Rhinoplasty is considered to be an operation with high risks, primarily because of the limited predictability of the aesthetic result. Postoperative deformities are considered as main risks of rhinoplasty, causing revision surgery in 5% to 15% of the cases. What are the reasons? A perfect result immediately after surgery may be totally different one year later. Limited predictability is mainly due to the dynamics of the healing process. Many different types of tissues are involved: bone, cartilage, mucosa, skin, fat, fascia, muscles, nerves, vessels, perichondrium and periosteum. The individual reactions of these tissues are not always under the control of the surgeon. This is especially true for cartilage, the main supporting structure of the nose.
The risks for rhinoplasty-complications can be reduced with increasing experience. A prerequisite is continuing education and an earnest distinction between complication and mistake. Dr Bart van de Ven has built up a decent experience with noses during his career. To help the healing process he developed a device called ‘nose moulder’ that drastically decreases some of the aesthetic complications after rhinoplasty. Because of the real pressure possible with this splint less fluid collection between skin and underlying tissue is the result. Fluid can be replaced by the body by scar tissue, compromising the aesthetic result. The real pressure also gives a real fixation of the bone cuts. This results in significant straighter noses.
Posted in: Rhinoplasty