Complications of Septal Rhinoplasty
What are the complications of septoplasty rhinoplasty?
Guo Shi, 20~29 year old female. Ask Date: 2013/12/23
Dr. Lu Daokuan reply Plastic Surgery
Using septal rhinoplasty is a more invasive procedure that requires a larger incision.
The purpose of harvesting tissue from the internal septum is to utilize the patient's own tissue, which allows for better results through a more extensive surgery.
The risk of complications is expected to be lower compared to standard rhinoplasty using implants.
Reply Date: 2013/12/23
More Info
Septoplasty, a surgical procedure aimed at correcting a deviated septum, is often performed to improve breathing and alleviate nasal obstruction. While it is primarily a functional surgery, many patients also seek aesthetic improvements, leading to the question of potential side effects and complications associated with the procedure, particularly in the context of rhinoplasty.
One of the primary concerns following septoplasty is the potential for changes in nasal appearance. However, it is important to clarify that septoplasty itself does not typically result in visible external scarring or deformities. The incisions made during the procedure are usually located inside the nasal passages, which minimizes any external scars. Therefore, patients should not worry about significant changes to their external nasal appearance, such as collapse or scarring, as a direct result of septoplasty.
That said, there are some side effects and complications that patients should be aware of. These can include:
1. Nasal Obstruction: While the goal of septoplasty is to improve airflow, some patients may experience temporary nasal obstruction post-surgery due to swelling or the formation of scar tissue. This is usually temporary and resolves as healing progresses.
2. Bleeding: Post-operative bleeding is a common concern. While some bleeding is expected, excessive bleeding may require medical attention. Patients are advised to avoid strenuous activities and heavy lifting during the initial recovery period to minimize this risk.
3. Infection: As with any surgical procedure, there is a risk of infection. Patients should monitor for signs of infection, such as increased pain, swelling, or discharge, and report these to their healthcare provider promptly.
4. Changes in Sensation: Some patients may experience altered sensation in the nasal area following surgery. This can include numbness or tingling, which is usually temporary but can occasionally persist.
5. Scar Tissue Formation: While septoplasty incisions are made internally, there is still a possibility of scar tissue forming, which can lead to complications such as further obstruction or changes in nasal shape. In rare cases, revision surgery may be necessary to address these issues.
6. Aesthetic Changes: If septoplasty is performed in conjunction with rhinoplasty, there may be more pronounced aesthetic changes. Patients should have a thorough discussion with their surgeon about their goals and expectations to ensure that they are aligned.
7. Long-term Effects: Some patients may report changes in their nasal structure over time, particularly if they have had previous nasal surgeries. It is essential to follow post-operative care instructions and attend follow-up appointments to monitor healing.
In conclusion, while septoplasty is generally safe and effective, it is crucial for patients to have realistic expectations regarding both functional and aesthetic outcomes. Open communication with a qualified surgeon can help address concerns and ensure that patients are well-informed about the potential side effects and complications associated with the procedure. Proper post-operative care and adherence to medical advice can significantly reduce the risk of complications and promote optimal healing.
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