Postoperative Complications in Rhinoplasty Surgeries: Diagnosis and Management

• DOI: https://doi.org/10.22533/at.ed.1595125030114

• Palavras-chave: Rhinoplasty complications; Postoperative management; Nasal obstruction.

• Keywords: Rhinoplasty complications; Postoperative management; Nasal obstruction.

• Abstract: INTRODUCTION Postoperative complications in rhinoplasty are a major challenge for surgeons, given the functional and aesthetic expectations associated with the procedure. While advances in surgical techniques and imaging technology have improved outcomes, complications such as edema, epistaxis, vascular compromise, nasal obstruction, and aesthetic deformities remain prevalent. The complexity of nasal anatomy and individual patient factors significantly influence complication rates, particularly in revision surgeries where altered anatomy and scar tissue add to surgical difficulties. OBJETIVE To analyze the diagnosis, management, and prevention of postoperative complications in rhinoplasty surgeries, focusing on functional and aesthetic outcomes. METHODS This is a narrative review which included studies in the MEDLINE – PubMed (National Library of Medicine, National Institutes of Health), COCHRANE, EMBASE and Google Scholar databases, using as descriptors: “Rhinoplasty complications” OR “Postoperative management” OR “Nasal obstruction” OR “Revision rhinoplasty” OR “Aesthetic and functional outcomes” in the last 5 years. RESULTS AND DISCUSSION The results highlight the most common complications, including early issues like hematomas, infections, and delayed healing, as well as late complications such as septal perforation, tip deformities, and functional airway obstruction. Early recognition and targeted management through advanced diagnostic tools and surgical interventions are essential to prevent long-term sequelae. Aesthetic outcomes are closely linked to intraoperative precision, while functional success depends on preserving nasal support and restoring airflow. Patient-specific factors, including psychological readiness, were found to contribute to overall satisfaction rates. CONCLUSION effective management of rhinoplasty complications requires a multidisciplinary approach, incorporating patient education, precise surgical execution, and comprehensive postoperative care. Surgeons must balance functional and aesthetic goals while addressing complications promptly to optimize outcomes. Ongoing advancements in surgical techniques and perioperative protocols are critical to reducing complication rates and improving both patient satisfaction and long-term surgical success.