Risks and Complications of ENT Surgery helping you make an Informed Decision
Any surgical procedure comes with inherent risks and potential complications. Below, we cover the risks and complications associated with rhinoplasty and ENT cosmetic surgery, equipping you with the knowledge necessary to make informed decisions about altering your physical features while prioritizing your well-being and safety.
It’s important to acknowledge that even with the expertise of a top ENT (Ear, Nose and Throat) surgeon, state-of-the-art facilities, and diligent post-operative care, there are inherent risks and potential complications associated with ENT Surgery and cosmetic Nose surgery.
Whether undergoing rhinoplasty or other procedures, the nature of these interventions involves invasive techniques, including incisions and tissue manipulation. From minor concerns to more significant issues, it is crucial to have open and honest discussions with your surgeon to fully understand the specific risks associated with your procedure. Despite precautions taken, unexpected events can occur, underscoring the need for comprehensive knowledge and informed decision-making.
General Risks of Surgery
It is important to be aware of the potential risks associated with cosmetic surgery in general. While these risks are relatively rare, it is essential to understand and consider them before undergoing any procedure. Here are some possible risks:
· Bleeding and Hematoma
Bleeding into the tissues can occur, but it is uncommon for it to require a return to the operating theatre or a blood transfusion. It’s worth noting that taking aspirin or non-steroidal anti-inflammatory drugs up to two weeks prior to surgery, even in small doses, can increase the risk of bleeding. Patients taking anticoagulants require specific peri-operative management.
· Wound separation or delayed healing
In some cases, wounds may take longer to heal or separate. This can be due to various factors, including individual healing capabilities and post-operative care.
· Inflammation and infection
While infection is relatively rare, there is still a possibility of inflammation and infection following cosmetic surgery. Surgeons take precautionary measures to minimize this risk, such as using sterile techniques and prescribing appropriate antibiotics.
· Pain
The severity and duration of post-operative pain can vary from patient to patient. It is important to discuss pain management options with your surgeon to ensure your comfort during the recovery process.
· Complications related to anesthesia
While rare, there can be certain complications associated with anesthesia. If you have any specific concerns, it is recommended to discuss them with the anesthesiologist before the surgery.
· Sensitivity or allergy to dressings and tape
Some individuals may experience sensitivity or allergic reactions to the dressings or tape used during the recovery period. It is important to inform your medical team of any known allergies or sensitivities beforehand.
· Scarring
Thick, wide, depressed, or discolored scars may occur after cosmetic surgery. While efforts are made to minimize scarring, individual healing factors can influence the outcome.
· Unsatisfactory result and need for revision surgery
Occasionally, patients may not achieve the desired outcome with their initial surgery and may require revision surgery to achieve their goals. This should be discussed with your surgeon beforehand.
· Post-operative fatigue and emotional well-being
Physical recovery from the operation and the effects of anesthesia can lead to post-operative fatigue. Additionally, some patients may experience temporary feelings of emotional low after any surgery that involves hospitalization. These feelings tend to improve over time as the body heals.
It is important to have open and thorough discussions with your surgeon about these risks and any concerns you may have before making a decision about cosmetic surgery. Your surgeon will provide guidance and ensure that you have realistic expectations for the procedure.
General Surgery Complications
In addition to the specific risks associated with nose and ENT surgery, there are general risks that can occur during and after any surgical procedure. It is important to be aware of these risks and discuss them with your surgeon. Some of the general risks include:
· Risks of General Anesthesia
General anesthesia is a widely used and generally safe method of sedation during surgical procedures. However, it’s important to be aware of potential risks and complications associated with general anesthesia. Some of the risks include: Breathing difficulties, Cardiovascular problems, nausea and vomiting, allergic reaction and more.
Your anesthetist will provide you with detailed information prior to the operation, allowing you to address any concerns you may have. While the majority of healthy individuals tolerate general anesthesia well, there can be risks associated with its administration.
· Bleeding (Hematoma)
There is a possibility of blood collection at the surgical site following surgery, resulting in a hematoma. If this occurs, additional surgery may be necessary to remove the hematoma or address any other potential bleeding issues.
· Build-Up of Fluid (Seroma)
Another risk is the accumulation of fluid or the formation of a seroma. This can occur in the surgical area and may require intervention if it becomes problematic.
· Infection
Infections can develop after surgery. If an infection occurs, your surgeon will prescribe antibiotics as needed and closely monitor your condition to ensure proper treatment.
· Wound Healing
It is possible for wound healing to be delayed, particularly in patients who are overweight, have underlying health issues such as diabetes, or do not maintain a healthy diet.
Smoking and pre-existing illnesses can also contribute to delayed wound healing. Your surgeon and nurse coordinator will oversee your recovery process and take appropriate steps if there is a delay in wound healing.
· Scarring
Scarring is an inherent part of any surgical procedure, as it involves making incisions and manipulating tissues. The extent and appearance of scarring can vary based on several factors, such as the individual’s healing ability, the location of the incisions, and the surgical technique used. While some scars may be barely noticeable, others may be more visible.
In certain cases, patients may have a predisposition to develop keloid scars, which are raised, thickened scars that extend beyond the boundaries of the original incision. Keloid scarring is more common in certain ethnicities and can be a concern for some individuals.
Your surgeon may recommend Fraxel Laser scar treatments to help reduce the visibility of scars after surgery.
While these risks are important to be aware of, it is essential to remember that most surgical procedures are successful and complications are relatively rare. Your surgeon will take all necessary precautions to minimize these risks and ensure a safe and successful outcome.
· Rarer Complications
- Deep venous thrombosis (DVT)
- DVT can lead to pulmonary embolism (PE). (Blood clots forming in the veins of the legs and floating to and blocking the blood vessels supplying the lungs).These events can be fatal (risk 1 in 1000 in major surgery such as abdominoplasty).The oral contraceptive pill and hormone replacement therapy (HRT) can increase the risk of a DVT and should be stopped at least a month before surgery.
- Special precautions such as the use of anti-embolic stockings and heparin (anticoagulant) injections appear to significantly lower the risk of DVT and PE.
- Severe allergic reactions to drugs used in anaesthesia
- This is also rare (1 in 10,000).
- Chronic pain.
- Other rare complications of surgery include stroke, heart attacks, cardiac arrhythmias, etc. however, these are extremely rare.
· Serious Complication – Deep Vein Thrombosis
DVT (deep vein thrombosis) is a serious and potentially life-threatening condition that can occur as a complication of cosmetic surgery.
DVT refers to the formation of blood clots in the deep veins of the body, most commonly in the legs. These blood clots can impede blood flow and cause swelling, pain, and discomfort.
It happens when a blood clot forms in a deep vein in the body, usually in the thigh or lower leg.
If a blood clot from a DVT breaks loose, it can travel through the bloodstream and reach the lungs, causing a potentially life-threatening condition called a pulmonary embolism. Symptoms of a pulmonary embolism include sudden shortness of breath, chest pain, rapid heartbeat, and coughing up blood.
To mitigate the risk of DVT, surgeons may employ preventive measures such as compression stockings, leg exercises, and early ambulation. In some cases, blood-thinning medications may be prescribed to prevent clot formation. It is crucial for patients to follow their surgeon’s post-operative instructions, including taking any prescribed medications and adhering to recommended activity levels.
If you feel you are experiencing signs of DVT, you should contact your surgeon as soon as possible so that proper drugs and therapies can be provided.
Risks of Surgical Procedures
There are certain additional hazards associated with surgery that may be relevant to some individuals. The following factors can increase a patient’s risk of experiencing complications after surgery;
- Genetics
- Obesity, overweight, or a high BMI.
- Allergies, sensitivities, or underlying health issues
- Substance abuse, as well as lifestyle variables such as smoking, bacteria-infested settings, and poor wound care
- Smoking can also increase the chance of complications at any point throughout your surgery.
Specific Risks to Rhinoplasty and Nose Surgery
- Unsatisfactory final shape
- Bony irregularities initially felt along the bridge line where the nasal bones are trimmed or divided are usually not seen.Rarely these are severe and persist and require further surgery.Structures such as bones, cartilages, skin and other soft tissues contributing to deformity do have “memory” and tend to return to their original shape and position despite the most skilled and well-planned surgery.
- Additional surgery is sometimes required to refine the result further.
- Healing problems
- Healing problems can cause undesirable changes to the external shape of the nose or airway blockage.Thickening of the soft tissues in the first few months after surgery can lead to “parrot-beak” (supratip) deformity just above the tip of the nose.
- Postoperative oedema control with taping may reduce this problem.
- Internal Bleeding – Can require a return to the operating theatre
- External scars, particularly with open rhinoplasty
- Wound or skin break down, leading to unpredictable external scarring
- Loss of septum, leading to the collapse of the bridge line of the nose
- Septal perforation leads to a permanent fistula, which may cause abnormal whistling sounds on breathing, as well as other irritative nasal symptoms.
- Actual or perceived ongoing airway obstruction.
So, if you are considering rhinoplasty surgery, it is important to be aware of the risks involved. However, please keep in mind that these risks are present with any surgical procedure. With proper research and a qualified surgeon, most of these risks can be minimized. If you have any questions or concerns, please do not hesitate to contact us. We would be happy to discuss the surgery with you and see if you are a candidate for this procedure.
Surgical Risks and Smoking
Your general health, including inflammation levels, will affect your healing processes. When it comes to cosmetic surgery, though, smoking is one of the most significant risk factors. Smoking has a negative impact on your health as well as your skin’s ability to repair.
Furthermore, even if you are a closet or social smoker, it is recommended that you be honest with your surgeon about your smoking habits. It is generally advised that you delay surgery until you have successfully quit smoking for a lengthy period of time.
Recommendations
In order to fully understand the risks involved with the ENT surgery procedure you have chosen, it is crucial to do your homework and gather all the necessary information. Prior to undergoing surgery, you will have a consultation with your chosen surgeon, who will discuss the surgical risks with you. It is important to carefully review and understand the risks listed on your consent papers.
To ensure a comprehensive understanding, it is essential to obtain a full list of potential risks or complications specific to your chosen procedure from your selected surgeon. Take the time to read all the materials provided to you regarding your procedure. Additionally, it is vital to closely follow your surgeon’s instructions both before and after the surgery, as this can help minimize risks to the greatest extent possible.
It is important to acknowledge that not everything in surgery goes exactly according to plan. However, by choosing one of Australia’s top surgeons and a reputable private hospital, you can enhance the likelihood of a successful outcome. Working with experienced professionals and receiving treatment in a trusted medical facility will contribute to a safer surgical experience and potentially reduce the occurrence of complications.
Why Choose Dr Kleid ?
Dr Stephen Kleid,
Melbourne ENT Surgeon
MED0001052799
Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.
Dr Kleid’s Procedures
Why Choose Dr Braham ?
Dr Simon Braham, Melbourne ENT Surgeon
MED0001144757
Dr Simon Braham MBBS (Hons) FRACS is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist) based in Melbourne, performing tonsil, grommet and sinus surgery for children & adults. He helps patients with breathing issues, snoring concerns and sleep disturbances.
Dr Braham’s Procedures
- ENT Surgery for Children (ENT Paediatric Surgery)
- Aesthetic Surgery
- Sinus Surgery and Nasal Surgery
- Tonsilectomy (for Tonsils)
- Grommets
- Laryngology
- Rhinology
- Surgery for Snoring
- Voice Disorders
How can we help?
Our Team takes pleasure in assisting you with any questions when considering a surgical procedure. Please call the St Kilda East clinic in Melbourne between 9 am – 5 pm on Weekdays.
What Next?
Want more information about your Procedure?
- Please read our website and blogs to find out more about your procedure and concerns
- For more information about pricing and payment methods, please visit our page on Surgery Payment Options.
- Talk to our Patient Care Team from 9 am to 5 pm Monday to Friday
What to Bring to Your Consultation
- We encourage you to bring a friend or family member to accompany you, as they can provide an extra perspective and support throughout the process.
- It is important to take thorough notes and carefully review all the documents provided to you.
How to Book a Consultation
- A referral from your GP or Specialist is necessary to see a surgeon for a consultation.
- Dr Kleid’s Nose Surgery consultation fee is $600 which includes a nasendoscopy ($300).
- Please contact us today to book your consultation.