Structural and formal deformities such as deviation, asymmetry, humped structure in dorsal bone, obstruction, nasal tip ptosis, collapse of nasal support in nose which is the most important factor for facial beauty and aesthetic appearance, and allows respiratory tract to function comfortably have made people to embark on a quest for fixing and functioning it. Today, as a solution for this quest, rhinoplasty surgeries are the most common aesthetic interventions. Especially changes and developments in technology allow these interventions to be performed faster, more painless and result-based.
Rhinoplasty surgeries do not cause same positive results in all patients. After rhinoplasty, a second or third intervention may be needed due to a misconducted intervention, deformations resulting from nasal structure of the person or dissatisfaction with the appearance.
Revision Rhinoplasty is a successive surgical operation performed in order to eliminate problems and dissatisfaction resulting from the previous rhinoplasty surgeries. Although the operation performed in order to fix negative results of a surgery made by another surgeon is called as “Secondary Rhinoplasty”, common usage is generally “Revision Rhinoplasty”.
If the intervention consists of small touches in the form of rasping or filling with filler to a limited area, it is called as Touch up or minor revision; whereas if nasal structure is re-shaped (sometimes with rib or ear cartilage), it is called as major revision rhinoplasty.
The biggest factors for deciding on a revision rhinoplasty are side effects/complications seen in patient after the first rhinoplasty, damages and deformations occurring in the areas of nose, tissues and face, having a different appearance than the one planned due to malpractice, and dissatisfaction of the patient because of his/her new appearance. However, it is recommended to wait for 6 to 12 months after the first rhinoplasty depending on the condition of the patient in order to carry out a healthy and risk-free revision rhinoplasty.
As in all surgeries, there may be unexpected conditions which will also cause the operation performed after the first rhinoplasty to be defined as unsuccessful. After rhinoplasty, the following may be seen:
Experiencing intranasal obstructions as a result of flesh adherence and flesh growth,
Narrowing of the air canals of the nose as a result of excessive removal of nasal lateral cartilages, collapsing of side walls while breathing, having problems in breathing, closing of nasal roof (valve) during breathing deeply (valve failure - alar retraction collapse) or not transmitting enough air to lungs,
Continuation of ugly appearance since hump located on the nasal dorsal bone is not removed sufficiently (pollybeak) or rasped / carved excessively,
Having collapses in dorsal bone of nose and cartilage structure (saddle nose),
Failure to remove nasal deviation or forming nasal deviation after rhinoplasty (twisted nose),
Failure to eliminate nasal tip ptosis or forming nasal tip ptosis after rhinoplasty,
Forming opening and fossa ın nasal dorsal bone because of not breaking nasal bones from the sides (open roof deformation),
Forming shadowing in the form of “Λ” in the joint area of nasal dorsal bone and cartilage,
Having asymmetrically too small or too big nostrils,
Lifting nasal tip unduly after the intervention made (pig snout),
Forming excessive scar (sclerosis) in the inner and outer area of the nose or having skin and soft tissue problems,
Having disproportional new nasal size with the face, and forming asymmetry.
In order to eliminate these problems, revision rhinoplasty is applied.
The problem of scar tissue arising from the first rhinoplasty is generally seen after the revision rhinoplasty. In order to eliminate this problem, graft is often used.
Furthermore, in the revision rhinoplasty, there is generally need for cartilage placement or filling in the nose.
Majority of the patients having a plastic surgery for the purpose of aesthetics have a prejudice during the phase of getting used to their appearances that the first surgery is unsuccessful. Before deciding on revision rhinoplasty, this prejudice should be first overcome. It is best to leave it to the expert about decision on whether an intervention is required or not.
As in the first rhinoplasty, surgeon has limited chance to make mistakes in the revision rhinoplasty. The principle that “Fixing something is harder than making it” also applies to rhinoplasty. Revision rhinoplasty is more challenging operation for surgeon than the first rhinoplasty. For this reason, the fact that the surgeon is experienced is more important in the revision rhinoplasty. The surgeon who will perform the operation should have full knowledge of the current situation and a good knowledge of anatomy and physiology.
Revision rhinoplasty results in success depending on situation of the nose after the first rhinoplasty, demands of the patient, and experience and skill of the surgeon.
Since each case and condition requires a separate diagnosis and treatment, it is not possible to give general information about a revision rhinoplasty cost.
If you experience difficulty in breathing and structural problems after your first nose aesthetics surgery or you are not satisfied with the appearance of your nose, you can reach us via our contact information.