Should I cancel cosmetic rhinoplasty/nasal osteotomy because history of pituitary lesion?

Question

3 years ago: incidental MRI finding of 1.5 mm stable pituitary lesion. 2 years ago: ER b/c headache & vomiting- MRI showed enlarged pituitary lesion w/ hemorrhage. Reason unknown. Last 2 years: 2 MRIs have shown stable & small pituitary lesion. Neurosurgeon suspects Rathke's Cyst or Cystic Pituitary Adenoma. In 2 days: cosmetic open rhinoplasty w/osteotomy, under general anesthesia. Could the general anesthesia or osteotomy possibly disrupt the pituitary lesion? Should I cancel the surgery?

Sahar Nadimi, MD · Answer

A rhinoplasty is an elective surgery and should only be performed if you have no significant medical comorbidities. I would discuss your medical history in detail with your rhinoplasty surgeon and potentially even obtain medication clearance from your doctor or a neurosurgeon who specializes in these types of lesions before undergoing a rhinoplasty. I would discuss your concerns with your rhinoplasty surgeon first.

William Portuese, MD · Answer

The pituitary gland is located the base of the brain and  way in the back of the nose. As long as you get clearance from your family physician/ neurosurgeon, it's acceptable undergo cosmetic surgery. Performing osteotomies in the nasal bones with the rhinoplasty will have no bearing/ relationship to the pituitary gland.

Talmage J. Raine, MD, FACS (retired) · Answer

This last minute question represents last minute jitters. You can postpone the surgery if you feel uncomfortable. The rational thing to do is to speak to your neurosurgeon and get his/her professional opinion. I sincerely doubt a rhinoplasty will be of any danger, but I am a plastic surgeon. Maybe your surgeon should speak to your neurosurgeon.All the best,Talmage Raine MD

Should I cancel cosmetic rhinoplasty/nasal osteotomy because history of pituitary lesion?

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Should I cancel cosmetic rhinoplasty/nasal osteotomy because history of pituitary lesion?

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.