Revision Rhinoplasty

What Is Revision Rhinoplasty?

Rhinoplasty is a surgery that makes permanent changes in the nose. Nasal deformities and functional problems are corrected with this surgery. Revision rhinoplasty is an operation performed to correct problems after primary rhinoplasty.

Anatomically, our nose looks like a pyramid of cartilage and bone roof. This pyramid structure is divided into two parts by a dividing section consisting of cartilage and bone called the ‘septum’. In the nasal passages, where air passes while breathing, there may be narrowings for various reasons. This causes breathing problems.

The cause of mechanical blockages is usually caused by the curvature of the nasal wall i.e. the septum and the growth of the nasal polyps. Dynamic blockages are caused by moving parts of the nose. These problems can be congenital and may also resulted from surgery or trauma.

Approximately 10 percent of Rhinoplasty operations may have some undesirable results. In these cases, a second revision operation is required after rhinoplasty. In addition to undesired deformities that may develop after Rhinoplasty, functional problems in the nose can also be corrected in revision surgeries. However, for revision rhinoplasty, at least 9 months or even a year must pass after the first rhinoplasty.

In rhinoplasty operations, it is important that the nose looks as aesthetic as functional. From this point of view, the narrowest place is the root of the nose and the shape of the nose expands slightly towards the tip is the most ideal shape within a functional scope. In some cases, in nose surgeries, deformities may occur in some important anatomical areas due to procedures performed to get a more beautiful nose shape. In standard rhinoplasty, the roof is narrowed, the cartilage roof is reduced and the tip of the nose is thinned. It is important to pay attention to some areas during surgery in order to avoid undesired deformities and difficult breathing problems after surgery.

How Is Revision Rhinoplasty Performed?

Excessive removal of the cartilage to thin the tip of the nose can weaken this area. This can even cause the nostrils to collapse completely. In order to correct this deformation after the surgery, cartilage grafts obtained from the back of the ear or rib are used during revision rhinoplasty. In this way, it is aimed to restore the nose to its former strong structure.

In What Cases Are Revision Surgeries Essential?

Revision rhinoplasty is required in cases where a person has a problem with collapsing of the nasal valve while breathing deeply or not getting enough air in after the first surgery; where there is a disorder in aesthetic appearance due to the inability to remove enough of the arch on the back of the nose; where the collapse at the tip of the nose could not be eliminated or there is a swelling-like appearance at the tip of the nose; where the tip of the nose is too raised and the nostrils are visible when viewed from the opposite side or where there is a disproportion between the nose and face size. Likewise, disproportionately nose reduction compared to the face in the first operation could also be considered as one of the conditions that require revision surgery.

What Should Be Considered To Avoid The Need For Revision Rhinoplasty?

No surgeon wants a revision to be required after rhinoplasty. For this reason, it is very important for the patient to conduct a good research and determine their expectations in a realistic way before rhinoplasty surgery. For all these:

  • Talk with your surgeon in details about your plans before and after surgery.
  • Talk about emergency plans for problems that may arise during surgery.
  • Remember that your nose will take the expected shape in one year in average following the procedure.

See for yourself what patients have to say about their experience.