Rhinoplasty: Q&A

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Am I Unable to Have a Rhinoplasty? Or Should I Look for a Different Surgeon?

I am concerned my surgeon is not qualified for my surgery. I had a septoplasty done last year but the surgeon was unable to do the rhinoplasty because he said I bled too much during surgery. He said he is willing to give it another try after I got tests done to show that I had no types of bleeding disorders. He said if I bled the same as last time he would have to stop. He said he doesn't know why it happened and doesn't know if it will happen again. Won't I get the same result?

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9 Doctor Answers | Asked by Glenwell

Doctor Answers (9)
Community Comments (0)

Bleeding disorders

If your surgeon is concerned about bleeding then it sounds like they are a prudent surgeon. Get the blood workup and meet with three board certified plastic surgeons in your area--that should help you make a confident decision. Good luck! dr K

Mahlon Kerr, MD

16 reviews

Austin Plastic Surgeon

Bleeding During Surgery

Your safety should always be the top priority. Your surgeon will likely request blood tests to determine your bleeding and clotting system. If you are confident in your surgeon, then get the blood tests before proceeding. If you have lost confidence, you might want to seek another opinion. Please discuss with your surgeon.

Bleeding During Rhinoplasty

If you have confidence in your surgeon get the blood tests to study your clotting system. If your not comfortable with him get a second opinion. Another surgeon will probably get blood tests and review your diet and any medications taken before the last operation.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Excessive bleeding issues

It sounds like your doctor did the right thing. If you have a bleeding disorder, this can be disastrous for rhinoplasty surgery. Sounds like you need this to be worked up.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Excessive bleeding deserves investigation, but may be encountered occasionally, and be quite normal, in nose surgery.

Your concern is very understandable. You probably do not have a history of a bleeding disorder or you would have already mentioned that. Regardless, it does make sense to have blood tests and possibly see a hematologist. If your results are normal, that would suggest that your surgeon simply got into some significant bleeders during surgery (probably during the bony work). Even so, it is very unusual not to go ahead with the rhinoplasty as planned at the same... more

Excessive Bleeding During First Rhinoplasty

Your experience is very uncommon and does raise the question as to whether you have some type of bleeding disorder or whether this was an intraoperative issue. If you have ever had prior surgery and did not a bleeding issue suggests that there is not a problem. But given this event you need to get a coagulation/bleeding profile done first. If those tests show normal coagulation, then get another consultation and compare notes to the first one before undergoing further... more

Abnormal bleeding during rhinoplasty

The first place to start is with your family physician. Describe the situation and have him review the records from your septal procedure, and evaluate a possible bleeding cause. If you do indeed pass the work up for bleeding and no problems are found, look for another surgeon.

Bleeding Problems and Elective Surgery

Qualifications of your surgeon should be based on training, appropriate board certification and practice experience. Given your past experience, your physician's recommendation to order pre-operative bloodwork prior to elective surgery is appropriate. If you have had no issues prior or since, your bleeding experience is likely an isolated incident but if there is a specific cause, bloodwork will help to identify it. Excessive bleeding during a rhinoplasty not only makes... more

Abnormal Bleeding during surgery is a problem

It is hard to say what happened the first time but with your surgeon's experience it is a good idea to have some basic lab tests to see if you are normal. You would want to do this no matter who does the next surgery. Have you ever had any other surgical procedure? If you have never had any bleeding problems with other procedures then the technique may have been off. Make sure your surgeon is board certified in plastic surgery and this should help you get a safe... more

Marcus L. Peterson, MD

4 reviews

Saint George Plastic Surgeon

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Comments (0)

Glenwell 2 Oct 2012

I realize I wasn't clear in the way I worded my question. After I had the septoplasty, I got the bloodwork done as he had asked, and there were no bleeding disorders found in my results. I am mainly concerned that even though I didn't have any disorder, if I bled that much during the first initial attempt, won't I get the exact same result the second time around? The surgeon told me that if the same thing happened, he would be forced to stop again. I'm just concerned that it will be a waste of time, as if I bled that much one time, it will be the same every time. I would think the chances are pretty low that it would be an isolated incident. Feedback?

Glenwell 1 Oct 2012

To my understanding, I had all of the necessary tests done to show that I do not have any type of bleeding disorder. The septoplasty did improve my breathing, although I am concerned that my surgeon was not confident in himself to perform the rhinoplasty. He is and ENT surgeon, so I don't think that would be an issue. He stated that when he made the incision to perform my rhinoplasty I bled profusely and when he touched on my nose to re-break it, it got worse so he had no choice but to stop. I had the procedure done when I broke my nose 15 years ago, and to my knowledge, didn't have a problem during surgery. I am scheduled to have the surgery in 3 days and am very concerned weather or not I should go through with it. He said the surgery would be covered under MSI as he would call it a "revision rhinoplasty". I'm worried that if I went to another doctor they might not cover it under health care as it is now mainly a cosmetic issue. If he performs the surgery the exact same way, how is it possible that I will not get the exact same result? Please give me feedback ASAP, I don't have much time to make a decision.

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