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Secondary Rhinoplasty

Secondary rhinoplasty or revision of the aesthetics of the nose, is performed to correct failures due to previous rhinoplasty procedures, and when the desired results could not be achieved in a first intervecnión.

The aesthetic revision of the nose can be more complex than a classic nasal aesthetic surgery because it focuses on correcting previous aesthetic practices. Therefore, it is very important that you trust the surgeon you choose and that your surgeon has the knowledge and experience necessary to perform this surgery.

In a revision surgery of the nose, the objective is to restore the normal structure of the nose to facilitate the flow of air through it. Therefore, this operation is directly related to the shape and function of the nose. Thus, the improvement of the nasal functions after this operation would allow him to breathe better.

How is secondary rhinoplasty performed?

Secondary rhinoplasty is a 3 to 4 hour operation performed under general anesthesia. In these operations performed with closed or open incisions, tissue, cartilage and bone revision surgeries are performed.

The technique that will be used during the operation depends on the condition of the patient’s previously operated nose. In the revision of cartilage and bone, surgery is performed between the skin of the nose and the skeleton of the cartilage bone and the defect is corrected or excess tissue is removed. Then, the desired shape is created by remodeling the bone and cartilage with various surgical procedures.

After the operation, a small sponge plug or a thin silicone plate is placed on the left and right side of the nostrils, and is kept there for one or two days, as a measure for the possible development of swelling and / or bleeding Usually, the sutures are removed after a week.

The internal sutures in the nose are absorbable and fall spontaneously in 2-3 weeks and it is not necessary to remove them. During the first 2 days after the operation, lying with the head slightly elevated, it is recommended to apply ice packs on the nose at intervals, rest and refrain from leaning forward.

Patients usually return to work after 7-10 days. During the first three weeks, it is recommended to avoid strenuous activities, and also avoid contact with the nose for 6 months. During the first 6 months, contact sports are prohibited. During the first weeks, the inflammation and bruises are reduced, but a small inflammation may be visible for a year.

For whom is secondary rhinoplasty indicated?

If your nose has one or more of the following characteristics, secondary rhinoplasty may be recommended:

  • Extremely narrow and as if the tip of the nose were tight.
  • Nostrils disfigured and asymmetric.
  • Wrinkles in the nostrils,
  • Tip of curly nose,
  • Crooked nose,
  • Disproportionate the length of the nose,
  • Narrow nasal bridge,
  • A newly developed nasal arch,
  • Difficulty breathing,
  • Collapse of the postoperative nasal valve or excessively sculpted appearance.

An ideal candidate for a revision of rhinoplasty should have good physical and mental health. Many women and men who are not satisfied with the results of the previous nasal aesthetic operations are suitable candidates to undergo this operation.

What should you expect from rhinoplasty?

Secondary rhinoplasty is one of the most popular aesthetic operations due to the aesthetic results that men and women anticipate. The surgery must be done by an experienced plastic surgeon. The healing process is as important as surgery.

It is important that your doctor accompany you throughout the rhinoplasty revision process. During this process, your surgeon must experience aesthetic and functional developments and make sure you achieve your review goals.

With the revisions made after the first operation, it may not always be possible to achieve perfect results because sometimes it can be very difficult to solve some problems completely that make the patient feel unhappy.

Preparation for secondary rhinoplasty

Before the surgery, your doctor should examine your nose and inform you of any anxiety, frustration or health problem you experience with your nose surgery. Your doctor should review your medical history and provide you with the appropriate options.

You can ask the doctor who has chosen photos of your rhinoplasty surgery patients previously taken before and after the operation. In addition, before surgery, many cosmetic centers today can virtually visualize their probable postoperative profile and facial symmetry online to help you see what it will look like after revision surgery.

Your respiratory problems and any remaining complications of a previous rhinoplasty operation should be resolved. Your doctor should guide you through this entire planning process and help you find a solution that meets your aesthetic and functional goals related to rhinoplasty.

When can rhinoplasty revision be performed?

Many patients who are not satisfied with the results of rhinoplasty ask the following question: “When should I have a rhinoplasty check?” Doctors generally recommend that patients wait at least one year for revision rhinoplasty after a first operation. Because the process of recovery and nasal correction continues during the first year after surgery.

Is there a scar left after a revision rhinoplasty?

In revision rhinoplasty, closed techniques are usually used and incisions are formed in the nose so that there are no visible scars. In case the patient needs open revision, a scar scarcely visible is left between the nostrils and below the tip of the nose.

In rhinoplasty revision, some additional procedures may be necessary. These may include the removal of cartilage or bone, subcutaneous dermal tissue or, sometimes, adipose tissue injection. The cartilage tissue can be taken from behind one or both ears. If the patient has had a lot of revision and the cartilage was taken before the ear as a single piece.

If a long revision of the rhinoplasty was performed and the nasal cartilage was removed during the previous operation, it may be necessary to remove the cartilage from the rib to replace the missing nasal cartilage. Bone tissue can be removed from the hip, skull, leg or rib. If the patient does not accept this procedure, then previously prepared irradiated bone or cartilage can be used.

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