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Possible complications
rhinoplasty aesthetic reasons, it is nonetheless a genuine surgical procedure, which implies the risks associated with any medical act, however minor.
It is necessary to distinguish between complications related to anesthesia and those related to the surgical procedure; this is yet another difference from dissatisfaction.
Regarding anesthesia , during the consultation, the anesthesiologist will personally inform the patient of the anesthetic risks. It's important to understand that anesthesia induces reactions in the body that are sometimes unpredictable and more or less easy to manage. However, by using a highly competent anesthesiologist working in a proper surgical setting within a recognized and well-equipped healthcare facility (recovery room, intensive care unit), the risks involved have become statistically almost negligible.
It is important to know that techniques, anesthetic products and monitoring methods have made immense progress in the last 20 years, offering optimal safety, especially when the procedure is performed outside of an emergency and on a healthy person.
Regarding the surgical procedure: by choosing a surgeon trained in this type of intervention, you minimize these risks, but do not eliminate them completely.
Fortunately, serious complications are rare following a rhinoplasty performed correctly. In practice, the vast majority of procedures go smoothly, and patients are fully satisfied with their results.
However, despite their rarity, you should still be aware of the possible complications:
Bleeding : This is possible in the first few hours but is usually very mild. If it is excessive, it may require further packing or even a return to the operating room.
Hematomas : These may require drainage if they are large or very painful.
Infection : Despite the natural presence of bacteria in the nasal passages, infection is very rare.
If it does occur, prompt and appropriate treatment is necessary.
Unsightly scarring : This only affects external scars (when present) and is very rarely so unsightly as to require further surgery.
Skin damage : Although rare, it is always possible, often due to the nasal splint. Simple cuts or erosions heal spontaneously without leaving any marks, unlike skin necrosis, which is fortunately exceptional and often leaves a small scar.
Septal perforations , in cases of nasal mucosal damage, can lead to wheezing and the formation of repeated scabs.
Olfactory disorders : these are most often transient, they have exceptionally been described as permanent.
In conclusion, we should not overestimate the risks, but simply be aware that a surgical procedure, even one that appears simple, always involves a small element of chance.
Imperfect results
These imperfections can result from a misunderstanding regarding the objectives or arise from unusual scarring or unexpected tissue reactions, such as poor spontaneous skin retraction or contracture fibrosis. If these minor imperfections are poorly tolerated, they can potentially be corrected with a surgical touch-up, which is generally much simpler than the initial procedure, both technically and in terms of postoperative recovery. However, such a touch-up cannot be performed for several months beforehand to allow the tissues to stabilize and achieve proper scar maturation.
