The important point here is that early surgery should be avoided. It is not correct to consult a physician in such a way that after a short period of 3-4 months after the first operation, because of the shape of the nose is disliked. It should be noted that rhinoplasty is a surgery that requires time.
The swelling and the edema should disappear first. The time it takes the nose to reach its final form is at least a year.
If a complicated surgical operation is to be performed, one year should wait. However, if smaller camouflage surgeries are to be performed, it can be intervened after six months.
Corrective operations almost always require additional cartilage. These cartilages can also be used from cartilage tissues to be obtained through the nose.
However, these cartilages can be performed with cartilage from the ear or rib since these cartilages are not treated and are insufficient.
The area, which is needed in revision operations, is usually the tip of the nose. Because of the flexibility and endurance capacity of the nasal tip cartilage structure, much attention should be paid.
Main Reasons of the Primer Rhinoplasty
- Misplanning of the operation
- MisEvaluating the needs and desires of the patient before the operation
- Wound healing problems of the patient
- Excess nasal bone Removal
- Excess Cartilage Removal
- Misjiont of the cartilages placed
- Excessive Resorption of the cartilage
- Misplacment of the supporting stitches
- Opening the supporting stitches
- Trauma on nasal bone and cartilage tissue before full recovery
- Infections after primer rhinoplasty
How Is Seconder Rhinoplasty Performed?
Open or Closed technique rhinoplasty can be performed for revision rhinoplasty surgery. What kind of surgical touches is needed is decisive. It decides the technique of the operation. Open technique is mostly preffered since it is initial to see the cartilage and bone tissue totally and opern technique allows it. During the open technique rhinoplasty surgery, 0,5cm incision is made below the nose that is healed in a year completely.
Revision surgeries are much more complex than the primer surgeries. Revision operations need a very experienced surgeon and a sterile enviroment. A detailed physical examination is necessary. During the examination all complaints should be detected and the plans should be done accordingly.
Since the patients are lack of cartilage, cartilage grafts from another region of the body may be needed. The graft is taken from the ear or the ribs.
The duration may vary depending on the anesthesia type. Small surgical touches performed under local anesthesia may take 30-60 minutes, while major surgical touches performed under general anesthesia may take around 3-4 hours.
In secondary rhinoplasty, since the nasal skin and tissues are removed several times in the second line, postoperative edema is higher and the recovery process is longer.
Casts used in major interventions to the bone are removed on the 5th day in primer rhinoplasty surgeries, while they may need tos tay longer for revision operations. This time is determined by the doctor himself according to the procedure. The important thing here is to strictly follow the doctor's recommendations.
Post-procedure pain is not different from primary surgery. Only if the cartilage needed for nose surgery is removed, especially from the ribs, a slight pain may be felt in the first few days after the surgery. After the procedure, you stay in the hospital for one night and the person is sent home the next day.
Seconder Rhinoplasty Prices
Secondary rhinoplasty prices vary according to the complications that occured in primary rhinoplasty, the necessary interventions, the type of anesthesia to be applied and many other factors. Secondary rhinoplasty is a correction surgery and most of the patients who need correction regret their first surgery based on the price.
Secondary rhinoplasty surgeries are more expensive than primary rhinoplasty. Therefore, the surgeon to be chosen before the price in the first surgery is more important. The priority of a person who decides to have an operation is to find a trustwprthy doctor and contact him. It should not be forgotten that the health is more important than the money.
What went wrong with my primary rhinoplasty?
Some of the more common mistakes or issues in primary rhinoplasty include:
- Improper diagnosis of nasal problems, physical and/or functional
- Poor listening skills or misunderstanding how the patient wants his or her nose to look
- Unexpected issues with healing.
- Poor surgical technique and/or inadequate experience as a rhinoplasty surgeon
What problems can secondary rhinoplasty solve for me?
Revision rhinoplasty can solve most of the problems from your primary rhinoplasty, such as:
- The nose is too small
- The nose is too large
- The roof is too low
- The nose looks flat in profile
- The nasal roof is too curved
- The roof is too wide
- The nose is too narrow
- The nose is too long
- The nose is too short
- Nostrils show too much
- Tip of nose droops
- The tip is creased at the center
- Nasal tip is too upturned
- Nasal tip is too sharp or pinched
- Nasal tip is rounded
- Sides of nose collapse inward when breathing, making breathing difficult
- The nose looks the same as before primary rhinoplasty – issues not corrected
- The nose has a bump
Why graft is needed for secondary rhinoplasty surgery?
Most likely the septum (middle wall of the nose) is used for grafting material in primary surgeries, but in general, patients, who will have revision surgery, do not have enough septum because of the primary surgery. Therefore, revision rhinoplasty usually includes harvesting cartilage from behind the ear for grafting.
Will my ear look different after grafting?
When it is done successfully, the ear will look exactly the same as before because incisions will be hidden behind the ear and by the time they will disappear.
Why revision rhinoplasty is more expensive than primary rhinoplasty?
Secondary (revision) rhinoplasty is significantly more complicated and challenging surgery than primary rhinoplasty. It needs much more experience, skills, knowledge, and patience. Most revision rhinoplasty patients need grafting from other parts of the body. Therefore, revision rhinoplasty prices are higher than primary rhinoplasty.
Should i go to another doctor for my secondary rhinoplasty (revision)?
If your first rhinoplasty went well but there were unexpected complications, it would be the best choice for you to continue with the same doctor. Because your own doctor knows all the details about the first rhinoplasty so it will be easier for him to do the revision surgery.
But, if you think that the problems occurred during the first rhinoplasty were because of the doctor or you have lost confidence in your doctor, it is better to find another doctor for secondary rhinoplasty.
For how long should I wait after my first rhinoplasty to be able to undergo secondary rhinoplasty?
After the first operation, the nose should be completely healed and the shape should be fully settled. The recommended minimum period to complete this process is 1 year. The success rate of the secondary rhinoplasty before the complete healing of the first rhinoplasty is very low.
What should I do if my nose was more raised than I wanted After the first surgery?
It is more difficult to lower a raised nose than to lift a low nose. Secondary rhinoplasty lower the raised nose by adding or removing cartilage to the required site.
What should I do if my nose was lower than I wanted After the first surgery?
You can plan your nose height again by talking to your doctor. This problem can be solved easily with the necessary supports.
What is the probability of having revision rhinoplasty after the first rhinoplasty?
Each surgery has different risks and complications, Patients should be informed about these risks and complications before surgery. The possibility of having a revision rhinoplasty after primary rhinoplasty is 5%. But the possibility of having a revision surgery after successful primary rhinoplasty is 20% for patients who are not satisfied with the result of the primary rhinoplasty.
Why is cartilage taken from another area in secondary (revision) rhinoplasty?
all the cartilage inside the nose may be used during a previously performed nose surgeries so in case more cartilage is needed and there is no cartilage left in the nose, cartilage taken from the ears or rids is used in the surgery.
Will it be more painful than the first rhinoplasty?
The difficulty or ease of secondary rhinoplasty surgery is related to the size of the second procedure. Severe bone deformities in the first surgery increase the difficulty of revision operations. Also, interventions made on Nasal bone increase postoperative pain rate. However, revision operations performed in case of small deformities do not cause abnormal pain and this period can be overcome in a short time.
When lividities and swellings heal?
The healing of lividities and swellings in the revision rhinoplasty takes 1-2 days more than the first rhinoplasty, The extension of healing period depends on the interventions made to the cartilages and tissues in the secondary rhinoplasty.
What is the duration of stay in hospital after revision rhinoplasty?
The duration of stay in the hospital in regard to revision rhinoplasty operations is mostly related to the type of anesthesia used in the operation. In general anesthesia, the patient must stay in the hospital for 1 night. On the other hand, the patient can be discharged on the same day of the operation in case the operation performed under the local anesthesia.
Is it possible to perform a secondary rhinoplasty operation under local anesthesia?
the type of anesthesia used in secondary rhinoplasty operations may vary depending on the size of intervention will be performed which means that small interventions can be performed under local anesthesia according to the patient's request.
How long do revision rhinoplasty operations take?
Secondary rhinoplasty operations are more difficult and complicated than the first operations. Therefore the duration of the operation may be longer than the first operation and it might take about 2-3 hours.
What are the risks of secondary rhinoplasty?
İt has the same risks of any surgical operation that occur because of surgery and anesthesia with a small possibility to have bleeding, infection problems etc…
When does the nose get its final shape?
Since there is more interventions in the nose in revision rhinoplasty surgeries, it may takes longer to get the final shape of the nose than what did it take in the first rhinoplasty. Generally, it takes about 8 – 12 months.
Will Splint and tampon be placed again after surgery?
In case of making small interventions in the revision rhinoplasty there will be no need to place any splint or tampon, but in case of making interventions to bones and cartilages splint and tampon will be placed as in the first rhinoplasty.