What complications can occur after Let down / Preservation Rhino?

Question

I have some questions about the possible complications with a rhinoplasty done with the Let down Preservation technique. I read strips of bone are taken from underneath instead of cutting the hump from the bridge. Does that mean there is no possibility of getting an open roof deformitt? And does that also mean there won't form a callus bump, because there is no trauma to the bridge? What are some complications that can occur?

Robert Ciardullo, MD · Answer

Potential complications of preservation Rhinoplasty: this is a relatively new technique. In order to “let down“ the nasal bridge a portion of bone must be removed from underneath the dorsal arch. this bone connects to the base of the brain. if the bone is damaged during the process of removing a portion of it it could cause a crack in the bone that forms the base of the brain and caused the fluid around the brain called the cerebral spinal fluid, to leak out through the nose. this is a very rare complication and a concern most particularly with the let down preservation technique. However , The fear that this would be an issue with this technique have not yet been confirmed and very few instances of this problem have occurred so far, but the technique is still very young and the data is not all in yet.

Oguzhan Oguz, MD · Answer

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.

What complications can occur after Let down / Preservation Rhino?

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What complications can occur after Let down / Preservation Rhino?

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Everything you need to know about Rhinoplasty

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