Revision Rhinoplasty

Rhinoplasty, which refers to the first-time cosmetic nose surgery, and revision rhinoplasty, which involves correcting or revising a previous nose surgery, are widely recognized as some of the most challenging procedures in the field of facial plastic surgery.

These operations are considered complex due to several factors. First, the nose is a structurally intricate and three-dimensional feature located in the center of the face. Even subtle changes made during rhinoplasty can have a significant impact on the overall appearance and function of the nose. Therefore, the margin for error is small, and precision is crucial to achieve desired results.

Additionally, the nose is a highly visible and prominent facial feature, making any imperfections or asymmetries more noticeable. Achieving natural-looking and harmonious results while preserving the individual’s unique facial characteristics requires a skilled surgeon with expertise in rhinoplasty techniques.

Who is a Good Candidate for Revision Rhinoplasty?

There are various reasons why patients may consider undergoing a secondary (revision) rhinoplasty procedure. These reasons can range from dissatisfaction with the aesthetic outcomes of the initial surgery to unresolved functional issues or complications that have arisen from the previous procedure. If you can relate to any of the following criteria, you may be a potential candidate for revision rhinoplasty:

  • If you are unhappy with the aesthetic outcomes of your initial rhinoplasty, such as asymmetry, irregularities, or an unnatural appearance, revision rhinoplasty can be an option to address these concerns and achieve a more satisfying outcome.
  • In some cases, complications may arise from the primary rhinoplasty, such as poor wound healing, infection, implant-related issues, or excessive scarring. Revision rhinoplasty can help address and correct these complications to improve both the cosmetic and functional aspects of the nose.
  • If you have persistent breathing difficulties that were not adequately addressed or have worsened after the initial rhinoplasty, revision surgery can focus on correcting functional issues, such as a deviated septum, collapsed nasal valves, or internal nasal valve collapse, to improve your breathing.

Revision Rhinoplasty Procedure

The revision rhinoplasty procedure is a surgical intervention performed to address aesthetic or functional concerns that persist after a previous rhinoplasty surgery. The specific details of the procedure may vary depending on the individual’s unique case, the extent of revision required, and the surgeon’s approach. Here is a general overview of the revision rhinoplasty procedure:

Consultation and Preoperative Planning: The process begins with a comprehensive consultation with a qualified and experienced facial plastic surgeon who specializes in revision rhinoplasty. During this consultation, the surgeon will assess your nasal anatomy, review your medical history, discuss your concerns and goals, and develop a personalized surgical plan to address the specific issues from the previous surgery.

Anesthesia: Before the procedure, anesthesia will be administered to ensure your comfort throughout the surgery. The type of anesthesia used (general or local anesthesia with sedation) will be determined based on the complexity of the revision and your surgeon’s recommendation.

Incisions: The surgeon will make incisions, typically inside the nostrils (endonasal approach), or in some cases, an additional small incision may be made on the columella (the tissue between the nostrils). These incisions allow access to the underlying nasal structures for correction and modification.

Correction of Aesthetic Issues: Depending on your specific concerns, the surgeon will address aesthetic issues such as asymmetry, irregular contours, nasal deformities, or inadequate previous modifications. Techniques may involve reshaping and repositioning cartilage grafts, adjusting the nasal bones, refining the nasal tip, or modifying the nostrils, among others.

Correction of Functional Issues: If you have persistent or new functional problems, such as breathing difficulties or nasal obstruction, the surgeon will address these issues during the revision rhinoplasty. This may involve repairing a deviated septum, reinforcing weak nasal structures, or improving nasal airflow.

Suturing and Dressing: Once the necessary modifications have been made, the surgeon will carefully close the incisions using sutures and may apply a nasal splint or dressing to support the newly reshaped nose during the initial healing period.

Recovery and Follow-up: Following the surgery, you will be closely monitored during the initial recovery phase. Your surgeon will provide specific postoperative instructions regarding wound care, medication management, and activity restrictions. Follow-up appointments will be scheduled to monitor your healing progress and ensure optimal results.

Revision Rhinoplasty FAQs

Is revision rhinoplasty safe?

Revision rhinoplasty is generally considered safe, but it is a complex procedure that requires a high level of expertise and experience. Selecting a skilled and qualified facial plastic surgeon specializing in revision rhinoplasty is crucial for achieving safe and successful outcomes. Board-certified facial plastic surgeons who specialize in rhinoplasty have dedicated their careers to facial reconstruction and have extensive knowledge of the intricacies of nasal anatomy.


Will revision rhinoplasty affect my breathing?

If you have breathing difficulties after your initial rhinoplasty, revision rhinoplasty can potentially address and improve the underlying issues causing the obstruction. However, a thorough examination by a qualified surgeon is necessary to determine the specific impact of a second surgery on your breathing. In general, revision rhinoplasty should not negatively affect breathing for suitable candidates.


What is the success rate of revision rhinoplasty?

The success rate of revision rhinoplasty varies depending on several factors, including the individual case and the surgeon’s expertise. While the majority of patients are satisfied with their results, it is important to have a clear understanding of the goals and potential outcomes of revision rhinoplasty. During the consultation process, your surgeon will help manage your expectations and ensure that you have realistic expectations for the procedure.


Will I need a rib graft for revision rhinoplasty surgery?

The need for a tissue graft, such as a rib graft, during revision rhinoplasty depends on the specific concerns and issues you are seeking to address. In some cases, cartilage or bone grafts may be necessary to properly reconstruct and repair the nose. However, the decision to use a graft will be determined based on the nature of your desired improvements and your surgeon’s assessment of your individual case.


How do I know if I need revision rhinoplasty?

If you are experiencing functional problems, such as breathing difficulties, or if you are dissatisfied with the aesthetic results or experiencing complications after your initial rhinoplasty, these may be indications to consider revision surgery. An evaluation with a qualified facial plastic surgeon is essential to assess your specific concerns and determine if revision rhinoplasty is the appropriate solution for addressing them.

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