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Revision Rhinoplasty (Secondary Rhinoplasty)

Revision rhinoplasty is a corrective surgery performed when a previous nose job (rhinoplasty) does not yield the desired results or creates functional issues. This procedure aims to meet the patient’s expectations by providing both aesthetic and functional improvements.

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What is Revision Rhinoplasty?

Revision rhinoplasty is a second (or additional) surgical intervention performed to correct or enhance the outcomes of a prior rhinoplasty. This type of surgery may be necessary when aesthetic expectations are not met, breathing problems persist, or new deformities appear after the initial surgery.

These surgeries are often more complex than the initial nose operation and should be performed by an experienced surgeon.

Why is Revision Rhinoplasty Necessary?

  • Failure to meet aesthetic expectations in the initial surgery
  • Persistent breathing issues or new breathing difficulties
  • Nasal deformities or asymmetry
  • Poor healing or collapse of cartilage or bone tissue
  • Complications that arise after surgery (such as infection or scarring)

1. Failure to Meet Aesthetic Expectations

The shape of the nose after the initial surgery may not meet the patient’s expectations. Aesthetic issues such as nasal deformities, asymmetry, a drooping nasal tip, or an undesirable appearance along the nasal bridge can emerge.

2. Breathing Issues

After the initial surgery, breathing difficulties may arise due to airway narrowing, septal deviation, or valve (nasal wing) problems, or pre-existing breathing issues may remain unresolved. Revision rhinoplasty can be performed to address these problems.

3. Nasal Deformities

After surgery, deformities such as collapse of the nasal structure, excessive thinning, or widening of the nasal tip may develop. This can lead to both aesthetic and functional issues.

4. Scars and Scar Tissue

Excessive scarring or the formation of scar tissue inside or outside the nose can occur after the initial surgery. This scar tissue can distort the nasal structure, leading to aesthetic and functional problems.

5. Insufficient Support of Cartilage or Bone Tissue

If the cartilage or bone structure of the nose is not adequately supported during the first surgery, issues such as nasal collapse or deformities of the nasal tip may arise.

6. Unexpected Issues During the Healing Process

During the healing process, cartilage or bone movements, scar tissue formation, or other complications within the nose can negatively impact both aesthetic and functional outcomes.

7. Post-Surgical Trauma or Injury

Any trauma or impact to the nose following the initial surgery can cause deformities and aesthetic issues, which may necessitate revision rhinoplasty.

8. Insufficient or Excessive Correction

The corrections made during the initial rhinoplasty may be inadequate or overly excessive. For example, the nasal tip might have been raised too high, or the nasal bridge thinned too much.

Revision rhinoplasty is a corrective surgery performed to address these types of aesthetic and functional issues. The goal of the surgery is to enhance the patient’s satisfaction with both the appearance and functionality of the nose.

Frequently Asked Questions About Revision Rhinoplasty:

When should revision rhinoplasty be performed?

Ideally, it is recommended to wait at least 12-18 months after the initial surgery before undergoing revision rhinoplasty. This period allows for the complete healing of the nasal tissues and for the final shape to fully manifest.

Yes, revision rhinoplasty is generally considered a difficult surgery. There are several reasons why it is more complex and challenging than the initial rhinoplasty:

  1. More Complex Anatomical Conditions
  • During the first surgery, the structures inside the nose (cartilage, bone, and soft tissues) may have been altered or removed. This means the surgeon is left with limited or sometimes damaged tissue to work with. This situation increases the technical difficulty of the surgery.
  1. Scar Tissue
  • After the initial surgery, scar tissue forms in the nose. This scar tissue can make the surgeon’s work more difficult, as scar tissue heals and hardens differently from normal tissue. Additionally, the nose’s anatomy may have changed due to the scar tissue, making the surgery even more challenging.
  1. Tissue Deficiency
  • If cartilage or bone was removed during the initial surgery, revision rhinoplasty may require the use of graft material (such as cartilage taken from the ear, rib, or another part of the body) to replace the missing tissue. This adds to the complexity of the procedure.

  1. Functional Challenges
  • In revision rhinoplasty, in addition to aesthetic corrections, the function of the nose may also need to be addressed. This is especially important when addressing breathing issues. Problems such as nasal valve insufficiency or septal deviation require the surgeon to make careful adjustments.
  1. Increased Patient Expectations
  • Revision rhinoplasty is usually performed because the patient was dissatisfied with the outcome of the initial surgery. As a result, patient expectations are often higher, and the surgeon needs to take extra care to meet those expectations.
  1. Longer Recovery Time
  • The recovery period for revision rhinoplasty may be longer than that of a primary rhinoplasty due to more tissue work, healing of scar tissue, and the adaptation process of the grafts used.
  1. Risk of Additional Surgeries
  • In some cases, revision rhinoplasty may require multiple surgeries to achieve the best result. This poses an additional challenge for the surgeon because tissue changes and scar tissue can reform after each surgery.

For these reasons, revision rhinoplasty should be performed by an experienced surgeon skilled in managing these complex cases. The surgeon’s expertise and experience directly affect the success of the surgery and the risk of complications.

Yes, revision rhinoplasty carries certain risks. These risks include both general surgical risks as well as specific risks related to revision rhinoplasty. Here are the main risks associated with revision rhinoplasty:

General Surgical Risks
  • Infection: As with any surgery, there is a risk of infection during or after revision rhinoplasty. Post-surgery care and the use of antibiotics are important to reduce this risk.
  • Bleeding: Nasal bleeding may occur during or after the surgery. This can usually be controlled, but in rare cases, serious bleeding may require intervention.
  • Anesthesia Risks: The anesthesia used during the surgery can pose risks for certain patients. Anesthesia-related complications are rare but can be serious.
Risks Specific to Revision Rhinoplasty
  • Scarring: Due to the presence of scar tissue from the initial surgery, there is an increased risk of new scar formation during revision rhinoplasty. These scars can affect the appearance of the nose or impair its function.
  • Tissue Damage: Changes and weaknesses in the nasal tissues after the initial surgery may make these tissues more prone to damage during the revision surgery.

     

  • Inability to Support the Nasal Structure: If cartilage or bone was removed during the first surgery, there may be a risk that the nasal structure cannot be adequately supported during the revision. This can lead to complications such as nasal collapse or a weakened nasal tip.

     

  • Functional Issues: Interventions aimed at improving the airways during the surgery may not always achieve the desired effect, or they may lead to new breathing problems.

Aesthetic and Shape-Related Risks
  • Asymmetry and Shape Deformities: The shape or symmetry of the nose may not be corrected as desired during the revision surgery. This may require further corrective surgeries.

     

  • Sensory Changes: There may be temporary or permanent sensory changes (numbness or pain) in the nose or surrounding areas. This usually improves over time, but in some cases, it may be permanent.

     

  • Longer Recovery Time: The recovery period after revision rhinoplasty may be longer and more complicated than after primary rhinoplasty. Swelling and bruising may persist longer, and the final results may take more time to appear.

     

  • Inadequate Correction: In some cases, the desired results may not be achieved after revision rhinoplasty, which may require additional surgeries.
Aesthetic and Psychological Risks
  • Patient Dissatisfaction: If the desired results are not achieved after revision rhinoplasty, the patient may experience dissatisfaction. This can negatively affect the patient’s psychological well-being and self-confidence.
  • Social and Professional Impact: The extended recovery period and any aesthetic issues that arise during recovery may negatively affect the patient’s social and professional life.

Revision rhinoplasty can be a risky procedure, but when performed by an experienced surgeon, these risks can be minimized. It is important for patients to discuss all risks, expectations, and potential outcomes in detail with their surgeon before the surgery. This helps increase the chances of success and reduces the risk of complications.

The recovery process after revision rhinoplasty is generally longer and more complex compared to primary rhinoplasty. This process can vary depending on the extent of the changes made to the nasal structure and the patient’s overall health. Here’s what you need to know about the recovery process after revision rhinoplasty:

First Days After Surgery
  • Swelling and Bruising: Swelling and bruising around the nose and eyes may occur immediately after surgery. This typically peaks in the first few days and usually decreases within 1-2 weeks. However, swelling after revision rhinoplasty may last longer compared to primary rhinoplasty.
  • Pain and Discomfort: Mild to moderate pain and discomfort are normal. These can be managed with pain medications prescribed by your doctor.
  • Nasal Congestion: Nasal congestion may occur due to the packing or splints placed inside the nose. This will decrease once the packing is removed, usually a few days after surgery.
First Week
  • Removal of Packing: The nasal packing is typically removed 5 days after surgery. This will relieve pressure and discomfort in the nasal area.
  • Removal of Stitches: If external stitches were used, they are generally removed 5-7 days after surgery. Internal stitches usually dissolve on their own.
First Month
  • Reduction of Swelling: Swelling gradually decreases, but slight swelling may persist for a few months before the nose shape fully settles. The tip of the nose often takes the longest to heal.
  • Nasal Dryness and Crusting: Dryness and crusting may occur inside the nose. Your doctor may recommend nasal irrigation solutions or moisturizing sprays to help relieve this condition.
  • Sensory Changes: There may be temporary numbness or sensory changes in the nose and surrounding areas. This typically improves over time but may last for several months in some cases.
First 3-6 Months
  • Slow Healing: Most of the swelling will subside during this period, but the nose shape may not be completely settled yet. It is important to be patient, as the final results typically appear after several months.
  • Breathing Function: If breathing problems were also addressed during the surgery, breathing function usually improves during this period. However, full recovery of breathing may take several months.
  • Activities: It is recommended to avoid heavy physical activities during the first few months after surgery. Sports, heavy lifting, or activities that could impact the nose should be avoided.
Full Recovery (12-18 Months)
  • Final Results: The nose shape and structure will fully settle, and the final result typically takes 12-18 months to appear. During this period, fine adjustments to the nose may still occur.
  • Follow-up Appointments: Your doctor will likely schedule follow-up visits at regular intervals after surgery. These visits are important to monitor the recovery process and check for any complications.
Possible Complications
  • Additional Surgery May Be Needed: In cases where the desired results are not achieved after revision rhinoplasty, further corrective surgery may be required. This decision is usually made after the nose has completely healed.

Recovery time can vary for each patient, and it is important to be patient. Following your doctor’s instructions can help speed up the recovery process and reduce the risk of complications. Regular follow-up appointments are essential to ensure that the recovery process progresses healthily.

Yes, the outcome of any surgical intervention can sometimes be unpredictable, and in some cases, additional corrections may be necessary. However, revision rhinoplasty is usually performed to fix significant issues, and the need for further surgery is rare.

Mild to moderate pain is generally expected after revision rhinoplasty. The pain can be managed with pain medications prescribed by the surgeon. It is normal to experience some discomfort as part of the recovery process.

Revision rhinoplasty is generally more expensive than primary rhinoplasty. The cost varies depending on the surgeon’s experience, the complexity of the surgery, and the techniques used. The most accurate information regarding the price can be obtained during the surgical consultation.

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şükrü erkara
5.0
10 December 2024

I found Dr. Mustafa as a result of my research and went to him with the complaint of lack of ventilation of the Eustachian tube and decreased hearing. I had had surgery on the ear many times before, so he looked at my nose and said that there was a curvature in the nasal bone and a serious devaluation. If we correct it, it would benefit the ear and it would help me breathe in the future. So we did the surgery. We decided to be together, now I'm getting some fresh air and my hearing has improved a little, he said I'll be better, may God bless him, his communication and friendliness was very good, I'm glad to have you. my teacher

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Nur ÜRPER
5.0
6 December 2024

Hello, I have had a Vertigo disorder that has not gone away for three years. I reached out to our esteemed teacher Mustafa Deniz upon his advice. Thanks to the medications he gave as a result of the maneuvers and examinations he made, I have not had any dizziness for 4 months. Thank you very much to our esteemed teacher and his teammates, I am glad to have you, best regards.

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cigdem topcuoglu
5.0
12 November 2024

If you are reading this article right now, you are in search of information like us. For this reason, I will tell our story in a little detail so that maybe it will be of some help to you. My daughter is 3 years old, we take her to our pediatrician regularly and when necessary. Our adventure started with nasal congestion. I am talking about a congestion that does not go away even though we constantly open it. Afterwards, mouth opening and snoring. When we asked our pediatrician about this situation, he referred us to Mustafa Hodja. After the examination of the adenoid size, He said it was 90%. We heard the sentence we didn't want: 'There should be surgery.' You'll be right, as a mother, I didn't want to have a young child undergo surgery right away. I even shared the situation with my pediatrician. He said, 'If Mustafa Hodja says, get it done, he won't say it easily. Make an appointment right away. We created the surgery and two days later, my baby had surgery. The only difficult thing about this surgery was waiting outside while your child was inside. Apart from that, everything was very planned and professional. The evening we came home, my baby was not snoring. He slept and we were incredibly surprised by this situation. We did not experience any negative situation. I would like to express our endless gratitude to Mustafa Hodja once again. Ms. Ayşegül, who did the programming, guided us very well. I am glad our paths crossed. Sleep without snoring, may the children be happy❤️

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Sümeyye ÖZKAN
5.0
12 November 2024

I went to the doctor with a complaint of symptom perforation. He said that he could easily close it after the examination. I had my surgery in April 2024. He also performed deviation and nose tip aesthetics. My priority was, of course, to repair the perforation. Thank God, the hole closed and I also had a beautiful nose. My recovery process is still ongoing, it was a long and difficult surgery, but I can breathe healthy. During this process, Ms. Ayşegül was always just a phone call away. I also thank him very much for his interest.

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Selda çetin
5.0
12 November 2024

I applied to my doctor with the complaint of septal perforation. I had surgery. It has been 5 months since my surgery and I am seriously relieved. Thank you very much to my doctor and his team...

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mesut Engindeniz
5.0
12 November 2024

Septal perforation Due to a nose surgery I had years ago, there were 2 huge holes and no cartilage was left in the nose. I could breathe very hard because all the cartilage in my nose had worn away. I did a lot of research and consulted many doctors. They said it was a very risky surgery, they said we couldn't do it. I tried a lot, I researched a lot, and lastly, Mustafa Deniz. I met my doctor Yilmaz, I found his clinic and went to be examined, he said that it was a risky surgery but he could do it. Actually, I had some fears, but after the examination, he made me overcome that fear. I had septal performance and plastic surgery. It took about 11 hours. It took 4 months. I got excellent results. The holes in my nose were closed, with the cartilage taken from the rib. My nose has become more beautiful again than before. I can breathe very easily. I would like to thank my teacher Mustafa very much. He is a very good teacher, I think he is the best in this field.

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murat çakır
5.0
12 November 2024

I repaired the hole in my nose painlessly and regained my health very quickly, thanks to our teacher. Thank you again.

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Ali Erbütlü
5.0
9 November 2024

We left Van and came to Antalya for my teacher Mustafa Deniz Yılmaz. He was very friendly and helped us a lot, he took one-on-one attention. My surgery was very difficult. I was diagnosed with septal perforation (hole in the nose). Many doctors we went to said that it was difficult and there were only a few people who did it, and Mustafa He directed me to my marine instructor. He took very good care of me and performed my surgery successfully. Thank you very much to him and his team. I'm glad to have you.

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İsmail Akdut
5.0
9 November 2024

Dear Sir, First of all, I would like to thank you. At first we used it for 5-6 hours, then I used it for 1.2 hours, no problem, thank you.

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Seda Ozdem
5.0
9 November 2024

I took my mother, who was treated for vertigo in various hospitals for almost two months but could not get any results. As a result of detailed examination and tests performed by audiologists, Mustafa determined that she had balance nerve inflammation. The treatment, which was expected to last 4 weeks, was completed in almost 2 weeks, accompanied by expert audiologists. His condition is very good, he returned to his normal life, thank you to everyone who contributed 🙏🏻

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Sedat Polat
5.0
18 October 2024

First of all, I would like to express my endless gratitude to my marine instructor and all his staff. After a long wandering, I found my marine instructor upon his recommendation. He solved my dizziness problem that disrupted the entire routine of my life. May God bless you. REGARDS.

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pınar hakimoğlu
5.0
16 October 2024

My daughter had adenoid surgery at the age of 6. Thank God, she is very well now. We chose my doctor because we trusted his knowledge and experience and we were not wrong. I recommend him as a doctor.

Anesthesia Type: General

Operation Time: 2-3 Hours

Pain: Mild

Length of hospital stay: 1 night

Recovery Time 7 days

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Schedule your free initial consultation with Prof. Dr. Mustafa Deniz Yılmaz now. Take the first step in your treatment process and let’s start your journey to regain your health with personalized solutions.