What Should We Pay Attention To When Considering Revision Rhinoplasty (Nose Job)?Revision Rhinoplasty
Written by Emel Gerdaneri.
What Should We Pay Attention To When Considering Revision Rhinoplasty (Nose Job)?
Rhinoplasty may not always give the desired result, this is where revision nose surgery comes into play. Our doctors tell us what to consider when considering revision rhinoplasty:
ENT Specialist Cemil Yurtseven MD:
“As a matter of fact, there are both functional and aesthetic reasons why a patient who has undergone rhinoplasty may not be completely satisfied with the result.
Due to the complex nature of the procedure, the operation may not always go as planned. For this reason, it is not surprising that there are many patients who want to undergo revision after rhinoplasty.
Although the rate of patients requesting revision is not published, it is generally accepted to be around 20-25 percent.
As the name suggests, revision rhinoplasty is a corrective surgery that addresses the function or appearance of a previously operated nose. Revision rhinoplasty is the most difficult of all plastic surgery operations.
It is difficult because a wound created in previous surgery needs to be reconsidered. There is often multiple scar tissue that distorts the underlying delicate anatomy beyond recognition.
Once the anatomy has been revealed, it needs to be reshaped and there may be no cartilage to do it. In such cases, we take cartilage tissue from another part of the patient's body.
Past scarring can also affect the skin. The internal structure and skin may be very scarred and unable to flex on the non-replaceable structure. Also, needless to say, the nose also needs to do its job.
The airway should always be considered and maintained. In order to reconstruct the external shape and internal functioning in line with the patient's wishes, a personalized planning should be made.”
ENT Specialist Cem Altindag MD:
“The certain amount of time that any patient should wait before undergoing revision surgery/a second nose surgery is generally 1-1.5 years, but this can sometimes vary depending on the type of problem (For example, patients with very severe asymmetry of the nasal dorsum a few months after surgery or as well as excessive inadequacy of the lateral nasal angle.).
Most patients agree with their doctor when planning revision surgery. We should know that edema / swelling can mislead the appearance of the nose.
If the problem is that the nose still looks wide or big, slightly curved, time is in that patient's favour, and I recommend that they decide on an operation with their doctor after waiting at least 12 months and seeing the final result.
Revision rhinoplasty: It should be done by an experienced surgeon, its advantages are very significant. The cost is higher than normal rhinoplasty, under normal circumstances. Meeting with at least two surgeons will also reduce the question marks.
Be sure to evaluate whether the doctor you choose is communicating well, presents a clear plan, and is outspoken about potential problems. If you are going to choose another doctor for revision surgery instead of your own doctor (Surgeons often want to help with a revision surgery plan of their own patient without charge - if a second surgery is required), you must have important reasons for this.
Revision surgery should not be rushed, some patients may not find the operation necessary, and their opinions may change. We wish you healthy days”
ENT Specialist Naser Dadaszade MD:
“Every surgery has risks and it is even more so with revision procedures. It is important to know that creating further trauma to the nasal area will leave additional scar tissue and cumulative scarring may make it difficult for the patient to achieve the desired results.
There is also the risk of additional complications. Depending on the patient's history, an experienced surgeon will do his best if the patient's health does not allow for further revisions.
Sometimes there are such patients that they have had rhinoplasty many times and their skin is in danger of becoming completely necrotic.
I have to turn away such patients because it's not just about physical health. Mental health should also be considered.
Each successive attempt And the operation becomes more technically demanding and patients become increasingly irritable or depressed, so there is a lot to consider in revision rhinoplasty.”
ENT Specialist Murat Ayata MD:
“Revision rhinoplasty patients know what is going on during the recovery process because they have had at least one rhinoplasty surgery.
Generally speaking, revision rhinoplasty will also be a familiar experience. However, it is very important to follow the pre- or post-operative care instructions set by your surgeon for best results.
Those who are dissatisfied with the results of a previous rhinoplasty may be good candidates for revision rhinoplasty, but should be approached with caution and with realistic expectations.
The shape of a nose can change in many different ways after a poorly performed rhinoplasty. In revision rhinoplasty, we can use an unlimited number of sophisticated techniques by focusing on the patient's problem.
It depends on the revisionist's artistry, creativity, and determination to deliver the best possible outcome."
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Written on 15/06/2022
Last Update: 15/06/2022