Rhinoplasty is nasal plastic surgery performed to correct defects, reshape the contours of the nose, and improve overall facial appearance. If a rhinoplasty procedure causes unintended aesthetic or functional issues, a secondary procedure called revision rhinoplasty can be performed.
Revision rhinoplasty is a corrective surgery performed to correct the results of a rhinoplasty. In these cases, the first rhinoplasty is referred to as “primary rhinoplasty.”
Nasal Problems After Primary Rhinoplasty
Primary rhinoplasty is without a doubt one of the most complicated surgical procedures. Because of this, there is a large margin of error.
In some cases, an insufficient amount of nasal tissue is removed. In other cases, too much tissue is removed, creating structural issues. Sometimes after healing has occurred, new scar tissue has formed in unexpected ways and has created problems with the shape of the nose.
Aesthetic and Functional Issues
During a revision rhinoplasty, numerous types of aesthetic and functional issues can be addressed. Revision rhinoplasty is commonly performed to take care of the following aesthetic issues and more:
• A crooked nose
• A pointy appearance of the nose commonly caused by cartilage protrusion
• A saddle nose deformity, where the nasal bridge seems dug out
• An inverted-V deformity caused by excessive removal of cartilage
• A pollybeak deformity, where the lower cartilaginous region of the nose is not proportional to the upper bony region of the bridge
• A pinched or asymmetrical nasal tip
Apart from aesthetic reasons, functional problems can also be treated. Many functional problems relate to nasal obstruction. When there is nasal obstruction, a common suspect is a deviated septum. Prior to the surgery, many patients are unaware of a deviated septum, because the condition may have been camouflaged by the natural nose shape.
Under normal conditions, both nasal cavities are symmetric. With a deviated septum, the shape of both nasal cavities is dissimilar, with one being smaller than the other. A deviated septum can worsen because of internal scarring or nasal valve collapse.
Suitable Candidates for Revision Rhinoplasty
Anyone who has previously undergone rhinoplasty surgery and is experiencing functional complications or aesthetic issues is a suitable candidate for revision rhinoplasty. The decision to perform this procedure ultimately rests with Dr. Bared and depends on many factors.
Revision rhinoplasty is often even more complex and delicate than primary rhinoplasty, since the structure of the nose may have become weaker.
The approach of revision rhinoplasty depends on the exact nature of the condition being treated. In most cases, the incisions that were used for the primary rhinoplasty can be used for the revision procedure, meaning no new incisions will typically need to be created.
Cartilage, bone, and soft tissue may be reshaped or removed during the course of this procedure. Scar tissue may be removed if required. An autologous graft (an implant created from the patient’s own tissue) may be created and used to bolster a section of the nasal architecture if it is weak; this can correct structural defects and malformations.
Learn More About Your Revision Rhinoplasty
When you come in for a consultation, you’ll be able to speak with Dr. Anthony Bared, an experienced and well-regarded double-board-certified facial plastic surgeon. The two of you will discuss your nasal issues and then Dr. Bared will create a surgical plan to address them. Contact our office for a consultation.