REVISION RHINOPLASTY
AIM
To reduce the stigmata of previous surgery and to improve the appearance of the nose and to re-establish both function and natural, harmonizing, well-proportioned look to suit the face.
PROCEDURE
Revision surgery is complicated compared to primary rhinoplasty and requires in depth knowledge and expertise to understand the underlying causes and complications related to previous surgery. Surgical approach varies with complexity of individual case. Often comprehensive reconstruction is essential for severe problems.
It is prudent to find a surgeon who has knowledge and skills of both cosmetic and reconstructive procedures and specialises in this procedure to ensure optimal outcome. It is also important patients truly understand the limitations of revision surgery and have realistic expectations.
When properly performed this procedure can restore a more natural look to a nose that has been over-operated and now looks too small, short, long, narrow, wide or twisted.
It can overcome the stigmata of previous surgery including improving the functional airway of the nose.
Sometimes a nose may be severely damaged by previous surgery and virtually beyond repair, but this is not common. The biggest obstacle in revision rhinoplasty is trying to correct a nose that may have undergone several revisions or in which there is limited tissue to work with. The amount of scarring and the state of the tissues may significantly limit the degree of improvement possible.
In some cases it may be best to leave well alone, as the risks of further revision may outweigh the benefits. It is important that the surgeon understands your concerns and expectorations and gives the best advice which sometimes may be disappointing.