[Deep Dive into Plastic Surgery Side Effects] Solution to Inflammation after Rhinoplasty in Rhinitis patients
[Deep Dive into Plastic Surgery Side Effects] Solution to Inflammation after Rhinoplasty in Rhinitis patients
  • 글·심지선 기자ㅣ번역·김성혜 인턴기자 (js.shim4880@gmail.com)
  • 승인 2020.12.11 15:18
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CARD 1 Inflammation, the most dangerous side effect of rhinoplasty

After rhinoplasty, one becomes vulnerable to ▲bacterial and viral penetration through exposed surgical site ▲rejection reaction to artificial implants (silicone, etc.) ▲possibility of external shocks ▲inflammation such as rhinitis and sinus infection. Inflammation caused by rhinoplasty often damages surrounding tissues, leading to serious side effects like contracture and deformity. Dr. Yong-hae Seong, of the GNG Clinic, explained the causes of inflammation after rhinoplasty and solutions to it.

CARD 2 A Case of inflammation after rhinoplasty

Mr. A (27-year-old)—having symptoms of chronic rhinitis—had visited the L clinic in Gangnam for rhinoplasty. After he heard that rhinitis does not affect the surgery, he underwent rhinoplasty with silicone implant and nasal septal cartilage. Inflammation had occurred right after the surgery but fully recovered, and the surgeon advised him to manage his physical condition and to quit smoking. However, inflammation reoccurred several months later. The L clinic prescribed antibiotics for two weeks and said nose reoperation might be performed if necessary. Mr. A suspects that the cause of inflammation and recurrence may be the rhinoplasty performed without rhinitis pretreatment rather than smoking.

CARD 3 The causes of inflammation after rhinoplasty

There are various causes such as deteriorated individual immunity, contamination during the operation, carelessness during the recovery period, etc. In particular, the risk is higher when immunity is weakened by anemia, undernourishment, diet, and smoking. Also, since smoking weakens immunity and hinders blood circulation, it is best to quit smoking from the surgical planning stage. Besides, taking supplements or high-protein food that help to strengthen the immunity is also helpful in preventing inflammation.

CARD 4 Will rhinitis affect inflammation after rhinoplasty?

Although the risk of inflammation seems to be very high since rhinitis and sinus infection cause runny nose to contact the surgical site, it is not so. Rather, the probability of infection due to bacteria such as acne on the nose or seborrheic dermatitis adjacent to the surgical site is much higher. If a patient with severe rhinitis or sinusitis wants a rhinoplasty, functional and cosmetic surgery may be performed simultaneously if necessary.

CARD 5 The necessity of treating inflammation after rhinoplasty

It can be recognized with subjective symptoms such as redness, swelling, pain, and yellow pus. Immediately after surgery, medical staffs handle these problems, preventing advancement to severe problems. However, if the inflammation recurs or persists after several months, you must revisit the clinic. This is because inflammation around the surgical site does not heal naturally and can cause serious side effects such as skin contraction, necrosis, nasal tip depression, and deformity over time.

CARD 6 How to treat inflammation after rhinoplasty

For temporary redness, pain, and swelling, antibiotics are prescribed for more than five days, and if oozing is found on the surgical site, then the area is opened and cleansed. But, if yellow or bloody pus oozes, all implants and cartilage should be removed and thoroughly washed to minimize inflammation.

CARD 7 Appropriate time for nose revision

At least six months to a year after nose surgery need to pass. To shorten this period, intensive care for inflammation with hyperbaric oxygen therapy, stem cell therapy, and nutrient injections is helpful. For foreigners and anyone who cannot wait long for personal reasons, revision is performed while removing inflammation from the nose. At this moment—to lower the probability of inflammation recurring—it is required to use autologous tissue and to carry an intensive inflammation treatment.

CARD 8 Material for nose revision that minimizes the recurrence of inflammation

Donated dermis/cartilage can also be used, but autologous tissue is the best. The autologous dermis near the hip or costal cartilage (chest cartilage) is for raising the nose bridge. Nasal septal cartilage, costal cartilage, or ear cartilage is used for the nose tip. When using the autologous tissues, the result greatly depends on a surgeon’s skill and know-how.

CARD 9 Advice: Dr. Yong-hae Seong, of the GNG Clinic

“The cause of inflammation after rhinoplasty is more likely to be an immune depression due to anemia, malnutrition, diet, alcohol, smoking, etc., rather than rhinitis. Smoking, especially, significantly increases the chance of inflammation; so, it is better to start quit smoking when planning nose surgery. If you have rhinitis and want to have a rhinoplasty, you may have both functional and cosmetic surgery at the same time, depending on your condition.”

CARD 10 TIP. How to prepare for unexpected situations or side effects after surgery

Before the surgery, you must check and sign the surgery consent, which varies per clinic and contains the following terms: ▲surgical contents and site ▲possible side effects and sequelae ▲the details of follow-up management for re-operation and treatment ▲additional costs, etc.

Specifying in a contract what the patient and doctor deem necessary after a discussion is a good way to protect the patient’s rights in case of a medical dispute and to reduce the possibility of conflicts.

 

•This post is created from the article published on September 2. 

http://www.k-health.com/news/articleView.html?idxno=50393

•Medical advice: Dr. Yong-hae Seong of the GNG Clinic, Medical Advisor of K-Health 

https://www.k-health.com/news/articleView.html?idxno=49998

Reporter Ji-sun Sim


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