Understanding Revision Rhinoplasty
Revision rhinoplasty corrects functional or aesthetic nasal problems that occur after a previous rhinoplasty surgery. A functional revision is when a patient needs another surgery because of breathing issues such as obstruction of the nasal airways or other signs of impaired breathing. An aesthetic revision is performed to correct a nose that is too asymmetrical, crooked or droopy. Revision rhinoplasty is not necessary for every rhinoplasty patient and is performed on a case by case basis. The goal of the surgery is to make sure patients have a natural look as well as an aesthetically pleasing nose that fits the face. Revision rhinoplasty is difficult to perform since it requires cartilage reconstruction and involves the framework of the nose. Poor results from a primary rhinoplasty can be caused by a poor surgical technique or nose scarring following the initial surgery.
Am I a Good Candidate?
Good candidates include those dissatisfied with prior results, experiencing nasal trauma, or facing over- or under-resection issues. Not suitable candidates rush the process or have thick skin, complicating results.
Performing Revision Rhinoplasty
Revision rhinoplasty, often more time-consuming than initial surgery, corrects issues resulting from prior procedures. It can be done under general or local anesthesia.
Incisions and Techniques
Incisions are made inside the nose (closed rhinoplasty) or underneath it (open rhinoplasty), with the latter preferred for major structural changes. Minor revisions typically use closed techniques.
Surgical Steps
Common steps include tissue removal to refine the bridge or narrow nostrils. Cartilage grafts may also be utilized, either to replace lost tissue or enhance existing results.
Non-Surgical Options
Non-surgical alternatives like dermal fillers or silicone strips can add volume or address basic irregularities without surgery, although more complex issues may require additional incisions.
Recovery and Results
Recovery mirrors initial rhinoplasty, with precautions against trauma and a brief downtime of about a week. Results, though long-lasting, require patience, with swelling subsiding over several months.
Limitations and Risks
Limitations include managing asymmetry and scarring from previous surgeries, with risks like calluses, septum holes, or cartilage collapse. Patients should understand these risks and set realistic expectations.
By choosing a trustworthy surgeon and communicating goals effectively, patients can maximize satisfaction with their revision rhinoplasty outcome.
