Revision Rhinoplasty To Correct Initial Plastic Nose Surgery

For many reasons, rhinoplasty is the cosmetic surgery procedure that is most often revised in a second or even a third surgery. There are many reasons why this is so, with some being physical and some being psychological.

A revision surgery is any surgery performed to correct an unsatisfactory result from a previous procedure. Revision surgeries will almost always be more difficult than the original surgery. For one thing, you have scar tissue from the previous surgery and scar tissue can be difficult to operate on. The surgeon is also working on tissue that has already been manipulated, which means that it may not behave in the same way or heal in the same way as tissue that has not had surgery.

Revision rhinoplasties are done to correct the resultseither cosmetic or functionalof a previous rhinoplasty. In some cases, the cosmetic results are fine, but there may be a functional problem with the nose. The reverse may be true also, with the nose functioning properly but with you being unhappy with the cosmetic results.

Your problems with your original rhinoplasty may or may not be due to the quality of the work done by your original plastic surgeon. He or she may have done very good work, but you may not have healed well. If you have broken your nose in the past, scar tissue on the inside of your nose can lead to less than optimal results. Unforeseen circumstances such as infection can also lead to a poor outcome, as can poor scar formation. And of course, your surgeon could have done a less than wondrous job.

Unfortunately, as with all revision surgeries, the more surgery you have, the harder it is to get good results. You may have scar tissue inside your nose from the previous surgery, or the previous surgery may have removed too much bone and cartilage. Your revision may require the use of augmentation materials such as cartilage grafts from elsewhere in your body or implants made of silicone or other synthetic materials.

The Reasons for Revision Rhinoplasty

But why do nose jobs need revision in so many cases? Part of the problem is the sheer complexity of the nose. It is made up of skin, bone, cartilage, mucous membrane, and nerves and all of these types of tissue may heal poorly for some reason. The location and prominence of your nose is also a factor. Your nose is right in the center of your face and can't be hidden by clothing nor can it be disguised well by cosmetics. This means that a poor nose job is front and center. A breast augmentation that is off by a centimeter is still pretty good. A nose job that is off that much would probably be a disaster.

But even with excellent results, you may not be happy with how your nose looks. You may be unhappy because you had unrealistic expectations. A surgeon can only work with what is there. A nose job should make you look better, but it wont necessarily change your life in any other way. If you expected the surgery to make a difference in more than your appearance, you may be disappointed and see the nose job as the problem.

Alternately, someone who has surgery to get the perfect nose (something which probably doesnt exist) is going to be disappointed no matter how good their new nose is. Such a person might seek further surgery pursuing a level of perfection that is unattainable. With rhinoplasty, you should expect improvement, not perfection.

Another factor is that many people cannot get used to the look of their new nose. Rhinoplasty is what is called a type-changing surgery since it can change the entire appearance of a persons face. Peopleespecially those that have a nose job later in lifemay not be able to adjust to having the new nose and feel that it is wrong, even if the cosmetic results of the surgery were excellent. 

Who Should Do the Surgery?

Many people who need revision surgery go back to the surgeon who did their first nose job. This is not necessarily a bad idea if the surgeon is not at fault for whatever problem exists. At your consultation for your nose job, you should ask the surgeon about his or her revision rate, the percentage of their cases that they have to redo. You should also ask how often the surgeon performs revision rhinoplasty on some other surgeons work.

However, you may need to consult with a plastic surgeon who specializes in revision rhinoplasties. This is especially true if you have already had one revision rhinoplasty and still did not get the results you want.

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