The purpose of revision rhinoplasty is to further correct the nose of the first intervention. The need for it arises in 10-20% of cases. Not all of them are caused by a surgeon’s error. Sometimes the operation is planned in advance in two or more stages, for example, in case of complex injuries.
Another reason is the patient’s dissatisfaction with the result obtained. Minor defects arise during the rehabilitation process if the doctor’s recommendations are not followed, or due to the individual characteristics of the body.
When is revision rhinoplasty necessary?
- Difficulty in nasal breathing;
- Drooping of the tip of the nose;
- Deviation of the nasal septum;
- Unaesthetic shape of the wings of the nose;
- Dips, humps and other deformations of the back of the nose;
- Pronounced asymmetry;
- Headache;
- Scars and scars at the site of a previous operation.
After the first rhinoplasty, at least 1 year must pass. Only after this period can the final results of the operation be assessed: all tissues take “their place,” blood circulation is restored, and scars are formed.
Preparation stage
First, the patient comes for a consultation with a plastic surgeon. The doctor examines the nose and, if necessary, performs a rhinoscopy.
Rhinoscopy is a painless examination of the nasal passages with a special mirror and dilator.
During the consultation, 3D modeling will be done. The patient will immediately see the expected result on the computer monitor.
Next, diagnostics are carried out. It includes radiography of the facial bones and/or CT. The patient undergoes tests:
- general urine analysis;
- clinical and biochemical blood tests;
- blood for clotting (coagulogram);
- blood tests for HIV, syphilis, hepatitis B and C.
An ECG and fluorography are prescribed. With the results, the patient goes to a therapist, who makes a conclusion that there are no contraindications and the possibility of intervention. The final stage of preparation is a consultation with an anesthesiologist.
In 2-3 weeks you need:
- stop taking blood thinning medications, such as Aspirin;
- stop taking hormonal medications;
- eliminate alcoholic beverages, smoking or significantly reduce the number of cigarettes smoked.
Memo for preparing for rhinoplasty: tests, prohibitions, recommendations
How is secondary rhinoplasty performed?
Technically, re-intervention is more complicated than the primary one. It may be hampered by scars that occurred after the first operation, or by a lack of tissue that was previously resected.
The operation is performed open or closed:
Open revision surgery
It is used for serious disorders, when the surgeon needs to see the entire surgical field and act on the deep structures of the nose. Access is through external incisions along the lower part of the nasal septum.
Closed secondary rhinoplasty
Allows you to eliminate small defects and has a shorter recovery period. Incisions are made on the inside of the nasal passages. Therefore, the method allows you to do without external scars and scars. But during revision rhinoplasty, it is rarely used, since it is difficult to visualize the osteochondral structures.
Reconstructive plastic surgery
Reconstructive operations occupy an important place in secondary rhinoplasty. It happens that there is a need to restore (partially or completely) the volume lost after the first rhinoplasty. For this purpose, cartilage grafts are used (pieces of cartilage from the nasal septum, auricle or rib). After primary rhinoplasty, loss of most of the septal cartilage occurs. Absence of septal cartilage is the most common indication for rib or auricular graft harvesting. The plastic surgeon shapes the grafts specifically for use in the nasal area.
Surgeons who have been involved in rhinoplasty for a long time never tire of reminding that the ideal shape of the nose for everyone is limited by individual anatomical features. Therefore, the form will not always correspond to your dream 100%. However, the doctor will do everything to achieve maximum aesthetics and functionality from the shape of the nose.
Despite the technical complexity of revision rhinoplasty, a professional plastic surgeon will help you get rid of defects and complications from previous operations. Thanks to the procedure, you will never again need to think about the disappointments or problems you may have encountered after your first rhinoplasty.
Recovery after secondary rhinoplasty of the nose
Swelling and hematomas are observed for 2-3 weeks. The stitches are removed after 7-10 days. You will be able to evaluate the final result of plastic surgery after 6-12 months. In order for rehabilitation to proceed without complications, you need to adhere to a number of rules:
- Avoid alcohol and smoking: their toxic components interfere with tissue regeneration.
- For 1 month, do not engage in sports and avoid heavy exercise.
- Sleep exclusively on your back, raising the head edge of the bed higher.
- Protect your skin from the sun with special cosmetics and hats.
Respiratory illnesses complicate recovery after revision rhinoplasty, so during cold season, avoid crowded places and get a flu shot.
Contraindications
- Pregnancy and lactation.
- Any malignant neoplasm, regardless of where the tumor is located.
- Bleeding disorders caused by medications or congenital.
- Severe somatic pathologies in the stage of decompensation and exacerbation.
- Any infections in the body.
- Infections in the intended area of intervention.
- Endocrine diseases.
- Severe mental illness.
- Liver and/or kidney failure.
- Cardiovascular diseases, chronic heart failure.
Cost of secondary rhinoplasty
Hurry up to take advantage of our advantageous offer for revision rhinoplasty - from RUB 179,400. depending on the complexity of the operation.
You will find out the exact cost at a free consultation with a plastic surgeon, when he will assess the extent of the intervention in your case. Our prices are among the most affordable in Moscow. In addition, you can pay for our services in installments up to 24 months. No interest or overpayments!
Attention! All aesthetic plastic surgeries and most cosmetic procedures are strictly contraindicated for pregnant and lactating women. We also do not perform surgical interventions on people whose weight exceeds 110 kg.
Nose correction
Sometimes repeated rhinoplasty is performed intentionally and planned. For example, if the patient has a “complicated” nose and a large amount of surgical intervention is required. Then rhinoplasty takes place in 2 stages, with a large period of time between them required to restore the nasal structures.
It is also important not to confuse revision rhinoplasty with correction of primary rhinoplasty. Correction is often an outpatient “tweaking” of the nose. During it, minor imperfections are corrected, and the nose is brought to perfection by the same surgeon.
