Revision Rhinoplasty

Revision rhinoplasty, is a secondary correctional surgical procedure which is performed after a primary rhinoplasty or first procedure performed elsewhere by a different surgeon. Revision rhinoplasty can correct both aesthetic deformities and functional disturbances. Ideal candidates for a revision rhinoplasty at Centre for Surgery are fit and healthy patients over the age of eighteen with realistic expectations of what a revision rhinoplasty procedure can achieve.

Our plastic surgeons are rhinoplasty specialists and and are highly experienced in performing all types of revision rhinoplasty from minor corrections to complex reconstructive procedures involving rib grafting. Revision rhinoplasty surgery is carried out at our specialist day surgery facilities in both central London and Watford. Revision rhinoplasty surgery takes longer to perform than primary rhinoplasty surgery and 3-4 hours operating time is typical under TIVA general anaesthesia.

The majority of revision rhinoplasty surgery is performed via the open approach where the incisions are made on both inside of the nose as well as on the columella which is the area of skin between the nostrils. A small number of revision rhinoplasty procedures are performed using the closed or endonasal approach. In this technique, all incisions are made within the nose. After the surgeon has carefully exposed the bony and cartilaginous framework, the cartilage may be repositioned or augmented with bone grafts taken from a number of potential sites. After the procedure is complete, the incisions that were used to access the internal framework of the nose are closed and a metal-backed splint is applied to the nose.

After revision rhinoplasty surgery, the bruising and swelling is generally more pronounced compared with primary rhinoplasty surgery although pain generally tends to be less than experienced before. The bruising is usually the first to settle and about 10-14 days is usual for full resolution. Swelling on the hand, may take a number of months to improve. If an open approach was used, the sutures used to close the skin incision will be removed about 3-5 days after the procedure. Most patients are able to return to work with seven days. Light duties are advised to begin with, building up slowly over time. Going to the gym and other heavy exercise should be avoided for at least three weeks to facilitate optimal healing.

Choosing Centre for Surgery for your procedure means you’ll be seen and assessed by specialist rhinoplasty surgeons who are dedicated sub-specialists in rhinoplasty surgery. They do very little other types of surgery and so have become very expert in all aspects of rhinoplasty surgery. Patients who choose us for revision rhinoplasty do not do so on the basis of price. They do so on the basis of their skill, compassion and professionalism as experienced medical professionals. You can expect our surgeons to expertly assess you and provide accurate unbiased medical advice along with a number of treatment options, one of which is to do nothing. A decision to undertake rhinoplasty surgery, especially revision surgery should not be taken lightly and our surgeons will take time to explain all the risks and benefits and what what you can expect to achieve. This may be aided by computerised 3D imaging which may be used at your consultation to give you a rough idea of how you could look after revision rhinoplasty surgery.

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Trust a facial plastic surgeon skilled in revision rhinoplasty

A facial plastic surgeon is trained to undertake aesthetic surgical procedures in the facial region. They are dedicated sub-specialists. Compared with general plastic surgeons, facial plastic surgeons are inherently better trained to perform delicate facial procedures. The extra years of surgical training by facial specialists focused on the facial region results in an exceptionally high degree of skill. All our surgeons are on the GMC specialist register for plastic surgery. The Royal College of Surgeons of England has an excellent information resource on cosmetic surgery.

Revision rhinoplasty is also known as a secondary rhinoplasty. A revision rhinoplasty is performed as a corrective procedure for surgery that was previously performed by another surgeon. The procedure addresses both aesthetic and functional aspects. Suitable candidates for revision rhinoplasty must be in good health, be over the age of 18 years and have realistic expectations for what can be achieved.

Principles of revision rhinoplasty

The key to rhinoplasty is in getting it right the first time. In a small number of cases, our surgeons do perform secondary ‘tweakments’ to achieve the ideal result as everyone heals differently and healing is impossible to predict with perfect accuracy every time. Sadly the adage, ‘buy cheap, pay twice’ very much applies to rhinoplasty surgery where expertise and experience really matter. Poor planning leads to poor execution. Our rhinoplasty surgeons make use of 3D imaging to map as accurately as possible all aspects of your nose to optimise outcomes as much as possible.

After secondary rhinoplasty, bruising and swelling tends to be more extensive compared with primary rhinoplasty. Patients generally will experience very little discomfort. Most bruising will settle within 10-14 days .Swelling may take much longer to settle – often anything from several months to 18 months post-op. The external sutures are removed about 5 days later. Most patients can return to light work activities within 1 week. Strenuous activities should be postponed until after 4 weeks.