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Rhinoplasty Surgical Errors

A rhinoplasty error claim occurs when a patient has difficulties as a result of medical misdiagnosis during surgery.

Table of Contents

    Rhinoplasty surgical error – what can go wrong?

    Rhinoplasty is a complicated and delicate nasal surgery with both aesthetic and functional aspects that take years of surgical experience to master. Some of the most common problems that arise after rhinoplasty are:

    1. Polly Beak Deformity: Cartilaginous or Soft Tissue

    In a natural-looking nose, there is a slight depression as the nose transitions from the bridge to the tip. In the case of the Polly beak deformity, however, this bridge area above the tip is too high, giving the nose an appearance like a parrot’s beak. Three different complications during rhinoplasty can lead to this problem, which is one of the most commonly seen after rhinoplasty surgery.

    2. Cartilaginous Polly Beak Deformity

    A cartilaginous Polly beak deformity occurs when too much cartilage is left after surgery, and revision rhinoplasty to correct this would involve shaving down the extra cartilage.

    3. Soft tissue Polly Beak Deformity

    A soft tissue Polly beak deformity occurs when a surgeon removes too much soft tissue on a patient with thick skin so the skin doesn’t properly contract and flatten out, causing excessive scar tissue to form in the area.

    4. Lack of Nose Tip Support

    Where the original surgeon fails to leave enough support for the tip of the nose and it droops over time, making the area above the tip appear to project too far. Revision rhinoplasty to address the problem requires the surgeon to reconstruct the nasal tip so it has adequate support.

    Profile deformity: persistent bump or scooped-out bridge

    The “Middle Vault,” also known as the “Inverted V Deformity,” occurs when a bump is removed from the central nose, but inadequate support is provided. The center of the nose collapses, both inhibiting breathing and making the nasal bones visible to the naked eye in the shape of an inverted “V.” Breathing will also be inhibited when the removal of a bump causes the collapse of the narrowest area inside the nose, the internal nasal valve. As with a scooped-out bridge, a revision rhinoplasty to address a collapsed central nose or internal valve collapse involves rebuilding the missing area with the patient’s own cartilage.

    1. Irregular Bridge

    Other general aesthetic concerns relating to the bridge can occur after a rhinoplasty procedure. The central nose forms the transition from the bridge to the tip and must be in proper proportion to seamlessly blend the two together in an aesthetically harmonious relationship.

    2. Deviated Nose Issues after Surgery

    A deviated nose is a nose with a twist-either in the upper, middle, or tip of the nose. It is one of the most difficult problems to address through rhinoplasty and can persist after an original rhinoplasty or a revision rhinoplasty. It can even be introduced through a rhinoplasty or revision rhinoplasty procedure.

    3. Over-Projected Tip

    One of the most common mistakes seen following rhinoplasty is the over-projected tip. Once a prominent bump is removed, patients often discover that the tip of the nose projects too far from the face.

    5. Tip Bossae (Knuckling)

    If the two projecting points of cartilage that support the nose tip are too aggressively removed they will lose their springy structure and remaining cartilage will begin to bend and twist. This causes a problem called “bossae” or “knuckling” where the cartilage turns upon itself and the weakest points at the joints of the cartilage form very noticeable bumps or “knuckles.”

    6. Asymmetric Tip

    Rhinoplasty involves two separate procedures, one to the right side of the nose and one to the left. In every stage of the surgery, great attention must be paid to symmetry. The cartilage on both sides of the nose tip must be removed to exactly the same degree or an asymmetric tip will result. Asymmetries may also occur due to unequal scarring during the healing process and not reveal themselves until months or even years after the fact.

    Rhinoplasty Terms

    The terms set out below give a brief description of the types of Rhinoplasty offered in Ireland

    Rhinoplasty: a surgery that changes the form (or shape) and function (breathing) of the nose.

    1. Functional Rhinoplasty

    To improve or restore breathing function through the nose. This surgery may also change the shape of the nose.

    2. Cosmetic Rhinoplasty

    To change the shape of the nose for aesthetic reasons.

    3. Open Approach Rhinoplasty

    This leaves an external scar on the columella but gives an advantage of improved access which may be necessary in some cases.

    4. Closed Approach Rhinoplasty:

    Operation through nares (nose openings) with no external scars.

    5. Nose Tip Plasty

    Usually a cosmetic surgery procedure to modify the shape of the tip of the nose.

    6. Nasal Valve Surgery

    To improve breathing when the nasal valves are dysfunctional or compromised.

    7. Paediatric Rhinoplasty

    Rhinoplasty in a child under eighteen years of age, usually to restore or improve functionality of the breathing process through the nose.

    8. Nasal bone fractures

    Injury to nasal bones may necessitate formal rhinoplasty in the future, if not addressed adequately in time.

    Rhinoplasty Surgical Error

    9. Acute Septal cartilage fractures

    Nose injury leading to nasal cartilage dislocation or fracture. Septoplasty may be required if nasal obstruction persists. This is routinely performed after 6-12 months (interval septoplasty) allowing the scar tissues to mature and allow predictable results after correction.

    10. Septoplasty

    Surgery for correction of nasal blockage caused by bent septal cartilage. The Septum is the party wall that divides the nose into right and left cavities.

    The claim prcoess

    1. Consult our medical negligence solicitor

    It is advisable for you to speak to an experienced team of Medical Negligence Solicitors as soon as possible if you believe that you were not provided with an adequate or appropriate level of medical care, which resulted in you sustaining an injury or illness.

    2. We obtain your medical records

    After the consultation with your medical negligence solicitor, he/she will request access to your medical records and engage an independent medical expert to assess your records. The purpose of engaging an independent expert is to establish whether there was any negligence on the part of the medical professional.

    3. The medical negligence litigation process

    Where the independent medical expert is of the professional opinion that medical negligence did occur, upon your instructions, your solicitor will commence the process of issuing legal proceedings in Court against the medical professional and/or hospital.

    Statute of Limitation

    The legal time limit to make a medical negligence claim is two years from the date of injury or date of knowledge that the injury or illness resulted from medical negligence. For children/minors, the time limit expires two years after their 18th birthday. You may contact a solicitor to discuss your case to advise of the Statute of Limitations applicable to your case.

    Our team

    Women's Team at Coleman Legal LLP

    At Coleman Legal LLP, medical negligence claims constitute a large part of our caseload, and with that comes first-rate experience and high awareness of the area in general by our practitioners. We can advise you on your case, and you will be guided through the legal process as sensitively as possible with our support. To speak with one of our solicitors, call 1800-844-104 (free phone) or complete our online enquiry form.

    Along with our expertise in the area, clients can expect support and sensitivity.  If you believe that you have suffered as a result of medical negligence, either in your treatment or as a result of misdiagnosis or delayed diagnosis, Coleman Legal can advise you as to whether you may have a case against another party and will support you through the entire process.

    Coleman Legal LLP

    Solicitors
    84 Talbot Street, Dublin 1
    D01 YX60
    DX 112002

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    Clodagh Magennis

    Clodagh Magennis

    Head of Client Services

    P: 1800-844-104
    E: [email protected]

    ”At Coleman Legal, excellence in customer care is paramount. We aim to meet both prospective and existing client’s needs in a professional, engaging, and friendly manner with a clear objective to give quality legal advice and reach a positive outcome.”

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