Oguzhan Oguz, MD

Let-down and preservation rhinoplasty are relatively new techniques that have been developed to address some of the limitations of traditional rhinoplasty procedures. While these techniques can provide excellent results for many patients, like any surgical procedure, they are associated with some risks and potential complications.

Some of the potential complications that can occur after let-down or preservation rhinoplasty include:

Swelling and bruising: Swelling and bruising are common after any type of rhinoplasty procedure and can take several weeks to resolve.

Infection: Infection is a risk with any surgery, and can occur after let-down or preservation rhinoplasty. Your surgeon will take steps to minimize the risk of infection, such as using sterile techniques and prescribing antibiotics, but it's still important to be aware of the signs of infection and contact your surgeon if you experience any symptoms.

Bleeding: Bleeding can occur during or after the surgery, and can sometimes be severe. Your surgeon will take steps to minimize bleeding during the procedure, but it's important to follow post-operative instructions to avoid activities that may increase the risk of bleeding.

Pain and discomfort: Pain and discomfort are common after any type of surgery, but can usually be managed with pain medication and other strategies.

Complications related to the grafts: In let-down and preservation rhinoplasty, cartilage or tissue grafts are often used to reshape the nose. While these grafts can provide excellent results, there is a risk of complications such as graft displacement, shifting, or absorption.

It's important to discuss any potential complications with your surgeon before the procedure, and to follow all post-operative instructions carefully to minimize your risk of complications and ensure the best possible outcome.

There is always a risk of tissue necrosis (death of tissue) with any surgical procedure, including rhinoplasty. However, the risk of necrosis is generally low for most patients undergoing open rhinoplasty with dorsal augmentation and tip cartilage.

Necrosis can occur if there is a disruption in blood flow to the tissues, which can be caused by a variety of factors including trauma to blood vessels, excessive tissue dissection, and prolonged pressure on tissues. However, experienced and skilled plastic surgeons take great care to minimize these risks by carefully planning and executing the procedure and monitoring the patient's condition during and after surgery.

Some factors that may increase the risk of necrosis include smoking, diabetes, and other medical conditions that affect blood flow and healing. It's important to discuss your medical history with your surgeon before the procedure and follow their pre- and post-operative instructions to minimize your risk of complications.

If you have concerns about the risk of necrosis or any other potential complications, it's important to discuss them with your plastic surgeon prior to the procedure. Your surgeon can provide you with specific information about the risks associated with your particular procedure and any steps you can take to minimize those risks.

Scar tissue is a natural part of the healing process after any surgical procedure, including revision rhinoplasty. While it's not possible to completely eliminate scars, there are several things you can do to minimize their appearance:

Follow your surgeon's post-operative care instructions: Your surgeon will likely provide specific instructions on how to care for your incisions after surgery, such as keeping the area clean and avoiding activities that could put stress on the area. Following these instructions can help minimize the risk of complications and promote optimal healing.

Keep the area moisturized: Keeping the area moisturized can help minimize the appearance of scars. Your surgeon may recommend using a specific type of ointment or cream to apply to the incision site.

Avoid sun exposure: Sun exposure can darken scars and make them more noticeable. It's important to avoid direct sunlight and to use sunscreen when outdoors to protect the area.

Massage the area: Massaging the area can help break up scar tissue and promote optimal healing. Your surgeon may recommend specific massage techniques or refer you to a physical therapist who can provide specialized scar massage therapy.

Consider scar treatments: There are several treatments available that can help minimize the appearance of scars, including laser therapy, silicone gel sheeting, and injections of corticosteroids. Your surgeon may recommend one or more of these treatments based on the type and severity of your scars.

It's important to keep in mind that everyone heals differently, and the appearance of scars can vary from person to person. It's also important to have realistic expectations for your results and to be patient with the healing process. If you have concerns about the appearance of your scars after revision rhinoplasty, it's important to speak with your surgeon to discuss your options for minimizing their appearance

Crohn's disease is an inflammatory bowel disease that affects the digestive system and can cause a wide range of symptoms, including abdominal pain, diarrhea, fatigue, and weight loss. While there is no direct link between Crohn's disease and filler reactions, it's possible that some individuals with Crohn's disease may be more prone to developing certain types of immune reactions, which could potentially impact their body's response to filler injections.

It's important to note that there are a variety of factors that can contribute to an individual's response to filler injections, including their overall health, lifestyle habits, genetics, and the specific type of filler that was used. Allergic reactions or other adverse reactions to filler injections are rare but can occur, and can happen even months or years after the initial injection.

If you have a history of Crohn's disease and are considering getting filler injections, it's important to speak with your healthcare provider or the professional who will be performing the injections to discuss your medical history and any potential risks or concerns. They may recommend alternative treatments or a different type of filler to minimize the risk of any adverse reactions. It's also important to seek prompt medical attention if you experience any unusual symptoms after receiving filler injections, such as swelling, redness, or pain in the injection site.

Lumps or nodules can occur after dermal filler injections, including lip fillers, and can be caused by a variety of factors. Some possible causes of lumps or nodules after lip filler injection include:

Overfilling: If too much filler is injected, it can create a visible lump or bump.

Injection technique: If the filler is injected too close to the surface of the skin or in the wrong area, it can create a lump.

Inflammation: Inflammation can occur as a result of the injection process, which can create a lump or bump.

Infection: In some rare cases, an infection can occur at the injection site, which can create a lump or bump.

If the lump or nodule is small and not causing any pain or discomfort, it may go away on its own over time as the filler settles and the body absorbs it. However, if the lump is large or causing discomfort, it's important to speak with the healthcare provider or the professional who performed the injection to determine the best course of action.

In some cases, the healthcare provider or professional may recommend massaging the area to help break up the lump or bump. If the lump is due to overfilling or injection technique, it may be necessary to dissolve the filler using an enzyme injection. In some cases, surgical intervention may be necessary to remove the lump.

It's important to note that every individual may react differently to lip fillers and may have a different experience with lumps or nodules. If you are concerned about a lump or nodule after lip filler injection, it's important to speak with a healthcare provider or the professional who performed the injection to determine the underlying cause and develop an appropriate course of treatment.