Prevention and Management of Rhinoplasty Complications

Abstract

Meticulous attention to detail in the operating room and in the postoperative period is paramount to achieving success in rhinoplasty. Nevertheless, both complications and suboptimal results do occur, even for experienced surgeons.

Endoscopic Sphenopalatine Artery Ligation in Posterior Epistaxis: Retrospective Analysis of 30 Patients

“…Most of the epistaxis after rhinoplasty are treated with conservative therapies such as topical vasoconstrictor sprays and anterior nasal packing application. However, nosebleeds that do not stop with these methods and require additional initiatives, such as TESPAL application and arterial embolization, can be seen (26). In our study, the bleeding that could not be stopped with anterior nasal packing after rhinoplasty was controlled successfully with TESPAL in one (3.3%) patient.…”

Frequency of acne vulgaris and its exacerbation in facial and periorbital area after septorhinoplasty

“…Cochran and Landecker in their review article in 2008 mentioned some of the cutaneous complications of rhinoplasty such as nasal cysts, contact dermatitis and skin necrosis (4). In our experience we had faced few complications in nasal and periorbital skin such as eyebrow loss, internal nasal scars and a kind of feeling about their presence by the patient, periorbital hyperpigmentation etc.…”

“…According to the American Society of Aesthetic Plastic Surgery, rhinoplasty was among top five common aesthetic surgical procedures in the United States and it was the most frequently performed surgical procedure for teenagers in 2009 (2). However, similar to all surgical procedures, complications may occur after rhinoplasty, the rate for major or noticeable complications is reported to be 8 –15% that may be classified as hemorrhagic, infectious, traumatic, functional, and esthetic (3,4). While majority of these do not pose as a life-threatening condition, the rarely, major complications that would threaten life such as rhinorrhea, pneumothorax, and subarachnoid hemorrhage are encountered (5-10).…”

A Prospective Study of Non-Surgical Primary Rhinoplasty Using a Polymethylmethacrylate Injectable Implant

“…Surgical rhinoplasty remains one of the most popular facial aesthetic procedures, with more than 100,000 performed annually in the United States . However, surgical rhinoplasty is not without risk, expense, and significant recovery time . Increasingly, patients who are concerned about risk or cannot afford the price or recovery time are seeking alternatives to surgery as they pursue aesthetic improvement…”

“…1 However, surgical rhinoplasty is not without risk, expense, and significant recovery time. 2 Increasingly, patients who are concerned about risk or cannot afford the price or recovery time are seeking alternatives to surgery as they pursue aesthetic improvement. 3 Dermal filling agents have been available in the United States since the 1980s.…”