Revision rhinoplasty is the rhinoplasty surgery to eliminate the negative results and defects of the previous rhinoplasty surgery or surgeries of the patient.
Patients who don't have the advantage of their primary operation are the ones who choose revision operations. Majority of the patient groups can be defined as below:
1) Patients who are not satisfied with the "aesthetics" of their result. They might have one or more of the below problems.
The tip of the nose may have pinch deformity, drooping, or excessively shortened and raised. There may be a reverse V appearance in the middle of the nose, uncorrected septum deviation, and irregularities in the nasal bridge.
2)Patients who are not satisfied with the "functionality" of their result
Patients who cannot breathe easily as a result of their first operation may prefer revision rhinoplasty. If there is an excessive reduction from the planning of the previous surgery, it may high likely to cause a problem in breathing. In the case of unsupported reconstruction of the cartilages, alar collapse may happen — alar collapse results on breathing issues as well.
Revision Rhinoplasty surgery involves differences from primary Rhinoplasty surgery. Tissues are often narrowed, cartilage and bone structures might have been removed excessively or asymmetrically, and the tensions during healing might have weakened cartilages. This situation requires to be much more careful and gentle during the performance of revision surgery. Skin and soft tissue revision is very important too in revision rhinoplasty. Revision rhinoplasty often requires grafts. Nasal septum cartilage is often used or insufficient because of previous surgery. In this case, it may be necessary to remove cartilage from the ribs if needed.
You have a dedicated team of patient advisors, nurses, and your surgeon to support you throughout the entire journey, and after it. Revision Rhinoplasty is a surgery that demands you to take several steps to help ensure that your treatment is as smooth as possible. Avoiding some points can help you recover faster, and also minimize the risk of complications.
Make sure that you have shared all the details about the medicines you have been prescribed and the medicines you have used before, with your surgeon.
You should stop smoking if you smoke. Smoking slows the recovery after surgery and boosts your risks of post-surgical complications. All tobacco products and electronic cigarettes are equally harmful.
A week before your surgery, you should stop all herbal supplements, herbal teas.
If you are taking any blood thinner medication (such as coraspin, aspirin, ecopirin, coumadin, clexan), they should be discontinued one week before the operation.
Do not use any painkillers other than painkillers that contain paracetamol one week before your surgery. If you have to use it, inform your surgeon.
Your anaesthesia requires at least 8 hours of fasting and thirst. Do not drink water, chew gum 8 hours prior to your surgery.
Take a shower the day before your surgery or on the morning of your surgery.
Do not wear any jewelry, makeup or contact lenses.
Wear clothing that is comfortable and loose. Shirts that button in front are preferred.
Your Revision Rhinoplasty will be carried out with the utmost care by your surgeon and you can be sure that the same standard of care will continue during regular post operative checks to ensure a smooth recovery.
Soreness and swelling are likely to occur for a few days after surgery, with no bruising expected. However, it is possible in some cases, that minor bruising is possible.
In most cases, the internal silicon supports remain in place for one to five days after surgery. For protection and support, the doctor places a splint on your nose. Both of them are removed latest before your final check.
Your surgeon will give you comprehensive pre-operative guidance before the operation, also give you directions and recommendations afterwards. Follow all of these guidelines to help ensure your ease, prevent risks, and speed up the recovery.
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