Rhinoplasty is one of the most delicate and complicated facial surgeries out there. When it comes to a revision rhinoplasty, things can get even more delicate and complicated. Why? A secondary nasal surgery must take into consideration the original surgical changes that were made and ensure the patient’s safety and the integrity of the nasal structure. To keep your nose looking good, your revision rhinoplasty should be performed by a highly trained, board certified facial plastic surgeon. Read on to learn more about the subtle differences between rhinoplasty and revision rhinoplasty.
Your Reasons May Be Different
When patients are first seeking rhinoplasty surgery, they often have certain reasons for wanting the surgery. For many, they don’t like the nose they were born with or they’re hoping to correct damage from nasal trauma or injury. These patients have never had nasal surgery before and the noses they have are pretty much the noses they’ve always had.
Revision rhinoplasty patients, on the other hand, often present a different list of reasons. These patients have already had changes made to their noses through surgery, so their circumstances have changed. Some of the common reasons given for revision rhinoplasty include:
- Disappointing results from a primary rhinoplasty
- Functional problems that have resulted from a primary surgery
- A change of heart about the alterations made
- Injuries sustained after a first surgery
- The formation of excessive scar tissue from a first surgery
Each of these reasons is viable for seeking a secondary surgery. Mistakes can be made and accidents may happen. Finding the right facial plastic surgeon to make the necessary corrections is your first step toward success with revision rhinoplasty.
You May Choose a Different Surgeon
While it’s unlikely that you’ll use the same doctor who performed your primary rhinoplasty to perform the secondary one, it really depends on your situation. Rhinoplasty is a difficult surgery, so there is a higher risk of mistakes when your surgeon is less experienced. If you suffered functional issues or disappointing results after your first rhinoplasty, it may be smart to choose a more experienced facial plastic surgeon to make the needed changes during a revision rhinoplasty.
Of course, if you’re already working with a top-notch surgeon and something can’t be achieved with one surgery, it might be smart to work with the same facial plastic surgeon for a secondary surgery. He or she already knows your nose, understands what needs to be done, and may have an effective plan to achieve your desired results. In some very rare cases, the full results can’t be carried out in one surgery, so sticking with your surgeon is a good plan.
The same goes for revision rhinoplasty to an injured nose or one that has developed too much scar tissue. Keeping your facial plastic surgeon is the best way to attain the results you had following your first surgery all over again. If you were happy with your results and something has gotten in the way of keeping those results for the long term, it’s wise to stick with your surgeon for a second time around.
Using the Same Surgical Approach
While a revision rhinoplasty needs to be performed carefully as a follow-up to a previous surgery, the actual surgical methods used are similar to primary rhinoplasty. In both surgeries, an open or closed approach may be used to place your incisions. In a closed rhinoplasty, your incisions will be contained inside the nostrils. With an open rhinoplasty, one very small incision is made on the underside of the nose between the nostrils. This second approach allows the surgeon more visibility, so it is most often chosen for revision rhinoplasty surgeries.
Depending on what changes need to be made, your facial plastic surgeon will customize his or her approach. Cartilage grafts may be added or bone and cartilage may be removed, all depending on your problem. If only minor changes are needed, your revision rhinoplasty may be quickly performed under local anesthesia. The specifics of your revision rhinoplasty will be established during a consultation with your facial plastic surgeon.
Plan a First or Second Rhinoplasty Today
Dr. ShervinNaderi, MD, FACS of the Naderi Center Rhinoplasty&Cosmetic Surgery is a D.C.-area (Northern Virginia and Southern Maryland) facial plastic surgeon. The doctor has dedicated his practice to the specialty of nose surgery, includingrhinoplasty, revision rhinoplasty, septoplasty and reconstruction. Contact Dr. Naderi’s Herndon, VA, office at 703-481-0002, or the Chevy Chase, MD, location at 301-222-2020.