Revision rhinoplasty is the rhinoplasty surgery performed in cases where rhinoplasty was performed before but the targeted results were not achieved.
Many patients prefer having revision rhinoplasty in Turkey as our country is at a good level in this procedure. Our country is a significant center that patients from all over the world, even patients from distant continents consult to us for revision rhinoplasty.
Will I get the look that I want with revision rhinoplasty surgery?
The patients who will undergo revision rhinoplasty may be worried as they had unsatisfactory results before and disappointed as a result. Mutual communication is very important in revision rhinoplasty. Because, besides the expectations of the patient, the doctor should explain what they can do and they should be able to meet on the common ground.
What is important in this point is that the doctor knows exactly what the patient expects from revision surgery. Thus, the doctor can determine the details of the secondary rhinoplasty to be implemented much more healthily.
How is the size of the revision surgery to be performed determined?
In revision rhinoplasties, the size of the procedure to be done can vary. In limited procedures that are called minor revisions, the patient is satisfied with his/her nose but small touches are required. For example, there is a small nasal hump left to be rasped on the patient’s nasal dorsum or there is a small collapsed area that needs to be filled, reflected to the appearance of the patient.
Minor revisions are generally surgeries that last 1-1,5 hours. However, if there are obvious deformities after the previous rhinoplasty surgery, then major revision is required. Major revisions can last 3-6 hours depending on the size of the procedure to be done.
Why is Revision Rhinoplasty surgery more difficult?
Evaluated from the perspective of the patient, revision rhinoplasty is not more difficult than the first surgery. The difficulty of the surgery, rather concerns the surgeon who will perform the surgery.
Revision rhinoplasty is a more complex, somewhat more difficult procedure for the surgeon than primary rhinoplasty. Because revision rhinoplasty has differences compared to the primary surgery. These differences are;
• Tissue plans are often narrowed.
• Cartilage and bone tissues, which are very valuable for the surgeon, have been removed excessively or asymmetrically.
• The negativities during recovery caused the cartilage structure to weaken more than it should have been and the cartilage to bend. This requires to work much more carefully and gently during surgery.
• Skin and soft tissue are very important in revision rhinoplasty. Often there may be a scar tissue in the skin.
• In revision rhinoplasty, it is possible to encounter a more intense inflammatory tissue response compared to primary rhinoplasty.
• Additionally, a large part of the nasal septum cartilage has been mostly used in the previous surgery or it is insufficient.
• The deformation and deficiency of normal anatomical structures make revision surgeries much more difficult than primary rhinoplasty. Because in most patients, there are not only aesthetic problems but also functional ones.
In this point, the experience and patience of the surgeon gains importance. Moreover, even when everything is performed properly in revision rhinoplasty, the recovery response of the existing tissues and skin will affect the result as well.
Revision Rhinoplasty after Preservation Rhinoplasty
If revision is required after Preservation Rhinoplasty, it is much easier. There are 2 reasons for this. Firstly, in the Preservation Rhinoplasty technique, the nasal dorsum is like an unopened box as it is lowered as a block and its anatomical structure has been preserved. A nose that has its anatomical plans preserved is more suitable for a successful revision surgery.
Secondly, in Preservation Rhinoplasty technique, it is not necessary to use a cartilage to these sections since the nasal dorsum is lowered as a block. Most of the time, no graft is removed from the nose section other than a thin piece of cartilage removed to use at the nasal tip. Therefore, the cartilage reserve to be used for revision rhinoplasty surgery remains the same.
As a result, the recovery period of the patients who have revision rhinoplasty after the nose surgery performed with Preservation Rhinoplasty is significantly shortened. Additionally, these patients have a natural appearance as their nasal anatomic structure has been preserved.
