The rhinoplasty procedure is one of the most challenging plastic surgery procedures – the nose is the central feature of the face with a complex structure and the nose job has to enhance the appearance of the nose while improving or maintaining nasal function.
A revision or secondary, rhinoplasty is typically more demanding of a plastic surgeon’s skill as the patient has already undergone a surgical procedure and been left unsatisfied, either because the deformities have not been properly addressed or have even worsened.
Problems that may require revision surgery
- Obstruction of the airways
- Collapse or weakening of the cartilage or nasal bones
- Over reduction or inadequate reduction of a dorsal hump or the nasal tip
- Changes as a result of thickened scar tissue
What does a revision rhinoplasty entail?
The techniques used in a secondary nose job are the same as those employed during the initial surgery. Corrections can be made either through a closed or open approach – more major structural changes are usually performed through an open approach where a small incision is made in the columella and allows for more precise visualisation of the underlying structures.
Cartilage grafts may be necessary for a secondary rhinoplasty to replace damaged or insufficient nasal cartilage as a result of the primary procedure.
Carefully pre-procedure planning is essential to ensure that nasal function is optimised if necessary and any cosmetic deformities are improved. It is essential that patients have realistic expectations about what can be achieved with a revision rhinoplasty.
For more information on the revision rhinoplasty procedure, call 0141 334 9441 to arrange a consultation with rhinoplasty specialist Mr Stephen Morley.