Protocol of prevention and conservative treatment of persistent edema after rhinoplasty

Z.A. Evsyukova¹, A.V. Glushko^2,3

¹A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow

²I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow

³Institute of Plastic Surgery and Cosmetology, Moscow

Due to the high popularity and relative availability of surgical methods concerning appearance enhancement, rhinoplasty consistently occupies a leading position among all types of plastic surgery, remaining difficult to use in both technical and recovery terms. Commonly, edema after even gentle closed rhinoplasty with the use of modern surgical methods, including piezotome, persist not less than a year, provoking the fibrous tissue formation, which makes the patient and the surgeon decide on the need for repeated intervention. With the increase in the number of repeated interventions on the nasal tissues, the following question arises: how to avoid certain complications and ensure a predictable surgery result. Based on the 3-year experience of working with such patients, we have developed a proto col for the treatment of postoperative edema, which we actively use both on patients after primary rhinoplasty and after repeated surgeries. This protocol allows not only to stop edema, but also to prevent fibrous changes. It helps to avoid repeated surgical interventions and increase patient satisfaction with the surgery result.

Keywords: rhinoplasty recovery, rhinoplasty, treatment of surgical complications, postoperative edema, soft tissue edema, neodymium laser.

For citation: Evsyukova Z.A., Glushko A.V. Protocol of prevention and conservative treatment of persistent edema after rhinoplasty. RMJ. 2021;8:33–36.