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Secondary Rhinoplasty (Revision Rhinoplasty)


Secondary rhinoplasty is performed to correct previous surgeries that had previously undergone rhinoplasty surgery but were not successful in shape and function.
Patients apply with problems such as not being able to breathe as they are more important than aesthetic appearance.
There are several reasons why the operations are not successful. The reason for revision may be caused by the doctor, or it can be some reasons that out of both of their hands.
Patients who are applying to us for secondary rhinoplasty usually have their first surgery in another clinic, so we cannot know about the first surgery. We decide by our examination.
The structure of the cartilages may be distrupted , the sequance may be impaired or the number may be decreased. In addition, cartilages may be depleted for the second operation.

What are the causes of secondary (revision) rhinoplasty?

  • Failure to plan the operation well and to evaluate the patient’s wishes and expectations correctly before the operation,
  • Problematic of the person’s structural recovery period, infections after the first operation
  • Removal of too much bone and cartilage tissue during surgery
  • In the first operation, the cartilage may be slipped.
  • Severe collapses in the nose bone due to too much removal of the nose bone.
  • There may be cartilage deficiencies in the tip of the nose, on the nose, on the back of the nose or on the inner roof which we call the septum, which keeps the nose. There may also be asymmetries in the nostrils. The missing cartilages in these regions should be corrected with new cartilage according to the anatomical structure and shape of the nose.

What is the Right Time for Secondary Rhinoplasty Surgery?

The important point here is that early surgery should be avoided. It is not correct to consult a physician in such a way that after a short period of 3-4 months after the first operation, because of the shape of the nose is disliked.
It should be noted that rhinoplasty is a surgery that requires time. The swelling and the edema should disappear first. The time it takes the nose to reach its final form is at least a year.
If a complicated surgical operation is to be performed, one year should be waited. However, if smaller camouflage surgeries are to be performed, it can be intervened after six months.
Corrective operations almost always require additional cartilage. These cartilages can also be used from cartilage tissues to be obtained through the nose. However, these cartilages can be performed with cartilage from the ear or rib since these cartilages are not treated and are insufficient.
The area, which is needed in revision operations, is usually the tip of the nose. Because of the flexibility and endurance capacity of the nasal tip cartilage structure, much attention should be paid.

Who is eligable for revision (secondary) rhinoplasty?

  • If there are significant asymmetries in the nose wings,
  • If the tip of the nose is thinner than it should be,
  • If the nasal tip is removed and the nostrils are visible,
  • If there is a nose drop,
  • If you have difficulty breathing
With a good operation, the negative health and cosmetic problems of the nose can be eliminated.

After Secondary Rhinoplasty

Sometimes there may be problems related to bone, not cartilage. Incorrect bone degenerations, open roof deformity,  rasping of the bone,  are the deformities that cause revision nasal surgery. The gypsum period in revision operations varies according to the operation. If a procedure is to be carried out only for cartilages, it is necessary to remain in the hospital for 5 days, if a correction is to be made, 7-10 days duration in the hospital is required.
According to the first surgery, it is a more difficult operation for both the patient and the doctor. For these reasons, bruising and swelling will be longer than the first operation.

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