Kleid ?
Dr Stephen Kleid,
Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.
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