Risks and Complications of Rhinoplasty Operation



 

Nose Job Surgery Risks


Aesthetic nose surgery (rhinoplasty) is perhaps the most difficult of all facial surgery operations. Rhinoplasty requires an understanding of art and science. Determining the specific shape of the individual and attempting to shape it has made it a rather variable, difficult and detailed surgical procedure than a standard procedure.

Problems that can be seen after rhinoplasty:

Complication can be defined as unexpected medical or surgical adverse event.

Each surgical procedure has its own risks of complications. Nasal aesthetic com- munities can be grouped in 4 ways according to the time of appearance:

- Intraoperative complications (complications during surgery)
- Complications after the operation is over
- Early complications after surgery
- Postoperative late complications

Complications of nasal aesthetics can be classified as follows:

- Functional complications
- Infection related complications
- Aesthetic complications
- Psychological complications
- Specific complications

According to the current literature, the complication rate for nasal surgery ranges from 4 to 19%. As surgical experience increases, this rate generally decreases. Skin and related soft tissue complications occur in 10% of cases. According to estimates, serious systemic or life-threatening complications occur in 1.7-5% of rhinoplasty cases. Intracranial complications are rare.

As minimally invasive techniques arise and the materials with increasing tissue compliance are produced, the risk of complications can be reduced.

 Is there a scar seen on the columella after open technique rhinoplasty?

In open surgery operations, the skin is cut and the nose is closed. Significant traces after healing in patients with thick skin are more uncertain in people with thin skin. Skin color also affects the healing of the scar. The skin color is more noticeable than the dark remaining traces. Because skin structure is oily and thick in men, gender is effective in scar healing. Women are more fortunate about the scar. Because the skins are thinner than men, the marks after the nasal aesthetic decrease. Experienced nasal aesthetics specialist is one of the factors affecting the healing of the traces. If the stitches are sewn properly and properly, they are almost never seen after the scars have been healed. In addition to these factors, the recovery of scars may be affected if there are some medical problems of the patients. Open technique nasal surgeries are the main surgical approach in my hands, as it allows for a wider area to be operated in a more precise and complete way under direct vision.

Rhinoplasty operations are all different ...

Nose aesthetics is personal. Because the same nose structure for everyone can not be brought to the challenge. A new nose structure that is compatible with the other person's face should be revealed. Because everyone has a different facial structure, the same surgery plan cannot be applied to anyone. For this reason, a suitable planning should be done before the operation and changes should be made with it. The nose structure should be operated not only aesthetically, but also the functions of the nose with respiratory onset. Odor, breathing and determination of the tone of voice should not be damaged.

As seen in the photo on the right side, when there are very different "asymmetric nose deformities" in the nose due to asymmetries in both bone and different cartilage structures, the chance of obtaining a full symmetrical result decreases with a single operation. Names such as scoliotic, twisted, crooked, deviated nose are made according to the shape of the nose. In this way, procedures performed in patients with nasal deformity are much more complex and difficult.

People, in addition to being aesthetic surgery in order to look better, often get rid of other problems created by the related organ. For example, a person with nose surgery may have a more beautiful nose, with nasal obstruction, sinusitis, etc. as well as diseases and problems. There is a separate challenge for the operation, which varies according to each person to whom nose correction surgery is applied. Before surgery, all the problems that need to be corrected from aesthetic and functional point of view must be identified one by one. Then various methods need to be evaluated and planned to correct these disorders. Planned techniques should be applied patiently and meticulously in nasal surgery. Obtaining good results is a difficult operation. When nose surgeries are performed by an experienced and skilled surgeon, the results may be good, with few complications and undesirable consequences.

Risks and Complications of Rhinoplasty Operation
Risks and complications of rhinoplasty - Possible complications of rhinoplasty surgery - Complications of rhinoplasty surgery - Complications of aesthetic nose surgery - Problems to be seen after nasal aesthetics - Problems to be seen after rhinoplasty ​ - Possible complications of nose job

Complications and adverse outcomes may develop during nasal surgery, as in all surgeries, but there is no complication for those who do not have surgery at all. If you have a nose operation, you should ask your doctor about any problems and complications that you may have. Before surgery, you should ask your doctor about all the questions about negative and unwanted developments, especially those that you may have during surgery. It is important for your confidence with your doctor.

Throughout our lives we face various risks every day and even every minute. We face risks of various accidents in traffic, at home, in sports, swimming and on holiday. Even if it is very low even when eating, there are risks. When you have surgery, you are also taking some risks. There is a risk of complications even at very low levels even in the best conditions. The risk is much lower during surgery performed by experienced physicians. Complications during nasal surgery may occur during surgery, early and late post-operatively.

In general, various aesthetic - functional problems such as nose bleeding, prolonged bruise and edema, perforation in nose septum, infection, adhesion in the nose and various aesthetic deformities, nasal sagging, deformities due to supportive tissue loss in the nose etc. Rarely, there are eye-related complications and  tear ducts injuries.

The rhinoplasty operation is a specially planned operation. Patient-specific techniques include various procedures for cartilage, subcutaneous tissue and bone. For this reason, after rhinoplasty, various problems can occur with skin, subcutaneous, cartilage and bone. Postoperative deformities are considered as main risks of rhinoplasty, causing revision surgery in 5% to 15% of the cases.

After rhinoplasty, not only depends on the surgical technique; At the same time, the patient's care and healing properties also affect the amount of aesthetic rationales present in the operation. It is not easy to obtain full millimetric symmetry after aesthetic nose surgery in a somewhat asymmetrical body of the anatomy. Asymmetries that can occur in this situation and are less than before can also be seen due to the natural recovery process. In the nasal aesthetic operation, nose shaping is performed on living tissue. The shape and structure of these tissues can change when the side is healed.

Foreign Body Reactions Due to Non-Absorbable Suture Materials and Skin Fistula

In the photo above, the patient who underwent open technique rhinoplasty operation in another clinic 5 years ago, shows collapsed areas in the skin area at the tip of the nose. Due to the occasional inflammation of these areas, the patient was planned to remove the sewing materials. The use of non-absorbable suture materials as much as possible is the best way to reduce these risks.

In the adjacent photo, the dark scar tissue due to suture reaction is seen in the columellar incision area of the patient, who had previously undergone rhinoplasty in another clinic 3 times. The patient reports that inflammatory discharge comes from this area every few days.

You can find very similar case videos and information at >> Foreign Body Reactions Due to Non-Absorbable Suture Materials and Skin Fistula After Rhinoplasty Operation

You can find details about "Risks and complications of rhinoplasty - Possible complications of rhinoplasty surgery - Complications of rhinoplasty surgery - Complications of aesthetic nose surgery - Problems to be seen after nasal aesthetics - Problems to be seen after rhinoplasty ​ - Possible complications of nose job - Complications of rhinoplasty operation - Complications after rhinoplasty surgery - Hemorrhage after nasal surgery - Infection after nasal aesthetic surgery - Pain after nasal aesthetic surgery - Damage of tear ducts after aesthetic surgery" and before and after photos at >> Rhinoplasty in Istanbul / Rinoplasti (Burun Estetiği) Ameliyatının Komplikasyonları / Burun Estetigi Komplikasyonları / Complications of Rhinoplasty / Risks and complications in rhinoplasty - NCBI - NIH / Complications of rhinoplasty. - NCBI / Postoperative sequelae and complications of rhinoplasty. - NCBI

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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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