Can I get rhinoplasty after having radiation on nose due to cancer. I have a tumor in nose so Im getting radiation on it. Doctor doesnt recommend a nose job because he says it would be worse due to scar tissue and that tissue doesnt heal and would make a hole. I really want rhinoplasty its crooked and bulbous tip.
Answer: Rhinoplasty after nasal irradiation You would need to heal completely following radiation and be tumor free. As my colleagues have mentioned radiation significantly raises the risk of skin necrosis or healing issues following rhinoplasty. You can reduce this risk with an endonasal approach and a more limited procedure that does not compromise the nasal blood supply extensively. Regardless, you are taking on more risk than the typical rhinoplasty patient and need to be comfortable with that risk. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
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Answer: Rhinoplasty after nasal irradiation You would need to heal completely following radiation and be tumor free. As my colleagues have mentioned radiation significantly raises the risk of skin necrosis or healing issues following rhinoplasty. You can reduce this risk with an endonasal approach and a more limited procedure that does not compromise the nasal blood supply extensively. Regardless, you are taking on more risk than the typical rhinoplasty patient and need to be comfortable with that risk. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
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November 18, 2015
Answer: Radiation to the nose The risk of poor blood supply to the nasal skin leading to loss of skin after rhinoplasty is high in any nose that has been radiated. It also depends upon the amount of radiation that has been delivered. If you're willing to accept the risk of possible skin necrosis and worsening of the nose and you can reach a rhinoplasty surgeon and discussed her options. It would be helpful to assess the vascularity of the nasal skin using pinpricks and blanching techniques prior to deciding on surgery.RegardsDr. J
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November 18, 2015
Answer: Radiation to the nose The risk of poor blood supply to the nasal skin leading to loss of skin after rhinoplasty is high in any nose that has been radiated. It also depends upon the amount of radiation that has been delivered. If you're willing to accept the risk of possible skin necrosis and worsening of the nose and you can reach a rhinoplasty surgeon and discussed her options. It would be helpful to assess the vascularity of the nasal skin using pinpricks and blanching techniques prior to deciding on surgery.RegardsDr. J
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November 18, 2015
Answer: Rhinoplasy after Radiation Good question!!! Most surgeons would not recommend an elective cosmetic rhinoplasty, especially an extensive open rhinoplasty procedure. Take of the cancer first, allow adequate healing - probably over one year. Make sure there is no recurrence of your cancer. Then get evaluated by an experienced rhinoplasty surgeon. You maybe a candidate for a minimal rhinoplasty, possibly an filler rhinoplasty. Good luck, sorry about your cancer.
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November 18, 2015
Answer: Rhinoplasy after Radiation Good question!!! Most surgeons would not recommend an elective cosmetic rhinoplasty, especially an extensive open rhinoplasty procedure. Take of the cancer first, allow adequate healing - probably over one year. Make sure there is no recurrence of your cancer. Then get evaluated by an experienced rhinoplasty surgeon. You maybe a candidate for a minimal rhinoplasty, possibly an filler rhinoplasty. Good luck, sorry about your cancer.
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Answer: Rhinoplasty after radiation First, it is important to make sure that cancer is under control/ healed and his not returning before undergoing elective cosmetic surgery on the nose. There is definitely added risk performing a rhinoplasty in irradiated tissues. Also important to note the total dosage of radiation.
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Answer: Rhinoplasty after radiation First, it is important to make sure that cancer is under control/ healed and his not returning before undergoing elective cosmetic surgery on the nose. There is definitely added risk performing a rhinoplasty in irradiated tissues. Also important to note the total dosage of radiation.
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November 21, 2015
Answer: Can I get rhinoplasty after having radiation on nose due to cancer? All situations in medicine are unique, and there are often options available when a desired procedure is sought.1. I would suggest making sure the cancer is fully treated(you don't want to scar your new nose with a recurrence or adjacent cancer)2. Allow adequate time to heal; this depends on the size of the cancer, the type of reconstruction(if any) and the radiation dose.3. Try an injectable rhinoplasty to see if that works aesthetically for you as well as to test the skin's circulation and the skin's ability to re-drape.4. Fat grafts can restore circulation prior to a definitive rhinoplasty, if required.5. Consider using cartilage grafts outside the field of radiation.Hope this helps.
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November 21, 2015
Answer: Can I get rhinoplasty after having radiation on nose due to cancer? All situations in medicine are unique, and there are often options available when a desired procedure is sought.1. I would suggest making sure the cancer is fully treated(you don't want to scar your new nose with a recurrence or adjacent cancer)2. Allow adequate time to heal; this depends on the size of the cancer, the type of reconstruction(if any) and the radiation dose.3. Try an injectable rhinoplasty to see if that works aesthetically for you as well as to test the skin's circulation and the skin's ability to re-drape.4. Fat grafts can restore circulation prior to a definitive rhinoplasty, if required.5. Consider using cartilage grafts outside the field of radiation.Hope this helps.
Helpful 1 person found this helpful
