If You Have Nasal Problems After Rhinoplasty, You May Need Revision Rhinoplasty

Published on October 19, 2017 by

Some Problems That May Occur After Rhinoplasty

Rhinoplasty is known to be a very complicated and delicate surgery that requires the skilled and precise hands of an experienced plastic surgeon. This surgical procedure encompasses both aesthetic and functional aspects and surgeons take years of surgical practice to master this procedure.

The skill required to perform the surgery is the reason why the revision rates tend to be very high. Each problem requires specific corrective treatment that needs to be modified depending on an individual patient’s needs.

Some of the problems may occur after a rhinoplasty surgery include:

• Too much cartilage left after surgery, an issue known as a cartilaginous-polly beak deformity. In this case revision rhinoplasty involves shaving down the extra cartilage.

• There can be two post-operative profile deformities that can happen when a rhinoplasty attempts to address a bump in the nose.

• Another deformity can occur when a bump is removed from the central nose, but inadequate support is provided. This is called a Middle Vault or the Inverted V Deformity.

• Other problems can relate to general aesthetic concerns, sometimes irregularities appear in the way the bridge heals after the removal of a bump.

• Problems relating to a deviated nose are very difficult to address and sometimes problems persist even after an original rhinoplasty or a revision rhinoplasty.

What Is A Revision Rhinoplasty

A secondary rhinoplasty, also known as a revision rhinoplasty is a nasal surgery used to correct nasal problems that occur after the initial surgery. It is done to alter the look and function of the nose after a rhinoplasty that has failed to address the problem accurately.

A secondary reconstructive nasal re-shaping is advised for cosmetic deformities or the ones related to functionality. This is usually indicated when the primary surgery did not properly treat the issue or made the problem worse.

There can be two approaches that can be applied while conducting a secondary rhinoplasty. These approaches are the open or closed approach. An open approach is preferred when there are major changes required in the nose structure. A closed technique is preferred when minor shape corrections can be performed.

Closed rhinoplasty is applied when internal incisions are made to provide access to the nasal structures. On the other hand an open rhinoplasty requires a surgeon to make an incision into the bridge of the skin, between the two nostrils. This is done in order to uplift the nasal skin to alter the structure.

The decision to choose any approach, be it open or closed depends upon the surgeon and the efficacy of the approach on a case by case basis.

The primary aim while conducting a revision nose surgery is to restore both the structure and function of the nose. The surgeon might see it fit to recreate the symmetry of the nose by adding or taking away cartilage.

Contact Our Office

Since a revision rhinoplasty is a complex procedure, one should be very careful while choosing a doctor and should only choose a very experienced and specialized doctor for the surgery. For the help you need achieving the nose you desire, contact our office today. Dr. Steve Byrd, a board-certified plastic surgeon, will carefully guide you through the entire process from beginning to end.

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    Dr. Steve Byrd

    Board-Certified Plastic Surgeon

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    9101 N Central Expy #560
    Dallas, TX 75231



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