Reducing Risk Through Pre-op Tests?

I want to take a rhinoplasty. Of course there are some risks, because we don’t know how the tissue and the cartilage will develop after the operation. In order to minimize the risks, is it possible to analyze the tissue and the cartilage before the operation thoroughly, in order to know how it could react on a operation and therefore how it could approximately develop after the operation.

Doctor Answers 10

No testing of tissue to determine rhinoplasty outcome

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There is no preoperative test to perform prior to a rhinoplasty. There are no connective tissue tests. It is best to go to a rhinoplasty surgeon who has performed thousands of nose surgeries and understands the nuances of the healing process in regards to the rhinoplasty procedure.  

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Reducing Risks in Rhinoplasty

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This is an interesting idea, but there is no reliable test which would be helpful in this regard.  Although there is some degree of uncertainty in how healing will occur after Rhinoplasty, the best form of analysis still comes in the form of appropriate preoperative and intra-operative judgment.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 103 reviews

Minimizing Surgical Risk After Rhinoplasty

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With any surgery, there are two types of risk: one surgical, and one health-wise.  I guess one can add financial risk as well!

But seriously, the health risk will be assessed by a thorough physical exam, and labs if required. 

The best way to minimize surgical risk is to pick an experienced surgeon whose work you like.  Rhinoplasty "styles" vary between surgeons, and it is important for you to like the "style" of the surgeon.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Reducing Risks with Pre-op Tests

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The best way to minimize operative risks is to select an experienced rhinoplasty surgeon. There are no tests to analyze tissue and cartilage.

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

Nose Surgery

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The short answer is NO there is no blood test that will help prognosticate whether or not your tissue will behave a certain way after Rhinoplasty (the hardest, most technically difficult procedure we as Plastic Surgeons perform). It is relatively unpredictable....however, I suggest you seek out a Board Certified Plastic Surgeon or Nose Surgeon who specifically has an interest and dedicates their practice to nose surgery. The long answer to you question is buyer beware and many times you will need to pay a little more for the best, most experienced rhinoplasty surgeon, but in the long run it is absolutely worth it.

John Philip Connors III, MD, FACS
Atlanta Plastic Surgeon

No blood tests for healing after rhinoplasty

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Rhinoplasty surgery is one of the most difficult surgeries to perform; because of the great variation in noses, there is not a "one surgery fits all" procedure. The way people heal after surgery depends on the surgical technique, and the patient's skin type and ethnicity. There are no blood tests to tel you how you would heal, but an experienced surgeon can give you some ideas about how your skin type will respond to rhinoplasty surgery.

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 42 reviews

Reducing Risk Through Pre-op Tests

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To directly respond to your question - No there are no pre operative TISSUE tests to determine how you will heal. The only pre op tests are blood/urine/EKG to check your general medical condition. From MIAMI DR. Darryl J. Blinski 305 598 0091

Pre-Operative Testing of Cartilage and Bone to Optimize Rhinoplasty Results?

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The most effective pre-operative test that you can take prior to rhinoplasty is taking your time to choose your rhinoplasty surgeon most carefully!  It will be your surgeon who ultimately determines how your nasal bone and cartilage will heal.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Tests can't predict healing, history might

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Pre-operative tests can help us to manage risks in a few patients, though medical history and a clearance exam are more beneficial. There is no test which can show us how you will heal or react to rhinoplasty. If you are in good health and your physician agrees risks should be few.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Preoperative Workups for Plastic Surgery

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It is important to have a preoperative history and physical examination before any surgery. This is performed for your safety. It can identify certain risk factors that may increase your risk of complications, and is the most effective way to identify these problems.

If you have medical problems in addition to the reason you are having surgery. Your plastic surgeon may recommend seeing your primary medical doctor for a full history and physical examination, and recommendations and keeping your other medical problems from increasing your risk of surgery.

Basic lab test may be warranted, like a blood count and pregnancy test. More detailed examinations and test may be indicated for specific medical problems or increased age.

It is not possible to run a test to demonstrate what complications will occur after surgery, the only gauge we have is your odds of having a complication. In general the chances of having a complication from elective surgery are low, but they are never zero. This is just one more reason why it is best to see a Board Certified physician with experience in the procedure you are seeking, and with whom you can communicate effectively. Not only will you results be safer and more predictable, if problems do develop, they will be more likely to catch them when they are small, and begin treatment promptly.

For details about what it means to be a Board Certified Plastic Surgeon, please click on the link below:

Joseph Mele, MD
Walnut Creek Plastic Surgeon
4.5 out of 5 stars 17 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.