While many patients are completely happy with the results after their rhinoplasty, that’s not always the case. There are many reasons why a person might not be completely satisfied with the results of their first surgery. Fortunately, many people have the option of undergoing a second procedure, known as revision rhinoplasty, if they aren’t completely delighted with their nose or if changes occur in the nose after the first surgery that alter the way it looks or functions. There are a number of reasons why a person might decide to have a second surgery.
Nose is Too Wide
It’s common for people to consider rhinoplasty to change the size of their nose in some way. A person might have a nose that is just slightly too small for his or her face, for example, and he might decide to have rhinoplasty to increase the size of the nose, creating more balance among his facial features.
But, there is a chance that the surgeon will make the nose too wide or too large during the surgery, so that once a person has healed, the overall look is a nose that is just too big. In that case, a second surgeon, one who is has experience performing revision surgeries, might be able to correct the work of the first surgery, adjusting the size of the nose so that it better fits on the face.
The reverse is also true. People with larger noses might decide to have rhinoplasty to reduce the size of the nose. It’s possible for a surgeon to reduce the nose too much, so that it looks too thin or otherwise diminutive on a person’s face. A revision procedure can increase the size of a greatly reduced nose.
Irregularities in the Nose
Nasal surgery is often performed to correct deformities or irregularities in the nose, such as bumps or humps on the bridge, depressions in the nose or a crooked nose. While the goal of rhinoplasty is often to fix those issues, there’s also a small chance that the surgery itself will lead to the development of irregularities in the nose. The deformities can occur as the nose heals after surgery, due to an injury that occurs after the first rhinoplasty, or because of a lack of skill on the part of the surgeon who performed the first surgery.
No matter the reason for the deformities or irregularities in the nose after the initial rhinoplasty, a revision procedure can help correct them, creating a nose that better aligns with a person’s expectations.
Nose Has Functional Problems
For some patients, part of the goal of rhinoplasty is to improve functional issues with the nose. A person who has trouble breathing through his or her nose might seek out nasal surgery to correct that issue. But, there is also the small chance that rhinoplasty, particularly when performed by an inexperienced surgeon, can introduce functional problems to the nose.
The rhinoplasty process can weaken the internal structures of the nose. It might narrow one of the nasal passages, making it difficult to breathe. In rare cases, a poorly performed rhinoplasty can cause the nasal valve to collapse or can cause a deviated septum. In instances where a person’s breathing function is negatively affected by a rhinoplasty, a revision procedure can correct those issues. It might be that a person needs a revision rhinoplasty, as well as sinus surgery to improve the function of the nose.
Tip is Droopy
Another common reason for revision rhinoplasty is an issue known as a polly beak deformity, or a droopy tip that develops after the first surgery. There are several factors that can cause a droopy tip or polly beak deformity, including having excess cartilage in the septal area and having prominent cartilage in the tip of the nose.
Nose Didn’t Heal Well
It’s also possible for the nose to heal poorly after the first surgery, negatively affecting that surgery’s results. Some people have trouble with the formation of scar tissue, for example. Although for the most part, the scars that form after rhinoplasty are either barely visible or concealed inside the nose itself, there are cases when the scarring can be very prominent.
How you treat the nose during the recovery process can also impact how well it heals. It’s important to follow the surgeon’s advice when it comes to avoiding certain medications, not smoking, and taking it easy for several weeks, as all three of those factors can affect healing. For example, nicotine can delay healing, while vigorous exercise increases blood pressure, which in turn affects healing. No matter the reason for the issues with healing, a revision rhinoplasty might be an option to correct the nose.
Dr. Shervin Naderi, a board certified facial plastic surgeon in the Washington D.C., Maryland, & Virginia tri-state area, who specializes in nasal surgery, can discuss the reasons for a revision with you further and help you determine if you’re a good candidate for a revision. To schedule a consultation with Dr. Naderi, call (301) 222-2020 today.