dr._buonassisi_explains_health_concerns_for_rhinoplasty_v1 (1080p)

<p>In this video, Dr. Thomas Buonassisi, MD, FRCSC, a Specialist in Otolaryngology – Head and Neck Surgery with a practice limited to facial plastic surgeries, discusses important health considerations for those considering rhinoplasty. With over 20 years of experience and having performed over 2,500 rhinoplasties, Dr. Buonassisi emphasizes the importance of patient education in achieving successful outcomes. He addresses common questions about the health requirements for undergoing rhinoplasty, highlighting that most patients fall within the typical age range of fifteen to fifty and are generally healthy enough for the procedure. However, certain health conditions can impact a patient's candidacy for rhinoplasty. Dr. Buonassisi notes that patients on blood thinners for clotting disorders should avoid rhinoplasty due to the risk of excessive bleeding, as the nose is a highly vascular structure. Additionally, conditions such as low hemoglobin levels, which can be common in some female patients, may necessitate a delay in surgery until these levels are normalized. A blood test may be required to ensure that hemoglobin and iron levels are adequate before proceeding with the surgery. Pregnancy is another condition that contraindicates rhinoplasty, as surgery cannot be performed during this time. Dr. Buonassisi underscores that rhinoplasty is an elective procedure, and it is crucial to minimize risks associated with anesthesia and bleeding. While most patients do not have health concerns that pose significant risks, each case is assessed individually to ensure patient safety. What are the health considerations for rhinoplasty? Dr. Buonassisi explains that while most patients are healthy enough for rhinoplasty, certain conditions like the need for blood thinners or low hemoglobin levels may affect candidacy. Can patients on blood thinners undergo rhinoplasty? Patients on blood thinners are generally advised against rhinoplasty due to the risk of excessive bleeding from the vascular nature of the nose. How does low hemoglobin affect rhinoplasty candidacy? Low hemoglobin levels can delay rhinoplasty until they are normalized, as adequate levels are necessary to minimize bleeding risks. Is pregnancy a contraindication for rhinoplasty? Yes, rhinoplasty cannot be performed during pregnancy. Patients must wait until after pregnancy to consider the procedure. What is the typical age range for rhinoplasty patients? Rhinoplasty patients typically range from fifteen to fifty years old, with most being healthy enough for the procedure. How does Dr. Buonassisi ensure patient safety for rhinoplasty? Dr. Buonassisi assesses each patient's health individually, considering factors like blood thinners and hemoglobin levels, to ensure the lowest possible risk. What are the potential cosmetic complications of rhinoplasty? While health concerns are important, Dr. Buonassisi also discusses potential cosmetic complications, which will be covered in further detail in other content. Why is patient education important in rhinoplasty? Dr. Buonassisi believes that educated patients are happier with their outcomes, as understanding the procedure and potential risks leads to better decision-making.</p>

My name is Doctor. Bonesisi and I'm a board certified facial plastic surgeon with a practice in Vancouver, Canada. I've been specializing in cosmetic rhinoplasty for almost twenty years and I'm here to answer your questions about this very interesting procedure. Happy patients are educated patients and that's why every question is a good one. So another question is whether or not you're healthy enough to have a rhinoplasty. You know most rhinoplasty patients are fairly young. The typical age ranges from sort of fifteen to fifty and on average you know I think it's very unlikely that you have any health conditions that preclude you from having this type of surgery. The things that would prevent you though are the need for being on blood thinners. So if you have to take a blood thinner for a clotting disorder or something like that, you really shouldn't have rhinoplasty. The nose is a very vascular structure. We don't want you to have excessive bleeding because you need to take blood thinners. Some of the other health conditions that don't necessarily prevent you from having surgery but might delay the procedure are having low hemoglobin. Some of our female patients may be slightly anemic. You can get some bleeding after rhinoplasty, so we want to make sure that your hemoglobin and iron levels are normal prior to surgery, and sometimes that requires a blood test before we can book your surgery. Obviously, can't have surgery when you're pregnant, but, you know, otherwise, most of our patients are healthy enough to have this. Just keep in mind that this is an elective procedure. We want your risk to be zero. So any health conditions that would increase the risk of having an anesthetic or increase the risk of bleeding are reasons to not have this surgery. So most people don't have health concerns that are risky. I think what's more important with rhinoplasty are what are the potential cosmetic complications of the surgery, and that is something we'll talk about even further. Thanks for listening, and check back regularly for new questions and my honest answers about rhinoplasty.

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