Secondary rhinoplasty, also known as corrective nose surgery, is performed to address complications that arise after the initial nose aesthetic surgery. It is a much more complex revision nose surgery compared to primary nose aesthetic surgery and must be performed very skillfully.
Secondary Nose Surgery (Secondary Rhinoplasty)
Secondary Rhinoplasty Surgery
There can be various reasons for the failure of primary rhinoplasty surgery. These include poor surgical planning, lack of experience on the part of the surgeon, failure to accurately identify patient expectations and desires, unrealistic expectations, functional problems due to scar tissue during the healing process, failure of support stitches, or trauma during this process, all of which are among the reasons for the failure of primary nose surgery.
Secondary rhinoplasty is recommended to correct the resulting deformity, aiming to achieve the most harmonious nose shape with both appearance and quality of life considerations. Before the surgery, the patient undergoes a detailed physical examination. Issues such as sagging, collapse, asymmetry in the nostrils, bone, and cartilage problems in the nose are identified. After determining the existing problems in the nose according to the patient’s expectations, these issues can be addressed with secondary rhinoplasty.
The surgery can be performed under general anesthesia, local anesthesia, or intravenous sedation, and the duration of the surgery varies depending on the extent of the problem.
Secondary Rhinoplasty Surgery
Secondary rhinoplasty is typically performed after the initial nose aesthetic surgery, once the swelling and bruising have subsided, which usually occurs within 10 days after primary nose aesthetic surgery. However, it takes at least 6 months for the nose to fully take its shape. Within a period of 6 months to 1 year, the nose will fully take its shape, and any areas where the initial surgery was unsuccessful will become apparent.
It is important to note that secondary rhinoplasty surgeries performed within less than 6 months after the initial surgery have a higher risk of failure. This is an aesthetic operation that involves not only minor fillers but also cartilage tissue transfer. If performed before an adequate amount of time has passed since the initial surgery, there is a risk of not achieving the desired results.
Frequently Asked Questions
How is Secondary Rhinoplasty Performed?
Secondary nose surgery, also known as revision rhinoplasty, is performed using either an open or closed technique, depending on the condition of the previous surgery, known as primary rhinoplasty, and the structure of the nose. During the operation, the bone, cartilage, and soft tissue in the nose structure are reshaped. Additionally, if there are conditions such as drooping or elevated nasal tip, asymmetry, or deviation, the goal is to achieve the best appearance according to the patient’s expectations.
Surgery Duration
Secondary rhinoplasty surgery requires a challenging and complex process compared to primary rhinoplasty. Therefore, it is accurate to say that it takes longer than primary rhinoplasty. Although the duration of the operation varies depending on the patient’s nasal structure and the complications present, it can be noted that it is a lengthy process. In other words, the duration of the surgery varies around an average of 3 to 4 hours depending on the issues in the nose.
Healing Time
As with other nose aesthetic surgeries, there is a certain healing period associated with secondary rhinoplasty surgery. Here is what to expect during the recovery process after the operation:
– The patient is discharged one day after the surgery.
– Additionally, cold applications are provided to the patient on the first day after the operation for relief. Painkillers may also be prescribed depending on the situation.
– During the first week after the surgery, it is necessary to keep the head elevated continuously. This helps reduce swelling more quickly.
– Showering without water contact with the nose can be done at least 4 days after the operation.
– Approximately 7 days after the surgery, the plastic splint on the nose is removed, and a new bandage is applied.
– The patient can return to work 7-8 days after the surgery.
– Glasses should not be worn for at least 2 months.
– Additionally, it is advised not to exercise for at least 1 month.
– Swimming can be resumed after 8 weeks post-operation.
– The nose will have taken its final shape within an average of 1 year.Precautions After Secondary Rhinoplasty Surgery
After secondary rhinoplasty surgery, there are certain precautions that need to be taken, similar to those after primary rhinoplasty surgery. In fact, since secondary rhinoplasty is a more complex operation, it is advisable to be even more cautious. Here are the things to consider after secondary (revision) nose surgery:
– In the first few days after the operation, it is recommended to consume soft and liquid foods.
– Resting and sleeping should involve using two pillows to keep the head elevated.
– Avoid heavy and intense physical activities for at least 1 month.
– It is normal to experience slight bleeding in the form of leakage after the surgery. However, if there is excessive bleeding, it is important to contact the operating doctor.
– Hair can be washed without water contact with the face.
– Additionally, teeth should be brushed with a soft brush without applying vigorous movements.
– Only medications recommended by the doctor should be used after the surgery, and blood-thinning medications should not be taken under any circumstances.
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