Rhinoplasty is a common cosmetic surgery in plastic surgery, widely used to improve the shape of the nose and enhance the three-dimensional sense of the face. However, despite the continuous advancement of technology, cases of rhinoplasty failure still occur from time to time. Therefore, how to scientifically judge whether rhinoplasty has failed is an important part of post-operative evaluation and intervention . From a medical perspective, this article combines clinical experience and literature to systematically analyze the judgment criteria, manifestations and coping strategies of rhinoplasty failure.
1. Criteria for judging rhinoplasty failure
Whether a rhinoplasty surgery has failed should not be judged solely on appearance, but should be considered comprehensively from multiple dimensions such as function, structure, aesthetics and postoperative complications . The following aspects are the main basis for judgment:
Abnormalities in nasal structure and function
If symptoms such as difficulty breathing, nasal congestion, collapsed nostrils, and deviated nasal septum occur after rhinoplasty , it means that the nasal function is disturbed after the operation. Such problems are mostly caused by the prosthesis being too large, improper surgical operation, or damage to the nasal septum support structure.
Poor aesthetics
Although aesthetics is subjective, if the nose shape after surgery is obviously inconsistent, crooked, too high or too wide, which seriously affects the overall facial proportions, it is usually considered that the surgery has not achieved the expected results. For example, the prosthesis contour is obvious and the nose bridge is protruding in a "candle-like" shape , which are all manifestations of aesthetic failure.
Postoperative tissue complications
If persistent swelling, redness, infection, bleeding, rejection reaction, or skin necrosis occurs at the surgical site , you should be alert to the possibility of surgical failure, especially if inflammatory reactions recur within two weeks after surgery, you should seek medical treatment as soon as possible.
Prosthesis related issues
Common prosthesis problems include prosthesis crookedness, light transmittance, abnormal mobility, and protruding from the skin surface . Silicone prostheses may experience capsular contracture after several years of use, leading to nasal deformation or lump formation. Although expanded polytetrafluoroethylene has better biocompatibility, there are also problems with tissue absorption or improper implantation levels.
Subjective dissatisfaction and psychological impact
Although some patients do not have obvious clinical problems, they are extremely dissatisfied with the results and experience negative emotions such as anxiety and inferiority. Such situations require a comprehensive judgment based on psychological evaluation and preoperative communication records.
2. Common manifestations of rhinoplasty failure
Clinically, rhinoplasty failure often manifests itself in the following ways:
Nose bridge is too high or too low
A nose bridge that is too high can easily look unnatural, or even give the illusion of a "hook nose"; a nose bridge that is too low may fail to achieve the purpose of enhancing the three-dimensional effect.
Nose tip is too sharp or blunt
A too pointed nose tip is usually caused by the prosthesis being too long or the supporting material being too hard, while a blunt nose tip may be related to inaccurate cartilage carving or displacement.
Asymmetric nose
Factors such as surgical operation deviation, prosthesis displacement, and improper postoperative care may lead to inconsistency in the shape of the left and right noses, affecting the overall appearance.
Prosthesis exposed or light-transmitting
If the prosthesis is implanted too shallowly or the skin tension is insufficient, the prosthesis may cause light to show through or even penetrate the skin of the nose tip, which is a serious sign of surgical failure.
Skin tissue necrosis or thinning
After surgery, the skin is in a state of high tension for a long time, which may lead to local blood supply deficiency, induce tissue necrosis, and affect the stability and appearance of the prosthesis.
3. Analysis of the causes of rhinoplasty failure
Understanding the reasons for rhinoplasty failure can help prevent and correct surgical complications. Common causes include:
Improper surgical design
Failure to adequately assess the patient's basic nasal conditions or neglecting overall facial coordination may result in poor visual results after surgery.
Operational technical issues
Insufficient physician experience, rough operation, incorrect implantation level or imprecise prosthesis carving may all lead to structural imbalance after surgery.
Improper material selection
Different materials have their applicable scopes. If silicone, expanded polytetrafluoroethylene, autologous cartilage and other materials are not selected properly, they may cause complications such as rejection and infection.
Improper postoperative care
If the patient does not follow the doctor's orders for postoperative care, such as blowing the nose hard, hitting the nose, smoking and drinking in the early stages, it may affect recovery and even lead to failure.
Individual differences and concurrent diseases
Some patients have underlying nasal structural problems, scarring, chronic inflammation, or immune system abnormalities, which increase the risk after surgery.
4. Measures to deal with failed rhinoplasty
Once rhinoplasty failure is confirmed, appropriate intervention strategies should be adopted according to the specific situation:
Seek medical attention promptly
If serious symptoms occur, you should go to a professional medical institution for a check-up as soon as possible, and use imaging methods (such as CT, MRI) to understand the position of the prosthesis and the condition of the tissue.
Medication or topical treatment
If there is infection or mild inflammation, the symptoms can be controlled through antibiotic treatment, cold compresses to reduce swelling, anti-inflammatory drugs, etc.
Prosthesis removal or replacement
In cases where the prosthesis is exposed, displaced, or obviously uncomfortable, it is necessary to consider removing the original prosthesis and performing repair surgery after the tissue has recovered.
Revision Rhinoplasty
It is safer to have a second surgery at least 6 months after the operation. The repair should be performed by an experienced plastic surgeon to avoid secondary injury.
Psychological intervention and communication
If the patient has a psychological burden, psychological counseling should be provided to clarify the reasonable difference between the surgical effect and the expectation and to establish scientific aesthetic cognition.
5. Preoperative prevention and postoperative management recommendations
In order to reduce the risk of rhinoplasty failure, management should be strengthened in the following aspects:
Detailed communication should be conducted before surgery to confirm that expectations are reasonable ;
Choose regular medical institutions and qualified doctors ;
Maintain aseptic operation during surgery and strictly control the source of materials ;
Follow the nursing instructions after surgery to avoid early impact on the nose ;
Regular follow-up was performed to observe the prosthesis stability and tissue response .
Beauty Encyclopedia Tips:
Although rhinoplasty is a routine procedure, it has high requirements for the doctor's skills, material selection and individual patient conditions. Timely identification of abnormal manifestations after surgery, scientific evaluation of surgical results, and reasonable arrangement of intervention plans are the key to ensuring medical safety and cosmetic effects. Those seeking beauty should establish a rational aesthetic view, avoid blindly pursuing height and exaggerated contours, and make personalized and scientific decisions under the guidance of professional doctors.