Rhinoplasty, or nose surgery, is among the most popular cosmetic procedures, offering a way to reshape a prominent facial feature and improve facial harmony. While success rates are generally high, every surgery involves certain risks. Patients who are well-informed tend to have realistic expectations and a smoother recovery. Here, we’ll explore common concerns after rhinoplasty and factors that can impact outcomes.
Variation in Results
Results from rhinoplasty aren’t immediate—it can take up to 12 months for the final shape to fully stabilise. Due to individual tissue differences and healing rates, outcomes vary from patient to patient. Potential challenges may include asymmetry, persistent irregularities, or recurrence of nose deviation. Revision surgeries are sometimes possible, but these are approached cautiously due to the delicate nasal tissues and the increased risks with each procedure.
Functional Concerns
Rhinoplasty can sometimes impact nasal function. Narrowing of the nasal passages during cosmetic surgery may unintentionally lead to breathing difficulties. Other functional issues, such as partial recurrence of nasal deviation or structural collapse, can also occur. Altered mucosal sensation may cause the nose to feel blocked, and while rhinoplasty can sometimes reduce snoring, this condition is often multifactorial and may not resolve entirely with nasal surgery alone.
Longevity and the Ageing NoseÂ
While rhinoplasty results are designed to be long-lasting, the nose, like all facial features, continues to age over time. Cartilage, bone, and skin undergo gradual changes as we age, which can influence the appearance of even a well-executed rhinoplasty. Common signs of ageing in the nose include tip drooping, changes in skin elasticity, and subtle reshaping of the nasal structure due to underlying bone and cartilage shifts.
Hyperpigmentation
Increased pigmentation or hyperpigmentation may occur after rhinoplasty, especially in patients with a predisposition for darker skin tones around the lower eyelids. Hyperpigmentation can result from inflammation, hormonal shifts, sun exposure, or even post-surgical bruising. Patients with a history of hyperpigmentation should discuss this with their surgeon, as extra care may be needed post-surgery to reduce this risk.
Tiny Bumps and Lumps
Small bumps along the nose may develop post-surgery due to scar tissue, swelling, or residual bone and cartilage. Some patients with prominent dorsal humps may require more than one surgery to achieve a smooth contour. Gentle massage may help with scar tissue bumps, but excessive pressure should be avoided. If a bump is caused by swelling, your surgeon may recommend steroid injections to reduce it.
Cartilage Resorption, Warping, and Displacement
When cartilage grafts are used to support or shape the nose, there is a small risk of cartilage resorption (shrinkage over time), warping, or displacement. Resorption can reduce the long-term structural integrity of the nose, leading to changes in shape. Warping occurs when the cartilage bends or curves as it heals, altering the intended contour. Displacement, where the graft moves from its original placement, may require corrective measures.
Nasal Tip Fullness
Swelling in the nasal tip is common after rhinoplasty and can cause some alarm. The nasal tip is composed of thicker tissue, so swelling here often takes longer to subside—sometimes several months. This is a normal part of healing, and patients are advised to be patient as the area gradually refines over time.
Internal Scarring and Adhesions
Internal scarring, or adhesions, can form within the nasal passages as the tissues heal. These internal scars can potentially impact the final result, leading to a feeling of nasal obstruction or asymmetry in the nasal structure. In some cases, these adhesions may cause tissues to stick together, limiting airflow. Though rare, severe internal scarring may require minor revision surgery to address and improve nasal function.
Infection and Bleeding
While infections are uncommon, factors such as haematoma, contamination, or poor immunity can increase the risk. The nasal cavity is naturally colonised with bacteria, so prophylactic antibiotics are typically prescribed to reduce infection risks. Bleeding can also occur, especially if blood-thinning medications or supplements were not ceased before surgery. Be sure to discuss all medications and supplements with your surgeon to avoid potential complications.
Scarring, Swelling, and Bruising
Despite careful surgical techniques, scarring may occur, potentially resulting in dark, raised, or prominent scars. Swelling is a normal part of the healing process and should gradually subside after a few weeks. Bruising is also expected post-surgery and typically resolves within 7-10 days. To optimise healing, sleep with your head elevated, maintain a healthy diet, and avoid smoking and alcohol.
Rhinoplasty
Rhinoplasty can achieve transformative results, but understanding potential complications allows patients to set realistic expectations and be proactive in their aftercare. Patient safety and satisfaction are top priorities, and careful planning and open communication with your surgeon are key to achieving the best possible outcome. For any further questions or to book an appointment, don’t hesitate to reach out.
About Dr Rodrigo Teixeira
Dr Rodrigo Teixeira, MD, FRACS, is a Specialist Plastic Surgeon based in Melbourne, Australia, at Unveil Plastic Surgery in the heart of East Ivanhoe Village.
With extensive experience in aesthetic and reconstructive surgery for the face, nose, and breast, Dr Teixeira is a Fellow of the Royal Australasian College of Surgeons (RACS). He is also a respected member of the Australian Society of Plastic Surgeons (ASPS) and the Australasian Society of Aesthetic Plastic Surgeons (ASAPS). Internationally, he holds memberships in both the American and International Societies of Plastic Surgery.
Please note that any surgical or invasive procedure carries risks. To discuss your aesthetic goals or address any concerns about facial appearance or other cosmetic procedures, please consult with your general practitioner, who can provide a referral for a specialist surgeon consultation. For more information, contact us at (03) 9000 3800.