Contraindications to rhinoplasty

There are some important contraindications to this surgery, which will be identified during the preoperative assessment: A history of phlebitis or pulmonary embolism may constitute formal contraindications to this operation; Smoking increases the risk of skin necrosis, which can delay wound healing and delay healing. It is therefore recommended to stop smoking one month before the operation and as much after…

Is Thick Nasal Skin A Contraindication For Rhinoplasty ?

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Risks associated with rhinoplasty

The use of a surgeon qualified for this type of intervention, registered with the council of the order of doctors and exercising in a truly surgical context, makes it possible to limit complications, and if necessary, to ensure effective and personalized follow-up.

If the evolution is usually satisfactory, the plastic surgeon must inform his patient(s) of all the complications, even the most exceptional ones. The risks associated with anesthesia will be mentioned by the anesthesiologist: thromboembolic accident (phlebitis, embolism).

Possible complications of rhinoplasty

Complications and post-operative risks are rare today. The preoperative examinations and consultations with the plastic surgeon and the anesthesiologist aim to eliminate as much as possible any risk and any complication. Nevertheless, the patient must always be informed of the possible complications: bleeding (possibly in the first hours but which generally remains moderate), hematomas (if they are too large, they may require evacuation), infection (very rare , it may justify treatment), unsightly scars (very rare and only concern visible scars, therefore already limited cases), skin damage (exceptional, skin necrosis can leave visible marks. They are favored by smoking), small residual asperity which may require remote reoperation.

Benefits of rhinoplasty

The patient should not be worried at the time of the removal of the external dressing, because a few months are necessary for the desired modifications to be definitive. In profile, the nose can go up again, then go down in the weeks that follow. The apparent enlargement of the nose, due to the edema present in the bone sector and in the cartilaginous sector, takes longer to resolve:

• After 3 months, we have a good overview of the result;
• After 6 months the final appearance of the nose is obtained with, in particular, the thinning of the tip of the nose. The suppleness of the tip of the nose returns even later;
• The final evaluation of the nose is done at 1 year.

Imperfections of results

Imperfections in results are rare or result from a misunderstanding of the objectives to be achieved or from the exceptional occurrence of scarring or unexpected tissue reactions. If these imperfections are poorly tolerated, they can be corrected by surgical retouching (simpler than the initial surgery), which however cannot take place for several months.

Contraindications to rhinoplasty

There are some important contraindications to this surgery, which will be identified during the preoperative assessment:

• A history of phlebitis or pulmonary embolism may constitute formal contraindications to this operation;
• Smoking increases the risk of skin necrosis, which can delay wound healing and delay healing. It is therefore recommended to stop smoking one month before the operation and as much after;
• Taking hormonal contraceptives increases the risk of phlebitis. In the event of other risk factors (obesity, poor venous condition, coagulation disorders), it may be requested to stop it one month before the operation;
• Taking aspirin or its derivatives is contraindicated in the week preceding the operation.

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