RHINOPLASTY:

You may be considering a Rhinoplasty soon, and you have a lot of questions and expectation, it is useful to read about the analysis of the Rhinoplasty and the possible complication to adjust your knowledge and expectation accordingly, and to choose what is right for you.

 Summary of Rhinoplasty Assessment:

Nose is not a flying organ, it belongs to the face of a particular patient,therefore when we are considering rhinoplasty, we do three types of analysis to guarantee a successful result:

• Patient analysis: We need to know and assess clearly what the patient wants?. Is it realistic?
• Facial analysis: Consideration of the symmetry of the face and the rule of thirds.
• Nasal analysis: External nose, skin, deviations, nasal lengths, nasal tip projection, tips relationships, domes, lateral view, nasal tip configuration, tip rotation, columellar show.
  • Inspection the internal septum, lateral nasal walls from the inside, internal nasal valve, and external nasal valve.
  • Palpating of  skin regularities, nasal bones, tip recoil, other cartilage, spine, and septum.
  • performing clinical photographs: anterior, lateral (left and right), oblique, and basal views.
  • Detailed discussion of the surgical plan.

 Why do you want to do rhinoplasty?

• Cosmetic issues: Reshape the nose.
• Functional issues: Correction of nasal septum deviation, nasal valve, and lift drop nasal tip.
• Reconstruction issues after trauma, burns, and excision of tumors and lesion.

 What are the complications?

• Nasal obstruction because of oedema and use of dissolvable packs can occur. Symptoms generally settle within two weeks and patients are advised they will need to breathe through their mouths during this period.
• Serosanguinous nasal discharge usually settles within 72 hours of surgery. Patients should refrain from work and heavy lifting for a week, and elevate their head when resting during the first 24 to 48 hours.
• Epistaxis – can be controlled by minor cauterisation or nasal pack.
• Septal haematoma (blood collection ) – need aspiration or drainage.
• Infection – can be controlled by antibiotics.
• Cerebrospinal fluid leak – very rare.
• Adhesions – can be avoided by good post-operative care.
• Septal perforation – very rare.
• Saddle nose deformity.
• mostly dissatisfaction of the patient, under or over correction.

Wish you the best with your Rhinoplasty. if you have any further inquiry, please call us if you need any help.