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Your nose is a central feature on your face, and one of the first things people notice when they look at you. As such, even slight imperfections in this area can have a dramatic impact on your overall appearance – which is why rhinoplasty is such a popular procedure among men and women of all ages.

This complex and delicate surgery has become increasingly common over the years, but it’s not without a few inherent risks that patients need to consider before selecting a surgeon and going under the knife. On this page, we’ve outlined a few of the most common rhinoplasty complications, along with the steps esteemed nose surgeon Dr. Rady Rahban takes to prevent them from occurring.

I am just about 2.5 weeks post-op and I am ecstatic! I can breathe much better. The huge bump on my nose is now non-existent.

E.F.

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Aesthetic problems

One of the most common rhinoplasty complications is a new nose that the patient doesn’t love. For example, after an unsuccessful procedure, the nose may be over or under corrected, or the patient may possess a persistent bump, various deformities, a beak-like appearance, an irregular bridge, or a deformed, pinched or asymmetrical nasal tip.

Or, the nose may simply appear unattractive or unnatural, causing the patient to feel distressed every time they look in the mirror. In many of these cases, the only solution is a complex revision procedure using cartilage grafts. Unfortunately the nose is so delicate and complicated even a revision may never correct a “botched” nose job.

To prevent this complication, Dr. Rahban brings two important skills to his rhinoplasty procedures: technical expertise and an artistic eye. This is critical because a rhinoplasty is equal parts art and science. As such, it requires an immense amount of finesse, as well as a refined technical approach that can ensure a successful outcome. In addition, Dr. Rahban will spend a considerable amount of time over two visits, going over the details of your nasal anatomy and he will help you determine what needs changing. He will not simply take your picture and Photoshop it, giving you an unrealistic perfect nose. He strongly believes that while this is a quick and easy consultation, it is one of the main reasons for dissatisfaction. He will be direct and tell you the truth, making sure you understand the limitations of your anatomy and whether your goals are attainable.

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Bleeding and infection

These are very rare occurrences among Dr. Rahban’s patients, but it’s important to be aware of them. Whenever you have surgery, there’s a chance that you’ll experience severe bleeding and/or a serious infection. Fortunately, there are steps your surgeon can take to minimize these risks and ensure your safety. For example, Dr. Rahban will have you stop using medications, supplements and anti-inflammatories that may increase your risk of bleeding for two full weeks prior to surgery. To prevent an infection, he has you use a powerful antibiotic cream in your nose for a week prior to your surgery in preparation. In addition, he will administer antibiotics at the time of and after surgery, as well as provide you with detailed aftercare guidelines that will keep you safe and healthy as your nose heals.

Breathing challenges

This is one of the most life-altering rhinoplasty complications. Most cosmetic rhinoplasties entail making the nose smaller. This is often at the expense of the function of the nose. The nose is weakened and hence with time the nasal passage becomes compromised and results in poor breathing. This may manifest as snoring, exercise intolerance and difficulty sleeping. To prevent this from happening to his patients, Dr. Rahban uses a reconstructive rather than a reductive approach in all his rhinoplasties. That means that while he makes the nose more attractive, he does not do so at the expense of the structural integrity of the nose. He does this by being conservative in places that call for it and by adding support using cartilage grafts where he anticipates weakness. Not only will your breathing be unchanged, but in many cases he’ll actually improve this critical structure so that your breathing is enhanced after surgery.

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Poor rhinoplasty scars

There are two ways to perform a rhinoplasty. The first is the closed approach, which involves making incisions inside the nose only. The second is the open approach, which calls for slight incisions on the outside of the nasal structure, along the skin that connects the left and right nostrils. In both cases, poor scarring can lead to complications. For example, aggressive scar tissue inside the nose can add bulk, which can result in an irregular nasal contour. Visible and unsightly scars outside of the nose can detract from your overall appearance and make it clear that you had a nose job performed.

Dr. Rahban knows how concerned his patients are about rhinoplasty scars and he goes to great lengths to make sure any resulting marks are small, faint and well-healed. As such, he personally closes all of his incisions himself to ensure that his patients emerge with the best possible cosmetic outcome. The key is taking your time and paying attention to detail. As such Dr. Rahban’s rhinoplasties often take twice as long as the average doctor.

Nasal septum perforation

Your nasal septum is the wall that separates the left and right airways. In rare cases, this wall may be perforated during nose surgery, causing nasal pressure, a whistling noise when breathing, bloody discharge, crusting, trouble breathing, discomfort and potentially collapse of the nose with time.

Whether or not this complication happens to you is completely in the hands of your surgeon – which is why it’s so important to choose carefully. Dr. Rahban prevents nasal septum perforation from occurring by taking an extremely careful gentle and accurate approach when performing your septoplasty, an often necessary part of your rhinoplasty.

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When Dr. Rahban does a consultation with a prospective patient, he wants it to be two things above all others: thorough and honest. He will find out from you just what you want from cosmetic surgery. And he will tell you honestly if you can get the result you want, and how he can best help you do so.

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