ANKARA · NASAL SURGERY
Revision rhinoplasty is surgery to correct shape and breathing problems that remain or develop afterwards in people who have had a previous nasal operation.
Why is revision rhinoplasty different?
The previous operation has changed the anatomy: cartilage may have been thinned or removed, and scar tissue may have formed. For this reason, revision surgery is technically more complex than the first operation.
How the previous operation was performed, the remaining tissue support and the condition of the skin form the basis of planning. Where possible, operation notes and photographs help the assessment.
What problems lead people to seek it?
Curvature or irregularity of the nasal dorsum, asymmetry of the tip, collapse of the nasal valve, breathing problems and structural defects that develop after surgery are among the reasons for revision.
In some cases the cause of the complaint may not require surgery. It is also important that enough time has passed after the previous operation for the tissues to settle completely; the timing of surgery is determined by personal assessment.
Cartilage support and grafts
In revision surgery, cartilage grafts may be needed to support the nasal framework again. The graft source may be the existing septum, ear cartilage or rib cartilage, and the choice depends on the amount required and the available tissues.
Which tissue will be used, the possible additional incision areas and the limitations they may bring are explained before surgery.
Expectations and risks
Because of scar tissue and previous surgery, the predictability of the result may be more limited in revision; perfect symmetry is not the aim, and realistic goals are set together. There are risks such as bleeding, infection and the need for a further correction.
When is it considered?
- A nasal shape that is unsatisfactory after a previous operation
- A breathing problem that appeared after surgery
- Structural defects of the nasal tip, dorsum or valve
- A nasal structure disturbed by trauma after a previous operation
How does the process work?
- Review of the history of the previous operation and documents
- Detailed nasal examination and assessment of tissue support
- Planning of the need for a graft and its source
- Surgery and early follow-up
- Long-term follow-up, monitoring how the tissues settle
Frequently asked questions
How long should one wait before revision rhinoplasty?
It is generally recommended to wait long enough for the tissues to settle and the swelling to subside. The exact timing is determined at the examination.
Is revision rhinoplasty risky?
It is technically more difficult because of reduced tissue support and scarring. Risks and realistic goals are discussed in detail before surgery.
Do I need to bring reports of my previous operation?
Operation reports and photographs, if available, make the assessment easier; however, not having them does not prevent you from applying.