Secondary rhinoplasty or revision nose esthetics is realized to correct flaws due to previous rhinoplasty procedures, and when desired outcomes could not be achieved.
Revision nose esthetics may be more complex than a classical nasal esthetic surgery because it targets to correct previous esthetic practices. Therefore, it is very important that you should trust the surgeon you choose and that your surgeon has the necessary knowledge, and experience to perform this surgery.
In a revision nose surgery, the aim is to restore the normal nose structure to facilitate the flow of air through the nose. Therefore, this operation is directly related to the shape and function of the nose. Thus, improvement of nasal functions after revision nose esthetics allows you to breathe easier after the procedure
How is Secondary Rhinoplasty performed?
Secondary rhinoplasty is a 3-4 hour-long operation performed under general anesthesia. In these operations performed with closed or open incisions, revision surgeries of tissue, cartilage and bones are achieved.
The technique to be used during the operation depends on the condition of the patient's previously operated nose. In cartilage and bone revision, surgery is performed between the nasal skin and the cartilage-bone skeleton and the defect is corrected or excess tissues is removed. Then, the desired shape is created by reshaping bone and cartilage with various surgical procedures.
Postoperatively, a small sponge tamponade or a thin silicone plate is placed into the left, and right nostrils, and kept there for one or two days, as a measure to possible development of swelling and/or bleeding Sutures are usually removed within a week. The internal sutures in the nose are absorbable and fall spontaneously within 2-3 weeks and do not need to be removed. Swelling, mild bleeding and pain are commonly seen after the operation. If the pain increases, various drugs can be prescribed. For the first 2 days after the operation, lying with the head slightly elevated, applying ice packs on the nose at intervals, resting, and refraining from bending forward are recommended.
Patients usually return to work within 7-10 days. During the first three weeks, it is recommended to avoid strenuous activities and contact with the nose for 6 months. During the first 6 months, contact sports are prohibited. During the first few weeks, swelling and bruises are reduced but a small swelling can continue for up to one year.
For whom the Secondary Rhinoplasty is performed?
If your nose has one or more of the following, secondary rhinoplasty may be required:
- Extremely narrowed and as if pinched nose tip
- Disfigured and asymmetric nostrils
- Wrinkles on the nostrils,
- Curled nose tip,
- Crooked nose,
- Disproportionate the nose length,
- Narrowed nasal bridge
- A newly developed nasal arch
- Difficulty in breathing
- Postoperative nasal valve collapse or excessively carved appearance
An ideal candidate for a revision rhinoplasty patient; should have a good mental physical health, realistic expectations from revision rhinoplasty should not have serious health problems and should have Many women and men who are not satisfied with the results of previous nasal esthetic operations are suitable candidates for revision rhinoplasty.
What should you expect from Rhinoplasty?
Secondary rhinoplasty is one of the most popular esthetic operations due to the esthetic results that men and women anticipate.
Surgery should be performed by an experienced plastic surgeon. The healing process is as important as surgery. It is important for your doctor to have with you throughout the entire revision rhinoplasty process. During this process your surgeon should experience esthetic and functional developments and ensure that you reach your revision goals. With the revisions made after the first operation, it may not always be possible to achieve perfect results because sometimes it may be very difficult to solve some problems completely that make the patient unhappy.
Preparation for Secondary Rhinoplasty
Before surgery, your doctor should examine your nose and inform you about any anxiety, frustration, or health problems you experience with your nose surgery. Your doctor should review your medical history and provide you with the appropriate options.
You may request from the doctor you have chosen; photos of his/her previously operated rhinoplasty patients taken both before and after the operation. In addition, before the surgery many esthetic centers today, can virtually visualize online your probable postoperative profile and facial symmetry to help you see how you will look after revision surgery.
Your breathing problems and any remaining complications from previous rhinoplasty should be solved. Your doctor should guide you through this entire planning process and help you find a solution that meets your esthetic and functional goals concerning rhinoplasty.
When can Revision Rhinoplasty be carried out?
Many patients who are not satisfied with the results of rhinoplasty, ask the following question “When do I have to undergo revision rhinoplasty?” Doctors. Doctors usually recommend that patients wait at least a year for revision rhinoplasty after the first operation. Because the nasal recovery and correction process continues throughout the first year after surgery.
Is there a scar left after Revision Rhinoplasty?
In revision rhinoplasty, usually closed techniques are used, and the incisions are formed in the nose so there is no visible scar. In case the patient needs open revision rhinoplasty; a hardly visible scar exist between the nostrils, and under the nose tip.
In revision rhinoplasty, some additional procedures may be required. These may include removal of cartilage or bone, subcutaneous dermal tissue, or sometimes injection of adipose tissue. The cartilage tissue can be taken from behind one or both ears. If the patient has had a lot of revision and cartilage was taken earlier than the ear as one piece. If an extended revision rhinoplasty was performed, and nasal cartilage was removed during the previous operation, then it may be necessary to excise rib cartilage to replace the missing nasal cartilage. Bone tissue can be harvested from the hip, skull, leg or rib. If the patient does not accept this procedure, then irradiated prepared bone or cartilage may be used.