What are the risks involved with undergoing a 9-hour revision rhinoplasty?

Question

The doctor I am considering said he would take somewhere around that long but I forgot to asks what the risks were. Thank you

Stephen Prendiville, MD · Answer

9 hours is a relatively long time for a Rhinoplasty.  If it is a complicated revision involving a rib graft, I can easily see the procedure lasting 4 hours plus.  However, I recommend that you return to the Surgeon you are considering to review risks with him.

William Portuese, MD · Answer

Revision rhinoplasty  is the hardest operation to perform an entire field of cosmetic surgery, so choose your surgeon very wisely based on experience, before and after photo gallery, ratings, reviews and testimonials. A 9 hour revision rhinoplasty seems very lengthy,  so it is best to speak to your revision rhinoplasty specialist.  In our practice, a very complicated revision rhinoplasty  with multiple cartilage grafts, osteotomies and tip work would take no more than 2-3 hours.

Alejandro Nogueira, MD · Answer

I have done hundreds of revisions, and my longest record is about 8 hours, the average 3-4, it is true that revision surgeries are challenges and time consuming, but most cases can be done in about 3 hours as average, less than 5 is the rule.Do request explanation to your surgeon to justify 9 hours.

Douglas J. Mackenzie, MD · Answer

You should go back to the surgeon and discuss the risks in detail, especially as regards your particular situation.  There is really not enough information here to go with, and I don't think citing a laundry list of possible complications would be helpful.  9 hours seems awfully long, even for a complicated revision requiring costal cartilage graft.  Get 2 or 3 opinions.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,A 9 hour revision rhinoplasty doesnt sound right... The most difficult revision rhinoplasty I have ever performed over the last 20 years took no more than 3.5-4 hours. A 9 hour operation has a load of anasthesia risk as we as multiple surgical risks including but not limited a bad result. Find another surgeon.Best,Dr.S.

Mark Loury, MD, FACS (retired) · Answer

Like the other expert answers I can't comprehend why even the most difficult rhinoplasty would take that long. Your question however is about the risks. With any surgery the risks of infection, poor lung inflation, deep vein blood clots, pressure sores to the heels, back, and elbows, airway damage from the breathing tube, etc. all increase with the length of surgery.  Either speak to your surgeon about why it would take so long or get another opinion. Hope all goes well once you decide.

Michael Elam, MD (retired) · Answer

Dear Rozeroze, I have never been in surgery for nine hours for a revision rhinoplasty and even for multiple procedures on one patient. This seems like an extremely long surgical time. Even for the most difficult revision procedure I would estimate three hours and four at the very most!! I would discuss with your surgeon what could possibly take this time length and discuss the risks of surgery at this extended time frame. Best regards, Michael V. Elam, M.D.

Michel Siegel, MD - Account Suspended · Answer

Revision rhinoplasty is a complicated and tedious surgery. The scar tissue, from previous surgeries, makes dealing with existing tissues more complicated.Usually, grafts are required to correct and support previous deformities. Cutting and placing these grafts will also takes time. That being said, a revision rhinoplasty extending beyond the 4- 6 hr mark, is highly unusual.Ensure you have visited at least two doctors, and that they specialize in rhinoplasty surgery.

What are the risks involved with undergoing a 9-hour revision rhinoplasty?

Answers (8)

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