Complications after rhinoplasty
Rhinoplasty, like any other surgery, has side effects and complications, which fortunately occur rarely, and the patient can minimize the possibility of these complications by following the principles of a healthy lifestyle. Overall, poor posture, smoking, or illness increase the likelihood of developing postoperative complications. As mentioned, the risk of rhinoplasty complications is very low, but it is better and safer for the patient to be aware of these potential risks before rhinoplasty and be prepared to face them.
Some complications after rhinoplasty are common and can occur after any type of surgery, but some complications are only related to rhinoplasty; For example, drooping tip of the nose is a complication of rhinoplasty. However, the surgeon and the staff of the clinic are obliged to be aware of these possible dangers before the nose operation and to prepare for such problems.
What causes rhinoplasty complications?
Choosing an experienced cosmetic surgeon greatly reduces the risk of complications associated with rhinoplasty. The patient should make the most of the consultation and discuss with the surgeon any questions and ambiguities about the complications and problems of rhinoplasty, the benefits and the potential risks.
If you do not choose an experienced and professional rhinosurgeon to perform rhinoplasty, you may not be satisfied with the result of the surgery and you may experience side effects.
The next case is not following the pre- and post-rhinoplasty care. If you do not follow all the items recommended by the surgeon, you may experience complications from the nose during and after the nose surgery.
Before surgery, the patient is told the necessary recommendations such as how to lie down and sleep after surgery, not to hit the nose, how to stick, do not smoke, etc. These cases can have a significant impact on the outcome of rhinoplasty and ultimately 100% satisfaction of the person with rhinoplasty.
Complications and risks
The important thing about the complications of rhinoplasty is that both the general complications associated with all surgeries and the specific complications of rhinoplasty, both rhinoplasty and revision rhinoplasty, must be considered. In the following, we will first mention the complications of rhinoplasty that can occur in any operation, including rhinoplasty:
- Severe reaction to anesthesia and anesthetic
- Hematoma (accumulation of blood under the skin)
Specific potential risks of rhinoplasty include:
- Anesthesia and numbness
- Bleeding from the nose
- Scarring on the base of the nose
- Rupture of small blood vessels on the surface of the skin
- Permanent nerve damage
- Excessive or inappropriate correction of the nose, which necessitates revision and secondary nasal surgery.
In addition to the potential risks associated with rhinoplasty, there are potential short-term side effects. Because each patient’s rhinoplasty is different, different side effects occur in patients, but there is no need to worry because the side effects improve after a short time.
Postoperative pain: Rhinoplasty is one of the most effective ways to improve facial beauty, however, because the cartilage and bone of the nose are greatly manipulated during nasal surgery, pain and discomfort after nasal surgery is normal. Fortunately, this pain is usually mild and can be managed with painkillers.
Swelling: One of the most common side effects of rhinoplasty is swelling around the eyes and nose. The swelling is noticeable in the first few days after rhinoplasty, but subsides dramatically after two weeks. Of course, there is a slight swelling up to 6 months after surgery. The final result of rhinoplasty can usually be seen after a year.
Bruising: Bruising is one of the most common complications of rhinoplasty. The amount of bruising after surgery depends on the patient’s sensitivity and the extent of the surgery. This bruising is usually limited to the area around the eyes and resolves after a maximum of 10 days.
Scarring after rhinoplasty: Although the scar remains after rhinoplasty, most people around are unable to see it. In closed nasal surgery, an incision is made inside the nostril, resulting in a completely hidden scar. In reconstructive surgery, a small incision is made in the columella, and this incision usually heals well, leaving only a very small scar that is not usually noticed by those around you. Permanent external signs and effects, whether in open or closed practice, will be very small and almost disappear in the worst case.
Respiratory disorder: If the surgeon has made the airway cross section too small, the patient will have trouble breathing, so do not insist on shrinking the nose too much.
Runny nose and sneezing after rhinoplasty: You may have runny nose and sneezing for a few days after surgery, in which case sneeze through the mouth as much as possible to avoid pressure on the nasal passages. In these cases, the patient can use cold or anti-allergy pills in consultation with the surgeon.
Remaining the effect of tape and splint on the nose: One of the complications of rhinoplasty is leaving the trace of tape and splint on the nose, these two devices are used with the aim of forming the nose correctly, this complication is due to the high pressure of the tape and plaster forms on the nose, so avoid taping too tightly and over-tightening the nasal splint.
Olfactory problems after rhinoplasty: Sometimes due to excessive discharge or inflammation of the internal tissue of the nose, the patient’s sense of smell is reduced. In these cases, the patient is better to keep calm because this complication is normal and after the swelling of the nose disappears, your sense of smell will return.
Intranasal adhesion: Intranasal adhesion is one of the complications of nasal surgery that is caused by non-healing wounds and surgical incisions and adhesion of nasal tissues to each other. In some cases, a CT scan is necessary to diagnose the cause of this complication, after examining the cause of nasal adhesions, the surgeon will treat it.
Nasal infection: One of the most common complications of surgery is infection after rhinoplasty, so it is recommended to wash your nose with special solutions after surgery and plaster removal to prevent germs from growing there.
Management of complications of rhinoplasty
Some complications of rhinoplasty can be prevented or minimized. The patient should start walking as soon as possible after rhinoplasty to increase blood flow and reduce the risk of deep vein thrombosis (DVT). The patient should take antibiotics as directed by the doctor and complete the course of treatment to minimize the risk of infection. The precautionary condition is that the nose is well protected after surgery.
Quitting smoking before (and after) surgery minimizes the risk of infection, improper wound healing, and tissue or skin loss after surgery. Drinking alcohol and taking certain over-the-counter medications such as aspirin or herbal supplements are not allowed because of the increased risk of bleeding.
The surgeon is required to explain the warning signs of specific complications of rhinoplasty, such as infection, to the patient and to teach them how to manage these complications. Fever, redness, discharge, unpleasant odor of incisions, severe pain and swelling are signs of infection after rhinoplasty. Communicating with the surgeon is very important for the patient to relax and receive guidance during the surgical recovery.
The case of each patient and each rhinoplasty is unique, so the best way to assess possible complications for each patient is to talk to the surgeon. During the consultation, the surgeon tells the patient what complications he or she is likely to experience after the nose job.
The process of improving complications
Week 1: After rhinoplasty, you feel like you have a cold, and a red liquid comes out of your nose.
Week 2: Swelling and bruising will decrease and you will feel much better. At this stage, the stitches are also removed.
Week 3: The eyes are still bruised, but the bruising gradually disappears. At this stage, you can blowing your nose.
Week 4: During this time, the bruising is largely eliminated and the swelling is reduced.
After a month: Most of the swelling goes away completely.
After two months: the nose is still numb, but over time this numbness goes away.
After six months: the swelling is almost completely gone and the final shape of the new nose is visible.
The last word
Keep in mind that you have a great role to play in preventing these complications, so by following all the tips and advice of a rhinosurgeon, you will get the best results from rhinoplasty.