Complications of rhinoplasty

Overview

Every rhinoplasty carries risks, from bleeding and infection to shape and breathing problems. The authors summarize the common complications, the anatomic knowledge and planning that reduce them, and the techniques to fix them when they occur.

Sections of note

• Review article; no complication rates or patient data appear in the abstract.
• A comprehensive understanding of nasal anatomy and the effects of each maneuver is presented as the basis for avoiding complications.
• Preoperative evaluation: meticulous history, physical examination and standardized photographic documentation.
• Photographs are used to record asymmetries that exist before surgery.
• Counseling must cover realistic postoperative expectations and all risks, benefits and alternatives.
• Any complication should be openly discussed with the patient.

What it means for a patient

• Before surgery, expect a detailed examination, standard photographs and a frank talk about risks and what the result can and cannot be.
• Asymmetries present beforehand are documented because they may persist afterward.
• If something goes wrong, the standard is that the surgeon tells you and discusses correction.

Why this paper matters

The article is a compact reference in a Facial Plastic Surgery Clinics issue and states the professional norms for prevention and disclosure. It does not quantify how often each complication occurs.

Terms

• Complication: an unintended problem arising from surgery.
• Standardized photographic documentation: photographs taken in fixed views and lighting before and after surgery.
• Preexisting asymmetry: a difference between the two sides of the nose or face present before the operation.
• Preoperative counseling: the discussion of risks, benefits, alternatives and expectations before surgery.
• Corrective technique: a surgical method used to fix a complication.