Rhinoplasty is perhaps one of the most complex surgical operations on the face – at the intersection of science and art. Any surgical operation can cause complications, because only the surgeon who does not operate is not mistaken.
Knowledge about possible complications and consequences is necessary to make the right decision, prevent serious complications or competently get out of a difficult situation.
The Iranian plastic surgeon Ali Manafi (Ali Manafi) told estet-portal.com readers about techniques and complications after rhinoplasty.
What are the most common complications after rhinoplasty
A.M.: There are many complications after a rhinoplasty if the procedure is not performed correctly. The nose is an organ of the respiratory system and if we compromise the airways, we will have breathing problems.
The patient will not be able to breathe through the nose, and breathing through the mouth causes dry mucous membranes and a scratchy throat, especially in the morning.
Problems may occur during physical exertion and in general, in everyday life. The breathing problem is aggravated when the patient is sleeping. Other complications of rhinoplasty may include scarring, adhesions, narrowing of the nasal passages, cyst or granuloma.
Complications also include aesthetic defects and imperfections. For example, a patient may have low self-esteem. We must carry out the operation as flawlessly as possible in terms of beauty and aesthetics.
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What are the risks of rhinoplasty
A.M.:The anatomical zones of the nose are dangerous: the inner and outer walls, as well as the airways. When correcting the nose area, special care must be taken, since the terminal branches of the arteries pass there.
During the operation itself and immediately after it, you need to be aware of the following risks:
- excessive bleeding;
- skin tear;
- destruction of the bone pyramid;
- anaphylaxis;
- sepsis or toxic shock syndrome;
- seam divergence;
- sustained edema;
- smell disorder;
- necrosis of the skin or part of the bone.
According to statistics, complications associated with the skin and soft tissues occur in 10% of cases. On average, severe systemic or life-threatening consequences occur in no more than 5% of operations.
Read also: Change of the jaw shape: how to improve the shape of the face with mandibuloplasty
What are the main techniques used in rhinoplasty
А.M.:The complexity of the surgical intervention directly depends on the individual characteristics of the patient and the chosen technique. There are open and closed rhinoplasty.
The open method involves an incision in the columella. Closed rhinoplasty, in turn, completely eliminates the presence of external incisions — the operation is performed through small incisions on the side of the mucous membrane, after which there are absolutely no visible scars and scars.
After closed rhinoplasty, bruising and swelling begin to disappear after two weeks.
However, this technique also has its disadvantages, such as limited exposure and poor visualization of anatomical elements.
Are there fillers and lipografting in rhinoplasty
A.M.: For some patients it works, be it fillers or fat, but not in all cases. Fillers have their own term, and as for fat – if it is used correctly, the effect lasts much longer. Lipografting is a popular operation today and in some situations its use is fully justified. But he also has a limited time spent in the nose. We cannot correct major deformities with fillers or fat alone. Perhaps, in other areas, lipografting works better than in the nose area.
Thank you for staying with estet-portal.com. You may also be interested in other articles in the Plastic Surgery section: Injection Rhinoplasty: Practical Tips and Techniques for Nose Correction with Fillers
What are the main complications in rhinoplasty
There are many complications if the procedure was not done in a correct way. The nose is an organ of the respiratory system and if we compromise the airways, we will have breathing problems.
The patient will not be able to breathe through the nose, and breathing through the mouth causes dry mucous membranes and sore throat, especially in the morning. Problems may arise during physical exertion and in general, in everyday life. The breathing problem is exacerbated when the patient is sleeping. Other complications of nasal plastics may be scars, adhesions, perforation of the septum, narrowing of the nasal passages, a cyst or granuloma. Complications include aesthetic defects and imperfections. For example, the patient may underestimate self-esteem. We must perform the operation as perfectly as possible with respect to beauty and aesthetics.
What are the risks of rhinoplasty surgery
Anatomical zones of the nose are dangerous: the inner and outer walls, as well as the respiratory tract. When correcting the nasal area, special care must be taken, since the terminal branches of the arteries pass there.
During the operation itself and immediately after it is necessary to remember the following risks:
- excessive bleeding;
- skin break;
- destruction of the bone pyramid;
- anaphylaxis;
- sepsis or toxic shock syndrome;
- seam divergence;
- persistent edema;
- violation of smell;
- necrosis of the skin or part of the bone.
According to statistics, complications associated with skin and soft tissues occur in 10% of cases. On average, severe systemic or life-threatening consequences occur no more than 5% of operations.
What are the main rhinoplasty techniques
The complexity of the surgical procedure depends directly on the individual characteristics of the patient and the chosen technique. Distinguish between open and closed rhinoplasty. The open method implies a cut on the columella.
Closed rhinoplasty completely eliminates the presence of external incisions - the operation is performed through small incisions on the side of the mucous membrane, after which there are absolutely no visible scars and scars. After a closed rhinoplasty, bruises and swelling begin to disappear within two weeks.
What do you think about fillers and fatgrafting in rhinoplasty
For some patients it works: fillers or fat, but not in every case. All individually and in some cases it works. Fillers have their own term, and as for fat, if it is used correctly, the effect lasts much longer. Lipographing is a operation today and in some situations is fully justified.
But he also has a limited time in the nose area Perhaps in other areas lipographing works better than in the nose area. We can not fix serious deformations and defects only by fillers and fat.
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