I have Raynaud's Syndrome (bad circulation), am I at risk for necrosis after a rhinoplasty?

In my opinion, the only reason to avoid rhinoplasty surgery with Raynaud's syndrome is if the syndrome affects the circulation to your nose. If you have had episodes of decreased circulation and pain to your nose, perhaps the arteries that supply your nose are affected, and rhinoplasty should be avoided, but I have not heard of this before. This is an excellent question, and I believe it needs to be taken on an individual basis. Thank you. Sincerely, Dr Joseph

Hello,
Thank you for your question. Patients with Raynaud's are at increased risk of necrosis. It is reasonable to proceed with rhinoplasty as long as you understand the risks. I recommend scarless/closed rhinoplasty for all rhinoplasty regardless of whether primary or revision rhinoplasty and certainly for a Raynaud's patient.
Mark G. Albert, M.D., F.A.C.S.New York, NY

Consider performing a rhinoplasty with the closed rhinoplasty technique, which does not cut through the columella, and would significantly reduce the chances of any issues with healing

Raynaud's Syndrome is a condition that affects blood circulation, often causing the fingers and toes to become numb and cold in response to cold temperatures or stress. The condition results from the narrowing of blood vessels, which can restrict blood flow to the affected areas.
When considering a surgical procedure like rhinoplasty, it's crucial to discuss your medical history and any underlying conditions with your surgeon. They can evaluate the risks and take appropriate precautions to minimize potential complications.
Necrosis (tissue death) after rhinoplasty is a rare but serious complication. It can occur when there is insufficient blood supply to the tissues, leading to tissue damage or death. In the context of Raynaud's Syndrome, which already affects blood circulation, there may be an increased risk of complications like tissue necrosis.
Your plastic surgeon will need to consider several factors, including the severity of your Raynaud's Syndrome, the surgical technique used, and the measures taken to ensure adequate blood circulation during and after surgery. They may take steps to minimize the risk, such as using techniques that minimize tissue trauma, carefully monitoring blood flow during the procedure, and providing post-operative care to promote healing and circulation.
It's essential to have a thorough discussion with your plastic surgeon, including disclosing your Raynaud's Syndrome and any other medical conditions you have. They can help you make an informed decision about the risks and benefits of rhinoplasty and whether it is safe for you to proceed with the surgery. Additionally, you may want to seek a second opinion from a specialist who is familiar with both Raynaud's Syndrome and rhinoplasty to get a more comprehensive evaluation and recommendations.