Revision Rhinoplasty

What is Revision Rhinoplasty?

Procedure performed in cases where previous rhinoplasty operations have failed . The common denominator of rhinoplasty and revision rhinoplasty surgeries is the aim of eliminating visual and functional disorders related to the nose. As a result of rhinoplasty, the patient’s existing complaints may not be resolved, and new problems may be encountered after the operation.

What are the Reasons for the Need for Revision Rhinoplasty?

  • surgical procedure planning
  • surgical errors,
  • Wrong choices about surgical technique
  • trauma such as forcing, impact ,
  • Infection,
  • Structural features of the nose,
  • Carelessness and carelessness in the healing process

One of the important reasons why rhinoplasty operations result in visual dissatisfaction is that expectations and demands cannot be conveyed to the doctor correctly. For this reason, as in every aesthetic surgical procedure , in the rhinoplasty procedure, people should present a clear picture of the visual results they want to achieve during the meeting with the doctor.

The reconstructed nose needs time to take its final shape. After all rhinoplasty surgeries, a period of at least 1 year is required to fully observe whether the operation has achieved its purpose. For this reason, revision rhinoplasty should not be considered without analyzing the exact visual results of the rhinoplasty.

In Which Situations Can Revision Rhinoplasty Be Performed?

  • Nose curvature
  • Asymmetry at the tip of the nose
  • Asymmetry in the wings of the nose
  • Nasal congestion
  • Arched nose
  • Low nose tip

How is Revision Rhinoplasty Performed?

People who want to have revision rhinoplasty can contact their doctor who performed the first surgery, or they may want to continue with another plastic surgeon. This decision should be made by considering the factors that reduce the success rate of the first surgery. In rhinoplasty operations, situations that cannot be solved in one go and are planned to be corrected with a second operation may also develop. The aim should be to eliminate the need for a second surgery with a detailed and accurate surgical planning.

In the examination to be made, the reasons for the failure of the first surgery are evaluated and the problematic areas that require revision are determined. It is checked whether there are deformities that will prevent breathing through the nose . According to the tomography and detailed imaging results, it is decided which technique to perform the surgery.

Which Techniques Are Used in Revision Rhinoplasty Surgery?

1- Open Rhinoplasty Technique:

open rhinoplasty technique are performed by applying a v-shaped incision to the part between the nostrils. In revision rhinoplasty surgeries, this method, in which the inner structure of the nose can be seen more clearly, enables the deformations created by the first surgery to be easily detected.

2- Closed Rhinoplasty Technique:

closed rhinoplasty technique, the operation is performed by creating an incision in the inner wall of the nose. Since no incision is made on the surface of the nose, the scar will remain inside the nose. Compared to open rhinoplasty, the recovery period is shorter.

The general approach for revision surgeries is to perform the surgery with the open rhinoplasty technique, the closed rhinoplasty method can also be applied depending on the nose structure, the condition of the case and the severity of the problem requiring revision .

Revision rhinoplasty surgeries are not subject to a different pre-preparation process for the patient. The issues that the patient should pay attention to before the first rhinoplasty are also valid for revision rhinoplasty surgery.

  • Blood thinners should be discontinued
  • Chronic diseases and regularly used drugs should be shared with the doctor.
  • Smoking should be stopped 1 month before the operation

What is the Recovery Process After Revision Rhinoplasty Surgery?

It should be known that nose surgeries are subject to a delicate healing process, and all the doctor’s warnings should be taken into account so that revision surgeries do not need to be repeated twice or more.

  • One week after the operation, the patient can return to his daily life and go back to work.
  • In the first week, bruising and swelling may occur in and around the operation area. Ice compress applications will be useful in reducing and eliminating bruising and swelling problems.
  • complaints of pain for the first few days . Can be controlled with oral pain relievers
  • It is necessary to avoid strenuous physical activities for at least 3 weeks.
  • Patients using prescription glasses will not need to wear glasses for a certain period of time after the surgery. In this case, the lens option can be considered.
  • During the recovery period after the surgery, the nose and its surroundings should be protected from sunlight.
  • Procedures for wound care, such as dressing and dressing, will first be performed by the doctor. Afterwards, the patient should care for the wound within the framework of hygiene rules as described by the doctor.
  • A sleeping position should be determined with the head area up.

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Other Details About Revision Rhinoplasty

The most important issue in revision rhinoplasty operations is the presence of cartilage tissue. While reshaping the nose in rhinoplasty surgeries, it is aimed to have the structural features closest to nature. For this reason, shaping is done using the nasal cartilages of the person. The cartilage tissue used inside the nose in the first rhinoplasty may not be sufficient for revision rhinoplasty. In this case, surgery can be performed by removing cartilage from the back of the ear or the rib. Another alternative is the use of ready-made cartilage that has been subjected to special processes.