Revision rhinoplasty is a follow-up surgical procedure to the nose after a previous rhinoplasty surgery. The first nose operation is commonly referred to as primary rhinoplasty.
Although most people are happy with their primary rhinoplasties, sometimes, for a variety of reasons, they seek revision surgery. This sometimes occurs even with people who are satisfied with the aesthetic outcomes of the first surgery.
Aesthetic concerns, functional issues or, in many instances, both, drive the need for a revision rhinoplasty. The more common issues from primary rhinoplasty have to do with having too much removed from the nose structure or having too little taken off. Symmetry is another common issue. Unusually, excessive scarring may also lead to problems requiring a revision procedure.
As with primary rhinoplasty, revision nose surgery is a procedure that helps improve the shape, contours and function of the nose. Revision surgery is essentially a follow up to a previous operation, intended to make or correct aesthetic or functional issues that may have cropped up since the primary rhinoplasty.
Sometimes the original procedure may not have produced the precise results expected, either by the surgeon or by the patient. In such cases revision rhinoplasty involves minor corrections and tweaking to fine tune the results of the previous operation.
In other instances, functional issues that did not previously exist arise after the surgery. This is possible because rhinoplasty is considered to be one of the most difficult cosmetic surgical procedures to master. Any change in form can cause a related change in function.
Some of the common issues that are corrected during revision rhinoplasty include:
Often the revision rhinoplasty has to correct both aesthetic and functional issues at the same time.
The most common functional issue we correct during revision rhinoplasty is nasal obstruction. Nasal obstruction can be the result of a number of factors, including a deviated nasal septum, the thin wall that separates the two sides of your nose. Many people have deviated nasal septa without knowing it. When the septum is deviated, the two sides of the nasal cavity are different, and the smaller cavity is prone to obstruction. When nasal obstruction is serious, a deviated septum can be the main reason for needing a primary rhinoplasty.
Changes that are made to the nose during a primary rhinoplasty can result in making the deviation problem worse—if it was not considered serious before—creating nasal obstruction where none previously existed.
Other causes of nasal obstruction include excessive internal scarring and nasal valve collapse due to excessive tissue removal during the previous rhinoplasty procedure. Each of these issues needs to be dealt with in a different way during revision surgery.
The nose is a delicate organ, and even minor changes can result in changing its functional or aesthetic aspects. This is why rhinoplasty has very high revision rates compared to other types of cosmetic surgery.
Revision rhinoplasty requires skilful blending of science and art. Good outcomes require a surgeon with extensive knowledge as well as wide-ranging experience —not merely qualifications. Dr Marcells is a master of rhinoplasty, highly skilled and experienced in performing both primary and revision procedures.
As with any surgery, your expectations from revision nose surgery should be realistic. Do not expect a complete transformation after surgery. Revision nose surgery essentially tweaks existing aesthetics or corrects impaired function. It will enhance your appearance somewhat and, in many cases, help you feel better about yourself and your appearance. But although you may see vast improvements, the changes are often completely unnoticed and unremarked by others. If you think about it, this is a good result.
Revision rhinoplasty is performed on adult men and women who have already undergone at least one previous nose surgery procedure. Candidates should proceed with surgery with realistic goals and expectations for improving the function or appearance of the nose.
It is essential that you have healthy facial tissue and muscles and no life-threatening conditions at the time of surgery.
For your own safety, inform doctor at the initial consultation if you have any medical conditions, including disorders of the thyroid, circulatory disorders such as heart disease or high blood pressure, and diabetes.
If a surgeon other than doctor performed your previous rhinoplasty, it would be ideal to provide details and records of the previous operation, including medical records, image tests and before and after photos. The more comprehensive the information you can bring to the initial consultation the better. Because your nose is a delicate organ, what exactly has been done to it previously is essential knowledge.
When it comes to permanent birth control options for men, a no-scalpel vasectomy is a highly effective and minimally invasive procedure. This article aims to provide you with comprehensive information about the procedure, its benefits, what to expect before and after the surgery, and key considerations for individuals considering this form of contraception.
A no-scalpel vasectomy is a surgical procedure that involves blocking or cutting the vas deferens, the tubes that carry sperm from the testicles to the urethra. Unlike traditional vasectomies, no-scalpel vasectomies are performed without the use of a scalpel, resulting in smaller incisions, less discomfort, and a faster recovery time.
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Before undergoing a no-scalpel vasectomy, you will have a consultation with a healthcare provider to discuss the procedure, address any concerns, and ensure that it is the right choice for you. During this appointment, you may be advised to:
During the no-scalpel vasectomy procedure:
While no-scalpel vasectomies are generally safe, it is important to consider the following: