WHY CONSIDER REVISION RHINOPLASTY SURGERY?
The primary reason for revision surgery is unsatisfactory outcome following an initial surgery.
AM I A SUITABLE CANDIDATE?
Anyone with realistic expectations is suitable. It is important to recognise that not all concerns are amenable to correction by revision surgery.
THE BENEFITS OF SURGERY
Generally, the surgery should help in improving both the aesthetic and more importantly functional issues relating to the first surgery.
LIMITATIONS OF REVISION RHINOPLASTY SURGERY
Revision surgery is often complex and results are variable. Surgeons who have extensive experience, who perform reconstructive rhinoplasty are best placed to perform this type of surgery.
CONSULTATION
During the consultation, a thorough medical history is obtained. The nose is examined in detail, both externally and internally. Occasionally an endoscope may also be used for internal examination. Photographs are taken and digital manipulation is carried out to help you understand the surgical procedure and expected results. You can expect a thorough explanation of outcomes and risks involved in the surgery. Occasionally you may require a scan of the face, nose and sinuses.
SPECIAL CONSIDERATIONS
Rib or some other cartilage graft is often required in a significant number of revision cases. Cosmetic satisfaction can be problematic, the outcome is often restricted by previous surgery, and adjuvant reconstructive procedures may be required such as restoring the integrity of the nasal valve and nasal support to prevent collapse of the nose.
HOW IS THE PROCEDURE PERFORMED?
The procedure is performed under a general or local anaesthesia. Depending on what is required the procedure might be carried out using an internal (endonasal) or external (open) approach. Often complex grafting may be required. The recovery and postoperative course is similar to any other rhinoplasty procedure.
POTENTIAL COMPLICATIONS
Complications are infrequent and are usually minor, and include but not limited to infection, nosebleeds, persistent swelling and bruising, poorly healed scar, minor nasal irregularities, perforation of the nasal septum, persistence of the nasal hump etc.
IMPORTANT ADVICE
Please ask all questions you may have, and ascertain that your questions have been answered satisfactorily before you proceed to surgery.
Understand that this is lifestyle surgery and not an essential operation and should be considered a major intervention.
SUMMARY
| Procedure time | 2 - 6 Hours |
| General/Local anaesthetic | General |
| No. of nights in hospital | Day Case mostly |
| Time off work | 2 Weeks |
| Restrict activity | 3 Weeks |
| Back to normaility / sports | 3 Weeks |
