Rhinoplasty can produce a number of amazing changes for all manner of nasal deformities, breathing issues, and aesthetic problems. From the procedure’s ancient roots as a reconstructive surgery to the wide variety of changes that can be made today, rhinoplasty is a versatile and highly effective procedure in the hands of a skilled and competent surgeon. However, this does not mean that the surgery is always as successful as hoped. There are many, many factors that go into the success of a rhinoplasty procedure, only some of which can be controlled.
The Complications of Rhinoplasty
While rhinoplasty is a common surgery, it is by no means a simple one. Many plastic surgeons have worked for decades honing their skills and striving for consistently good outcomes. Rhinoplasty is one of the most complicated and difficult plastic surgeries available, and while a talented plastic surgeon can create good outcomes for most patients, there is still a fairly high rate of revision among rhinoplasty patients. A rhinoplasty surgeon must be flexible, in order to come up with a customized plan to suit the patients needs and facial features. The overall goal of cosmetic rhinoplasty is a functional, aesthetically pleasing nose that is in harmony with the other facial features.
Limiting Nasal Features
Unfortunately, not all rhinoplasty cases are as straightforward as others. You can be a good candidate for rhinoplasty and still have less than ideal nasal features for the procedure. The goal of rhinoplasty is not perfection, but improvement, so most patients should be able to get a good outcome, if not exactly the ideal outcome. Some nasal features make it more difficult for the surgeon to accomplish certain goals, and patients need to be aware of the possibilities, and adjust expectations to what is realistic. Here are some nasal features that can limit the possibilities for rhinoplasty:
Thick, Oily Skin
Thicker skin tends to produce more scarring following rhinoplasty, which can disrupt the desired contours of the nose. It is more difficult to drape thick skin over the new nasal structures, which can make certain areas, especially the nasal tip, less defined than desired.
While thick skin makes it more difficult to see the new structure of the nose, thin skin has the opposite problem: any defects are clearly noticeable through the skin. The skin can also “shrink” after surgery, making the nose change shape following surgery in severe cases.
Crookedness is a difficult nasal problem to address, and in cases of extreme crookedness, often only so much improvement can be made. However, in these cases, any type of improvement is often enough to make the patient feel much better about his or her nose.
Poor Nasal Cartilage Placement
Cartilage grafting and manipulation are major components of rhinoplasty surgery, and poorly positioned nasal cartilage limits the manner in which the surgeon can use these tissues. However, there are a number of methods for this technique that can be employed to produce improvement.
Nasal Valve Weakness
Weakness in the nasal structures forces surgeons to be especially careful to help prevent causing problems in the patient’s breathing. Weak nasal valves are prone to collapse, a problem that causes poor breathing and aesthetic issues.
Do not be discouraged if you happen to have one of these limiting features, just be honest with yourself and your surgeon about whether the amount of improvement you can expect is worth going through the surgery. Your surgeon will be able to give you a great deal of information about your surgery and prospective results.
Your nasal features are a variable of rhinoplasty that cannot be controlled, but fortunately, there are many other aspects of the surgery that are under your control. The most important factors you will be in charge of are the surgeon you select, your own expectations, and your pre and post operative care.
A skilled surgeon can produce improvement in almost any nose, despite limiting factors that may prevent an ideal outcome. Your surgeon is the most important factor in the eventual success of your procedure, and it is vital to do your research carefully. Only select a board certified plastic surgeon who specializes in rhinoplasty–this difficult procedure requires a skilled and experienced surgeon.
Especially if you have one of the aforementioned limitations, you should be sure you are keeping your expectations in check when considering your final outcome. If you expect improvement rather than perfection, you are much more likely to be pleased with your results.
Pre & Post Op Care
Following your doctor’s instructions exactly will help prevent infection, poor healing, and other problems that can be dangerous and result in a poor aesthetic outcome. Take care of yourself; eat well, do not smoke, and above all, listen to your doctor.
Get an Assessment
Ready to see if you are a good candidate for rhinoplasty? The only way to get an idea of what is possible for you with rhinoplasty is to consult with expert facial plastic surgeons who specialize in rhinoplasty. During your consultations, you can have your nose assessed and discuss your goals with prospective surgeons before you move forward.
If you are interested in meeting with board certified plastic surgeons in the Boston area, then come to Bentkover Facial Plastic Surgery in Worcester(508-363-6500) or Stoneham (508-363-6500) MA to meet with acclaimed rhinoplasty expert Dr. Stuart Bentkover. Dr. Bentkover has spent decades working with a wide range of patients to meet individual rhinoplasty goals. For more information, call either location today to schedule your consultation.