Revision rhinoplasty also called secondary rhinoplasty is one of the most technically challenging cosmetic surgery that is performed following the primary nose job which is failed to provide desirable results. It can improve nose appearance as well as breathing functions.

If you have had a rhinoplasty and you are not satisfied with the results of your surgery or you have a problem with breathing, revision rhinoplasty can be a second chance for you.

Revision rhinoplasty procedure

Revision rhinoplasty usually is performed under the general anesthesia. The surgeon makes an initial incision and moves the nasal bone and cartilage to correct the appearance. Then skin will be fitted over the new nasal structure and incisions will be closed.

Revision rhinoplasty benefits

The benefits of revision rhinoplasty are the same as primary surgery including:

  • Improve facial appearance: revision rhinoplasty reshape the nose and provide you a more beautiful, balanced and youthful facial appearance.
  • Correct breathing problems: secondary rhinoplasty can correct the nasal obstruction that is occurred because of the prior surgery in combination with septoplasty or nasal obstruction surgery.
  • Increase self-esteem: revision rhinoplasty provides you a balanced appearance and reshape the nose and consequently increase your self-confidence.

Who is a good candidate for revision rhinoplasty?

Revision rhinoplasty is the second chance to achieve ideal facial appearance for patients who are unhappy with the results of their primary rhinoplasty. Secondary rhinoplasty can correct the following problems:

  • Deviated septum
  • Sinus problems
  • Nasal bump
  • Breathing issues
  • Large nose
  • Drooping nasal tip
  • Sleep apnea and snoring
  • Crooked Nose
  • The collapse of cartilage or nasal bones

Revision rhinoplasty recovery time

The secondary rhinoplasty procedure is an outpatient surgery that usually takes between 2 to 4 hours, depending on the surgery’s complexity. So you can back home the same day that surgery is undertaken. Same as the primary rhinoplasty the recovery period of secondary rhinoplasty the last one to two weeks, you can back to your workplace after one week. During this time avoid to blow your nose, you can clean inside of your nostrils with hydrogen peroxide once a day and also use antibiotic salves on incisions twice a day. For subsiding the swelling and bruising, you can use cold compresses for the first three days following the surgery. You also can resume your daily activities one week following the surgery but you should avoid strenuous activities for three to four weeks.

Risks of revision rhinoplasty

This surgery is the same as any other surgery is associated with some risks and complications, the common complications are as below:

  • Infection
  • Bleeding
  • Scarring
  • Skin loss
  • Temporary loss of the sense of smell
  • Anesthesia issues

Open vs. closed revision rhinoplasty

If you are considering secondary rhinoplasty you may want to know whether open revision rhinoplasty is right for you or closed revision rhinoplasty. The difference between open (external) and closed (endonasal) rhinoplasty is the incision’s placement. In the open rhinoplasty a small incision is made across the columella, the soft tissue between the nostrils but in closed rhinoplasty, the surgeon makes the incisions within the nostrils. But generally, your surgeon can decide which type is best for you depending on the correction needed, the area of the deformity and goals for the procedure.

Closed rhinoplasty is a less invasive procedure and the recovery period is quicker. The incisions are made inside the nostrils so they are not visible. On the other hand, the visibility of the nasal skeleton in the open rhinoplasty make it a more precise technique and there is less risk of distortion of the nasal cartilage.

General-speaking, revision rhinoplasty is one of the most difficult and challenging surgical procedure that should be performed by an expert cosmetic surgeon who is trustable because your nose is the most protruding part of your face that greatly affect your appearance and the results of your nose job have an influence on your future life.