What are the consequences of rhinoplasty?

Rhinoplasty is deservedly considered one of the most complex surgical operations performed on the face. Other interventions can be difficult due to anatomy, require too much strength, last until the doctor is completely exhausted, but nose surgery is a procedure that combines art and science. Each particular case requires a thorough assessment of the defect, the selection of a suitable method of execution, a certain algorithm of actions, and, of course, a refined execution technique.

Results of nose surgery

Each person who decides to conduct such an operation is primarily interested in its effect. In almost every review of the results, there are some photos by which you can understand what to expect from rhinoplasty. The consequences and results of such an intervention, provided that they are carried out in a reliable clinic, are in most cases aesthetic and natural looking. However, in fact, the severity of the effect is determined not only by the skills of the doctor, but also by the size of the defect itself, as well as the characteristics of the body.

After traditional rhinoplasty, the result will not be immediately visible due to the presence of hematomas and swelling. Only after a period of rehabilitation will it be possible to consider the changes. The result of such an intervention remains unchanged for life, which, in fact, is its main advantage.

But the effect of non-surgical rhinoplasty can be assessed almost immediately after the procedure, but it is not long-term. Ideally, the result will remain pronounced for two years, but on average it persists for 6–9 months. After this time, the patient again needs a filler injection session.

Rehabilitation period reviews

Recovery after rhinoplasty is one of the most difficult and undesirable stages for each patient. Many negative user reviews are devoted to this particular period, which refers to the main disadvantages of the traditional method of intervention. First of all, this is due to severe swelling and hematomas, which flaunt on the face for a long time. In addition, rehabilitation after rhinoplasty is lengthy.

According to reviews, the recovery period takes at least 3 weeks. True, this is only the time during which bruises and swelling disappear from the face. But a full recovery may take even six months or even a year. During this time, many patients complain of intermittent pain and swelling.

In addition, anyone who has decided on rhinoplasty should take into account that rehabilitation after the procedure also implies some limitations. So, patients are forbidden to wear glasses, sleep on their stomach, lift heavy objects, bend over, and visit tanning salons, saunas and swimming pools. And in the first few weeks, bans also include washing and the use of any cosmetics.

But it is worth saying that the result of rhinoplasty, provided that all the doctor's instructions are followed, usually turns out to be positive. Approximately 80% of all reviews on the network are proof of this.

What are the consequences of rhinoplasty?

As you know, any surgical intervention can lead to the appearance of various complications, because only the surgeon who does not perform operations is not mistaken. The likely consequences after rhinoplasty should be known to every person who decides to conduct it.

Doctors conditionally divide the complications of nose surgery into several categories:

• appearing directly during the procedure;
• arising immediately after the intervention;
• ambulances;
• deferred.

According to statistics, the number of negative consequences of nose rhinoplasty reaches about 15-19%. True, for each specific specialist, this indicator gradually decreases with the accumulation of experience and skills. Complications involving soft tissues and skin are observed in approximately 10% of all cases. As for the serious consequences that threaten health or life, they appear after 1.5-5% of operations. Very rarely, doctors encounter intracranial problems after this procedure.

From a clinical point of view, the negative consequences after rhinoplasty of the nose are divided into:

• infectious;
• psychological;
• functional;
• specific;
• aesthetic.

Complications during surgery

• Severe bleeding. This consequence of rhinoplasty is most often due to an acquired or congenital form of coagulopathy. True, this factor should ideally be detected before the procedure. If severe bleeding occurs, urgent intervention by a hematologist is necessary. Usually, an acquired form of coagulopathy is caused by the use of medications, most often simple aspirin. It should be abandoned at least two weeks before the planned rhinoplasty. Often the cause of severe bleeding is fibrinolysis. It is explained by pathological stimulation of the fibrinolytic system, as a result of which coagulated blood instantly resolves. To diagnose this condition, studies of fibrinogen and its breakdown products in the bloodstream are required. As for stopping abnormal bleeding, tranexamic acid and norleucine are used for this. In addition, severe bleeding can be caused by stagnation of blood - this phenomenon significantly complicates the activities of the surgeon. This happens in about 0.4-1% of cases.
• Damage to the mucous and cartilaginous areas. The attentiveness and patience of the surgeon usually helps prevent the development of a similar consequence of rhinoplasty. But even if these conditions are met, such injuries can happen if the nose has previously been subjected to interventions or injuries. Unilateral rupture of the sites, as a rule, heal independently, but bilateral damage can lead to perforation of the septum and other complications. Such injuries are eliminated immediately during the operation. But incorrect closure of the gap in the future can provoke the formation of adhesions and the development of obstruction of the nose. Such consequences of rhinoplasty require repeated intervention by the surgeon.
• Skin damage. Tears and burns occur only through the fault of the surgeon due to his carelessness. Both that and another as a result can lead to emergence of scars.
• The destruction of the bone pyramid. This phenomenon occurs most often with the removal of a bone tubercle using an osteotome. There is only one way out of the situation - sawing with a rasp.
• Exarticulation of the superior cartilage. Usually, it occurs due to inaccurate sawing with a rasp. Such a violation can lead to asymmetry. You can get rid of this effect of rhinoplasty by applying pieces of tissue.

• Perinasal damage. The risk of recurrence of old fractures is high with osteotomy, especially if the nose has already been injured. A doctor’s mistake can come to light immediately or manifest itself as a subsequent infection.

Complications immediately after surgery

• Difficulty breathing. This is one of the most common consequences of rhinoplasty. Suction of blood after extubation can provoke a spasm of the larynx. In such a situation, the patient requires ventilation, reintubation and drugs that promote muscle relaxation.
• Anaphylaxis. The risk of this complication is significantly increased due to the use of antibiotics during the intervention. So, there are many cases of the development of anaphylactic shock due to the use of tampons soaked in bacitracin and latex.
• Decrease in visual acuity. After injections of anesthetics and vasoconstrictors, a permanent or temporary visual impairment is likely. This is possible due to vasospasm and thromboembolism, which provokes ocular ischemia.

Imminent complications

• Bleeding. Such a consequence after rhinoplasty of the nose is extremely rare, in only 2-3% of all cases. Usually, the source of the problem is detected with vasoconstrictor drugs. Sometimes doctors resort to cauterization of a broken vessel.
• Hematoma septum. Daily suction will be required to clear the passage of blood. Some surgeons recommend cutting and installing a drainage device. Antibiotics can be used to prevent the development of an abscess in the septum zone.
• Infections Such a consequence of rhinoplasty occurs in only 2% of all operations. The pathological process is eliminated with the help of antibiotics or drainage.
• Divergence of seams. Such a phenomenon may even go unnoticed. Spikes may appear, but they also heal.
• Steady puffiness. The consequences of rhinoplasty often include periorbital bruising and initial swelling, which remain for two weeks. In general, the severity of these symptoms depends on many factors: the tools and devices used, the duration of the operation, and the characteristics of the body. To avoid excessive swelling immediately after the procedure, a bandage is applied to the patient’s nose, and dexamethasone is injected in the process. Persistent swelling and numbness of the tip of the nose are a frequent consequence of non-surgical rhinoplasty. Such problems can persist for up to two months.
• Contact dermatitis. This problem is faced by people with high sensitivity. That is how their body reacts to the bandage applied. Therapy involves taking antihistamines and hormones.
• The psychological consequences of rhinoplasty. Often, patients experience short-term bouts of depression or anxiety, which can last up to two months.

Delayed Complications

• Hypertrophic scars. They are able to spoil the effect of any, even brilliantly performed rhinoplasty. Correct the situation with hormonal injections. If drug therapy is unsuccessful, the patient is prescribed dermabrasion, laser therapy or surgery.
• The formation of adhesions. Such a problem appears due to the contact of hard surfaces. Stenting is used to prevent, and endoscopic dissection is used to eliminate.
• Deformation of the nose in the form of a beak. Many patients experience this consequence of rhinoplasty years after surgery. The reasons may be such factors: incorrect correction of the cartilaginous back or septum, the accumulation of excess tissue during scar formation. To correct the situation allows cutting off the soft tissues or reducing the septum.

• Narrowing of the nasal passages. This is a rather serious consequence of unsuccessful rhinoplasty, which is associated with cutting off too many tissues inside the nostrils. Such a problem entails difficulty in breathing and the presence of constant discomfort. You can get rid of it with the help of reconstructive surgery.
• Perforation of the septum. About 20-24% of patients experience this complication. Usually, the problem is resolved by surgical closure or installation of septum buttons.
• Aesthetic dissatisfaction. Inadequate or, conversely, excessive correction of a defect leads either to its preservation or to the formation of a new imperfection. In this case, functional abnormalities may develop. This situation is faced by 10-15% of patients. There is only one way out - repeated plastic surgery, but it can be performed no earlier than in a year.

The consequences of non-surgical nose rhinoplasty

Despite the many advantages of cosmetic plastic, it also has disadvantages. Everyone who wants to correct their nose with this procedure should be aware of the likely consequences of non-surgical rhinoplasty.

• The appearance of gel lumps. They arise due to improper administration of the drug. Gradually, the lumps move and change the existing shape of the nose.
• Infection. This risk is also present in the case of cosmetic plastics. As a result, infection can trigger the appearance of chronic pathologies.
• Sustainability of action. Of course, if a person is faced with such negative consequences of rhinoplasty (photos of some victims of the procedure really cannot but cause a shudder), he wants to correct the situation as soon as possible. But after cosmetic surgery, this is impossible to do, because the gel used has a persistent effect and begins to split only after a few months.

Causes of complications

There are several factors that contribute to the negative effects of rhinoplasty. Of course, the main among them is the carelessness of the surgeon and his inexperience. It is worthwhile to understand that only a qualified doctor can correctly select the appropriate correction technique and perform it well.

But the second, no less common factor is the patient's irresponsible attitude to his health during the rehabilitation period. At an early stage of recovery, patients are recommended a set of preventive measures to prevent all sorts of complications.

In addition, the negative consequences of rhinoplasty can be explained by the individual characteristics of a person and the reaction of the body to surgery. This factor sometimes leads to unpredictable and unexpected side effects.

How to prevent complications

Now you know what the consequences of rhinoplasty are. But if you still decide to carry out a correction, you should learn about ways to prevent them. Of course, the result of rhinoplasty for the most part depends on the surgeon and the characteristics of your body, but you can influence some factors.

So, a few recommendations for those who plan to do rhinoplasty:

• several months before the operation, you should stop smoking - nicotine negatively affects the natural processes of regeneration and promotes delayed recovery;
• before and after the intervention, it is necessary to refrain from taking aspirin - it worsens blood coagulability and provokes the development of severe bleeding;
• during the rehabilitation period it is strictly forbidden to undergo physical exertion and incline;
• you only need to sleep on your back;
• women in the next six months should not plan to conceive;
• You can not visit the pools, saunas, tanning salons and beaches - the bandage should always be clean and dry;
• it is forbidden to blow your nose and put on glasses for a month;
• it is worth refraining from taking too cold and hot food and liquid during the first month after the intervention;
• 1-2 weeks after rhinoplasty, you can not remove the retaining bandage.