The risks of rhinoplasty explained

In this blog, I explain which risks may occur with rhinoplasty, how common they are, and what I do to minimise them.

1. General surgical risks

As with any surgery, general risks may include:

• bleeding

• infection

• swelling and bruising

• temporary numbness

• scarring

In rhinoplasty, these risks are usually small and often temporary. Proper aftercare and following instructions greatly reduce the chance of complications.

2. Swelling and recovery: often underestimated

One of the most common ‘risks’ is underestimating the recovery process.

• swelling may remain visible for months

• the nasal tip needs the longest time to settle

• the nose may feel stiff initially

• the final result becomes visible after 6–12 months

This is not a complication, but something you should be mentally prepared for. I always discuss this in detail during the consultation.

3. Asymmetry and unpredictable healing

No face is perfectly symmetrical and neither is the nose. During healing, it is normal that:

• the left and right sides heal differently

• swelling lasts longer on one side

• subtle asymmetries remain

My goal is balance and harmony, but healing does not follow exact measurements. Minor differences are normal and usually only noticeable to the patient.

4. Functional risks: breathing

Although rhinoplasty often improves breathing, in rare cases patients may experience temporary:

• reduced airflow

• nasal congestion

• altered breathing sensation

With careful surgical technique, permanent breathing problems are uncommon. Functional stability is always a priority in my work.

5. Dissatisfaction with the result

An important but underestimated risk is disappointment with the final result.
This is usually caused by:

• unrealistic expectations

• differences between wishes and anatomical possibilities

• comparison with edited photos or filters

• misunderstanding subtle results

That is why expectation management, photo analysis and simulation are essential parts of every consultation.

6. Revision rhinoplasty

In a small percentage of cases, a revision procedure may be necessary.
This can occur when:

• healing differs from expectations

• scar tissue affects the outcome

• previous surgery has caused instability

Revision rhinoplasty is more complex than primary surgery. This is why I always aim for a conservative, stable first procedure.

7. How I minimise risks

Risk reduction starts long before surgery. I do this by:

• performing thorough consultations

• giving honest and realistic advice

• focusing on subtle adjustments

• working with preservation rhinoplasty

• providing clear aftercare instructions

• offering long-term follow-up

Sometimes, advising against surgery is the safest option.

Conclusion

Rhinoplasty is safe when performed with experience, care and realistic expectations. Risks exist, but they are usually limited and manageable.

My role is not only to perform surgery, but to guide you honestly and help you decide whether rhinoplasty is the right choice for you.

Curious to see what I can do for you? Please submit your details and the requested photos via the form on this page.