The Hidden Risks of Rhinoplasty: What Your Surgeon May Not Tell You

Rhinoplasty, also commonly known as a 'nose job', is a surgical procedure aimed at changing the shape, size, or functionality of the nose. As with any medical procedure, it's crucial to fully understand not just the expected benefits, but also the potential risks and complications. Though widely performed and generally considered safe, rhinoplasty isn't without its potential hazards.

Understanding the risks of surgery is an essential part of your journey if you're considering this type of cosmetic intervention. Making an informed decision about your health means looking beyond the glossy 'before and after' photos to the realities of recovery, complications, and the possibility of unexpected outcomes.

In this blog post, we will delve into the lesser-known risks of rhinoplasty - those which your surgeon may not always discuss in detail. Our aim is to equip you with the knowledge you need to make an informed decision about your potential rhinoplasty procedure. So, let's begin our journey of discovery.

Why people choose rhinoplasty

Rhinoplasty is a sought-after procedure for a variety of reasons. For many, the choice stems from a desire to enhance their aesthetic appeal; they seek to alter the size, shape, or symmetry of their nose to boost their self-confidence and satisfaction with their appearance. For others, the procedure is medically driven. It can rectify structural abnormalities or injuries that may cause breathing difficulties or discomfort. In some cases, rhinoplasty is part of reconstructive surgery following trauma or disease. No matter the reason, the shared objective is improvement, either by rectifying a perceived cosmetic flaw or resolving a health-related issue.

General risks of surgery

No surgical procedure is without its risks, and this includes rhinoplasty. While the precise level of risk can vary depending on individual health factors, there are several common considerations.

Anaesthetic reactions are one such risk. Whether local or general, some patients may experience adverse reactions such as nausea, vomiting, or in rare cases, a serious allergic reaction.

Bleeding is another general risk of surgery, which in severe instances can lead to complications such as haematoma, a solid swelling of clotted blood within the tissues.

Infections, while infrequent due to prophylactic antibiotics, can still occur. These may require further treatment and can prolong recovery.

There's also the possibility that pre-existing conditions, like heart disease, diabetes, or lung conditions, can complicate the surgery or the recovery process. It's essential for patients to fully disclose their medical history to avoid such complications.

Finally, the risk of unexpected scarring, particularly in people with a tendency towards keloid or hypertrophic scars, is a potential drawback of any surgical procedure.

Specific risks of rhinoplasty 

Beyond the general surgical risks, rhinoplasty comes with its own unique set of potential complications and side effects.

Frequent nosebleeds can occur in the weeks following the procedure as the nasal tissues heal. This is usually mild but occasionally requires medical attention.

Scarring, while typically minimal and well-concealed in rhinoplasty, can be more noticeable in certain types of the procedure, particularly ‘open’ rhinoplasty where the incisions are made outside the nose.

A significant risk is dissatisfaction with the final appearance. Despite careful planning and discussion, the end result may not meet the patient's expectations. This could be due to unforeseen healing complications, miscommunication about desired outcomes, or a change in patient's perception over time.

Pain and numbness are common after rhinoplasty. While pain typically subsides with time and medication, numbness may persist for several months as nerves slowly regenerate.

Some patients might experience breathing difficulties post-surgery due to swelling or structural changes, which might need additional treatment.

Lastly, despite best efforts, some patients may require additional surgery, known as revision rhinoplasty, due to unsatisfactory outcomes or complications. This is an important risk to consider, given the increased complexity and cost of revision procedures.

What surgeons often don’t discuss 

While the physical risks of rhinoplasty are usually discussed in detail, there are other aspects that can be downplayed or overlooked during consultations.

One such factor is the emotional impact. Post-surgery, patients often go through a rollercoaster of emotions. Initial excitement may give way to anxiety or disappointment as the healing process progresses and changes become more apparent.

Moreover, dissatisfaction with the results, though previously mentioned, is a significant risk that is not always fully appreciated. The degree to which a surgical outcome can affect self-image and confidence should not be underestimated.

Changes in skin sensation, such as numbness or tingling, can also cause distress until the sensation normalises over time.

The impact on social life and personal relationships can be considerable too. Recovery time at home, visible bruising and swelling, and changes in appearance can affect social interactions and how others perceive you.

Lastly, the potential effect on mental health, including risks of anxiety and depression, should be acknowledged. The connection between physical changes and mental wellbeing is significant and often overlooked in surgical settings. It's crucial to prepare for this possibility and seek help if needed.

Importance of choosing the right surgeon 

Choosing the right surgeon plays a pivotal role in mitigating risks and achieving satisfactory results. Surgeons with ample experience and proper credentials have the expertise to guide you safely through the procedure and address any complications swiftly. They understand the nuances of nasal anatomy, ensuring aesthetic and functional outcomes align with your goals.

Equally important is your surgeon's ability to communicate effectively. They should thoroughly discuss potential risks and set realistic expectations. A surgeon who listens and responds to your concerns fosters trust and reduces anxiety. Remember, the right surgeon is a cornerstone of successful rhinoplasty – don't compromise on this critical choice.

Contact us

If you have had a rhinoplasty gone wrong, contact Cosmetic Surgery Solicitors today. To speak to one of our experts about whether you can make a claim for nose job compensation, call 0808 189 7729 or fill in the online contact form to request a call back.

Is it Ok to Sneeze After Rhinoplasty?

Rhinoplasty surgery is a cosmetic procedure that alters the structure and appearance of the nose. During the healing process, the nasal tissues are extremely delicate and nose surgery patients should avoid doing anything that could risk damage while they are healing. Some patients may wonder whether sneezing episodes could affect their surgical outcome and may want to understand how to mitigate these risks.

This blog will outline what the risks of sneezing are on rhinoplasty results, what the signs of damage are and the actions patients can take to ensure a smooth healing process after nose reshaping surgery.

Is it ok to sneeze after rhinoplasty?

Sneezing after a nose job can put strain on the delicate nasal tissues as they heal. While it is not possible to completely avoid sneezing, taking precautions can help prevent complications. Forceful sneezing can lead to swelling, bleeding, or even changes in the results of the surgery. To minimise the impact, patients are advised to sneeze with their mouths open, which helps to reduce pressure on the nasal structures during sneezing.

During the initial weeks of recovery, the nose is particularly vulnerable. The internal structures are still settling, and any excessive force could disrupt healing. If sneezing becomes frequent due to allergies or irritants, consult a medical professional for advice on managing symptoms safely.

What advice should I follow when recovering from rhinoplasty?

Proper aftercare is essential for a successful rhinoplasty recovery. Patients should follow their surgeon’s guidance, which typically includes:

• Avoiding strenuous activities: heavy lifting, exercise and bending over can increase blood pressure and swelling.
• Keeping the head elevated: sleeping with the head propped up on pillows can help reduce swelling and improve circulation.
• Avoiding nose blowing: forceful nose blowing can disrupt healing and lead to complications such as bleeding.
• Staying hydrated and maintaining a balanced diet: proper nutrition supports tissue repair.
• Following medication instructions: any prescribed pain relief or antibiotics should be taken as directed to aid healing and prevent infection.
• Avoid wearing glasses: given that glasses rest on the bridge of the nose, this can place pressure on the healing nasal structures that could affect the final surgical outcome. Surgeons may recommend that patients avoid glasses for a minimum of four to six weeks following surgery, opting for contact lenses where possible.

How do I know if I damaged my rhinoplasty because of sneezing?

If the nose experiences excessive force - whether from a sneeze or accidental impact - patients may be concerned about whether their rhinoplasty results have been affected. Signs of potential damage include:

• Sudden or increased swelling: some swelling is normal after surgery, but unexpected or prolonged swelling may indicate an issue.
• Persistent nasal pain: if discomfort worsens rather than improves, it could suggest internal irritation or damage to the nasal passages.
• Changes in nasal shape: any visible changes in symmetry or structure may be a sign that the healing process has been disrupted.
• Nasal bleeding: while minor spotting can occur, persistent or heavy bleeding should be evaluated by a medical professional.

If any of these signs appear, consult your surgeon promptly to assess whether additional care or adjustments are needed.

Recognising the signs of surgical complications

While sneezing can put strain on the healing nose and potentially affect rhinoplasty results, all cosmetic surgery carries some level of risk that could occur regardless if the patient sneezes or not. Rhinoplasty is no exception, and while complications are uncommon, they can sometimes occur even when patients carefully follow post-operative care instructions.

Patients should be aware of the warning signs that could indicate a complication, including:

• Persistent or worsening pain: discomfort that does not improve or suddenly worsens could indicate an issue with healing.
• Excessive swelling that does not subside: while some swelling is expected, prolonged or severe swelling beyond what was discussed could be a sign of fluid retention or another complication.
• Prolonged or heavy bleeding: minor spotting is normal in the early stages, but ongoing or excessive bleeding should be assessed by a medical professional.
• Difficulty breathing: some nasal congestion is expected in the immediate aftermath of rhinoplasty, however, if nasal airflow becomes significantly obstructed or breathing issues continue beyond what was expected, it may indicate internal swelling or a structural issue.
• Signs of infection: redness, warmth, unusual discharge or fever could indicate an infection that requires medical attention.
• Visible changes in nasal shape: if the nose appears asymmetrical or changes unexpectedly, there may be a disruption in the healing process.

Understanding your surgeon's duty of care

Your surgeon has a legal and ethical duty of care to ensure that procedures like rhinoplasty are carried out safely and to a reasonable standard. This duty extends from the initial consultation through to post-operative care, your safety and wellbeing at every stage.

Key responsibilities include:

• Providing full and accurate information: surgeons must explain the risks, benefits, and expected outcomes of rhinoplasty, allowing patients to make an informed decision.
• Conducting thorough pre-surgical assessments: a surgeon must evaluate a patient’s medical history, overall health, and suitability for the procedure.
• Following best medical practices: during surgery, the surgeon must adhere to industry standards and regulatory guidelines to minimise risks and complications.
• Ensuring proper post-operative care: patients should receive clear aftercare instructions, access to follow-up appointments, and prompt support if complications arise.
• Acting in the patient’s best interests: surgeons should never pressure individuals into undergoing surgery and must ensure patients have realistic expectations about their results.

Finding help if your surgeon was negligent

Should you believe that your surgeon performed your rhinoplasty surgery negligently, experts in rhinoplasty surgery claims such as Cosmetic Surgery Solicitors will be able to help you make a claim for compensation. Our friendly, knowledgeable team can help you to understand your rights, compile evidence needed to build a case and secure compensation on your behalf.

Speak to our team today by calling 0808 231 6370 or using our online contact form.