I'm planning to get an open rhinoplasty with dorsal augmentation and tip cartilage. Am I at risk for necrosis?

Hello! Thank you for your question. So for the beginning the necrosis means the tissue deaths simply. If you do not smoke or do not have any blood circulation sickness, you have very little necrosis risk. Please follow your surgeons guide about that. If you can provide photos from front of your face, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best Regards!

The incidence of getting skin necrosis after rhinoplasty surgery is low even if it involve placing cartilage grafts. This rare complication happens if there was a complication during surgery. The external splint is safe and function to support the nose during the first few days of healing.

Skin necrosis is always a risk in rhinoplasty but is low in primary rhinoplasty, especially in non-smokers. Any additional surgical maneuver will increase the risk but none of the ones that you mention increase that risk in particular unless performed incorrectly. For example, the cartilage grafts are excessive and place additional tension on the skin. Splints can cause pressure necrosis when placed too tightly or left too long. As long as the surgeon performing the surgery is a board certified plastic surgeon, ENT, or facial plastic surgeon, you should be at an overall low risk for skin necrosis.