Revision and Secondary Rhinoplasty

Revision and Secondary Rhinoplasty

WHAT IS THE DIFFERENCE BETWEEN REVISION RHINOPLASTY AND SECONDARY RHINOPLASTY?

A Revision Rhinoplasty is a minimal surgical correction of a specific irregularity as a result of a Rhinoplasty. Any revision rhinoplasty should not be performed before 12 months from the original operation to allow the completion of the internal healing process.

Most revisions take less than one hour in surgery and the recovery time is generally less than two weeks. This is performed by the original surgeon only if he agrees to do so as it is commonly performed to correct a cosmetic or functional irregularity. A very minimal cosmetic alteration like asymmetry or little residual hump is not considered a reason for revision surgery. Cost may apply.

A secondary Rhinoplasty is a full and often complex surgical procedure which may be required by patients who previously underwent Rhinoplasty and are not happy with the outcome.

As per the revision rhinoplasty, any secondary rhinoplasty should not be performed before 12 months from the primary Rhinoplasty and it may require cartilage or bone graft harvested from the nose, the ear or the rib cage.

A secondary Rhinoplasty should be carried out only by expert Rhinoplasty Surgeons. This is extremely important for two reasons: the new surgeon is not aware of the internal alterations that have been made by the first surgeon and he has very minimal knowledge of the internal conditions. Also, any surgery leaves scar tissue and this is particularly true after Rhinoplasty. The scar tissue behaves like a solid wall between structures and the surgeon has to break the wall to proceed with the dissection and reach the cartilages and bones. He wouldn’t know if the bone has been broken and if it is still possible to break it again, making this surgery less predictable.

A secondary Rhinoplasty is usually performed with an open approach (small external scar at the bottom of the nose) in order to lift the skin for a better exposition and visibility of the structures.

The decision on what to do and which technique to use is taken intra-operatively once the surgeon has a better knowledge of the internal conditions. The cost normally exceeds the cost of a primary Rhinoplasty.

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