Side Effects After Rhinoplasty, Infection Treatment #RevisionRhinoplasty #DirectorLeeKyungmuk

This is Obje Plastic Surgery.

We have entered the changing season, when the temperature difference between morning and evening is very large. It almost feels like autumn has become very short. At times like this, please be sure to take care of your health so that your immune system does not weaken.

In addition, regarding side effects after rhinoplasty that often lead people to consider revision surgery, let’s learn more with Director Lee Kyungmuk, who is known for revision rhinoplasty.

Infection treatment after rhinoplasty

This is one of the biggest concerns for patients.

Infection seems to be one of those things that are, in practical terms, unpredictable for both doctors and patients. No matter how carefully the procedure is done and no matter how thoroughly bleeding is controlled, infection can still occur. In other words, even with the greatest effort, there is always a chance that infection may develop. That is true anywhere.

From now on, we will divide the question of how to lower the risk of infection, which is the most concerning side effect after rhinoplasty, into two parts: the doctor’s efforts and the patient’s efforts.

The doctor’s efforts

To reduce infection treatment after rhinoplasty, the most fundamental approach is to lower the chance of infection in the first place. For this, Director Lee Kyungmuk at a clinic known for rhinoplasty has this kind of know-how.

When people think of surgery, they generally assume that bleeding is normal. However, clinical results suggest that to reduce the likelihood of infection during surgery, there should be little to no bleeding. The reason is that one of the causes of infection is considered to be bleeding.

To that end, the board-certified plastic surgeons at Obje Plastic Surgery finish the procedure by suturing while maintaining a carefully controlled state with as little bleeding as possible. Doing so can help minimize the occurrence of infection and also significantly lower the probability of it happening. Of course, bleeding does not automatically mean infection will occur. The statement above is based on probability.

Accordingly, when performing rhinoplasty at our clinic, the board-certified plastic surgeons always do their utmost to maintain a clean condition with no bleeding.

Of course, opinions about infection can differ from doctor to doctor depending on how each one views the cause.

In Director Lee Kyungmuk’s case, in addition to making efforts to minimize bleeding during surgery, he performs dissection while keeping tissue over the cartilage in the nose. Cartilage comes in many different forms. There is ear cartilage, autologous rib cartilage, nasal cartilage, and septal cartilage.

Although all of these are called cartilage, each type has its own characteristics. Some cartilage is soft, while some is hard. Because cartilage has no blood vessels, it receives nutrients through what we usually call diffusion, a mechanism of dispersion. If it cannot receive nutrients, it becomes dry and weak. Since cartilage gets nourishment from the tissue surrounding it, this point is taken into account, and tissue is left attached during cartilage dissection.

If the cartilage has nutrients, that means it has the strength to resist bacteria. If it does not have nutrients, it means it has no such strength. Therefore, when dissection is performed with some tissue left attached to the cartilage, the risk of infection is believed to be reduced. If the cartilage is completely stripped bare into a “nude” state, it may look beautiful, but the cartilage itself can be vulnerable to infection.

Director Lee Kyungmuk believes that these two techniques have, in actual clinical practice, helped reduce the rate of infection after rhinoplasty relative to the number of surgeries performed. These techniques are also highly useful for patients in practice and have led to improved satisfaction.

• Controlling bleeding

• During dissection, wrapping a small amount of tissue around the cartilage before dissecting

The patient’s efforts

You must never put force into your face. If you tense your face, the blood vessels will expand and bleeding becomes unavoidable. Therefore, this must be handled very carefully.

Side effects after rhinoplasty

Silicone deviation and nasal congestion

The most fundamental reason silicone or the nasal tip support pillar becomes bent can be said to lie with the patient themselves.

In general, if a person’s nasal base is straight, even if the doctor makes a mistake, it does not bend very much. However, there are patients whose external nose looks fine but whose internal nose is completely crooked. In such cases, if silicone is inserted and the tip is supported with the septum, it usually returns to its original position.

For this reason, if the inside of the nose is very crooked, I would recommend not having a surgery that raises the nasal tip too much or raises the bridge too much. For these patients, making the bridge and tip as natural as possible is a good way to avoid side effects after rhinoplasty and nasal congestion.

Of course, even in such situations, there may be cases where the structure is properly straightened. However, in order to straighten a structure that is already bent, everything has to be broken down and rebuilt. In this process, the rebuilt structure is artificial, so its framework is inevitably weaker than the natural structure that existed before.

■ Learn more in video about rhinoplasty side effects with Director Lee Kyungmuk

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