PROFILES Revision Rhinoplasty FAQ’s
Q – Why do people get revision rhinoplasty?
Revision rhinoplasty, or secondary rhinoplasty, is a surgical procedure done correct problems from a previous nose job. Patients seeking a revision rhinoplasty do so to address an aesthetic issue or to correct functional complications—or a combination of both. Some problems are due to over-resection, when too much cartilage is removed, others are the result of under-resection, when not enough cartilage is removed. The patient may have abnormal scarring, asymmetry, or may otherwise be dissatisfied with the appearance of the nose. If a patient is experiencing difficulty breathing, a corrective procedure may be necessary.
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Q – How long do I have to wait after my first surgery to get revision rhinoplasty?
After a primary rhinoplasty, you usually have to wait 6 to 9 months before another surgery can be performed. Because your nose will continue to change after the initial few months, it is important that it heals thoroughly so that you can be sure of the results.
Q – What are the different techniques used in revision rhinoplasty?
There are two techniques that can be used in a revision rhinoplasty procedure. Referred to as “closed” and “open” rhinoplasty, the two techniques are characterized by the location of the incisions. In the closed technique, the incisions are made inside the nose, resulting in no visible scarring. In the open technique, an additional small incision is made on the strip of skin between the nostrils, resulting in a very discrete, fine-line scar. The closed technique is best for nasal hump reduction. Rhinoplasty Surgeons Dr. Solieman and Dr. Litner prefer using the open technique when treating the tip or doing more complicated procedures.
Q – What happens during the procedure?
Once the general anesthesia is administered, depending on the nature of the correction, Dr. Solieman or Dr. Litner will make incisions in the skin using either the open or closed technique. Once the incisions are made, the bone and cartilage and the nose can be reshaped and restructured. After the correction made, the skin is pulled back over the nose and the incisions are closed using absorbable sutures. A splint is placed on the outside of the nose. To maximize postoperative comfort, Dr. Solieman and Dr. Litner rarely use nasal packing, a gauze or cotton used to control bleeding. The procedure takes about 2 hours to perform, although the surgery can longer for more complicated cases.
Q – What is grafting and is it necessary in revision rhinoplasty?
A graft is a surgical transplant of tissue. Typically, if too much cartilage was removed in the first surgery a graft may be needed to correct the nose and restore its structural integrity. If grafting material is required, cartilage may be taken from inside of the nose, the ear or, infrequently, the rib.
Q – Is an overnight stay required for revision rhinoplasty?
Revision rhinoplasty is an outpatient procedure requiring no overnight stay. Because of the effects of anesthesia, patients should arrange to have somebody drive them home. For the first 24 hours after the revision rhinoplasty, it is highly recommended that patients have somebody stay with them.
Q – Will I have swelling a bruising after a revision rhinoplasty?
In general, revision rhinoplasty tends to involve less post-procedure discomfort than primary rhinoplasty. Although some bruising and swelling may occur for a few days, it is usually minor. If there is aching or pain, medication can be given to alleviate the symptoms. Within a week of the revision rhinoplasty procedure (5-7 days) the splint and nasal dressing will be removed. After your surgery, Dr. Solieman and Dr. Litner will advise you on what to expect from the recovery period and how to care for your nose as you are healing.
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