
Rhinoplasty
Known Symptoms
- Aesthetic concerns: Visible humps, drooping or bulbous tip, wide nostrils, crooked nasal bridge.
- Functional impairments: Chronic nasal congestion, snoring, difficulty breathing during exercise.
Red flags (contraindications):
Body dysmorphic disorder, unrealistic expectations, active nasal infection.
Known Causes
- Cosmetic indications: Dorsal hump reduction, nasal tip refinement, width reduction, asymmetry correction.
- Functional indications: Nasal airway obstruction (e.g., deviated septum, valve collapse).
Reconstructive indications:
Post-traumatic deformity, congenital defects (e.g., cleft lip nose), tumor resection. - Contributing factors: Patient dissatisfaction with nasal appearance, age-related changes, and genetic traits.
Care
- Prevention: Careful preoperative planning using computer imaging (to align expectations). Smoking cessation to promote healing.
- Follow-up:
- Short-term: Splint removal at 1 week; monitoring for early complications.
- Long-term: Assessments at 1, 3, 6, and 12 months (final results may take 1 year due to residual swelling).
- Functional testing (e.g., airway patency) if indicated.
Note: Rhinoplasty requires a balance between aesthetic goals and functional integrity. Surgeons must prioritize nasal airway preservation while achieving desired cosmetic outcomes. Revision rates range from 5–15%, often due to unrealistic expectations or healing variations.
- Aesthetic concerns: Visible humps, drooping or bulbous tip, wide nostrils, crooked nasal bridge.
- Functional impairments: Chronic nasal congestion, snoring, difficulty breathing during exercise.
Red flags (contraindications):
Body dysmorphic disorder, unrealistic expectations, active nasal infection.
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