Revision rhinoplasty is widely known in the plastic surgery industry as one of the most challenging procedures for facial plastic surgeons to perform, for a number of reasons. Rhinoplasty surgery is already a difficult procedure, and secondary surgery adds many more layers to the complexity of the surgery, making revision rhinoplasty a challenge so intimidating that many surgeons do not feel qualified to provide revision services. With that said, there are many, many successful revision surgeries performed each year, with patients regaining their hope and self-esteem through a surgery many doctors shy away from. If you’re considering revision surgery, you may be wondering what makes revision surgery such a challenge. Here are some of the factors that go into the complexity of revision rhinoplasty, and how surgeons and patients can go about minimizing those challenges.
All surgery produces scarring of some kind, and following rhinoplasty surgery, most scar tissue is located inside the nose. The only external scarring, if any, should be from the small incision between the nostrils, as scar that typically fades to be almost invisible. Internal scarring can make the operation much more difficult for the surgeon, and add to the uncertainty of healing.
Weakened Nasal Framework
Because rhinoplasty involves the manipulation of cartilage, skin, and often bone, the framework of the nose can become somewhat weakened through primary rhinoplasty surgery. The new nasal structure shouldn’t be fragile, but further manipulation during revision rhinoplasty must be done very carefully to make sure the nose stays strong and supported—permanently.
Absence of Ideal Cartilage
Nearly every rhinoplasty procedure requires the use of cartilage grafts, and revision surgery is no exception. Unfortunately, the initial rhinoplasty surgery often uses up the best cartilage for grafts—the cartilage found in the nasal septum. For this reason, revision surgeons often have to turn to cartilage from other sources, such as the ear or rib. While these sources can provide good grafting material, they do pose more of a challenge for surgeons than septum cartilage.
Due to scar tissue, weakened framework, and the additional surgery, it can be more difficult to predict healing patterns for revision surgeries, and essential component in the success of the procedure. It take a highly skilled surgeon to be able to predict the outcome of revision surgery based on different techniques used.
Understandably, many people are nervous about moving forward with revision surgery. No one wants to undergo a repeat surgery, especially when the goal of the surgery initially was aesthetic improvement. Patients are often scared of getting another poor result, so revision surgeons have the added pressure of working with uncertain patients who are ready to finally get beautiful results.
Unfortunately, one of the reasons that many people seek revision surgery is due to unfulfilled expectations that were possibly too ambitious for the reality of rhinoplasty. Patients need to understand the versatility and potential of rhinoplasty surgery, but also its limitations, in order to enjoy the results of the procedure.
Who’s Up for the Challenges?
While all of these factors intensify the difficulty of revision rhinoplasty, all these challenges can be met by an expert facial plastic surgeon. Some plastic surgeons have so much experience in rhinoplasty that they focus most of their professional energy on honing their skills in the art of rhinoplasty. These surgeons are the experts that can turn around a poor result and help patients get the results they’re looking for.
Planning Your Revision
If you are getting ready to start planning your revision rhinoplasty, make sure to do your research very carefully, in order to set yourself up for success. With all the challenges surrounding the revision rhinoplasty procedure, you don’t want to trust your results to chance. Be sure to seek out the best of the best when choosing your surgeon to help ensure a beautiful result.
Dr. Shervin Naderi is known as “the Nose Guy” by many physicians in the industry. He has dedicated nearly his entire practice to rhinoplasty procedures, and has helped many patients of various backgrounds attain excellent results from revision surgery. If you would like to discuss your goals for nasal surgery with Dr. Naderi, call to the Naderi Center in Herndon (703-481-0002), VA, or Chevy Chase, MD (301-222-2020) to schedule a rhinoplasty consultation with Dr. Naderi.