Our Summary

This research paper is about a type of nose surgery called dorsal preservation rhinoplasty. Recently, more people have become interested in this technique, but there isn’t a lot of information about how well it works in the long term. The authors of this paper aim to fill in that gap by providing data on the long-term results of this surgery, specifically looking at any problems with how the nose works or how it looks. They also provide a detailed analysis of these issues.

FAQs

  1. What is dorsal preservation in the context of rhinoplasty?
  2. What are some potential functional and esthetic complications of dorsal preservation rhinoplasty?
  3. What long-term outcomes have been observed with dorsal preservation rhinoplasty techniques?

Doctor’s Tip

A doctor may advise a patient undergoing rhinoplasty to carefully follow post-operative instructions, such as avoiding strenuous activities and refraining from blowing their nose for a certain period of time. This can help minimize the risk of complications and ensure optimal healing and results.

Suitable For

Patients who are typically recommended for rhinoplasty include those with:

  1. Nasal hump or bump
  2. Crooked or deviated nose
  3. Wide or bulbous tip
  4. Breathing difficulties due to nasal obstruction
  5. Previous trauma or injury to the nose
  6. Dissatisfaction with the appearance of their nose

It is important for patients considering rhinoplasty to have realistic expectations and a clear understanding of the potential risks and benefits of the procedure. Additionally, patients should be in good overall health and have realistic expectations for the outcome of the surgery.

Timeline

Before Rhinoplasty:

  1. Initial consultation with a plastic surgeon to discuss goals and expectations
  2. Pre-operative evaluation and planning, including taking photographs and measurements of the nose
  3. Discussion of potential risks and complications of the surgery
  4. Patient may be advised to stop smoking and avoid certain medications that can increase the risk of complications
  5. Pre-operative instructions given, including fasting before surgery and arranging for transportation home after the procedure

After Rhinoplasty:

  1. Patient wakes up from anesthesia in the recovery room
  2. Patient may experience pain, swelling, bruising, and congestion in the nose
  3. Follow-up appointments with the surgeon to monitor healing and remove any dressings or splints
  4. Patient may be advised to avoid strenuous activities and to sleep with their head elevated to reduce swelling
  5. Gradual improvement in swelling and bruising over the following weeks and months
  6. Final results of the rhinoplasty may not be fully apparent until several months after the surgery
  7. Patient may experience long-term complications such as dorsal hump recurrence or axis deviation, which may require revision rhinoplasty

Overall, the timeline for a patient before and after rhinoplasty involves careful planning, surgery, and recovery, with potential long-term follow-up for any complications that may arise.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with dorsal preservation rhinoplasty?
  2. How long can I expect the results of dorsal preservation rhinoplasty to last?
  3. How experienced are you in performing dorsal preservation rhinoplasty procedures?
  4. What is your success rate with dorsal preservation rhinoplasty, particularly in terms of avoiding complications such as dorsal hump recurrence or axis deviation?
  5. How will my nasal function be affected by dorsal preservation rhinoplasty, and what can I expect in terms of breathing after the procedure?
  6. What is the recovery process like for dorsal preservation rhinoplasty, and how long will it take for me to see final results?
  7. Are there any specific post-operative care instructions I should follow to ensure optimal healing and results?
  8. How do you handle revision rhinoplasty or complications that may arise after dorsal preservation rhinoplasty?
  9. Can you provide before and after photos of previous patients who have undergone dorsal preservation rhinoplasty?
  10. Are there any alternative techniques or procedures that may be more suitable for my specific nasal anatomy and aesthetic goals?

Reference

Authors: Saman M, Saban Y. Journal: Facial Plast Surg Clin North Am. 2023 Feb;31(1):13-24. doi: 10.1016/j.fsc.2022.08.004. PMID: 36396283