the Risks and Complications of Rhinoplasty - Plastic Surgery

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Complications of Rhinoplasty


Hello, Doctor: I have researched on the internet about rhinoplasty with artificial nasal bones, and I found that there are possibilities of capsule contracture, displacement, and calcification.
Will these complications cause damage and deformation to the nasal tissues inside my nasal cavity? Besides silicone, are there other materials used for artificial nasal bones? Is it possible for artificial nasal bones to remain in the nasal cavity for a lifetime? Thank you.

Lucy, 20~29 year old female. Ask Date: 2010/02/24

Dr. Zhou Hongzhang reply Plastic Surgery


1.
If the cartilage and nasal mucosa are not damaged during surgery, theoretically, there will be no destruction or deformation of the nasal cavity tissue, unless the implant is too large or heavy, causing compression.
2.
In addition to silicone, other materials or the patient's own cartilage can also be implanted.
3.
It is possible for the implant to remain in the body for a lifetime (it is located in the subcutaneous tissue layer, not within the nasal cavity).
- Dr.
Hsiao-Hung Chang, Plastic Surgeon

Reply Date: 2010/02/24

More Info


Rhinoplasty, commonly known as nose surgery, is a popular cosmetic procedure aimed at enhancing the appearance of the nose or improving its function. While many patients achieve satisfactory results, it is essential to understand the potential risks and complications associated with the surgery.
One of the primary concerns regarding rhinoplasty is the possibility of complications such as capsular contracture, displacement, and calcification of the implant. Capsular contracture occurs when the body forms a thick capsule of scar tissue around the implant, which can lead to distortion of the nasal shape and discomfort. Displacement refers to the movement of the implant from its original position, which can also alter the appearance of the nose. Calcification, while less common, can occur when calcium deposits form around the implant, potentially leading to further complications.

These complications can indeed affect the nasal tissues, potentially leading to deformities or functional issues. For instance, if the implant shifts significantly, it may compress or distort the surrounding nasal structures, which could impact breathing or the overall aesthetic outcome. It is crucial to choose a qualified and experienced surgeon who can minimize these risks through careful surgical technique and appropriate implant selection.

Regarding the materials used for nasal implants, silicone is the most commonly used material due to its favorable properties, including biocompatibility and ease of shaping. However, there are other options available, such as Gore-Tex (expanded polytetrafluoroethylene) and Medpor (porous polyethylene). Each material has its advantages and disadvantages. For example, Gore-Tex is known for its flexibility and lower risk of infection, while Medpor allows for tissue ingrowth, which can provide a more stable long-term result. The choice of material should be discussed with your surgeon, considering your specific needs and any potential risks.

As for the longevity of nasal implants, many patients successfully retain their implants for a lifetime without significant issues. However, it is essential to understand that the body can change over time, and factors such as aging, trauma, or changes in weight can affect the position and appearance of the implant. Regular follow-ups with your surgeon can help monitor the condition of the implant and address any concerns that may arise.

In conclusion, while rhinoplasty can yield excellent results, it is not without risks. Understanding the potential complications, such as capsular contracture, displacement, and calcification, is crucial for making an informed decision. Discussing the various implant materials with your surgeon can help you choose the best option for your needs. Ultimately, selecting a skilled and experienced surgeon is vital to minimize risks and achieve the desired outcome. Always prioritize open communication with your healthcare provider to ensure that you are fully informed about the procedure and its implications.

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