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 rhinoplasty is a procedure that combines art and science. Each specific case needs a thorough assessment of the defect, the selection of a suitable execution method, a specific algorithm of actions and, of course, a refined execution technique.
Rhinoplasty results
Every person who decides to carry out such an operation is primarily interested in its effect. In almost every review of the results, there are some photos from which you can understand what to expect from rhinoplasty. The consequences and results of such an intervention, provided that it is carried out in a reliable clinic, in most cases, are 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 by the characteristics of the body.
After traditional rhinoplasty, the result will not be visible immediately due tothe presence of hematomas and swelling. Only after a period of rehabilitation can changes be considered. 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 lasts for 6-9 months. After this time, the patient again needs a filler session.
Reviews about the rehabilitation period
Recovery after rhinoplasty is one of the most difficult and undesirable stages for every patient. Many negative user reviews are devoted to this particular period, which is one of 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 long.
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 six months or even a year. During this time, many patients complain of intermittent pain and swelling.
In addition, everyone who decides on rhinoplasty should take into account that rehabilitation after the procedure also implies some limitations. Yes, patientsit is forbidden to wear glasses, sleep on your stomach, lift heavy objects, bend over, visit solariums, saunas and swimming pools. And in the first few weeks, washing and using any cosmetics are also prohibited.
But it is worth saying that the result of rhinoplasty, subject to all the doctor's instructions, is usually positive. Approximately 80% of all online reviews are proof of this.
What are the consequences of rhinoplasty
As you know, any surgical intervention can lead to 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 making a decision about it.
Doctors conditionally divide the complications of rhinoplasty into several categories:
- appearing directly during the procedure;
- occurring immediately after the intervention;
- fast;
- deferred.
According to statistics, the number of negative consequences of rhinoplasty of the nose reaches about 15-19%. True, for each specific specialist, this indicator gradually decreases with the accumulation of experience and skills. Complications concerning soft tissues and skin are observed in approximately 10% of all cases. As for severe, life-threatening consequences, they appear after 1.5-5% of operations. It is extremely rare for doctors to experience intracranial problems after this procedure.
From a clinical point of view, negativethe consequences after rhinoplasty of the nose are divided into:
- infectious;
- psychological;
- functional;
- specific;
- aesthetic.
Complications during surgery
- Heavy bleeding. This consequence of rhinoplasty is most often explained by an acquired or congenital form of coagulopathy. True, this factor should ideally be detected even before the procedure. If severe bleeding occurs, urgent hematologist intervention is necessary. Usually, the acquired form of coagulopathy is caused by the use of medications, most often a simple aspirin. It should be canceled 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 the clotted blood is instantly absorbed. Diagnosis of this condition requires studies of fibrinogen and its breakdown products in the bloodstream. As for stopping abnormal bleeding, tranexamic acid and norleucine are used for this. In addition, heavy bleeding can be caused by blood stasis - this phenomenon significantly complicates the surgeon's work. This happens about 0.4-1% of the time.
- Injuries to the muco-cartilaginous areas. The attentiveness and patience of the surgeon can usually prevent the development of such a consequence of rhinoplasty. But even under these conditions, such damage can occur if the nosehad previously been tampered with or injured. Unilateral site ruptures usually heal on their own, but bilateral lesions can lead to perforation of the septum and other complications. Such injuries are eliminated immediately during the operation. But improper closure of the gap in the future can provoke the formation of adhesions and the development of nasal obstruction. Such consequences of rhinoplasty require repeated intervention by the surgeon.
- Skin damage. Tears and burns happen only through the fault of the surgeon due to his inattention. Both can result in scarring.
- The destruction of the bone pyramid. This phenomenon occurs most often when the bone tubercle is eliminated with the help of an osteotome. There is only one way out of the situation - filing with a rasp.
- Exarticulation of the upper cartilage. Usually, it occurs due to inaccurate sawing with a rasp. Such a violation can lead to the occurrence of 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 be revealed 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 spasm of the larynx. In such situationthe patient requires ventilation, reintubation and drugs to 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 anaphylactic shock due to the use of tampons soaked in bacitracin and latex.
- Lower visual acuity. After injections of anesthetics and vasoconstrictor drugs, permanent or temporary visual impairment is likely. This is possible due to vasospasm and thromboembolism, which provokes ocular ischemia.
Immediate 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 found with the help of vasoconstrictor drugs. Sometimes doctors resort to cauterization of a torn vessel.
- Hematoma of the septum. Daily suction will be required to clear the passage of blood. Some surgeons advise to perform an incision and install a draining device. Antibiotics may be used to prevent the development of an abscess in the area of the septum.
- Infections. Such a consequence of rhinoplasty occurs in only 2% of all operations. The pathological process is eliminated with antibiotics or drainage.
- The divergence of the seams. Such a phenomenon may even go unnoticed. Adhesions may appear, but they also heal.
- Persistent puffiness. Consequences of rhinoplasty often include periorbital bruising and initial swelling, whichstay 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 injections are made in the process. Persistent swelling and numbness of the tip of the nose are a common consequence of non-surgical rhinoplasty. Such problems may persist for up to two months.
- Contact dermatitis. This problem is faced by people with high sensitivity. This is how their body reacts to the bandage applied. Therapy involves taking antihistamines and hormonal drugs.
- Psychological consequences of rhinoplasty. Patients often experience brief bouts of depression or anxiety that can last up to two months.
Delayed complications
- Hypertrophic scars. They can spoil the effect of any, even brilliantly performed rhinoplasty. You can correct the situation with the help of hormonal injections. If drug therapy remains unsuccessful, the patient is prescribed dermabrasion, laser therapy or surgery.
- Formation of adhesions. This problem occurs due to the contact of hard surfaces. Stenting is used to prevent, and endoscopic incision is used to eliminate.
- Deformation of the nose in the form of a beak. Many patients face this consequence of rhinoplasty years after surgery. The reasons may besuch factors: incorrect correction of the cartilaginous back or septum, accumulation of excess tissue during the formation of a scar. Correcting the situation allows cutting off soft tissues or reducing the septum.
- Narrowing of the nasal passages. This is a rather serious consequence of an unsuccessful rhinoplasty, which is associated with cutting off too much tissue inside the nostril. Such a problem entails difficulty breathing and the presence of constant discomfort. You can get rid of it with the help of reconstructive surgery.
- Perforation of the septum. Approximately 20-24% of patients face such a complication. Usually, the problem is corrected by surgical closure or placement of baffle buttons.
- Aesthetic dissatisfaction. Insufficient or, on the contrary, excessive correction of a defect leads either to its preservation or to the formation of a new imperfection. In this case, functional deviations may also develop. This situation is faced by 10-15% of patients. There is only one way out - repeated plastic surgery, but it can be carried out not earlier than in a year.
Consequences of non-surgical rhinoplasty
Despite the many advantages of cosmetic surgery, 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 occur due to incorrect administration.drug. Gradually, the lumps shift and change the existing shape of the nose.
- Infection. This risk is also present in the case of cosmetic plastic surgery. As a result, the infection can provoke the appearance of chronic pathologies.
- Stability 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 plastic surgery, this cannot be done, since the gel used has a lasting effect and begins to split only after a few months.
Causes of complications
There are several factors that contribute to the negative consequences of rhinoplasty. Of course, the main among them is the inattention of the surgeon and his inexperience. It should be understood 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 irresponsible attitude of the patient to his he alth during the rehabilitation period. Even 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 body's response to surgical intervention. This factor sometimes leads to unpredictable and unexpected side effects.effects.
How to prevent complications
Now you know what are the consequences of rhinoplasty. But if you still decide to carry out a correction, you should also 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 are planning to do rhinoplasty:
- a few months before the operation, you should stop smoking - nicotine negatively affects the natural regeneration processes and contributes to slow recovery;
- before and after the intervention, it is necessary to refrain from taking aspirin - it worsens blood clotting and provokes the development of severe bleeding;
- during the rehabilitation period, it is strictly forbidden to be subjected to physical exertion and slopes;
- Sleep on your back only;
- women should not plan to conceive in the next six months;
- do not visit swimming pools, saunas, solariums and beaches - the bandage must always be clean and dry;
- for a month it is forbidden to blow your nose and wear glasses;
- it is worth refraining from taking too cold and hot food and liquids during the first month after the intervention;
- 1-2 weeks after rhinoplasty, do not remove the fixation bandage.
