Revision Rhinoplasty

Revision (secondary) rhinoplasty is a highly specialized and corrective procedure for a previous rhinoplasty. While a significant number of primary nose jobs are done for medical reasons, many individuals opt for rhinoplasty as a purely cosmetic surgery that should help them to achieve splendidly natural-looking noses. Unfortunately, some individuals come out from the cosmetic surgery and realize that their noses are not as ideal as they expected. At other times, individuals realize that the surgery has only helped them achieve half of what they desired and so they opt for a second operation to boost their nasal function and appearance. Revision rhinoplasty fixes the predicaments caused by previous rhinoplasty operation (s) and corrects a nose job that failed to meet expectations.

Reasons for Undertaking a Revision Rhinoplasty

Just like primary rhinoplasty, the revision is usually as comprehensive as necessary. For instance, during the revision, the surgeon may re-shape the nasal structure that was altered by the previous operation or restore the framework of the nose. In fact, during revision rhinoplasty, the surgeons find it important to address both aesthetic issues (nasal looks) and functional issues such as breathing problems. Nonetheless, the surgeons must act with greater sensitivity and diligence in order to lessen the emotional turmoil and concerns of the patients, which arise from the trauma of one or more previous operations that yielded undesirable results. Indeed, the revision must usually be preceded by extensive discussions with the patients in order to identify their expectations and to plan scrupulously for their operations.

One of the most common reasons for revision rhinoplasty is the over-operated nose. Typically, the signs for an over-operated nose include a pinched tip, scooped-out profile, collapsed nose, pulled-up (notched) nostrils, deep creases over the nostrils, tip knuckles (bossae), inverted-V deformity (narrow middle third) and extreme narrowness. Other problems include droopy tip, extremely wide nostrils, tip lacking definition or too wide, and bump-on-the-bridge (polly-break deformity). The revision should be inclusive enough to address the nostril shape and the columella (column dividing the 2 nostrils) and to correct nasal length discrepancies, abnormalities of the bottom area of the nose and breathing problems. Besides, the problems usually vary from patient to patient and the surgery should, therefore, be highly individualized to meet the needs of every patient.

What Does Revision Rhinoplasty Involve?

There are two revision methods that are used by many surgeons. Depending on the deformity, medical problem or cosmetic blur to be corrected, the surgeon may either use the closed (endonasal) method or the open (external) method. In closed revision nose job, the surgeon makes all the necessary incisions on the inside (endonasally) of the nose and then molds the nasal structure from within. In open revision surgery, the surgeon makes small undetectable external incisions from the bottom of the nose. The external method offers the surgeon greater freedom to manipulate the nose with better vision and access to the nasal structures.

During the revisions, surgeons are often called upon to sculpt the underlying cartilage and bone of the nose, and to use cartilage grafts for supporting and rebuilding the nasal areas that were previously operated. For instance, if the previous rhinoplasty had removed excess cartilage from the nose, the surgeons performing the revisions may have to use cartilage from the ear or septum to rebuild the nose. Remember that if too much cartilage is removed from the nose during the operations, the nose may collapse and lose cosmetic appeal. Conducting cartilage grafting is, therefore, necessary when the results of previous rhinoplasty gave an unnaturally pinched tip, pig nose or collapsed middle bridge (inverted-V deformity).

Revision rhinoplasty is not only aimed at restoring the functional and cosmetic appearance of the nose, but also to accord the nose a remarkable profile and enhanced contour. Furthermore, the revision is aimed at boosting facial harmony and drawing attention to the best facial features of the patient. While the closed procedure results in no scars, the incisions made during the open revision are usually beneath the nose and often concealed from public view. The scars also fade quickly and allow the nose to become the best feature of the face.

Who Should Opt for Revision Rhinoplasty

All individuals who are dissatisfied with the results of their previous nose jobs should consider revisions. Whether the dissatisfaction stems from an awful appearance, a persistent breathing problem, or any other functional or aesthetic problem, the patient should opt for a revision to correct the nose and instill greater self-esteem and ease of breathing. The revision rhinoplasty will cost at least $10,000 depending on the hospital, method of operation and degree of anesthesia. If you want to know whether you are a candidate for revision rhinoplasty, then visit a competent and experienced surgeon for examination and consultation.



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