Revision rhinoplasty is more challenging than primary rhinoplasty for several reasons. First is the altered "geography" of the nose. At the time of the primary rhinoplasty, distorted cartilage was removed to make the nose straight and restore function. Therefore, in revision rhinoplasty, the cartilage needed for reconstruction is no longer available. Depending on the amount of cartilage that remains, the need to borrow cartilage from behind one ear (an auricular graft) to restore nasal form and function is not uncommon. Although the ear incision is camouflaged well and does not change the shape, size, form or function of the donor ear, the need to borrow neighboring cartilage means an extra incision.
Nasal lining that has undergone surgery is now subject to scar tissue, which also increases the complexity of revision surgery. Therefore, amount of surgical time required to perform revision rhinoplasty typically is longer than primary rhinoplasty.
One risk of primary rhinoplasty is the appearance of telangectasias - little spider like veins that are typically present prior to surgery but become more noticeable after rhinoplasty. This is not commonly an issue and the overall improvements far outweigh the appearance of these. However, in revision rhinoplasty, the appearance of telangectasias can be more pronounced. This point should be discussed prior to revision surgery so your doctor can provide his opinion depending on your individual skin type, texture and thickness.
Revision rhinoplasty may have its own set of special considerations but it also can be the most rewarding. If you are considering revision rhinoplasty (regardless of where you elect to have the surgery performed) it is essential that you consider a board certified facial plastic surgeon. Why? Because facial plastic surgeons have unique board certifications in both head and neck surgery and cosmetic and reconstructive surgery. Please ask to see before and after pictures of patients who have been referred to Lindsay House for revision rhinoplasty.
Please notify the office 244-1000 and ask for our nurse for any concerns. For an emergency, please contact our office or professional answering service at 258-4851. Remember, we are all here to help in any way we can.
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For more information about revision rhinoplasty, call 585.244.1000 or send us a message.
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