Risks & Complications Of Secondary Rhinoplasty
It is possible to develop tiny red marks, "spots" or general redness post-op. This can be the result of blood vessels that may have burst under the skin's surface during the surgery, although this is extremely infrequent it can happen and the "spots" may not ever go away. Scarring is minimal if the incisions are made inside of the nose, however when an "open" technique is used, or if extreme narrowing of the nostrils is desired the scars made on the outside of the nose may be visible for am undetermined amount of time (Usually until maturation). Even when a highly skilled surgeon performs your surgery, sometimes your body may not heal "correctly" or have adverse reactions causing undesired results. If so it is quite possible that additional surgeries may be needed. Some patients will lose their sense of smell, temporarily. Your nose may be swollen and for up to a year - and in some patients over that period. In rare cases, the scar tissue may heal in a way that may cause a "whistling" sound to be heard when you breathe in and out.
As you know, rhinoplasty, in general, has the highest rate of revisions. This surgery is considered to be a type-changing surgery. It seems that some patients, especially mature patients, may not readily accept the new look. Being accustomed to their "old" nose they just can't seem to comfortably make the transition. Although there are a few rhinoplasties that just don't heal right, due to something as serious as human error (the doctor's) or as simple as not having your head elevated enough or sleeping on one side a lot without a proper cast. The nose can "pull" to one side if the cast does not support it properly in the first few weeks. Or quite simply, your body may just heal that way.
Although this next topic is controversial and unproven - it is speculated. One complaint that has been reported by many rhinoplasty patients is the appearance of "hollow eyes". This is where patients complain of a sunken look which is usually due to sub-Orbicularis oculi fat (SOOF) loss. This can happen due to age, genetics, trauma, elective surgery or lipodystrophy disorders. Just be sure to take a pre-operative (before) photo and compare it to an after photo a year later. Notice your eyes and note any changes, Of course realize if you are in your late twenties, SOOF loss is a common unfortunate occurrence.
Loose skin IS a problem however and can be apparent especially with significant refining. This should alleviate itself although it very well may not. Speak with your surgeon further on this to get a general idea of the percentage of cases where this remains permanent.
Depression is possible from the pain medications, anesthesia, antibiotics and even from constipation from the aforementioned variables. Please take this into account and be prepare mentally so that you may recover more easily or so that a loved one may know what to expect. This way they can be certain to prepare and to provide means for you to be "cheered up" or supported. Just remember that many patients go through this.
If anything you must remember that your rhinoplasty takes about 10 months to a year to fully refine although most of the swelling that others may notice will dissipate in a few months. Please be sure to choose your doctors wisely when it comes to rhinoplasty as secondary (revision) surgery is more difficult to perform due to scar tissue and less tissue to work with in general. In other words, it is easier to remove than to replace.
It is possible if you have a Rhinoplasty, Septoplasty or Turbinectomy that the Turbinate structure can be harmed and cause physical ailments as well. Be sure that your doctor advises of you of the risks and complications resulting from rhinoplasty and even though rare, Turbinate damage is possible causing a few of the below problems. Turbinate damage, especially of the medial or middle turbinate (like mine) can occur during the infracture (breaking of the nasal bones to make them thinner), from instruments or just plain 'bad luck'. This can also cause nonallergic rhinorrea (runny nose) for many months (which is normal anyway) but that persists after a year or even permanently.
You can also experience quite the opposite: nasal dryness and bleeding due to this dryness. Headaches can persist as well as depression but depression is unfortunately a common temporary affliction after surgery. There is just a difference in standard and expected depression as opposed to non-typical persistent, unexplained depression.
Causes of anesthesia-related death are usually linked to the respiratory system. These include insufficient intubation or proper ventilation which results in hypoxia:
But this was usually because the older monitors were not very good. Medical Science has progressed very much in that respect.
Complications are mostly related to General Gaseous-state anesthesia and may include:
Major organ systems
"- Pre-existing cardiac or pulmonary disease may require reduced dosage because sedative and analgesic medications tend to cause cardiovascular and respiratory depression.
and renal abnormalities may impair drug metabolism and excretion
resulting in longer duration of drug action." Adapted from the
American Society of Anesthesiologists
Smoking Tobacco & Illegal Substances
Physical Disorders or Attributes
Medication and Supplement Contraindications Regarding Anesthesia
There are some medications and supplements that you simply should not be consuming before and after going under anesthesia, although this may be a partial list please talk this over with your surgeon!
Special Medication Alerts
If you are on Anti-depressants, please advise your doctor. Some monoamine oxidase (MAO) inhibitors (also known as MAOI) intensify the effects of the anesthesia - especially General. This could be quite dangerous in the operating room if your doctor is unaware of your medication usage. If you advise your doctor he or she can make adjustments for your anesthesia or at least will watch for the slightest decrease in heart or breathing rate.
medications may include: Isocarboxazid, Marplan, phenelzine (Nardil,
It is reported
that drug interactions can occur even weeks after discontinued use of an
MAOI. Therefore, in patients undergoing General anesthesia, cessation of
usage is normally instructed several weeks prior to surgery to avoid
possible cardiovascular effects. Although, I know of several patients who
never were instructed to cease their medications and were perfectly fine.
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