Our Summary

This research examines the links between different surgical techniques in nose reshaping (rhinoplasty) and the likelihood of complications. It does this by reviewing a large number of previous studies and their results. The study looked at 14 reviews involving 128 clinical trials. It found that swelling and bruising were the two most common outcomes investigated. Certain surgical techniques, including the use of steroids, a drug called tranexamic acid, preserving the connective tissue covering bones (periosteum), an external approach in bone reshaping, and using ultrasonic bone cutting, were associated with significantly fewer complications. The repeated use of steroids was also linked to fewer complications over time. The findings can help surgeons to reduce the risk of complications and improve the aesthetic results of nose reshaping surgery.

FAQs

  1. What are the most common complications of rhinoplasty according to the study?
  2. Which surgical techniques were found to be associated with fewer complications in rhinoplasty?
  3. How can the findings of this research help surgeons improve the results of nose reshaping surgery?

Doctor’s Tip

A helpful tip that a doctor might tell a patient about rhinoplasty is to choose a surgeon who utilizes advanced techniques such as the use of steroids, tranexamic acid, preservation of periosteum, external bone reshaping approach, and ultrasonic bone cutting. These techniques have been shown to be associated with fewer complications and better aesthetic results. Additionally, the repeated use of steroids may help reduce complications over time. It is important to discuss these options with your surgeon to ensure the best possible outcome for your rhinoplasty procedure.

Suitable For

Patients who are typically recommended for rhinoplasty include those who are unhappy with the size or shape of their nose, have breathing difficulties due to structural issues in the nose, have a nasal deformity due to injury or birth defect, or have a deviated septum. Additionally, patients who have realistic expectations about the outcome of the surgery and are in good overall health are also good candidates for rhinoplasty.

Timeline

Before rhinoplasty:

  1. Consultation with a plastic surgeon to discuss goals and expectations
  2. Pre-operative assessment and planning, including medical history review and physical examination
  3. Discussion of surgical techniques, risks, and benefits
  4. Pre-operative instructions, such as avoiding certain medications and alcohol, and quitting smoking if necessary

After rhinoplasty:

  1. Recovery period, which includes swelling, bruising, and discomfort
  2. Follow-up appointments with the surgeon to monitor healing and address any concerns
  3. Gradual improvement in nasal appearance and function over several weeks to months
  4. Potential long-term outcomes, such as improved breathing, enhanced facial symmetry, and increased self-confidence

Overall, the timeline for a patient undergoing rhinoplasty involves careful planning, surgery, and recovery, followed by ongoing monitoring and potential long-term benefits.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with rhinoplasty surgery?
  2. What surgical techniques do you recommend for my specific case and why?
  3. How experienced are you in performing rhinoplasty surgeries?
  4. Can you show me before and after photos of patients who have undergone similar procedures?
  5. What is the recovery process like and how long can I expect it to take?
  6. Will I need to follow any specific post-operative care instructions?
  7. How long do the results of rhinoplasty typically last?
  8. Are there any non-surgical alternatives to achieve the desired results?
  9. What are the costs associated with rhinoplasty surgery and will insurance cover any part of it?
  10. What are your policies regarding revisions or touch-up surgeries if needed?

Reference

Authors: Wu B, Chen S, Sun K, Xu X. Journal: Aesthetic Plast Surg. 2022 Apr;46(2):805-817. doi: 10.1007/s00266-021-02612-w. Epub 2021 Sep 29. PMID: 34590168