Revision rhinoplasty aims to correct the complications and problems after a previous rhinoplasty operation. The revision can improve the aesthetic appearance and functionality of the nose. Issues can include the collapse of the cartilage or a deviated septum.
During this procedure, surgeons can reshape and build the nasal bridge or tip using cartilage extracted from the nasal septum or ear. In some cases, they may also use tissue or skin grafts. As a revision rhinoplasty is a much more complex procedure, only a skilled plastic surgeon should perform it.
Patients need to wait for complete recovery from the initial operation before opting for revision. Surgeons will create a personalized surgical plan for the procedure according to the patient's issues.
Revision rhinoplasty requires general anesthesia and could take up to 3 hours. The most common technique used is the open approach. During this method, doctors make incisions between the nostrils and at the base of the nose. During a closed rhinoplasty, they make incisions within the nose. Once the incisions are made, they pull the skin away from the cartilage and bone. This will allow the surgeon to freely rebuild the nose by reshaping
the bone and cartilage or removing tissue. Sometimes they add cartilage from other body parts to the nose to create more support and structure. Once the bone and cartilage are repositioned, the nasal tip will be aligned and stitched up with sutures.
Patients need to take at least one week off from work to recover.
They may also experience some side effects such as bleeding and bruised eyelids. The surgical dressing in the nose will only be removed after a few days. During this time, patients should avoid exercising or placing glasses on their noses. They should also keep their head elevated to help with bleeding and swelling. Like most procedures, revision rhinoplasty comes with some risks. These can include infection, difficulty breathing, permanent numbness, or an uneven nose and scarring.
