The decision to undertake revision rhinoplasty surgery can be a difficult and emotional one. An unsatisfactory result from previous nose surgery can leave a person with feelings of guilt and anger, as well as a loss of confidence and self-esteem. Breathing and health issues can also be affected if the nose has collapsed.
Minor asymmetries, bumps and deviations often improve within several months, and patients should be encouraged to wait at least a year to see how the nose looks and feels before having revision surgery. If, after waiting a reasonable amount of time, the result is still unsatisfactory, the patient should seek the help of an experienced surgeon like Dr Marcells.
Many problems following unsuccessful rhinoplasty require revision surgery. Minor deformities can be easily corrected. A small residual bony bump, for example, can be shaved down in a short operation with little downtime. A minor depression can be filled by an injection with soft tissue fillers under a local anaesthetic.
More major deformities may need extensive reconstructive surgery and should not be undertaken lightly. Revision surgery can present a considerable challenge for both the surgeon and the patient.
The nose may need its structure rebuilt to restore a normal shape and function. The building materials for this may have to come from the patient’s own tissues. Residual cartilage or bone from the patient’s nose is often used. Sometimes extra cartilage needs to be taken from another site, such as the ear. Implants such as Gore-Tex or Medpor are also sometimes used to rebuild the nose.
Swelling may be prolonged, and the final result may not achieve for many months. Most patients, however, look better and can resume normal activities as soon as two weeks after surgery.
With careful assessment, planning and advanced surgical techniques, large cosmetic deformities can be corrected to restore a beautiful looking nose. Breathing difficulties can be improved and the patient’s health, self-confidence and self-esteem greatly enhanced.
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