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Tekelioğlu Cad. 1947. Sk. No:29/3 Antalya
Associate Professor Sema Koç, ENT and Head and Neck Surgeon
+90 543 913 65 95
Tekelioğlu Cad. 1947. Sk. No:29/3 Antalya
Revision rhinoplasty is a second nose surgery performed on patients who have previously undergone rhinoplasty but did not achieve the desired aesthetic or functional results. Also known as “secondary rhinoplasty,” this procedure aims to correct cosmetic concerns as well as breathing problems.
Why is Revision Rhinoplasty Performed?
Revision rhinoplasty is usually preferred to correct problems that arise or persist after the first surgery. The main reasons include:
A nose that looks disproportionate to the face
Nasal asymmetry or deviation
Overly lifted or drooping nasal tip
Nasal collapse or deformities
Breathing difficulties and septum deviation
Deformities caused by trauma
Who is a Candidate for Revision Rhinoplasty?
Revision rhinoplasty is suitable for patients who are not satisfied with the outcome of their first surgery and experience both cosmetic and functional issues. However, since the tissues need to fully heal, it is generally recommended to wait at least 6–12 months after the initial operation before undergoing revision surgery.
Important Considerations in Revision Rhinoplasty
Compared to primary rhinoplasty, revision surgery is usually more complex, as the nasal tissues may have become more delicate.
The procedure must be performed by surgeons with experience in revision rhinoplasty.
In some cases, additional cartilage support from the ear or rib may be required.
Recovery Process After Revision Rhinoplasty
The recovery process can vary from person to person.
Swelling and bruising in the first days are normal.
Most patients return to daily life within 1–2 weeks.
It may take 6–12 months for the nose to fully settle and for swelling to subside.
Revision Rhinoplasty Cost
Revision rhinoplasty is usually more expensive than primary surgeries, as it requires more expertise, time, and advanced techniques. The cost depends on the surgeon’s experience, the extent of the operation, hospital preferences, and any additional procedures needed.
Conclusion
Revision rhinoplasty is an ideal solution for patients who are dissatisfied with their first rhinoplasty results or who experience medical issues afterward. It offers the possibility of achieving both aesthetic and functional improvements. However, as this surgery requires significant expertise, it should always be performed by highly skilled and experienced surgeons.
In rhinoplasty, the preferred approach is always to utilize the patient's own nasal cartilage and bone tissues. This ensures a natural appearance and functional nose. However, in certain cases, the patient's own tissues may be insufficient. This can occur in the following situations:
Previous unsuccessful rhinoplasty: Prior surgeries may have excessively consumed or damaged cartilage and bone tissue.
Severe nasal trauma: Trauma can lead to deformation of cartilage and bone tissue.
Congenital nasal anomalies: Structural deficiencies in the nose may necessitate additional cartilage support. In such cases, cartilage harvesting from the ear or ribs may be necessary.
When performed using proper technique and by an experienced surgeon:
It does not cause any noticeable deformity or functional loss to the ear or rib area.
The harvested cartilage provides a natural appearance and functionality for nasal shaping.
Ear cartilage:
Typically used for shaping the tip of the nose. Its thin and pliable nature contributes to a natural aesthetic.
Rib cartilage:
Preferred for areas like the nasal dorsum and septum due to its stronger structure.
Your doctor will thoroughly examine your nasal structure and determine the most suitable cartilage source and usage method for you. Consulting an expert surgeon is crucial for achieving flawless results without compromising natural beauty in your rhinoplasty procedure.
Before the rhinoplasty operation, it is important to give information about all the medications you are taking and your habits such as smoking or alcohol during the preliminary interview with your doctor.
Just like other surgeries requiring general anesthesia, various tests are performed before rhinoplasty surgery and the anesthesiologist's evaluation is obtained. If the anesthesiologist gives an opinion that the operation will not pose any obstacle, the operation is given the green light. Before the operation, you are usually advised not to eat or drink water for 6-7 hours. In addition, if you are taking medications that can increase the risk of bleeding and dilute the blood (such as aspirin, coumadin), it is recommended to stop using them or switch to alternative medications.
Since I use Piezo (Ultrasonic) technology while performing my surgeries, the amount of bleeding decreases and the healing process accelerates. In this way, patients I operate in the morning can be discharged in the evening of the same day or at the latest in the morning of the next day.
Just like other surgeries requiring general anesthesia, various tests are performed before rhinoplasty surgery and the anesthesiologist's evaluation is obtained. If the anesthesiologist gives an opinion that the operation will not pose any obstacle, the operation is given the green light. Before the operation, you are usually advised not to eat or drink water for 6-7 hours. In addition, if you are taking medications that can increase the risk of bleeding and dilute the blood (such as aspirin, coumadin), it is recommended to stop using them or switch to alternative medications.
Following aesthetic nose surgery, the nasal packs are removed within 1 to 3 days, and the nasal splint is typically taken off on the 5th or 6th day. There's no need to remove the stitches inside the nose since I use self-dissolving sutures. In cases where an open technique is utilized, the cosmetic stitches at the nose tip are removed around the 5th to 6th day. Patients who come from outside the city or from abroad can comfortably return home after the 5th day.
I avoid using traditional cloth and large tampons for nose surgeries due to the potential for significant pain and bleeding during removal. Instead, I opt for special silicone tampons with a central hole, which facilitate comfortable breathing. The removal of silicone tampons is nearly painless and minimizes bleeding.
It is not a condition that requires continuous hospitalization after aesthetic nose surgery. If you are working in a job that does not require intense physical effort, there is no harm in starting to work on the 3rd day after the operation. However, if you are in the construction industry or in professions that may cause nasal trauma such as football players and basketball players, it may be more appropriate not to work for at least 6 weeks.
Rhinoplasty surgery should address issues that impede breathing, such as enlarged nasal turbinates (concha hypertrophy), deviated nasal septum (deviation), polyps, chronic sinusitis, etc., in the same session. In addition to these, procedures like Botox, fillers, eyelid surgery, facelift surgery, and lip enhancements can also be performed alongside rhinoplasty.
Tekelioğlu Caddesi, 1947. Sk. Kayıkent Sitesi D:1.A Blok No:29/3 Muratpaşa/Antalya
+90 543 913 65 95
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