Can a Long Surgery Affect Swelling and the Final Results of a Revision Rhinoplasty?

I was wondering if a longer rhinoplasty surgery would lead to more swelling as opposed to a short one. Also, can a great degree of swelling negatively effect the final rhinoplasty result?

Doctor Answers 8

Length of surgery unrelated to swelling

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Length of surgery, as an independent variable, does not affect swelling after surgery.  Any surgeon who performs a large number of primary and revision rhinoplasties with widely varying lengths and approaches, and who has studied the effects of length of surgery in a scientific, retrospective and prospective fashion will know this to be true. Swelling after surgery is related to the surface area of soft tissue envelope elevation, whether tissues are being handled gently, whether there is additive scar from previous surgeries, whether bleeding is meticulously controlled, and whether consistent surgical planes are maintained. Other factors include the thickness of the patient's skin, the age of the patient, the presence of sebaceous gland hypertrophy. Patients undergoing revision rhinoplasty usually require more extensive exposure of the underlying nasal framework (which increases surface area of soft tissue envelope elevation). They can also have less favorable input values in the above variables, which in turn results in more swelling. Note that not enough time invested in a surgery can often result in less polished results, depending on the surgeon.

Baltimore Facial Plastic Surgeon
4.9 out of 5 stars 62 reviews

Surgery length does not affect swelling after revision rhinoplasty

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No, swelling after revision rhinoplasty is not related to the surgery length. Every surgeon takes a different amount of time to perform the surgery. The swelling experienced is actually caused by how extensive the surgery was. An experienced surgeon can take a longer amount of time depending on the complexity of the procedure.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Can a Long Surgery Affect Swelling and the Final Results of a Revision Rhinoplasty?

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IMHO, a longer Rhinoplasty may cause more bruising and swelling but not necessarilly a reduced aesthetic final result.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Effect of Long Revision Rhinoplasty Revision Surgery on Swelling and Final Result

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Revision rhinoplasties frequently take longer and are more complex which may cause more swelling. This swelling and the length of the operation will not impact your result.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Swelling, length of surgery and outcome

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A rhinoplasty in general  will lead to post-operative swelling. It is more likely to persist with open rhinoplasty but I think the trade off long-term is worth it because an open rhinoplasty allows better visualization of the anatomy and therefore often better precise work.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Does Surgical Time or Swelling alter the Result for Rhinoplasty

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A small difference in time does not effect the final result. Differences in  swelling may be a variable that is due to a more complex surgery or simply individual variation. 


Length of Surgery and Swelling

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I would say that if a routine rhinoplasty goes over 3 hours, that may affect your swelling and bruising. That said, unless the rhinoplasty is extremely complex, anything over 3 hours is not being performed by a skilled, experienced surgeon.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Swelling and Revision Rhinoplasty

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It is not the length of the surgery, or the amount of swelling that will determine the results of your revision rhinoplasty, but the expertise and experience of your surgeon. Revision rhinoplasty is usually a longer surgery than a primary rhinoplasty. The swelling, also takes longer to resolve. Due to the nature of this surgery, you cannot bypass these two factors, but you can control who you choose to do your surgery, which will have the most impact on your result. While no one can guarantee an outcome, your chances of a successful one increase with and experienced and specialized rhinoplasty surgeon.



Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 113 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.