Top Rhinoplasty Problems
Not every rhinoplasty, or any other surgery for that matter, is a complete success. Approximately twenty percent of rhinoplasties performed require a revision of some sort. Considering the number of surgeries done every year this is not a huge percentage, but for the patients affected it can be a large issue. They wanted to look better for heaven's sake.
Possibly the most common problem is an unexpected result. During consultations you hear a lot about having realistic expectations. Sometimes a person is so excited over the prospect of a new look, they fail to properly communicate their desires to the surgeon or to listen adequately to his suggestions. While the procedure may have been done in a technically correct manner, it may not be exactly what the patient had in mind. Maybe the nose is smaller than they wanted or the tip is a bit crooked. It's important to give your nose at least nine months to heal before thinking about a second surgery.
Another problem that is not uncommon is nasal obstruction. Sometimes this occurs because of prolonged swelling inside the nose. When a longer nose is shortened, the procedure sometimes causes slackness in the soft outer walls of the nose. When this happens they suck inward when you breathe and a partial obstruction occurs. Revision rhinoplasty can correct this.
Adhesions formed in the nose are not uncommon either. This can be corrected in a simple office procedure and a second surgery is not often needed. Adhesions can be prevented by the placement of plastic splints post op, but they are very uncomfortable and make breathing more difficult, so most people have light packing placed in the nose.Post operative bruising is to be expected and bleeding can also occur for a few days. Cold packs are very helpful in reducing this. If bleeding is severe, the doctor should be notified. Infection is rare after a rhinoplasty and is most often seen when grafts are used. Prophylactic antibiotics are often prescribed.
Occasionally lumps and bumps are seen on the bridge of the nose. The thin cartilage can be difficult can be difficult to trim and it sometimes springs back up during the healing process. A revision rhinoplasty will be needed if the problem persists.Sometimes the nasal bones or the cartilages may be overly reduced giving the nose a pinched appearance. Over reduction of the septal cartilage can cause swelling in the tip of the nose.Numbness of the nose tip can occur, but numbness lasting more than a year is rare.
Finally psychological problems may exist that plastic surgery will not cure. A patient with body image issues will not be satisfied and should be treated by a psychologist. More plastic surgery is not the answer for those patients.
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