Rhinoplasty is a cosmetic procedure that is performed to reshape the nose. Most commonly known as a nose job, rhinoplasty can sometimes get botched and requires another nose job. While the first surgery is elective in nature, the secondary is corrective. Revision rhinoplasty serves to change the form (and sometimes function) of the nose following a previous rhinoplasty. If the primary operation didn’t properly address the aesthetic or functional deformities that existed previously – or maybe made it worse – then revision rhinoplasty becomes a preferable choice. Revision rhinoplasty refers to a broader aspect of surgery where it becomes necessary to have a second operation or a third or fourth procedure.
When is Revision Rhinoplasty Performed?
Revision rhinoplasty is only carried out when the cosmetic or functional problem for which the initial rhinoplasty was carried still persists or has worsened. Even though the procedure is oriented around various structural and artistic principles, rhinoplasty is unfortunately not an ideal science. The rate at which revision is made is between 5-10% depending solely on the criticism of the patient and the surgeon. Because corrections in one part of the nose can change the entire look from a different angle, a perfect result can sometimes not be achieved through a single operation.
It is out of the surgeon’s control that how the different elements of the nose affected by the surgery will heal especially the corrections made in the cartilage and nasal ridge. The prediction of the surgeon regarding how these parts of the nose heal, determines how the nose job emerges. This “best guess” includes various variables, one of them is how they look to change as the patient ages with time. If the guess is a little off point, it can lead to an artificial-looking nose or a nose that deforms as the person ages.
Commonly known issues that require revision rhinoplasty:
Here, we will enlist some common issues that can be corrected with a revision rhinoplasty surgery.
- Nasal passages are obstructed
- The disintegration of nasal structure (cartilage and bones)
- Artificial cosmetic look that appears overdone
- Asymmetry becomes worse
- Incomplete or excessive reduction of the dorsal ridge/hump
- Incomplete change in appearance
- Underdone or overdone tip projection
- Excessive narrowing of the nasal tip (called a “pinched tip”)
- Formation of too much internal or external scar tissue
Revision rhinoplasty can be covered through two major approaches; namely the
Simple as it sounds if there is some major structural/functional correction needed to be done then an open approach is preferred, whereas minor contour changes can easily be carried out with the closed method.
Closed rhinoplasty involves only minor incisions that are made internally in order to make the nasal structures accessible. Open rhinoplasty adds to that a third incision which is made into the tissue between the two nostrils into the bridge to correct skin and cartilage structures. The decision is to be taken by the surgeon to decide which revision method will better suit the patient since each method has its own advantages and disadvantages.
Sometimes it becomes necessary to harvest cartilage grafts from other parts of the body because the primary procedure may have at times depleted more cartilage from the nose than necessary. Cartilage grafts can be fashioned out of tissue from the septum, ear or ribs and can accomplish functional as well as cosmetic goals for revision rhinoplasty.
Similar to the primary procedure, revision rhinoplasty also requires immense estimation and surgical skills and leaves little or no margin for error. In order to reduce the risk of expensive secondary (and tertiary) surgery, seek out a well-informed and skilled plastic surgeon with whom you can discuss your concerns and expectations. The successful results of revision rhinoplasty depend on the expertise of your surgeon. So, choose wisely!
It is possible that primary rhinoplasty surgery does not produce satisfactory results and you require revision surgery to correct what has been wronged. However, you should know when it is necessary to undergo the revision surgery and how important it is to consult with an expert surgeon.
Our rhinoplasty experts will hear you out, give you more info, prepare you for possible outcomes and evaluate your nasal structure both inside and outside. You can seek the help of our experts simply by filling in the short consultation form on our website. So, if you are going for revision rhinoplasty, discuss your treatment plan and begin to feel better about yourself right away!