Rhinoplasty involves reshaping the cartilage, bone and soft tissues of the nose. This may be to address cosmetic concerns or for reconstructive purposes.
The following information sheet has been created by Mr White as a general guide to assist his patients and is intended to provide a broad overview of the important considerations related to the decision to have rhinoplasty surgery.
Rhinoplasty Surgery - Patient Information
The specific nature of the surgery will vary between individuals and is dependent on the unique circumstances of each person. Patients are encouraged to further discuss this information along with any specific questions or concerns with Mr White during their consultation.
Both functional and cosmetic reasons may be naturally occurring or as a result of trauma. Often there is a combination of several of these aspects to consider.
Mr White will see you in hospital after your surgery and/or prior to your discharge from hospital.
Post operative visits with Mr White:
Anaesthetic - In otherwise well people, general anaesthesia is very safe with modern techniques. Mr White’s rooms will give you the details of your anaesthetist prior to surgery to discuss any specific concerns.
Bleeding/Haematoma – This may need a return to the operating theatre. This can impact on wound healing or skin survival. Infection in the wound – If this does occur, it is usually cleared up with antibiotic tablets. Wound infection is rare in nasal surgery.
DVT/PE (Deep venous thrombosis/pulmonary embolus) - Blood clots that are potentially very serious and even life threatening which can form in the legs and travel to the lungs. Multiple strategies are employed to minimise the risk of these occurring.
Scars - Typically are at their thickest and reddest at 6-10 weeks after surgery. Scars continue to mature and improve for up to 18 months after surgery. Scar management advice will be discussed in your follow up visit with Mr White to assist in achieving the goal of a thin, barely noticeable scar. Note: the external scar is located on the columella (area between the two nostrils).
Asymmetry - The scars may be slightly different on your right compared to left side or the result can slightly differ between the two sides. Wound separation/delayed healing - This is much more common in smokers or if there is an infection. Final results take 12-18 months to arrive at. There is a degree of swelling that doesn’t settle for this period of time. Often there are palpable lumps that can be felt even at the final stage but the important aspect is the look and functional aspects rather than what you can feel.
Rhinorrheoa - Ongoing clear fluid running from the nose.
Numbness can be present for several months on the skin of the nose.
Septal perforation - a hole in the septum that can lead to crusting, whistling or nasal collapse Cartilage warping - over time even excellent results can sometimes be lost if the cartilage warps (bends). Revisional surgery may be required in this setting.
All surgery is a balance between realistic surgical goals and knowledge of possible risks and complications. Risks are minimised by careful patient selection and planning, high standards of surgical training, meticulous surgical technique and vigilant post operative care. Small, less serious issues are common and every effort is made to resolve them quickly. These very rarely have any long-term effect on an excellent final result.
Suite 61, Level 6 Epworth Eastern Private Hospital 1 Arnold Street Box Hill VIC 3128
Tel: 03 9895 7631 Fax: 03 9895 7519Paging Service: 9387 1000Email: firstname.lastname@example.org
© 2010-2012 Melbourne Plastic Surgery Group - Mr Dean White, Plastic & Reconstructive Surgeon.
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