Revision Rhinoplasty
In cases where a previous rhinoplasty did not achieve the desired results or resulted in complications, revision rhinoplasty can be performed to correct and improve the outcome. Also known as secondary rhinoplasty, this surgical procedure corrects or revises the results of a previous rhinoplasty surgery. It is typically more complex than primary rhinoplasty due to alterations in nasal anatomy, scar tissue formation, and changes in nasal structure caused by the initial surgery. The goals of revision rhinoplasty often include improving nasal function, addressing aesthetic concerns, and restoring nasal symmetry.
The decision to undergo revision rhinoplasty is usually driven by dissatisfaction with the outcomes of the initial procedure. Common reasons for revision include persistent nasal asymmetry, breathing difficulties due to nasal valve collapse, over-reduction or under-reduction of nasal structures, or undesirable aesthetic results such as a scooped-out nasal dorsum or a pinched nasal tip.
The success of revision rhinoplasty depends heavily on thorough pre-operative evaluation and meticulous surgical planning. Surgeons must carefully assess the integrity of existing nasal structures, the quality of remaining cartilage and soft tissue, and the presence of scar tissue. Techniques such as structural grafting using septal, ear, or rib cartilage may be employed to rebuild or reinforce the nasal framework. Advanced surgical skills are essential to navigate the challenges posed by altered anatomy and achieve satisfactory functional and aesthetic outcomes.
Suitability
Straightening crooked/irregular/off-centre nose bridge.
Correcting asymmetry or pinched appearance of nasal tip.
Resolving saddle nose deformity, characterised by scooped-out appearance of bridge.
Addressing pointy/uneven/unnatural appearance of nasal tip, often caused by protruding cartilage.
Addressing inverted V deformity on sides of nose (when too much middle third cartilage has been removed).
Correcting pollybeak deformity (when upper bony bridge is overly reduced and lower cartilaginous part is inadequately lowered).
As nasal soft tissues, muscles, cartilages and nasal bones are quite unique, revision surgeries have to be timed to avoid excessive scarring and thereby, long-lasting deformities. Hence, we would recommend this surgery only 9 months after the primary surgery.
