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Your surgery will be performed safely and with care in order to obtain the best possible results. You have the right to be informed that the surgery may involve risks of unsuccessful results, complications or injury from both known and unforeseen causes. Because individuals vary in skin texture, tissue, circulation and the healing process, as well as anesthetic reactions, there can be no guarantee made as to the results or potential complications.
The following complications have been reported in medical literature. They are listed here for your information, not to frighten you, but to make you aware and more knowledgeable concerning this surgical procedure.
Hemorrhage – (bleeding) – a flow of blood, especially if it is profuse.
Hematoma – a collection of blood (usually clotted) caused by a break in a blood vessel.
Edema & Ecchymosis – swelling and black and blue spot(s), can cause persistent dark areas under the eyes.
Infection (rare) – 0.8 to 1.6% incidence.
Periostitis – Inflammation along sites of bone breaking is unusual.
Skin problems – excessive dryness, dimpling, redness, skin pustules, telangiectasis (small spider-like blood vessels visible through the skin). Actual skin loss is possible, but very rare.
Injury to lacrimal duct – (tearing) apparatus – due to proximity to surgical site. Usually these problems are due to surgical swelling and improve spontaneously.
Septal perforation – one or more holes of the septum (cartilaginous separation between right and left sides of nose) can be permanent or repairable.
Nasal obstruction – a blockage, clogging, or narrowing can be permanent or reversible – 10%.
Altered sense of smell – almost always reversible – 10%.
Asymmetry - We straighten noses as much as possible but cartilage and noses have "memory". Also, small manipulations after surgery can shift the shape of the tip or sides of the nose resulting in twisting or shape change.
Tip fullness - also called bossae, poly beak, or persistent swelling can occur and may require revision after 6-12 months in some patients.
Pain, numbness - sensory changes and how your body responds to surgery can be unpredictable.
Loss of structural support - can occur in patients who have a weak or injured structure.
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Dr. Neal Goldman is a skilled, experienced, facial plastic surgeon who is specialized in cosmetic and reconstructive surgery of the face and neck. He is board certified by the American Academy of Facial Plastic and Reconstructive Surgery and the American Board of Otolarnygology-Head and Neck Surgery.
Dr. Neal Goldman is a skilled, experienced, facial plastic surgeon who is specialized in cosmetic and reconstructive surgery of the face and neck. He is board certified by the American Academy of Facial Plastic and Reconstructive Surgery and the American Board of Otolarnygology-Head and Neck Surgery.
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