Rhinoplasty – Cosmetic nose reshaping is also known as Rhinoplasty. The procedure can reduce or increase the size of the nose, narrow the span of the nostrils, change the angle between the nose and upper lip, and change the tip or bridge of the nose. It can also correct some breathing problems.
Revision Rhinoplasty
Rarely patient needs to have revision surgery-touch up procedures, if not happy with the primary surgery. The goal of revision or secondary rhinoplasty is to correct the problems that appear after a previous rhinoplasty.
The principles of “secondary rhinoplasty,” or nasal surgery on a nose that has already been operated on, are very much the same as those in the primary rhinoplasty situation. It is important to consider nasal balance, function, deformities of cartilage and bone, areas that need additional support or reshaping, and to devise a safe plan that satisfies, to the greatest degree possible, the patient’s aesthetic goals.
Usually, the unintended outcomes are related partly to the nose appearance specifically to its contour and shape and the nose function particularly breathing. The most common deformities are polly beak, saddling, mid nasal asymmetry, bossa and columellar retraction. Other abnormalities that can be fixed with revision rhinoplasty are over-reduction, under-reduction, and asymmetry.
Revision rhinoplasty is always more difficult and will require more surgical experience than the first rhinoplasty but it will give you significant improvement and astonishing results. The psychological benefits are very important to take into account as well. There must be an honest rapport between the surgeon and the patient in order to set the proper expectations. The psychological relief of the patient must be of primary concern for the surgeon as well.
Revision Rhinoplasty Procedure
Revision rhinoplasty is considered as a more challenging procedure than primary rhinoplasty. This is because the initial nose anatomy has changed and there is already build up of scar tissue. Moreover, there may have been side effects and complications from the previous surgery already.
Depending on the problems developed after rhinoplasty, the patient\’s preferences, and the surgeon\’s recommendation, there are various surgical techniques available. The diversity of the techniques is related to the repair procedure, the types of implant material, and grafting. In general, the revision rhinoplsty deals with adjusting the cartilage or bone tissues. It attempts to correct what was not accomplished during the first rhinoplasty.
The revision rhinoplasty must be done by an open approach. Usually, the patient\’s tissues are used to rebuild the nasal framework. Grafts may be harvested from septal, ear, or rib cartilage. This will depend on what nasal part has to be reconstructed. For instance, if the bridge of the nose has to be rebuilt then the rib cartilage is often used.
Revision rhinoplasty is performed under general anesthetic. This gives the anesthetist complete control over the airways and will keep any drainage from getting into your lungs.
Patient selection
Revision rhinoplasty is a surgical procedure designed to repair problems of form and function of the nose that were a result form previous unsuccessful rhinoplasty procedures. Men and women who are physically healthy, realistic in their expectations, and have a strong desire to improve the results from the previous rhinoplasty are ideal candidates for revision rhinoplasty.
Secondary rhinoplasty can be just as successful as the primary rhinoplasty, although because the initial problem is worse, there is a higher chance that second operations or minor touchups may be needed to produce the best result. In my practice, the revision rate for patients who undergo secondary rhinoplasty is about 5-10 percent. This is a higher number than for other surgeons, but it reflects both the expectations of my patient population and my own desire to produce the best possible result.
