DCS All You Need to Know About Revision Rhinoplasty | Dubai Cosmetic Surgery®

All You Need to Know About Revision Rhinoplasty

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Rhinoplasty is the name given to a cosmetic procedure that is specific to reshaping the nose. |More commonly known as a nose job, a 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 whether it becomes necessary to have a secondary operation, or a third and/or fourth procedure.

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 as to 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 as to how will these parts of the nose heal determines how the nose job emerges like. This “best guess” includes various variables one of which how the look 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:

  • Nasal passages are obstructed
  • 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 closed approach and the open approach. Simple as it sounds, if there is some major structural/functional correction needing 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 are made internally in order to make the nasal structures accessible. Open rhinoplasty adds to that a third incision made into the tissue between the two nostrils into the bridge so as 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 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. You can seek the help of one of our experts simply by filling in the short consultation form on our website and receive a free appointment where you can do just that!

Our rhinoplasty expert will hear you out, give you more info, prepare you for possible outcomes and evaluate your nasal structure both inside and outside. In case you are going for revision rhinoplasty you can discuss your treatment plan and begin to feel better about yourself right away!

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