When presented with a complex complication, aesthetic practitioners must reflect on their own capabilities and knowledge before agreeing to take on the case. They must consider whether they have sufficient experience, anatomical knowledge and resources to maintain the patient’s safety as well as deliver an acceptable aesthetic result. This is particularly important when a complication has occurred in an area of the face with complex and potentially altered neuro-vascularity, such as the nose.
The case study presented in this article fits this criteria, and despite over two decades of global teaching and referrals for the management of complications, I feel it is important to stress that complacency is to be avoided. Indeed, if one is unsure about how to proceed with a case due to its complexity, there is no shame in referring the patient to a more experienced colleague.
A 45-year-old woman was referred to my clinic with nasal complications following a history of a number of surgical rhinoplasty procedures which had left her with an unsatisfactory aesthetic result…
