Revision rhinoplasty is the procedure of correcting the previously performed and failed nose surgery. Sometimes patients may need to have a repeated rhinoplasties and this causes them to be perceived as aesthetic enthusiasts. However, this is not the case. There were some problems in the previous operation. The necessity of surgery repetition can be both related to aesthetic concern, which is mostly the case, and may be due to the lack of good nasal functions such as nasal obstruction.
Revision surgery should be performed at least 6 months after the first operation, ideally it should be performed at the end of 1 year.
Failure of previous surgery may be caused by unnecessary excess tissue removal during surgery, inadequate tissue removal, incorrect bone cuts, and non-compliance with aesthetic rules, as well as by the patient not following the rules after surgery, very thin or thick skin, crocked nose deformity. and asymmetries on the patient's face. But even if none of the reasons mentioned above is happened, the patient may have surgery failure due to unproper tissue healing.
Revision rhinoplasty operations are more difficult than first rhinoplasty operations and difficulty rate increases as the number of operations increases. The patient has no more difficulties in the revision surgery than the first operation. Difficulty completely affects the surgeon. Since there is more tissue synechia due to first surgery, surgeon has more difficulties while performing rhinoplasty. Therefore, the surgeon's knowledge and skills become more important in revision surgeries. After the first surgery, some minor problems can be corrected by non-surgical and simple interventions. The reasons of failure of the first operation should be evaluated in detail and meticulously, and detailed planning should be made for each problem. If cartilage is needed during revision surgery, it can be obtained from your ear or rib. Cartilage taken from the ear does not cause any deformity in your ear. For costal cartilage, the incision can be hidden under the breast sulcus and this does not cause any problem in terms of appearance. A small incision scar is left in men. Specially treated cadaver rib cartilage can also be used for patients who have such concerns. Compared to the first operation, the tissue healing and recovery period take a bit longer time.
There are also revision requirements in cases where the tip of nose is over-rotated and under-rotated, insufficent resection of dorsal hump (pollybeak deformity), excessive resection of dorsal hump (saddle nose deformity), pinching nose deformity, crooked nose and loss of the harmony in the nose itself.
In addition to aesthetic concerns, the nose can also be revised due to breathing problems and anosmia.
It is not correct to perform revision rhinoplasty when the patient is not satisfied with the previous operation result although the operation is considered successful. When you look around carefully, you see that within reasonable bounds, there are some defects in noses which are beautiful naturally.
Copyright © 2019 Prof. Dr. Şaban ÇELEBİ - Ear, Nose And Throat Specialist