What is Revision Rhinoplasty?June 10, 2017
On the surface, rhinoplasty or nose job may seem to be a minor procedure, but it is actually one of the more complex procedures a cosmetic surgeon may perform. If the surgeon fails to maintain the delicate facial balance, the nose shape may turn out to be attractive, but may not complement the overall face.
Sometimes an unsuccessful primary rhinoplasty may cause breathing obstructions, apart from cosmetic issues. A skilled plastic surgeon can correct such problems with revision rhinoplasty. Dr. Gary Motykie is a board certified and accomplished plastic surgeon providing revision rhinoplasty and other procedures to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations across the region.
Although primary nose surgery is generally performed as a closed procedure, a revision surgery may involve an open surgical technique. Open technique will be more invasive and the patient will require a longer time to recover.
But the advantage with open rhinoplasty is that the overlying skin is taken out to expose deeper layers of tissue and the surgeon can have better visibility of the underlying nasal structures. An experienced surgeon will manage to work carefully to conceal any scarring along the columella in order to create visually appealing results.
Patients should be aware that a revision rhinoplasty is often more complicated and takes longer to perform. This is because some pieces of the nasal framework are already missing and the formation of scar tissue after the primary surgery may have distorted the anatomy of the nose.
Apart from reshaping the existing structural framework, a revision rhinoplasty procedure will typically involve a cartilage graft. The cartilage from behind the ear or another donor site on the patient’s body will be utilized to rebuild and reshape the nasal structure.
Refinement of Scar Tissue
Refinement of scar tissue is one of the common requirements in revision rhinoplasty. The nose appearance may be adversely impacted due to too much cartilage, or it may create asymmetry in the scar tissue.
In this case, the surgeon can simply reposition what is already in place. If the patient wants more substantial nose refinement, the surgeon may remove more tissue to create narrower nostrils, reduce the nose bridge, or refine the tip of the nose.
Primary rhinoplasty in some cases may have created an aesthetically attractive nose, but it may result in unexpected breathing difficulties for the patient. The surgeon may have to perform grafting, turbinoplasty or other anatomical corrections in order to rectify nasal airway dynamics and restore normal breathing through the nose, without affecting the aesthetic nasal appearance.
Just after the revision rhinoplasty surgery, the patient may experience temporary difficulty breathing through the nose. Mild pain and soreness in the incision areas is expected once the anesthesia effect wears off. The surgeon may apply a splint outside the nose with soft packing in the nostrils.
The patient will be required to return to the surgeon’s office in three to five days to have the nasal packing removed. Hard working and the percipient Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for revision rhinoplasty.
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