Rhinoplasty surgery is one of the surgeries that requires permanent changes in the nose of the patients. Functional disorders and deformities that occur in the nose are eliminated with these surgeries. However, after the primary rhinoplasty surgery, breathing problems and undesirable disorders in the nose shape of the patients may occur. In such cases, a second rhinoplasty, namely revision rhinoplasty, is performed. Revision rhinoplasty is applied for procedures that require correction after primary rhinoplasty operations.
In Which Situations Is Revision Rhinoplasty Nose Aesthetic Surgery Performed?
Nose aesthetic surgeries are performed depending on the wishes of the people. The nose shape to be made should be suitable for the face type of the patient. However, functional problems with rhinoplasty should also be resolved. Some patients may not like the shape of the nose made after plastic surgery. In this case, you can ask for it to be corrected again. Some patients may need a second rhinoplasty surgery due to the development of functional problems. There are many reasons for revision rhinoplasty surgery.
These reasons are as follows;
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- In patients who have the problem that the nasal cheeks do not close during deep breathing, and therefore there is not enough air entry into the nose
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- In patients who have drooping of the nasal tip, the drooping of the nasal tip could not be corrected, or the nasal tip swelling after the first nose surgery
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- As a result of aesthetic disorders that occur in patients whose nasal arches are not sufficiently removed.
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- In patients whose nostrils are visible when viewed from the opposite side, when the tip of the nose is lifted too much.
- A second operation is performed in patients with disproportion between the face and the nose, that is, in cases where the nose is reduced more than necessary or not sufficiently reduced compared to the face.
What Procedures Are Performed in Revision Revision Rhinoplasty Nose Surgery?
In revision rhinoplasty surgery, two different procedures, minor and major, are applied. Minor technique is a method in which small touches are applied. The major technique is applied for operations that require greater intervention. With the minor technique, for a limited area, filling the collapse that occurs in small amounts within a few minutes with filler or cartilage material or slightly rasping is performed. Minor surgeries take a very short time. Major surgery technique is used to correct the nose by reopening it when structural changes are needed. Revision rhinoplasty surgeries performed with the major technique take quite a long time.
During the nose repair operation, the reason why the patient wants this operation is determined. An operation plan is developed. In most of these surgeries, extra cartilage is placed inside the nose. Priority is given to removing the cartilage structure from the patient himself. Cartilage tissue is supplied from the spine or ear. The doctor should give detailed information about the cartilage tissue taken from the patient, and the patient’s consent should also be obtained.
If Patients Prefer Low Nose, How Is Revision Rhinoplasty Nose Aesthetic Surgery Performed?
One of the most common problems after rhinoplasty is nasal drooping. This problem arises as a result of not removing enough tissue from the patient’s nose during the first operation. With the revision rhinoplasty surgery, the excess tissue in the nose is removed and the tip of the nose is given a normal shape.
If Patients Prefer Upturned Nose, How Is Revision Nose Surgery Performed?
After the first rhinoplasty, the nose of the patients may not be raised enough. In order to solve this problem, a larger operation is required. Cartilage tissue of the patients is used to correct the upturned nose. The removed cartilage tissue is placed on the tip of the nose and thus the nose is raised.
How is Revision Nose Surgery Performed as a Result of Arched Nose?
If an arched structure remains in the patient who has undergone rhinoplasty, this problem is easily resolved. In revision rhinoplasty operations to solve this problem, the cartilage tissue and bone in the nose are filed. Thus, the arched structure is eliminated.
How is Revision Aesthetic Surgery Performed for a Patient with Too Much Nasal Ridge?
After the first rhinoplasty surgery, collapse may occur on the back of the nose of the patients due to the excess tissues. In order to eliminate this problem, cartilage tissue should be added again. This problem is eliminated by placing the cartilage tissue taken from the patient’s body in the collapsed area.
Revision Nose Aesthetics Surgery in Patients Having Difficulty Breathing and Exhaling
During rhinoplasty, all functional problems of the patient should be eliminated. However, if the patient has trouble breathing and exhaling after a certain period of time after the operation, the cause of this problem should be investigated. Problems such as excessive closure of the nasal cheeks and nasal concha are eliminated by revision rhinoplasty.
How is Revision Nose Surgery Performed as a Result of Arched Nose?
If an arched structure remains in the patient who has undergone rhinoplasty, this problem is easily resolved. In revision rhinoplasty operations to solve this problem, the cartilage tissue and bone in the nose are filed. Thus, the arched structure is eliminated.
How is Revision Aesthetic Surgery Performed for a Patient with Too Much Nasal Ridge?
After the first rhinoplasty surgery, collapse may occur on the back of the nose of the patients due to the excess tissues. In order to eliminate this problem, cartilage tissue should be added again. This problem is eliminated by placing the cartilage tissue taken from the patient’s body in the collapsed area.
Revision Nose Aesthetics Surgery in Patients Having Difficulty Breathing and Exhaling
During rhinoplasty, all functional problems of the patient should be eliminated. However, if the patient has trouble breathing and exhaling after a certain period of time after the operation, the cause of this problem should be investigated. Problems such as excessive closure of the nasal cheeks and nasal concha are eliminated by revision rhinoplasty.
Revision Rhinoplasty Surgery General Info
Revision rhinoplasty should be planned at least six months after the first rhinoplasty. If the revision rhinoplasty surgery is to be performed as minor, it should be performed after six months, if it is to be performed as a major, it should be performed after one or two years.
• Revision rhinoplasty operations are performed under general anesthesia.
• Depending on the size of the problem in the nose, the duration of the operation varies between 1 and 4 hours.
• Local anesthesia can be preferred for minor interventions to the patient’s nose.
• Patients can stay in the hospital for 1-2 days depending on the anesthesia they receive.
What is the Process Before Revision Nose Aesthetics?
Before the revision rhinoplasty surgery, first of all, the patient’s expectations and the problems that occur in the nose should be determined exactly. Disorders in the nose are determined exactly by the examination to be made.
Solutions are determined to eliminate the problem, and then it is decided with which technique the revision rhinoplasty surgery will be performed. Intranasal endoscopy is performed in the patient with breathing problems. If this problem is serious, sinus films are taken. The factors that cause breathing problems can be determined exactly with these films.
The steps to be followed before revision rhinoplasty are as follows;
• If there are medications that the patient uses on a regular basis, the physician should be informed.
• Drugs with blood thinning effects such as aspirin should be discontinued one week in advance.
• Smoking should be stopped 1 week before and 1 week after the operation.
• On the day of the operation, the patient should wear comfortable clothes, not wear jewellery, make-up, and have spare clothes with him if he or she will be hospitalized.
• Eating and drinking must be stopped at least six hours before the operation.
• The patient must be in the hospital ready at least two hours before the operation.
What is the Process After Revision Nose Aesthetic Surgery?
• Depending on the type of anesthesia used in the surgery to be performed, the patient is provided to stay overnight or be discharged.
• On the first day of the operation, cold ice is applied to the face. In this way, swelling and pain are reduced.
• Swelling and bruising in patients after revision rhinoplasty is less than in the first surgery.
• Pain is seen very little in patients after this surgery. This pain is controlled with painkillers given to the patient.
• For the first week after the operation, the patient should keep his head elevated while lying down.
