revision rhinoplasty surgery turkey

Revision Nose Aesthetics Surgery

What is Revision Nose Aesthetic Surgery?

Aesthetic nose surgery, the second or more surgical interventions performed in cases such as anatomical problems such as bending and asymmetry in the nose, functional problems such as nasal congestion, or the visual result is not as desired after aesthetic nose surgeries are called “revision”.

The reason why rhinoplasty; (plastic surgery) performed on the nose is among the most frequently revised surgical procedures, nose positioning in the middle of face and that the problems occurring on the nose are visible and remarkable.

Although the percentages given about the rate of occurrence of a problem requiring re-surgical application after aesthetic nose surgeries may differ widely, it is accepted that this rate is around 10-15%.

nose aesthetics surgery

There are various factors that cause undesirable results or problems after the surgery, the most commons of which are;

  • Inability to identify the problems before the operation
  • The patient’s expectations are not fully understood
  • Errors in surgical technique
  • Structural features of the patient (very thin or thick skin, crooked nose, etc.)
  • Problems experienced during the postoperative recovery period (trauma, infection, etc.) can be counted as.

Visual problems requiring revision can be divided into four different categories;

  • Although there is no obvious problem in terms of aesthetics, the patient’s desired result is not achieved.
  • Minor problems: minor irregularities on the nasal dorsum, slight asymmetries at the tip of the nose
  • Moderate problems: Asymmetry and irregularities that negatively affect nasal breathing
  • Major problems: Loss or deterioration of cartilage or bone structures, as well as severe asymmetry and deformities that may adversely affect nasal breathing.

Although it is accepted that the completion of the healing process and the final shape of the nose after rhinoplasty take between 6 months and 1 year depending on the content of the surgical intervention, the results of the changes in the nasal skin may take even longer. For this reason, it is generally recommended to wait at least one or one and a half years before performing a second operation. 

The major factor that plays a decisive role in the timing of the revision surgery is the cause and content of the problem.

revision surgery nosejob
Rhinoplasty for woman

In cases of mild irregularities, asymmetrical formations and the patient’s thick skin or regional accumulation of excessive healing tissue, it is generally appropriate to wait for the completion of the healing (at least 1 year) and to thin the thick and oedematous tissues with cortisone injections when necessary.

Depending on the graft technique used, 1.5-2 years should be waited before a second corrective intervention is made for the cartilage graft used to shape the nasal dorsum in the first surgery.

It is preferred to perform the second operation without waiting for the recovery period in major problems that do not improve over time, but also negatively affect the patient’s nasal breathing, or asymmetry and deformities that occur as a result of post-operative blows to the nose.

Although there is no obvious problem in terms of aesthetics, the most correct approach would be to wait for at least 1 year for recovery to be completed in order to minimize the risk of third surgery in revisions to be made because the expectations of the patient cannot be met.

Revision nose surgeries are interventions that involve significant surgical difficulties due to defects in tissue planes due to the previous surgery, adhesions between the skin and cartilage or bone roof, and damage and deformities in cartilage or bone tissues.

For this reason, in order to obtain a successful result in revision surgeries, it is necessary to evaluate the existing problems very well, to plan alternative approaches such as ear and rib cartilage that can be applied during the operation, to make the necessary preparations, and to have the surgeon who will perform the surgery have sufficient knowledge and experience for such interventions.

The most common reason for revision nose surgery is that the tip of the nose sometime is not as desired. So much so that the tip of the nose completely changes the profile of the person and determines the face shape. For this reason, in case of any problem at the tip of the nose or an undesirable result in the first surgery, nasal tip aesthetics is applied within revision nose surgery.

During revision nasal tip aesthetics; the nasal bridge or septum is not intervened, and the cartilage and soft tissues at the tip of the nose are studied. While this type of surgery is generally preferred for nasal tip problems, it is also applied as a result of the presence of asymmetry at the tip of the nose or the fact that it is wide and excessively raised. Revision nasal tip aesthetics takes about 45 minutes and is usually performed under local anaesthesia. The patient can be discharged 6 hours after the operation.

Interview before Revision Nose Aesthetics Surgery

Revision rhinoplasty; It is applied in cases where the first surgery cannot be completed successfully. Factors that cause a rhinoplasty surgery to fail; It can be determined as the inability to plan the surgery in a qualified way, the doctor who will perform the surgery not being experienced and equipped, and the inability to properly care for the nose during the postoperative recovery period.

However, the emergence of an undesirable result of the person undergoing nose surgery, damage to the functional properties of the nose, and respiratory problems mean that the rhinoplasty surgery has been unsuccessful.

Before the revision rhinoplasty surgery, it is of great importance for the patient to feel ready for a new operation both psychologically and physiologically. In the second nose surgery, meeting with the doctor and planning the surgery should be done much more carefully and in detail than the first surgery.

For this reason, in addition to choosing a doctor who is an expert and experienced in his field, it is necessary to explain the complaints and the desired nose shape to the doctor in a very detailed way. 

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Revision Nose Aesthetics Rhinoplasty

Revision Rhinoplasty

A symmetrical nose, a pleasant expression and an attractive face… All these criteria are considered the building blocks of beauty. In particular, the nose, in terms of its shape and structure, is one of the most important organs that make up this golden ratio on the face. Although the concept of beauty varies from person to person when it comes to facial aesthetics, in general, the common dream of many men and women is to have a beautiful face. However, a nose with congenital deformity or deformation as a result of an accident can cast a shadow over this dream.

In recent years, interest and curiosity in aesthetic operations have been increasing day by day. Of course, the biggest share in this is the changes and new techniques in aesthetic medicine. Nose surgeries take the first place among aesthetic applications. Because now people; they do not hesitate to have rhinoplasty in order to be happier when looking in the mirror, to be admired by others, and to be more prominent in business life. Of course, there may be people who still have deformities, who have aesthetic concerns and who have intranasal problems, even though they have had plastic surgery. This is exactly where revision rhinoplasty (revision rhinoplasty) comes into play.

Revision rhinoplasty is an operation applied to patients who have undergone plastic surgery but complain about their nose structurally and functionally. Correction surgeries are grouped in 2 ways as revision and secondary rhinoplasty. Revision rhinoplasty is when the doctor who performed the first surgery performs a surgical intervention on his patient again. Secondary rhinoplasty, on the other hand, is the process of correcting the aesthetic operation performed by another doctor for the second time by another surgeon.

revision rhinoplasty

Many people with rhinoplasty complain that the deformity continues or that they cannot achieve their dream nose. In some cases, it is often observed that healthy breathing is not possible, except for physical problems. In nasal surgeries, it is easier to intervene in the anatomical structure, but it may be difficult to know the condition of the nasal tissues. For this reason, surgical interventions to be performed for the first time are very important. The doctor who will perform the aesthetic nose surgery should be chosen meticulously.

Under the control of the surgeon who is an expert in the field, the shape of the nose should be planned and designed with the patient. Patients who will undergo revision nose surgery should be even more careful. Because the second intervention, in non-expert hands may lead to irreparable results.

So when should patients have revision rhinoplasty surgery?

It should not be rushed to decide on revision surgery. Patients should be patient in this regard. Swelling and bruises on the face after the first aesthetic operation may prevent the new shape of the nose from being seen. It takes a period of 6 to 12 months for the arrangement made on the nose to take effect. Of course, this period may vary according to the anatomical structure of the person or the technique used in the surgery.

After the specified period is completed, if there is still anxiety about the nose, a specialist can be consulted. It should be noted that the success rate of any intervention before this period will be low. It is common among the public that the desired shape can be easily given to the nose in revision surgeries. However, revision rhinoplasty can only be corrected over the shaping done in the first surgical intervention. In other words, the reconstruction of the nose shape cannot be achieved with revision surgeries. For this reason, information that is not based on medical grounds should not be acted upon, and necessary details should be obtained from the professionals of the business.

In revision rhinoplasty, corrections are usually made for droopy nose or upturned nose problems. In addition, interventions are possible for under- or over-received nasal dorsum. Revision surgeries are not a surgical intervention to be taken lightly.

Because after the previous operation, radical changes may have occurred in the cartilage or bone structure of the patient’s nose, at the support point. In such cases, the specialist may need new cartilage grafts to reshape the nose.

Revision is performed by removing cartilage from the ear, ribs or other parts of the body. In some cases, alloplastic, that is, artificial materials may be preferred instead of these methods.

Techniques used for revision rhinoplasty

Two different techniques open and closed are used in revision nose surgeries. If the patient’s nose is damaged and correction is excessive, the open technique is preferred. However, if the patient has problems only on the back of the nose, the closed technique is applied.

Regardless of which open or closed method is used in revision surgeries, the purpose is; the nose looks natural and if there are intranasal problems or breathing problems, they are eliminated.

As in all aesthetic surgeries, care and meticulousness are the first conditions in revision rhinoplasty. For this reason, satisfactory results can only be obtained with the intervention of a specialist and experienced physician.

rhinoplasty for men nosejob

10 golden rules to be considered after rhinoplasty

Rhinoplasty provides a beautiful nose that is compatible with the face and aesthetically pleasing. In rhinoplasty, it is of great importance for the patient to fully trust his doctor and decide together on the procedure to be performed. In rhinoplasty, the basic principle is to obtain the desired shape by preserving the basic functions of the nose. If the patient needs it, many other procedures can be performed during rhinoplasty surgery.

rhninoplasty for woman in turkey
Rhinoplasty for woman

It should not be done before the age of 18

The nose is a functional organ and its biggest task is to breathe. Functional nose aesthetics; It aims to obtain a nose that breathes well, does not have any breathing difficulties, fulfills its functions and is also compatible with the face. It is necessary to wait at the age of 18 for the development of the bone and cartilage structure in the nose to complete. In rhinoplasty, the patient should not be satisfied with the shape of the nose. It is very important that person decides on the procedure to be performed together with his doctor.

Unnecessary intervention should be avoided

Rhinoplasty is performed under general anesthesia and different methods are available. It can be made open or closed by cutting the middle of the nose or by cutting it completely inside. Inside the nose, cartilages and bones are shaped. Nowadays, the basic principle is to shape the nose with the least damage and minimal tissue removal. Therefore, it is aimed to both preserve functions and achieve the desired beautiful shape. If necessary, bone is broken, cartilages are removed, but unnecessary intervention should be avoided.

The technique to be performed is determined by the person

In the open technique, a small incision is made on both sides of the nasal canals in the middle of the nose and the skin in the middle of the nose and the nasal skin is completely removed. In the closed technique, incisions are made only through the nostrils. The difference is a 2-3 mm cut. In open technique, it is possible to see the nose, cartilage and bone structure. In rhinoplasty, open and closed methods are not superior to each other, the most appropriate technique should be determined according to the patient.

Nose structure is different in men and women. A slightly raised nose is preferred in the nose aesthetics for women. The nose tip of men is not lifted, it is planned to be shaped at a more right angle. The procedures do not change, only a shape suitable for women and men is preferred.

Several operations can be done at the same time

There should be some time between the first examination and the rhinoplasty operation. The patient should think in detail, ask questions at other appointments, and trust their doctor. After the doctor and the patient agree, the surgery should be decided. This requires at least one week. During rhinoplasty surgery, fat injection, eyelid procedures, lip augmentation, augmentation or reduction can be performed by injecting some implants or fat tissue into the chin tip.

The profile of the face can be completely beautified

When looking at the patient called profilopasti from the profile, a complementary process such as removing the missing or removing the excess can be performed. When the patient is viewed from the profile, if there is a belt in the nose, it can be removed and the nose can be made proportional to the chin tip. In addition, interventions to the cheek areas called zygoma, or even if there is a depression in the forehead, can be combined. These are necessary procedures for a beautiful silhouette when viewed from the profile.

Surgery should not be performed with tan skin

The patient should not use vitamins and herbal products that he does not know what is in the content for about 2 weeks after the operation. These, like blood thinners, can increase bleeding and impair wound healing. It is not good to stay in the sun too much before the operation and surgery should not be performed with a burnt skin. After the surgery, medicines and herbal products should not be used without consulting a doctor. It should be protected from the sun until the bruises and swelling pass.

After the nose job, the following should be considered;

• Since the molds are removed after 1 week, the patient can return to normal life, it is sufficient to protect the nose.

• Simple exercises such as walking can be done 1 week after the operation.

• Collective games and sports that require effort can be started later.

• Sports activities that require weight lifting should be avoided.

• You can swim with the head out without diving deep.

• The parks and areas where children play with the ball should be avoided.

• Care should be taken if a baby or child is to be taken on the lap as it may cause an unnoticed blow.

• Two days after the operation, you can take a shower with the head back. You can have a comfortable shower after 1 week.

• 1st, 3rd and 6th month and 1st year controls should not be interrupted.

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