Secondary rhinoplasty

The nasal tissue that is being operated on is now fibrotic and adherent and has poorer blood supply, which doubles the complexity of the revision rhinoplasty. For these reasons, the time required for revision rhinoplasty is longer than for the primary rhinoplasty.

Secondary rhinoplasty, or revision rhinoplasty, has its own special precautions, but it also has its own advantages. If you are considering secondary rhinoplasty, be sure to see an experienced plastic surgeon. In general, due to the high risk of secondary rhinoplasty, it is best done only in cases of severe respiratory disorders or aesthetic nose. Remember that the result of re-surgery cannot be accurately predicted even in the hands of a skilled surgeon. The patient’s insistence and obsession with correcting small defects after a rhinoplasty can easily increase his problems.

Those who have had a bad experience with their nose surgery and plan to have it done again usually have very high expectations for its repair. In some cases, there may be no defect in the operated nose, but the person thinks that his nose has become problematic. Most of these people cannot describe their desired nose, such people are not suitable candidates for repeated rhinoplasty.

Another very important point is to what extent will the nose repair improve the situation and will the patient be satisfied with the result?

In order to evaluate this issue, it is important to pay attention to whether the patient’s description of the existing conditions and nose is realistic and reasonable. If the criticisms were appropriate and on point and the patient’s expectations were also reasonable, then he can be considered a candidate for secondary rhinoplasty by considering all the patient’s conditions.

Another important point is that if the patient also has his pre-operative pictures or pictures such as family photos that clearly show the person’s face, it will be helpful for further evaluation of these people.

Basically, we do not ask who performed your operation. In cases where this question arises, the reason is that if the primary surgeon is capable of performing secondary rhinoplasty, we prefer to refer the patient to the primary physician. The question may arise as to which surgeons are qualified for reconstructive surgeries. It is generally said that surgeons learn how to operate in the first 5 years of their career (mastery period in surgical techniques), in the second 5 years they learn what cases to select for surgery (careful selection of patients), and in the third 5 years they learn what cases not to operate. This period of maturity shows the surgeon that from this stage onwards it is better to perform reconstructive and reconstructive surgeries.

The most difficult patients in secondary rhinoplasty are those who, in addition to existing deformities, have either very thick or very thin skin. The presence of deviations in the nose itself or the face makes the operation more difficult. The worst case scenario is when the skin has suffered multiple cuts, especially those made at the nostrils and nostrils, or when the skin is damaged and small. Sometimes, in some of these patients, such as patients undergoing nasal reconstruction, it may be necessary to repair and provide skin from the forehead, etc., and the necessary explanations are given to the patient and his companions.