Callus after rhinoplasty. Subcutaneous scars after rhinoplasty Lump on the bridge of the nose after rhinoplasty

Kira (34 years old, Nakhabino), 04/09/2018

Good afternoon Tell me, is it normal if after rhinoplasty I have a low temperature for several days? They didn't warn me about this at the hospital!

Hello! A slight increase in temperature after surgery is normal. Typically, in the first two to three days after surgery, the temperature remains at 37-37.5 degrees. The temperature should drop on the third day after rhinoplasty. If this does not happen, we advise you to contact the clinic where you were operated on.

Georgy (36 years old, Moscow), 03/21/2018

Hello! Please tell me, is it possible to return the nose to its previous shape after a bone fracture? Thank you!

Hello! Yes, rhinoplasty allows you to return the nose to the desired shape, but plastic surgeons do not work with bones. Rhinoplasty can only visually improve the shape of the nose, make it smaller or change the shape of the nostrils. ENT surgery will help change the bone.

Vigen (32 years old, Moscow), 03/18/2018

Tell me, how long does it take for the nose to heal after plastic surgery?

After surgery, bruising and swelling may occur, which may spread to the eyes or other parts of the face. Swelling goes away in 7-10 days. At this time, physical activity and exercise are not recommended. Immediately after the operation, bleeding (from the nose) may occur, but this is only a consequence of soft tissue trauma. Bandages, as well as splints, are removed 14 days after surgery, and tampons are removed during this period. Some patients experience severe pain when removing tampons, so pain medication is often used. Within a month, swelling of the mucous membrane can be observed, so breathing will be difficult. After the swelling goes away, breathing will resume. On average, the result after surgery can be assessed after 6 - 8 months. In rare cases, the result of the operation is assessed after 12 months.

Alevtina (24 years old, Moscow), 09.15.2016

Hello, Maxim Alexandrovich! I have a very small nose. Is there any way to increase it? Will this affect breathing?? Thanks for your answer, Alevtina.

Hello, Alevtina! Rhinoplasty can help solve your problem. We can enlarge your nose, maintaining its shape or changing it based on your desire. Come to us for a consultation and we will discuss the expected results of the operation. Rhinoplasty will not disrupt the respiratory processes, since the structure of the nasopharynx is taken into account during the operation.

Alexey (30 years old, Moscow), 09/13/2016

Hello, Maxim Alexandrovich! Is it possible to correct facial asymmetry (due to a strongly curved nose to the right) with rhinoplasty? Thanks for the answer, Alexey.

Hello, Alexey! In practice, rhinoplasty will help you regain symmetry, but an in-person consultation is necessary to get an accurate and clear answer to your question. You can make an appointment with us and we will conduct a full examination and discuss the likely outcome of your rhinoplasty. It is also important to understand whether the nose is crooked from birth or due to injury

Lyubov (35 years old, Moscow), 09/06/2016

Hello, Maxim Alexandrovich! My daughter has a very large nose and she suffers greatly because of it. Is it possible to have rhinoplasty at 15 years old? How will surgery be different at this age? Thanks in advance, Love.

Hello, Love! Unfortunately, rhinoplasty is performed only from the age of 18. The reason for this is the growing up and formation of the child’s body. The formation of the skeleton is completed, and this process must be completely completed before surgery occurs. Try working with a psychologist, and then come for a consultation when your daughter turns 18.

Evgenia (25 years old, Moscow), 09/01/2016

Hello, Maxim Alexandrovich! Is it possible to straighten a displaced septum and remove the hump at the same time? Problems arose after a broken nose. How long will rehabilitation last? Best regards, Evgenia.

Hello, Evgeniya! Yes, it is possible to carry out both operations at the same time. Only in rare cases are two stages prescribed, which are carried out at intervals of one month. The postoperative period takes about two weeks, during which time bruising and swelling should subside. Hospital stay usually takes no more than three days.

Olga (22 years old, Moscow), 08/30/2016

Hello, Maxim Alexandrovich! I heard that the result of rhinoplasty can be affected by the condition of the skin. This is true? If I have problem skin, should I not have rhinoplasty? Thank you in advance.

Hello! Yes, the condition of the skin is one of the factors that are taken into account before undergoing surgery. The fact is that poor skin condition can lead to unpredictable complications during the rehabilitation period. You can undergo treatment with a dermatologist, and after that make an appointment with us for a consultation, where we will discuss the advisability of surgery.

Hello, Galina! There are two types of rhinoplasty: open and closed. In the first case, a barely noticeable mark may remain on the septum, but with proper care they disappear after some time. In the second case, all manipulations are carried out without violating the integrity of the skin. Which type of rhinoplasty is appropriate in a particular case is decided only by a plastic surgeon after reviewing the tests and examination.

When planning to change something in your appearance, you should pay attention not only to the desired result, but also to the possible difficulties of the recovery period, as well as ways to avoid them.

Callus after rhinoplasty- these are growths on the outer and inner sides of the nasal skeleton caused by its damage during surgery. They appear if an osteotomy has been performed, and in some cases require additional treatment, including repeated surgery. Why do such formations arise and what is their function? Can they pass on their own? Are there reliable methods of prevention? The site studies the information and shares its findings:

How and why is callus formed?

It is normal for our nose to heal after damage, incl. surgical, occurs in several stages:

• Initially, a fibrocartilaginous skeleton grows on the injured area, the main task of which is to hold the broken bones in the most motionless position. This is a callus, and it appears both on the outside of the damaged area (periosteal) and on the inside (endosteal).
• The formation will increase in size until it ensures reliable fixation of bone fragments: the less mobile they are initially, the faster growth will stop. Externally, it may look like irregularities and bumps on the bridge of the nose, a sudden hump, asymmetry of the sinuses, etc. - depending on the exact area where the surgical injury occurred. In uncomplicated cases, this stage takes 2-4 weeks.
• The next step is the formation of the so-called. intermediary callus - it arises between adjacent parts of damaged bones and gradually grows them together, grows with blood vessels, thereby ensuring complete healing. This process is not visible from the outside; its progress can only be judged by X-ray data.
• After 6-8 weeks, the fusion ends, after which the periosteal and endosteal growths that have fulfilled their functions are significantly reduced, and in many cases, they resolve almost completely. There are no noticeable deformities of the nose, if any were present during the healing period.

Thus, the appearance of callus after rhinoplasty is absolutely normal and contributes to the proper healing of damaged areas. With good fixation of the fragments, the entire process takes no more than 2 months, leaves no visible marks and ends with the formation of full-fledged nasal structures that are resistant to external mechanical influences and fractures.

Problems arise if the periosteal growths grow too actively in size and become denser. This may happen for one of the following reasons:

• The cartilage and bones with which the work was carried out are poorly fixed and are in constant movement - for example, due to an incorrectly applied bandage.
• The patient’s violation of the surgeon’s recommendations in the early postoperative period: any external influences on the nose, attempts to scratch it under a cast, severe sneezing, active physical activity, etc. lead to displacement of bone fragments that have just begun to fuse and enlargement of the callus.
• Traumatic surgical technique. The more damaged the skeletal part of the nose was and the less gentle methods of its reconstruction were used, the higher the chances of complicated healing.
• Individual characteristics of the body. In some people, the tendency to increased growth of cartilage and fibrous tissue is genetically determined - similar to the tendency to form keloid scars.

Healing in such conditions takes much longer - up to six months or more; the periosteal formation often grows excessively large and massive, and does not decrease even after complete fusion of all bone structures, leading to visible changes in the shape and contours of the nose.

Is it possible to remove it and how to do it?

As a rule, patients begin to panic 1-2 months after surgery, when, firstly, the callus reaches its maximum size, and secondly, the main swelling goes away and you can begin to examine your new nose in all details. But if during routine examinations the surgeon does not see any “crime” (for example, excessive growth of bone tissue), then there is nothing to worry about. Any formations that form during the recovery period after a nose job may go away on their own—doctors recommend waiting 6 to 12 months before doing anything else.

However, sometimes already in the first weeks of rehabilitation it becomes obvious that the growth is growing too rapidly - an experienced doctor can easily diagnose this situation during a face-to-face appointment. In this case, it is better not to delay treatment in order to avoid further surgery. The first step is usually to prescribe one of the following drugs:

• Diprospan. It is used in the form of subcutaneous injections. The effectiveness of the product is associated with its ability to reduce the severity of inflammatory reactions, thereby preventing the formation of large periosteal growth.
• Kenalog. It is administered intramuscularly. Belongs to the group of corticosteroids. The main active component is triamcenolone acetonide, like Diprospan, it has an anti-inflammatory effect and softens connective tissue.
• Traumeel S. For this reason, a homeopathic remedy is used extremely rarely in surgical practice. It is used both externally as an ointment and internally (tablets, drops). The effectiveness has not been scientifically proven, but has been confirmed by clinical observations.

In addition, physiotherapy may be prescribed: ultrasound treatment of the problem area with the use of steroid ointment, etc. – such procedures also reduce the severity of inflammation and the size of the developing callus.

A follow-up examination is carried out ~1 year after surgery. By this time, any growths on the outside of the nose should have resolved. If defects remain, further treatment tactics are selected based on their size and impact on the aesthetic result of the operation:

• Small irregularities caused by the presence of periosteal formation can be corrected with the help of fillers (for more details, see the article “”). Injections provide a temporary result and the procedure must be repeated every 6-8 months - as a rule, this option is used as a temporary one, while awaiting surgery or if there are contraindications to it.
• The main way to remove old callus is repeated surgery, which involves mechanical removal of the growth. It is performed under general anesthesia, but is otherwise considered much easier and safer than primary rhinoplasty. The osteochondral skeleton of the nose is practically not injured, therefore the risk of relapse is reduced to zero.

Hypertrophy of fibrocartilaginous tissue after rhinoplasty can be prevented. Much depends on the surgeon - during the operation he must make careful, low-traumatic incisions, and then correctly align and fix the bone fragments, ensuring their complete immobility. Therefore, the choice of a specialist and his qualifications should be taken very seriously.

Also, the patient must strictly follow the rules of the postoperative period. There are few of them, but they are all important:

• in the first three days, keep to bed rest;
• in no case should you remove or loosen it yourself, climb under it with your hands or foreign objects to scratch yourself, etc.;
• for 7-14 days after surgery, minimize physical and emotional activity: do not go to the gym, take time off from work;
• in the first two weeks, clean your nose exclusively with cotton swabs or turundas - blowing your nose is strictly prohibited;
• do not expose your face to frequent and prolonged exposure to high temperature: bathhouse, beach, sauna, bathroom are prohibited for you for a month;
• protect the area of ​​the postoperative wound from hypothermia;
• If you wear glasses, replace them with contact lenses for at least 2-3 weeks.

When a person really wants to change his appearance for the better, he resorts to all sorts of methods. This includes rhinoplasty. But the problem is that after any surgical intervention it is possible. In rare cases it develops callus after rhinoplasty.

What is callus?

The human body, after any external intervention, compensates and creates a margin of safety. In the case of rhinoplasty, a callus develops in the place where the bone fibers were damaged. Excessive tissue growth occurs, which is why the nose after surgery may appear even larger than before. Approximately 12% of people who have undergone rhinoplasty are susceptible to this. Approximately 30% of them go under the knife again to eliminate any deficiencies that have arisen, including overgrown tissue.

RHINOPLASTY WITHOUT SURGERY

Plastic surgeon, Pavlov E.A.:

Hello, my name is Pavlov Evgeniy Anatolyevich, and I am a leading plastic surgeon at a famous Moscow clinic.

My medical experience is more than 15 years. Every year I perform hundreds of operations, for which people are willing to pay HUGE money. Unfortunately, many people do not even suspect that in 90% of cases surgery is not required! Modern medicine has long allowed us to correct most appearance flaws without the help of plastic surgery.

Plastic surgery carefully hides many non-surgical methods of appearance correction. I talked about one of them, check out this method

Bone callus should not be confused with classic callus, since it is not a coarsened derivative of soft tissue. A callus is a growth of bone tissue that has developed as a result of improper healing of the injury site. This process, despite its deviation from the norm, is natural and allows the bones to heal after any injury or damage.

In fact, this phenomenon is quite rare, but such a problem can affect literally anyone. And the fact is that even a doctor cannot predict how each specific organism will react to surgery. Therefore, this side effect is not the doctor’s fault.

This complication does not belong to the category of those diseases that are life-threatening. But to prevent the development of callus after rhinoplasty, it is necessary to take a number of preventive measures. If it has already begun to develop, then a timely visit to a surgeon and subsequent adoption of measures can, if not eliminate it, then prevent excessive growth. This will also avoid pain in the area and serious health consequences.

Causes

The nose, in its anatomical content, is represented by three types of tissues:

• Soft;
• Cartilaginous;
• Bone.

During rhinoplasty, a portion of any of these tissues is removed. Since any operation associated with nose correction damages its internal structures, the body begins to react in a standard way - it turns on its protective mechanisms. Bone tissue has its own characteristics of structural regeneration. This process consists of three stages:

1. Connective tissue forms around the damaged tissue.
2. The finest fibers of bone tissue begin to form.
3. Next, the formed fibers are replaced and subjected to strengthening. This happens due to calcifications.

It is because of this last process that callus growth occurs at the surgical site after rhinoplasty. Usually it is small. The most common formation of this defect is observed after grinding or removal of bone tissue.

Our readers write

Topic: Fixed my nose

From: Ekaterina S. (ekary*** [email protected])

To: Site Administration

Hello! My name is Ekaterina S., I want to express my gratitude to you and your site.

Finally, I was able to change the shape of my nose. Now I am very happy with my face and no longer have complexes.

And here is my story

From the age of 15, I began to notice that my nose was not what I would like, there was not a large hump and wide wings. By the age of 30, my nose had grown even more and had become quite a “potato”, I was terribly complex about this and even wanted to have surgery, but the prices for this procedure are simply astronomical.

Everything changed when a friend gave me one to read. You can’t imagine how grateful I am to her for this. This article literally gave me a second life. After just a few months, my nose became almost perfect: the wings noticeably narrowed, the hump smoothed out, and the tip even rose slightly.

Now I don’t have any complexes about my appearance. And I’m not even shy about meeting new men, you know))

The size of the growth depends on how severe the injury was to the bone, as well as how much cartilage and soft tissue were damaged during the operation. The speed and intensity of the increase directly depends on how a particular organism will react to such an intervention, as well as how quickly and actively the regeneration process will take place.

There is an opinion that callus after rhinoplasty also occurs in cases where a doctor with insufficient experience performed the operation. That is, its increase is associated precisely with medical practice and their secrets and developments in this area. But in fact, if your body is prone to intensive regeneration of bone tissue, then no experience will insure you against a possible complication, which is represented by two types of cells: the endostome and bone-forming cells in the periosteum.

This type of bone tissue takes about a year to form. Therefore, at the very first prerequisites, you should contact your surgeon, who knows how to reduce the intensity of the process and direct it in the right direction. The callus after rhinoplasty in the photo will help you understand what this defect looks like. In most cases, this is the appearance of a hump. Note that if the bone tissue was not touched during the operation, then the complication does not appear.

How to remove callus after rhinoplasty?

When bone tissue grows on the nose, it appears to be of several types at once. Manifestations of this defect include:

• The appearance of a hump;
• Subsequent deformation of the noma, and the change can be clearly visible from the front;
• Swelling.

Naturally, such manifestations of beauty do not add to the beauty and dissatisfaction with the results of the operation appears. These phenomena worsen the aesthetics of facial features. If the defect is severe, repeat rhinoplasty will have to be performed to remove bone tissue at the site of the growth.

The appearance of the first symptoms makes patients very nervous and consult a doctor. At the same time, there is a fear of revision rhinoplasty. Please note that this is done very rarely. First, the patient should try preventive measures that help cope with the problem for most people operated on in this area.

Stories from our readers

Fixed my nose shape at home! It's been half a year since I forgot what a hump of the nose is. Although it is generally accepted in society that appearance is not the most important thing for a man, I really didn’t like my nose. In addition, I also work in a field where appearance matters, I work as a wedding host.

Oh, how many consultations I attended - all the doctors quoted exorbitant prices and talked about long rehabilitation, but for me this is in no way suitable because weddings happen all the time, especially during the season. One day I had an appointment with Dr. E. A. Pavlov. He told me that in my case it was quite possible to do without surgery, it was enough to wear a special corrector every day. Here is an article in which he describes this method in detail. I obediently wore the concealer every day for several months and was amazed at the results, judge for yourself. In the end, I’m very glad that I was able to get by with “little blood”

If you have the same problems with finances or don’t want to go under the knife, then I recommend reading this article

By the way, the doctor can recommend some measures even before the operation. Therefore, carefully observe his wishes and instructions. But the main measures, of course, fall precisely on. During this time, you must visit the surgeon at least five times so that he monitors the regeneration process and can promptly notice certain changes in the process of tissue healing.

Secondary correction is prescribed, as mentioned above, by approximately 30% of the total number of people with complications of this type. First, the doctor must review the picture in detail and study the features of the process. During the operation, special measures are taken by the doctor, taking into account the characteristics of the human body. This helps prevent secondary growth of bone tissue.

What do we have to do?

At the first signs of callus after rhinoplasty, certain measures are mandatory. First of all you must:

• Visit a doctor. In general, even under normal circumstances, visits are required in the first, second, third, sixth and twelfth months after surgery. In case of force majeure, an additional visit can be made. If a deviation is detected, the doctor will prescribe treatment.
• If the doctor has prescribed treatment, then you must follow it strictly and strictly according to schedule. Otherwise, the therapy may simply not give the desired result and there is no point in blaming the doctor’s abilities in such cases.
• People under 18 years of age are susceptible to tissue hypergrowth. Therefore, they are not recommended to undergo surgery. This is explained by the fact that the body continues to develop, and with it the tissues. With this type of intervention, by removing one defect, there is a risk of getting much larger problems. The patient's readiness for surgery is determined only by the plastic surgeon. An experienced person will refuse if the conditions for the operation do not meet. In such cases, we do not recommend looking for someone else who will allow it.

Diagnosis and treatment

Before wondering how to remove callus after rhinoplasty, it must first be confirmed. This is done using an x-ray, which shows the presence or absence of a defect. Based on this, the doctor must build a therapy tactic. In the image, the defect manifests itself as a special membrane located at the site of tissue damage.

Now let's talk about what to do to eliminate the defect. The rehabilitation process is quite long. The main goal of therapy is to prevent further tissue growth. There are a number of techniques and procedures that help cope with this defect. Moreover, they should be undertaken immediately after the operation has been performed. First of all, this is taking medications that should reduce inflammation of the intervention area, as well as enhance their nutrition. Patients who develop callus may be prescribed:

• Treatment with medications;
• Operation;
• Physiotherapeutic procedures.

Let's take a closer look at these types of interventions. The rarest way to fix the problem is surgery. It is prescribed only in extreme cases. But drug treatment and physiotherapy can be used in combination, which will be discussed further.

Operation

This is a radical method. It is prescribed only after other methods have already been tried and have not yielded results. In this case, the doctor must prepare for the operation and think through ways to remove bone tissue so that new growth does not occur. The operation is also prescribed if:

1. Periodically there is an increase in temperature;
2. There is increased swelling;
3. Redness occurs.

All these symptoms should be associated exclusively with callus and other complications after correction. But it is worth noting that removing callus does not guarantee you will completely prevent the situation from recurring. Only after a year will you be able to determine whether the repeat operation was successful for you. To avoid recurrence of the situation, follow your doctor's recommendations.

Drugs

Drug treatment involves the use of a number of drugs that are designed to reduce swelling and help nourish tissue. These are mainly glucocorticosteroid hormones. But they can also prescribe strengthening agents, painkillers, and so on. Most commonly prescribed medications:

1. Diprospan - injections that are administered subcutaneously. They will reduce swelling and inflammation and promote scarring.
2. Kenalog.
3. Traumeel S – to relieve swelling and as an anti-inflammatory agent. It is widely used in therapy against callus formation after rhinoplasty. This is a homeopathic medicine in the form of tablets or drops.

The doctor may also prescribe antibiotics immediately after surgery, which will protect against infection, which can also cause excessive tissue growth.

Physiotherapeutic procedures

With the help of physiotherapy, treatment is very long. But it is considered one of the most effective. In this case, the patient must be under the supervision of a doctor. In the process of physiotherapy, the patient not only improves the resorption of callus, but also accelerates the process of tissue regeneration in general. The procedures include:

• Electrophoresis with appropriate drugs;
• Magnetotherapy;
• Phonophoresis with the appropriate drug;
• Thermotherapy.

These procedures are prescribed only in the absence of contraindications. If a person has an increase in temperature, then most of them cannot be carried out. Therefore, consult your doctor to avoid harm to your health.

Bone callus in the photo

Despite the popularity of rhinoplasty, its consequences can be very serious and may not appear immediately. Sometimes it takes several months, or even years, for a problem to form - and when a person has forgotten to even think about the operation, he suddenly develops breathing problems or his nose “moves” to one side. Moreover, these complications occur most often, and in about 15% of cases another operation is necessary to correct the nose.

Infections practically never happen, and psychological disorders and complications that appear immediately after surgery take second place. All of them require urgent intervention from a doctor of the appropriate profile.

In addition to severe complications, there are minor health problems that can be resolved quickly and without harm to the patient. Approximately 30% of operations are accompanied by side effects.

Causes of complications

Causes of complications:

• Choosing the wrong one doctor Little experience in performing operations increases the possibility of surgeon error.
• Ignoring requirements attending physician. Failure to comply with the regimen, refusal to use medications, physical actions that can damage the nose - all this leads the patient to the need to undergo surgery again.
• Individual intolerance drugs used during surgery.

Rhinoplasty is not only a quick operation and recovery over several months, it is a long preparatory period, during which you need to select the desired shape and coordinate it with the doctor. This step should not be skipped, as the result may not be what the patient expected.

If possible, you need to make an approximate model of the future nose - modern technologies allow this.

Consequences

Doctors identify several main types of problems that a patient who has undergone rhinoplasty may encounter:

• Aesthetic. If there is no threat to the patient’s health and life, but, nevertheless, something went wrong, this relates to the aesthetic side of the issue. If the nose has become larger after rhinoplasty, or a hump remains after the operation, the problem is clearly an aesthetic one.
• Functional. Sometimes they are confused with aesthetic ones because they do not look very attractive. But there is also a difference: with functional problems, a person cannot breathe through his nose or experiences certain difficulties in identifying odors.
• Infectious. Redness of varying severity, swelling. They are not so common, but can be accompanied by high fever and serious condition of the patient.
• Psychological. They usually appear in combination with other problems, but there are cases when the patient’s poor emotional state is not caused by anything. People are afraid of how their new appearance will be perceived by others.
• Specific. They are associated with the individual characteristics of the patient’s body and cannot always be predicted.

If we talk about serious consequences that can harm the patient’s health, the following situations should be highlighted:

• Damage cartilage or skin.
• Damage bones.
• Bleeding during or after rhinoplasty.

In the first case, after surgery there is a high probability of scars and adhesions, the elimination of which will require additional surgical intervention after the nose has healed. In the second: the nose may shift or bend to the side; corrective surgery is usually required more often.

In the third, the problem is controlled with the help of medications and cotton swabs.

Early consequences

Unsuccessful nose surgery can lead to the following consequences, noticeable within a few hours after the procedure.

Seam divergence

It appears if the incision was made poorly, or if the surgeon used low-quality material for suturing. Sometimes discrepancies occur spontaneously, regardless of the quality of the material.

The main thing is to tell your doctor about the unpleasant sensations in a timely manner so that he can adjust the course of treatment and refer you for a repeat operation. If you put it off “for later,” there is a high probability of deformation of the nose or the appearance of unhealed scars.

Hematomas

Hematoma after rhinoplasty is absolutely normal. During nose correction, incisions are made, and in particularly complex operations, bones are crushed - damage cannot be avoided.

Crusts

Crusts in the nose after rhinoplasty are caused by blood entering the nasal cavity. This environment is favorable for the development of infection, so the doctor must be notified of difficulty breathing. He will prescribe treatment to clear your nose.

The crusts must not be torn off! They should peel off on their own.

Blue streaks or bruises

Blue streaks after rhinoplasty (especially after complex operations) are caused by a small amount of blood getting under the skin. If they do not grow and no more bruises appear, you need to wait until they go away on their own; if the skin is very delicate, the bruises can last more than a month.

Runny nose

A runny nose does not appear very often and goes away quite quickly. Under no circumstances should you blow your nose.

The doctor will show you how to carefully deal with the problem using napkins or cotton swabs. It is advisable to sneeze with your mouth open.

Numbness

Any plastic surgery can lead to loss of sensitivity. During rhinoplasty, the tip of the nose or some part of it may become numb - it all depends on the area of ​​the procedure and the professionalism of the surgeon.

Sensitivity often returns; you have to wait a few days. If numbness occurs several months after surgery or does not go away even after discharge, you should consult a doctor again.

Humpback

A hump after rhinoplasty may appear due to callus, swelling or doctor error. In any case, the algorithm of action is simple: if the swelling has subsided, but the hump remains, you need to wait until the doctor authorizes the operation again.

Difficulty breathing

To restore nasal function, you need to ask the surgeon to prescribe certain medications or, if the swelling does not go away, to conduct additional examination and surgery.

Infection

If the disinfection of the room, instruments or operating area has not been sufficient, infection may enter the sutures. To exclude this possibility, it is recommended to be under the supervision of a doctor for at least the first few days. This will be useful: at the first sign of infection, such as fever, the doctor will prescribe antibiotics.

Necrosis

If the surgeon made a mistake during the operation or something unexpected happened, causing blood to stop flowing to part of the nose, tissue necrosis may develop. This leads to the need to remove the affected part of the nose. Such cases are very rare in practice.

Temperature

If the temperature stays in the range of 36 to 38 degrees for the first few days, then everything is fine, but if it increases or lasts for several weeks, you should think about returning to the hospital and checking the stitches for infection.

Pain

Pain after rhinoplasty will appear almost immediately after surgery. This is fine. It is usually tolerable, but if you have a low pain threshold, you may want to talk to your doctor about prescribing appropriate medications. Self-administration of medications is not recommended, especially if you are taking other medications due to other complications.

Consequences that are visible to the naked eye

Aesthetic complications:

1. Curvature back of the nose.
2. Asymmetry. To understand, you need to divide the nose into two parts and see if the parts are the same. You may end up with different nostrils.
3. Coracoid Deformation of the nose is when the nose is very full above the tip, and the tip itself is disproportionate to the rest of the part and is often curved down.
4. Lowered/ excessively upturned tip of the nose.
5. Shortened tip nose
6. Saddle deformation. The bridge of the nose sags approximately in the middle. With pronounced deformation, the angle of subsidence is significant, visible to the naked eye, and the tip of the nose protrudes noticeably. The skin at the site of deformation becomes mobile and folds without effort.

Late consequences

Not all effects appear immediately; some may take several months or a year to appear.

Changing the shape of the nose

Over the course of a year of complete rehabilitation, the shape of the nose may change slightly - this is included in the risks of rhinoplasty. Almost half of all reoperation cases are due to beak deformity.

A nasal tip that is too upturned or drooped can also be a reason for repeated surgery. The following table shows the main mistakes that can be made and their consequences:

Callus

Its appearance is due to improper fusion of tissues inside the nose. There is always such a risk, and if the doctor notices a callus during an examination, measures must be taken before it grows and begins to cause pain to the patient. As the callus grows, a hump may appear.

Bumps near the eyes

Specific reaction of the periosteum to damage due to surgery. It can only be corrected by contacting a surgeon. It appears no earlier than after a few months.

Nasal congestion

After rhinoplasty, patients often complain that their nose is stuffy. This is a common symptom. It goes away on its own after 3-5 days.

But experts note that this unpleasant sign can bother you for several months. This does not apply to deviations. The patient only needs medical supervision.

Swelling after tip plastic surgery

Swelling after rhinoplasty of the tip of the nose occurs as a result of soft tissue injury. Highlight:

1. Primary. Occurs during surgery.
2. Secondary. Swelling is less pronounced. Observed after rhinoplasty.
3. Residual. Outwardly almost invisible.

The swelling disappears completely after a year, as soon as blood circulation in the tissues of the nose is restored. The duration of the rehabilitation period depends on the volume of surgical intervention, the age of the patient, and the physiological characteristics of the body.

Smell

Loss of smell is also a common symptom after rhinoplasty. It goes away on its own immediately after the swelling decreases.

Nasal breathing and sense of smell are usually restored after 1-2 months.

But the most dangerous sign is the appearance of a putrid odor in the nose. This indicates that postoperative complications have begun and the patient requires the help of a doctor.

The cause of the formation of purulent masses is infection of the wound surface, penetration of bacteria onto the injured mucosa.

The putrid odor may also be noticeable to others. To prevent the occurrence of such a symptom, you should follow the recommendations of a specialist during the rehabilitation period.

After which the help of a doctor is required

Bruises usually go away very quickly, but some complications should be dealt with by a high-level specialist, preferably an experienced surgeon. His help should consist not only of placing cotton swabs and prescribing tablets, but also of repeated consultations and, if necessary, surgical intervention.

List of main complications after which reoperation is inevitable:

• Abscess.
• Atrophy cartilage.
• Dysfunction breathing.
• Intracranial complications after rhinoplasty.
• Perforation partitions.

How to reduce the likelihood of complications

In order not to get a deformed nose after rhinoplasty, you need to carefully think through everything down to the smallest detail. You need to choose the best clinic and doctor.

An unsightly scar after rhinoplasty may appear due to non-compliance with the doctor’s basic recommendations during the recovery period. To prevent this from happening, it is necessary to write down all the surgeon’s instructions and not deviate from them.

(open or closed rhinoplasty), has a certain percentage of risks and side effects.

The reasons that influence the occurrence of such reactions are different. These include:

• Individual characteristics of the body (tendency to bleeding, dense superficial vascular network, tendency to allergies, edema, excessive formation of connective tissue at the site of the scar, etc.);
• Practical experience of the surgeon and the selected surgical technique;
• Concomitant diseases (arterial hypertension, hypovitaminosis, etc.)

Rhinoplasty: complications, risks, problems

Rhinoplasty is one of the most common cosmetic surgeries performed each year, but it has the same potential risks as all other procedures. Although most rhinoplasty procedures proceed without problems, the patient should be aware of all the potential side effects and risks of rhinoplasty, as well as their personal risk factors. Discussing these nuances with an experienced surgeon will help make the operation safer and the rehabilitation process easier and more predictable.

Surgical risks and complications

These risks are associated with the surgical procedure itself, which inevitably involves trauma to tissues and blood vessels and subsequent suturing. Potential surgical risks of rhinoplasty include:

• Bleeding and large hematomas;
• Infection of a postoperative wound;
• Adverse reactions to anesthesia.

All of these conditions also occur after any other surgical interventions.

Specific complications after rhinoplasty

Separately, it is necessary to describe the adverse reactions and consequences that are characteristic specifically for this group of operations - that is, for all types of surgical nose surgery.

Problems encountered after rhinoplasty include:

Numbness of the nose - occurs when nerve fibers are damaged, is often a reversible condition and goes away after weeks.

Pain after surgery. Inevitable damage during the operation, as well as compression of the nerve trunks by edematous tissue, leads to painful sensations in the first days. This discomfort is usually minor and can be relieved with analgesics recommended by your doctor.

Overcorrection or undercorrection requiring revision rhinoplasty. These problems can be seen immediately after surgery or several months later.

Nosebleeds - during the operation, blood vessels are damaged, and until the mucous membrane and vascular wall restore their previous density during the healing process, they are very easily damaged by any provoking factors (taking tampons out of the nasal cavity, changes in blood pressure, prolonged bending position heads). The volume and severity of such bleeding is usually small.

With open rhinoplasty, scars are left at the base of the nose and in the folds of skin between the nostrils. They usually smooth out completely and are no longer noticeable within a few months. However, it happens that after rhinoplasty the scar changes, becomes massive and dense, turning into a keloid. Such a dense, convex and reddish scar occurs due to the proliferation of connective tissue in the area of ​​healing postoperative sutures.

Bruises after rhinoplasty. They occur as a result of rupture of small blood vessels closer to the surface of the skin. This is another common side effect. Bruising is usually located around the eyes and lasts up to ten days. They are not a sign of serious complications. After rhinoplasty, bruises vary in severity, depending on the fragility of the patient’s small vessels.

Swelling after rhinoplasty. This is a natural component of recovery after tissue injury. The severity of this reaction of the skin and mucous membranes of the nasal passages depends on the individual characteristics of the body. Swelling of the nose and around the eyes after rhinoplasty is one of the most common side effects. The mechanism of their development is the accumulation of fluid in the tissues due to microcirculation disorders caused by the operation.

Any swelling (of the bridge or tip of the nose) after rhinoplasty is most noticeable in the first days after surgery and gradually subsides over about two weeks. Swelling of the mucous membrane can give the voice a nasal tone, which sometimes lasts for several weeks. In rare cases, minor swelling may persist for up to four or even six months after rhinoplasty.

Bumps after rhinoplasty are a complication that appears later after nose surgery. They arise as a result of a specific reaction of the periosteum to damage during surgery. This complication requires repeated contact with a plastic surgeon.

Therefore, it is important to choose a qualified plastic surgeon who, after a thorough examination and interview, will be able to foresee possible risks and take the maximum possible measures to prevent them. In addition, it is necessary to follow the instructions received from the surgeon for caring for yourself before and after the operation, which will help to avoid many complications.