Rhinoplasty Specific Surgical Risks
NEED FOR FURTHER SURGERY: If asymmetry or an undesired contour is present after surgery, you may require an additional small surgical procedure to revise the appearance. This seems to occur more commonly in nasal procedures than in other cosmetic surgery operations because we cannot always predict how the nose will heal over time. If a second procedure seems necessary, we usually wish to wait at least 6 months from the time of the most recent procedure.
SWELLING: It takes 10-12 months for ALL swelling to disappear and for your final result to show.
DIFFICULTY BREATHING THROUGH THE NOSE: Nasal surgery causes swelling both inside and outside the nose. If your septum has been operated on, you will have plastic splints within the nostrils. Dr. Cherup or a nurse will usually remove the splints in 7-14 days.
SCARRING: Internal scarring or adhesions may occur, but are unlikely complications.
DECREASED SENSATION: Reduced sensation or numbness may occur (usually the nasal tip) following rhinoplasty. The problem usually (but not always) disappears with time.
NASAL OBSTRUCTION: Possible healing problems may occur which may result in the airways remaining blocked or obstructed causing difficulty in breathing.
INJURY TO ADJACENT STRUCTURES AND NASAL FUNCTION: Injury to nerves, tear ducts, muscles and sense of smell are very rare, but can potentially occur.
PERFORATED NASAL SEPTUM: A permanent hole (perforation) developing through the septum (divider between the two sides of the nose) is a remote possibility following rhinoplasty. Most small perforations are essentially asymptomatic. In rare cases, further surgical correction may be indicated. Very rarely, the septal perforation cannot be corrected.
TIP SWELLING: There may be persistent swelling in the nose especially around the tip that may be temporary, last several months or years, or may be permanent.
VOICE CHANGE: The patient may notice changes in the sound of their voice (uncommon).
Specific Post Operative Instructions
NASAL PACKING: we usually are able to avoid nasal packing after surgery. If you have bled slightly more than usual during your operation, or if there is some other reason, we may occasionally use packing. With packing in place, you will have to breathe through your mouth, and you will have somewhat more swelling than usual. We will usually remove such packing in 24-48 hours.
Specific As You Heal Information
NUMBNESS AND SWELLING: You may experience some degree of numbness of the tip of your nose for up to one year. You may have some swelling for 12-36 months, and the incision site inside the nose may remain swollen or feel firm for many months after surgery.
INCREASING SWELLING: Intermittent increases in swelling will occur for the first few weeks after surgery.
DRIPPING: You may want to carry some tissues with you for a few weeks after surgery, as your nose may "drip."
ACTIVITIES: Nasal surgery usually hurts very little. Many people feel quite "normal" within a day or two. If your work keeps you sedentary, you may return when you are able. Heavy exercise or straining can cause bleeding or swelling during the first 2-3 weeks. Please be careful!
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