July 25, 2023

Revision Rhinoplasty Can Be Your Second Chance

Rhinoplasty is a nasal surgery that patients frequently apply for aesthetic and/or functional problems. Nose surgeries performed with an experienced physician results in a great success rate. However, in rare cases, the desired result cannot be achieved depending on the patient or the physician.

Unsuccessful Rhinoplasty causes the existing problems to continue and unfortunately increases the anxiety level of the patient. The good news is that this is not an insoluble situation. An experienced specialist doctor using today’s technologies can greatly relieve all your concerns about your nose. 

In the continuation of our article, we will try to answer  some of the main and interesting questions such as:

What is Revision Rhinoplasty (Secondary Rhinoplasty)? 

How is Revision Rhinoplasty Performed?

In which cases is revision rhinoplasty necessary?

Are There Risks of Revision Rhinoplasty Surgery?

What is Revision Rhinoplasty (Secondary Rhinoplasty)?

Revision Rhinoplasty or Secondary Rhinoplasty can be described as a rescue operation for patients who are not happy with Primary Rhinoplasty for various reasons.

Revision Rhinoplasty is a re-operation performed to eliminate functional or aesthetic defects that has occurred after surgery in patients who have undergone nasal surgery and to eliminate problems that could not be eliminated with the first nasal surgery. However, Revision Rhinoplasty surgeries are also called major operations, while less extensive retouching surgeries are also called minor operations.

In Which Case is a Revision Rhinoplasty Necessary?

  • Hump formation on the bridge of the nose
  • Droopy nose tip
  • Asymmetry in the tip or wings of the nose
  • Excessive removal of the dorsum of the nose or excessive rotated appearance of the nose
  • Crookedness of the nose 
  • Inability to breathe comfortably,  the formation of functional disorders such as congestion,  adhesions in the nose or enlargement of the nasal turbinates
  • Also called skeletonized nose or pinched nose; excessive removal of nasal wing cartilages in the first surgery

How is Revision Rhinoplasty (Secondary Rhinoplasty) Performed?

Aesthetic and functional disorders in the first rhinoplasty (primary rhinoplasty) may be the reason for revision rhinoplasty. Revision surgery may be required at a rate of 5-15% after the first surgery. Some of these surgeries may require minor revisions where minimal touch-ups are made, while others may require major revision operations where larger defects are corrected and fixed.

Revision Rhinoplasty may include some differences while compared to Primary Rhinoplasty. The tissue planes are often narrowed, bone and cartilage tissues may be asymmetrical or excessively removed. In addition, cartilages may be twisted or weakened during healing. Such unwanted complications require more careful detailing during Secondary Rhinoplasty surgery.

Skin and soft tissue are very important in Revision Rhinoplasty. In patients with thin skin, all protruding structures should be shaved. The grafts should be properly thinned and, if necessary, wrapped with fascia(connecting tissue. In thick skin, strong cartilages are needed to keep the tip of the nose stable and to carry the weight of the skin. Swelling that may occur may resolve later on in thick skinned patients.

The duration of surgery in Revision Rhinoplasty may vary according to the shape of the nose and the specific purpose of the operation. Minor touch-ups can be done within 30 minutes, while major revisions can take 3-4 hours on average. In Revision Rhinoplasty, the need for graft may often arise. The nasal septum cartilage is often used or inadequate because of a previous operation. In such cases, it may be necessary to take cartilage from the ear or ribs according to the need. The duration of surgeries using such grafts may naturally be longer. However, what is important here is not the length of the operation but the efficiency of the result.

For Revision Rhinoplasty, 9 to 12 months are usually expected to pass after the first operation.

Are There Risks of Revision Rhinoplasty Surgery?

As with any surgical operation, there are some risks in Revision Rhinoplasty surgery as well. It is possible to list the risks that are rarely encountered and but are  unlikely to cause bigger problems as follows:

  • Recurrent nose bleeding,
  • Scarring around the operation area,
  • Difficulty breathing through the nose,
  • The appearance of an aesthetically asymmetrical appearance,
  • Pain, numbness, swelling or discoloration in and around the nose,
  • Reaction to the materials used in the operation such as grafts,

If you choose an experienced surgeon specialized in the field, the likelihood of these risks will be much lower and the success rate will be quite high.

Rhinoplasty – Why Do Some Rhinoplasty Surgeries Fail?

The success of rhinoplasty depends on well-developed judgment, skill, knowledge and, above all, experience. Inadequate doctor expertise and experience, the surgeon’s desire to implement an overly ambitious goal, the patient’s insistence on unrealistic expectations and unwanted complications during the healing process are among the reasons for the failure of Revision Rhinoplasty. At this point, it is very important that your doctor knows what to do in the face of unwanted developments and results. Patients should be followed up for a long time after surgery.

What to do to Prevent Failure in Rhinoplasty?

Rhinoplasty surgery is one of the most difficult plastic surgeries. Therefore, sufficient physician experience is required for rhinoplasty surgery. It is not enough to be a skilled and experienced doctor for rhinoplasty surgery. The surgeon should also be a physician with a strong artistic side, patient, meticulous, gentle and respectful to the tissues. 

Before the operation, the surgeon should examine the patient in detail using all the possibilities of technology. In addition, the patient should be informed in every detail, expectations and goals should be determined within the framework of logic. 

The operation should be planned well and meticulous and patient work should be done during the operation. The surgeon should stop and make a good evaluation where he/she realizes that he/she does not feel comfortable during the operation, and if necessary, he/she should go back to the beginning and make the necessary correction.

It is necessary to consider the many structures that make up the nose and their relationship with each other in 3 dimensions and develop a holistic treatment method. For the postoperative recovery period, it is important to be foresighted and to know when and how to intervene in complications that may occur.

It is important to remember that healthy breathing is the main function of the nose.  The aim should be to revise the nose as a whole without compromising either the breathing function or the aesthetic appearance and to ensure the  patients satisfaction. All this requires a good surgical experience.

Revision Rhinoplasty requires more expertise and experience than normal rhinoplasty does. The philosophy of Op. Dr. Mehmet Durmuşoğlu, who has 15 years of experience in Rhinoplasty and Revision Rhinoplasty and has performed over a thousand nose surgeries, is to be the first and last doctor to perform the patient’s nose surgery. 

Mehmet Durmuşoğlu, who successfully performs Rhinoplasty and Revision Rhinoplasty surgeries with his expert team in his clinic in Izmir, aims for one hundred percent aesthetic satisfaction in his patients with his special interest in photography and passion for visual arts.

For more detailed information about Op. Dr. Mehmet Durmuşoğlu, you can visit the link below. https://mehmetdurmusoglu.com/en/about/

A failed rhinoplasty can achieve good results again in a competent hand. There is always a second chance in rhinoplasty. By calling Op. Dr. Mehmet Durmuşoğlu clinic, you can have detailed information about Revision Rhinoplasty price and Rhinoplasty price and make an appointment for the first examination. We wish you a healthy day.