Common Complications in Rhinoplasty Operation
There is a risk of 10 complications following nose job surgery (rhinoplasty)
(Correct communication between patient and physician, accurate understanding of the surgical procedure, selection of appropriate surgical technique, use of minimally invasive techniques and use of high quality materials that can reduce edema and tissue during surgery may reduce the risk of these complications.)1. Depression
Depression can occur in patients with psychiatric problems such as manic depressive disorder, obsessive-compulsive disorder and major depression. In particular, it is very important to inform the patient that nose nose cannot be changed as in a simple photoshop application or in a simple photo processing program, emphasizing that nasal edema may last for months and it is not possible to predict the exact results of the nasal surgery.2. Infection
It is known that the infection starts frequently especially on the 5th postoperative day. However, the presence of mucosal areas open for the first 2 weeks and the mucosal inflammation period ranging from 14 to 21 days, the follow-up of the patients and the intranasal care of these patients are very important.In order to reduce the risk of infection written here, the following recommendations should be considered:
- suitable hospital conditions, sterilization conditions in the operating room of the hospital
- performing appropriate surgical cleaning and disinfection
- appropriate nasal cleaning and prophylactic antibiotic use after surgery
- the patient does not smoke after the operation, does not mix with napkins, fingers, cotton swabs, which may cause trauma to the mucous membrane in the nose.
- surgical planning in patients who have experienced severe nasal infection after previous nasal surgery, with as little surgical trauma as possible
- use of permanent suture materials as little as possible
- to have as few intranasal mucosal incision areas as possible
- no direct contact between the inside of the nose and the skin of the nose, such as open roof deformity and during the aesthetic nose operation.
- no use of industrial materials (silicone, industrial membranes)
- in revision rhinoplasty operations, if there is no bleeding and insufficient blood circulation is suspected during skin incision and subcutaneous dissection, minimizing the operation as much as possible or terminating the operation.
3. Bleeding
Nosebleed is usually in the nose, and bleeding that may affect the eyes in advanced is rare.
4. Damage of the tear duct and tear glands
Very rarely these neighboring structures may also be affected during interventions on the nasal bones. I have not seen this complication in any patient.5. Scar tissue development
The development of scar tissue may be due to excessive traumatic interventions, inappropriate use of care products by the patient, or exaggerated manifestation of the healing tissues of the patient. Extreme caution should be exercised in patients who have previously developed abnormal scar tissue, keloid or hypertrophic scars after skin incisions. In these patients, creams containing cortisone and silicone should be used in the skin incision areas and exposure to sunlight should be avoided.6. Bone and cartilage deformities
In this case, choosing the wrong techniques may be due to the patient's trauma to the nose after the surgery. It can occur especially after the operations on noses with excessive trapezoidal and multiple fractures. Generally, among the most common complications after rhinoplasty operations are "irregularity and roughness on the nose back after rhinoplasty". I usually try to reduce the back of it with minimal skin trauma with the micromotor system, but with the activation of healing tissue production in the shaped bone areas in the nasal hump region, it can become evident on the nose back in a few weeks, especially noticeable after hand contact, and can be more visually noticeable in thin-skinned patients. bone protrusions, roughnesses may occur. Here, it may be beneficial to use products that can slow down the work of fibroblast cells such as nasal massage, nasal taping, bromelain and arnica gel after the operation. In patients with very thin skin, even if there is a primary rhinoplasty operation; Removing the tempoal fascia and laying it on the nasal dorsum can provide asymmetric healing and camouflage of the protruding areas.In addition, problems such as displacement of the nasal wall or re-definition of the previous asymmetrical areas may occur in the incision sites of the nasal bone (osteotomy areas). As with any surgical procedure, risks and complications are inevitable. This situation can be seen more frequently in patients with crooked or deviated nose deformity. These risks can be reduced with the right surgical technique and proper care.
These complications can be seen very rarely after nose tip aesthetics and nasal tip lifting operations.
Similar links >> Risks & Complications of Rhinoplasty Operation / Revision Rhinoplasty in Istanbul
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7. Chronic runny nose or nasal dryness
This may occur due to the emergence of septum peforation, excessive nasal removal or excessive mucosal damage. "Nasal hyperventilation" as a result of abnormal reduction of turbinates and "empty nose syndrome" may occur as a result of complete or partial removal of turbinates by surgical incision. Turbinates are unique structures that are considered "organs" and should be preserved as much as possible. Only a limited reduction of these structures is beneficial in reducing post-operative drying and crusting. During the rhinoplasty operation, it is important that the mucosal damage is as little as possible, in reducing the dryness of the nose after rhinoplasty. After the rhinoplasty operation, irrigation of the nose with sprays containing ocean water, using nasal moisturizing drops, eating a Mediterranean style and drinking water are beneficial in reducing nasal dryness.8. Respiratory problems (nasal congestion)
This may be due to different causes such as wing resection (alar base resection), complete correction of the septum deviation, or re-growth of the nostril during nasal tip aesthetics. Protecting the cartilage at the tip of the nose as much as possible, supporting the nasal wings with cartilage grafts, especially in patients with thick skin, are beneficial in preventing alar collapse and collapse of the nasal wing. Again, protecting the nasal cartilages is beneficial in preventing nasal tip sagging after rhinoplasty.9. Graft replacement
This is especially seen in synthetic grafts, but it can also be seen in cartilage grafts, which are removed from the patient's own nose.10. Smelling and sound changes
During nasal aesthetics, nasal congestion may also disappear. In this case, the amount of air entering the nose becomes increased and the smell may naturally increase. Likewise, the amount of air coming out of the nose increases. In other words, the sound waves passing through the nose during sound extraction can hit the sinus walls more and the tone may change. At the end of the rhinoplasty operation, we usually place an internal silicone nasal plinth, and since the patients only take air through the holes of these silicones after the operation, there is a decrease in the sense of smell from the nose. Since the sense of taste is dependent on the sense of smell, a decrease in the sense of smell and taste is normal when there is a silicone splint in the nose.These complications can be seen very rarely after nose tip aesthetics and nasal tip lifting operations.
Source links >>
- Complications of Rhinoplasty - Medscape Reference
- Rhinoplasty Surgery, Recovery, Risks, and More - WebMD
- Risks and complications in rhinoplasty
- Rhinoplasty | American Society of Plastic Surgeons
- Prevention and Management of Complications of Rhinoplasty
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