REVISION RHINOPLASTY

What is Revision Rhinoplasty?

It is the correction of a failed previous rhinoplasty. Revision rhinoplasty, or correction rhinoplasty, is a surgical procedure to address concerns or complications arising from a prior rhinoplasty surgery. It is an operation that aims to improve the aesthetic appearance and function of the nose.

The surgeon who says that all my surgeries have been successful so far and I have never needed revision in any of my surgeries is not telling the truth or has never performed any surgery.

In which cases is revision Rhinoplasty necessary?

People choose revision rhinoplasty for a variety of reasons, including

– Dissatisfaction with the cosmetic result (shape, size, asymmetry)

– Breathing difficulties caused by previous surgery

What are the Most Common Problems in Revision Rhinoplasty?

– Cosmetic Concerns: There is a need for revision in cases where the tip of the nose is excessively raised (piggy nose), the tip of the nose is low, the arch on the back of the nose is insufficiently taken (Polly beak deformity), the curved nose (saddle nose) where the back of the nose is taken excessively, the tip of the nose looks like it is squeezed with a clothespin (pinching nose), the nose seems excessively wide, the wings of the nose look excessively wide or narrow, curved noses, as well as in cases where the harmony within the nose is lost.

– Functional Concerns: Revision surgery is required in cases of deviated septum, nasal flesh growths, nasal valve disorders, and nasal wing collapses.

When Can I Have Revision Rhinoplasty Surgery?

The ideal time to have revision rhinoplasty surgery is at least one year after the first. This is a perfect time for the nasal tissues to heal completely and the swelling to subside.

If a short period has passed after the first surgery, the nasal tissues may still be swollen and edematous. In this case, performing a revision rhinoplasty surgery may cause the result to be less than desired.

However, there are some exceptional cases:

Visible asymmetry or deformities: If there are visible asymmetries or deformities in the nose between 6 months and one year after the first surgery, if the patient is uncomfortable with this situation and the surgeon deems it appropriate, revision rhinoplasty can be performed at an earlier time.
Breathing problems: If breathing problems occur after the first surgery and can be corrected by surgical intervention, revision rhinoplasty can be performed without delay.
Traumatic damage: If the nasal area is damaged traumatically after the first surgery, revision rhinoplasty may be required to repair it. If the bone tissue is damaged, waiting at least six months is necessary.

Before deciding on revision rhinoplasty, it is essential to consult an experienced rhinoplasty specialist and follow your surgeon’s recommendations. Your doctor will evaluate how much time has passed since your first rhinoplasty surgery, the healing status of your nasal tissues and the necessity of revision surgery.

What to Expect During a Revision Rhinoplasty Consultation?

– Discuss your goals and concerns with a rhinoplasty specialist experienced in revision rhinoplasty.

– Have your medical history and previous surgery details for your doctor to review.

– Consider that a physical examination of your nose will be performed.

– Make sure you have before and after photos of your previous surgery.

– Allow for a discussion of realistic expectations and potential risks.

What are the Differences Between Primary and Revision Rhinoplasty?

– Complexity: Revision rhinoplasty is usually more complex due to scar tissue and manipulated tissues.

– Cartilage requirement: If the septum cartilage is limited, cartilage grafts from the ear, rib or cadaver may be needed in revision rhinoplasty.

– Recovery Time: Recovery after revision rhinoplasty may be longer than primary Rhinoplasty.

– Surgeon’s experience: Revision rhinoplasty is a more complicated surgical procedure requiring more experience than the first. Therefore, your doctor should be experienced in this field.

Types and Techniques of Revision Rhinoplasty

Revision rhinoplasty can be categorized according to the area of problems encountered:

– Tipplasty: This technique includes correction of nasal tip asymmetries, nasal tip widths or sharpness, reducing or increasing the size of the nose, correction of problems where the tip of the nose is excessively raised (piggy nose), the tip of the nose is low, the tip of the nose looks like it is squeezed with a clothespin (pinching nose). To correct these problems, grafts such as septal lengthening graft, tongue in groove technique, double strut, strut, rim graft, and lateral crural graft may be needed.

– Dorsal Rhinoplasty: It is a rhinoplasty technique in which the arch on the dorsum of the nose is taken insufficiently (Polly beak deformity), the dorsum of the nose is taken excessively (saddle nose), the bone base is left wide, and the curvatures on the dorsum of the nose are corrected. At the same time, deformities (open roof deformity = open roof deformity, inverted V deformity = inverted V deformity) caused by incomplete or inappropriate bone incisions (osteotomy) in the previous surgery are corrected.

– Alar Base Reduction: In this type, tissue is removed from the wings of the nose.

Septal Revision: In respiratory problems, septum problems that could not be sufficiently corrected in the previous surgery are solved. If the septum support is insufficient, cartilage grafts provide support.

Nasal Valve and Alar Collapse: In these cases, which cause respiratory problems, cartilage grafting is often needed (Alar batten grafts, lateral crural grafts, etc.).

Grafting: Cartilage grafts, mostly taken from the septum, ear, rib, or cadaver, are used for support, to correct symmetry, to improve structural integrity, to correct surface asymmetries (chopped cartilage = diced cartilage, crushed cartilage = crushed cartilage, block cartilage, muscle fascia =muscle facia, perichondrium =pericondroim), and to solve respiratory problems.

– Scar Tissue and Skin Management: Careful removal of scar tissue or techniques to re-create a smooth surface are essential for the best and most effective results.

Open and Closed Rhinoplasty:

Open Rhinoplasty: ideal for complex revisions. It offers greater visibility through the columellar incision.

Closed Rhinoplasty: It is performed through incisions inside the nose and is suitable for minor revisions.

Choosing the Right Technique:

The most appropriate technique(s) for revision rhinoplasty will depend on your specific concerns, the complexity of the case, and your surgeon’s expertise. During your consultation, ask your surgeon for detailed information about these options to determine the best approach to achieving your desired results.

How to Choose a Qualified Surgeon for Revision Rhinoplasty?

The success of the outcome of your revision rhinoplasty will be determined by the experience of the surgeon who will perform your rhinoplasty surgery. If you want a doctor skilled and experienced in revision rhinoplasty and who listens carefully to your goals, you must do patient research. Do not hesitate to schedule a consultation with several different surgeons; this will allow you to ask questions about your concerns, see before and after photos of similar cases, and get an idea of their bedside manner. Remember, choosing a surgeon you feel comfortable and confident with is the key to a successful and positive revision rhinoplasty surgery. So take your time, research thoroughly and do not hesitate to get in touch; it is in your hands to get the nose of your dreams!

– Experience in revision rhinoplasty

– Member of the Turkish Otorhinolaryngology and Head and Neck Surgery Association

– Patient testimonials.

Revision Rhinoplasty Recovery and Aftercare

The healing process after revision rhinoplasty may take longer than the first Rhinoplasty. Postoperative swelling and bruising are normal. Bruising resolves in a shorter time; swelling takes one year for normal skin and longer for thick skin to heal completely.

It is essential to follow your doctor’s instructions for post-revision rhinoplasty care. Here are some general recommendations to follow:

Keep your head elevated: For the first few days, keeping your head higher than heart level helps reduce swelling.
Apply ice: During the first 72 hours after surgery, applying ice compresses to your eyes regularly will help reduce swelling and pain.
Painkillers: Your doctor will prescribe painkillers if you experience pain after surgery.
Take your medication regularly: Your doctor prescribes all medicines according to the instructions.
Do not interfere with the nose: Avoid scratching your nose, blowing your nose or interfering with the nose in any way.
Rest: Get plenty of rest and avoid strenuous activity for the first few weeks after surgery.
Sun protection: Use sunscreen with a factor of 50 and wear a hat when going out in the sun. This will prevent skin irritation and pigmentation problems caused by sunlight. Three months of this protection is recommended.
Avoid smoking and alcohol: Smoking and alcohol can prolong your recovery and increase the risk of complications. It is recommended to avoid smoking for three months and alcohol for one month.
Heavy activity: You should avoid heavy activities for three months.
Eat a healthy diet: Drink plenty of water, eat a protein-based diet, and consume foods rich in vitamins and minerals.
See your doctor: Go to follow-up appointments on time, and do not hesitate to consult your doctor if you have any concerns or questions.

Full recovery will take an average of 1 year. During this time, patience and following your doctor’s instructions are essential. Remember, each patient’s healing process will be different.

What are the Risks and Complications of Revision Rhinoplasty?

– Bleeding Risk

– Risk of Infection

– Anesthesia risks

– Difficulty breathing

– Risk of Numbness

– Asymmetry Risk

– Unsatisfactory cosmetic result

Frequently Asked Questions (FAQ) About Revision Rhinoplasty

How long can revision rhinoplasty surgery be performed after the first surgery?

It is generally recommended to wait at least one year after the first surgery. This time is necessary for the nasal tissues to heal completely and the swelling to subside. In some exceptional cases, revision can be performed after six months.

What is the Cost of Revision Rhinoplasty in Turkey?

As mentioned above, the price range is between 5000 and 20,000 USD. The surgeon’s experience and the severity of the nose deformities determine the price. You may need to consult a rhinoplasty specialist for more transparent price information.

What are the success rates of revision rhinoplasty surgery?

Success rates vary according to the surgeon’s experience and the patient’s condition. Success rates are high when performed by an experienced surgeon.