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Know the causes of rhinoplasty errors

Know the causes of rhinoplasty errors

Professional error

Inability by the doctor to diagnose the functional and / or aesthetic problems of the patient's nose. In addition to the aesthetic function, rhinoplasty can correct breathing problems, so the practitioner needs to make a thorough assessment of the patient's problems. There are people with characteristics unfavorable to the procedure that need to be taken into account for the surgery to be satisfactory. In patients with thick skin, for example, it is important to keep the nose slightly larger in profile (higher back and tip more projected) to avoid problems with the skin coating or the formation of parrot beak type deformity. This can occur due to the lower retraction capacity of this type of skin. The larger nose in profile allows the skin to expand and look better in the frontal view. Unlike patients with thin skin, irregularities after surgery are less likely to occur due to the thicker coverage.

Communication Failure

Inability to get in touch with the doctor about complaints, expectations, and how much effectively possible in each case. It is critical to try to produce an "individualized" nose, which naturally matches the patient's face and ethnicity. Therefore, prior to surgery, a good rhinoplasty specialist should perform detailed mathematical studies of nose proportions in relation to each patient's face and create surgical planning based on these results and aesthetic sense. Currently, computerized drawings or simulations can be used to show the patient what should be corrected and how this can be done. For ethical reasons, the patient should be informed that these tools are only educational and do not constitute a promise in relation to the result. The drawings approved by the patient should be taken to the operating room, serving as reference for the surgeon. This system can establish a good balance between the surgeon and the patient, which can offer increasingly natural results and may minimize the chance of aesthetic dissatisfaction after the surgery.

Unrealistic expectations

In an ideal situation, all patients would have the size of nose they wanted. Unfortunately, this is not the reality. The size of the nose created at the time of surgery is based on several factors, which differ from one patient to another. In fact, some patients simply can not have a small nose because of their anatomy, skin thickness or effects of previous surgeries. Patients should know that there is no perfect nose. All have defects that would be easily pointed out by a specialist in this type of surgery. Therefore, the patient should face surgery as a way to improve the shape of his nose. The perfection in this surgery may even be reached, but it is unlikely because it is a very difficult surgery and whose healing tissue is not under the surgeon's control.Poor technical execution of surgery

Modern rhinoplasty has as its basic principle the construction of a beautiful and functional nose. In other words, maintaining respiratory function should be an absolute priority. In this surgery, the cartilage and bones that form the skeleton of the nose are sculpted according to the characteristics of the nose and face of the patient. It is almost always necessary to use cartilage grafts, removed from the nose, rib or ear itself, to correct the contour changes and strengthen the remaining skeleton. In cases where there is difficulty breathing, it may be necessary to correct deviations of the nasal septum and other structures that form the pathways responsible for the passage of air. A poor performance of the surgery can reduce the skeleton too much, leaving the skin unsupported and allowing blood to accumulate between the skin and the cartilage after surgery, causing complications such as fibrosis.

Fibrosis

Fibrosis is another name to the healing tissue that always forms between the cartilages of the nose and the skin after surgery. In ideal conditions it forms and does not disturb the result. However, in some cases there may be excessive proliferation causing contour changes or cartilage distortions. There is a genetic predisposition and people with thick skin are especially predisposed, but many believe that the main reason for this is the inadequate performance of the surgery or improper dressing.

Other

Unexpected events such as trauma, cocaine use , treatments with high doses of cortisone and infections can also compromise the outcome of a rhinoplasty. In these cases, there may be fracture and / or reabsorption of the cartilage used to structure the nose skeleton at the end of the surgery.

Rhinoplasty, in addition to aesthetic harmony, can correct defects already present at birth, sequelae of previous trauma and rhinoplasties, and help resolve respiratory problems, so it is essential to choose a specialist for the procedure to be performed efficiently.


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