Complications of Rhinoplasty - Page 2

Careful preoperative anatomical diagnosis and a con­servative approach guided by an understanding of the postoperative changes that occur during healing are critical in minimizing complications. Failure to recognize the pre­cise anatomical cause of a nasal feature may result in failure to effect the desired change. Problems with technical exe­cution is another potential cause. Despite careful preopera­tive analysis and meticulous attention to surgical detail, less than ideal aesthetic results may still occur.

Complications in rhinoplasty may be categorized as func­ tional or aesthetic in nature; often, there are elements of both. In considering this subject, it may also be helpful to organize aesthetic complications by the specific nasal subunit affected.

Problems after rhinoplasty commonly relate to issues of underresection, overresection, and/or asymmetry. In general, it is easier to address a problem relating to underresection because the surgeon needs only to "take a little more."

Problems relating to overresection can be difficult, and are often complicated by scarring, need for graft material, and other issues.

Anatomical diagnosis is helpful in the prevention of com­ plications and is also critical in the proper evaluation and treat ­ ment of complications when they occur. In this chapter we will address many of the more commonly described surgical com­ plications with special attention to their cause and treatment. Emphasis is placed on the anatomical basis of each complica ­ tion, as this approach provides a guide to correction. Although complications have been generally arranged by anatomical location, there are some topics that cross categories.

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