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Rhinoplasty, commonly known as a “Nose Job”, is a popular cosmetic surgery performed to enhance nasal appearance, correct breathing difficulties, or repair damage. While it often yields transformative results, complications can arise, leading to physical and emotional challenges. When things go wrong, the consequences can range from minor discomfort to significant health and aesthetic concerns. Read on and discover 5 common issues that can arise from a “Nose Job” gone wrong and the practical solutions to address them. 

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1. Scarring 

While skilled surgeons can minimize scarring, it remains a potential risk, particularly in open rhinoplasty procedures. Scars may form around the nostrils or inside the nasal passages, affecting the overall appearance and sometimes leading to discomfort. 

To manage scarring, silicone-based scar gels or creams can be applied to reduce visibility over time. Advanced options like laser treatments may also help smooth the skin and improve the scar’s texture. In severe cases, surgical revision might be necessary to refine the scar tissue.

Choosing a skilled surgeon and adhering to post-operative care instructions can significantly reduce the risks of noticeable scarring. 

2. Breathing Difficulties 

Breathing is one of the primary functions of the nose, but an unsuccessful rhinoplasty can hinder airflow. Problems such as collapsed nasal valves, over-resection of cartilage, or excessive scar tissue can obstruct the nasal passages. This can lead to chronic nasal congestion, difficulty breathing during physical activity, or even sleep issues. 

To tackle breathing difficulties, it is essential to consult an experienced ENT specialist or rhinoplasty surgeon who can assess the structural issues. In many cases, revision surgery is necessary to correct the nasal framework and restore proper function. Techniques such as cartilage grafting may be used to support weakened structures.

For mild cases, non-surgical interventions, like nasal strips or steroid sprays, may provide temporary relief. Early diagnosis and prompt action are critical to addressing this issue effectively. 

3. Infection 

Infections, though relatively rare, are a serious concern after rhinoplasty. Symptoms such as redness, swelling, fever, or pus around the surgical site could indicate an infection. If left untreated, infections can escalate, causing tissue damage or other complications. 

Treating an infection often involves a course of antibiotics prescribed by your surgeon. Following meticulous aftercare is essential to prevent bacterial growth, including cleaning the surgical site as instructed and avoiding activities that might introduce contaminants. If signs of infection persist or worsen, immediate medical attention is required to prevent complications. Maintaining hygiene and strictly following your surgeon’s post-operative advice are the best preventive measures against infection. 

4. Nerve Damage 

Post-surgery, it is not uncommon to experience temporary numbness or tingling around the nose as tissues heal. However, in some cases, nerve damage can result in prolonged or permanent loss of sensation in the nose or surrounding areas.

For mild cases, natural healing often resolves these nerve-related issues within weeks or months. Gentle physical therapy, including massages to stimulate the affected area, may aid recovery.

If symptoms continue or worsen, it would be wise to consult a neurologist or a surgeon experienced in handling nerve injuries. Choosing a surgeon with extensive knowledge of nasal anatomy is crucial in minimizing the risk of nerve damage.

5. Appearance 

One of the most emotionally challenging complications of a rhinoplasty gone wrong is dissatisfaction with the aesthetic outcome. This can include issues like asymmetry, an overly pinched nose, or a bridge that is either too reduced or insufficiently altered. Such problems can impact self-esteem and may not align with the patient’s original expectations. 

If you are unhappy with the results, be patient. Swelling from rhinoplasty can take up to a year to subside, revealing the final outcome. For persistent dissatisfaction, revision rhinoplasty may be necessary to correct the issues.

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Consult a surgeon with enough experience in secondary rhinoplasty, as these procedures require advanced skills. In some cases, minor imperfections can be corrected with non-surgical solutions such as dermal fillers. Open communication with your surgeon about your expectations before surgery can also help prevent misunderstandings and misaligned results. 

Final Words

When a “Nose Job” goes wrong, it can be a distressing experience, but most complications can be addressed with the right approach. To minimize risks, it is vital to choose a highly skilled, board-certified surgeon and maintain realistic expectations about the results.

Dr Smiley

Regarded as the preeminent plastic surgeon in Beverly Hills, Dr. Smiley performs groundbreaking cosmetic procedures with a combination of delicacy and accuracy. He has gained worldwide recognition as a prominent figure in the field of plastic surgery.

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