Plastic surgeons say that only two types of surgeons don’t ever have to perform revision rhinoplasty — liars and novices. Honest surgeons will tell their patients that “redo” rhinoplasties are not uncommon.There is no operation in all of plastic surgery more challenging than a revision rhinoplasty. 5-10 percent of rhinoplasties require revisions.
All sorts of problems can occur after the surgery. Healing can result in bumps in the bones, or the bones may not have been moved symmetrically. Too much or too little cartilage may have been removed. Stitches that were placed to hold cartilage together or in a different position may tear through. Tiny remnants of bone, cartilage, or fat can scar, causing visible bumps in the nose. Cartilage grafts can move or disappear. And the skin can thicken to the point where it is impossible to see just what was changed surgically. The unpredictability of this operation is one of its challenges.
This is a revision rhinoplasty done in Jubilee Christian Mission Hospital Trivandrum Kerala South India.