Rhinoplasty is a complex operation. Sometimes, the desired results are not achieved the first time, and revision rhinoplasty may be required. If you are unhappy with the results of your primary rhinoplasty, a revision rhinoplasty may be the solution. This procedure corrects any aesthetic or functional problems you may have with your nose, specifically addressing concerns from a past rhinoplasty to improve both appearance and function.
At Kensington Medical our team of expert Plastic Surgeons have extensive experience with revision rhinoplasties and secondary rhinoplasties. In fact, they have done hundreds and hundreds of them and have given the confidence back to so many who have been disappointed by the initial rhinoplasty procedure. Our surgeons focus on patient satisfaction by tailoring each revision to the patient's desired outcomes, ensuring the results align with individual goals and expectations.
Introduction to Revision Rhinoplasty
Revision rhinoplasty, sometimes referred to as secondary rhinoplasty, is a specialised surgical procedure performed to address concerns that remain or arise after an initial nose surgery. Unlike primary rhinoplasty, revision rhinoplasty is often more complex due to the presence of scar tissue and changes in the nasal anatomy from the previous surgery. Patients may seek revision rhinoplasty to improve the cosmetic appearance of the nose, correct functional issues such as breathing difficulties, or resolve complications that developed after the initial procedure. Because of the altered anatomy and increased technical demands, it is essential to choose a highly skilled and experienced revision rhinoplasty surgeon. The right surgeon will carefully assess your unique situation and develop a tailored surgical
What is a Revision Rhinoplasty?
Revision rhinoplasty is a secondary nose surgery performed to correct any problems that were not resolved with the first surgery. It is more complex than primary rhinoplasty, which involves correcting previous surgical mistakes and working around scar tissue. The results and tissue changes from the initial surgery significantly influence the complexity and planning required for revision rhinoplasty.
Only a skilled and experienced surgeon should perform revision rhinoplasty or secondary rhinoplasty, as it is a delicate operation. Any error can cause further damage and deformity. It also includes revisions to similar procedures, such as septoplasty (to correct a deviated septum) or sinus surgery (to improve breathing) or alar base reduction.
Why Revision Rhinoplasty may be necessary
The goal of revision rhinoplasty is to improve the function and appearance of the nose while maintaining facial harmony. There are many reasons patients may require revision rhinoplasty, including:
Unsatisfactory results from primary surgery:
One of the most common reasons for revision rhinoplasty is dissatisfaction with the results of the primary surgery. The patient may not be happy with their nose's shape, size, or symmetry.
Complications from previous surgery:
Another common reason for revision rhinoplasty is complications from the primary surgery. These complications include a perforated septum, a saddle nose deformity, and difficulty breathing. It's essential to seek a revision rhinoplasty surgeon with experience correcting these complications.
Kensington Medical is proud to work with one of the best revision nose reshaping surgeons in the UK, Mr Amir Sadri, who have years of experience correcting both primary and revision rhinoplasty surgeries. To view the profile of the highly experienced revision nose surgeons click here.
Feeling like your rhinoplasty is not right can lead to lack of confidence and genuine disapointment, we have helped hundreds of partient with their revision rhinoplasty procedure. Call us today to find out more.
The nose has shifted because of previous surgery:
The nose can shift over time because of the natural ageing process or previous surgery. This can cause breathing problems and an asymmetrical appearance. Revision rhinoplasty can correct this by resetting the nose in its proper position.
Types of Rhinoplasty
There are several rhinoplasty procedures available, each designed to address different needs and concerns. Primary rhinoplasty is the initial nose surgery performed to enhance the shape, size, or function of the nose. When patients are dissatisfied with the results of their initial nose surgery or experience complications, they may require revision rhinoplasty or secondary rhinoplasty. These procedures are specifically intended to correct or improve the outcomes of previous nose surgeries.
Revision rhinoplasty can be performed using two main techniques: open rhinoplasty and closed rhinoplasty. Open rhinoplasty involves making a small incision on the columella, the tissue between the nostrils, allowing the surgeon greater visibility and access to the nasal structures. Closed rhinoplasty, on the other hand, is performed entirely through incisions inside the nostrils, resulting in no visible external scars. The choice between open and closed rhinoplasty depends on the complexity of the case and the specific goals of the procedure. Each approach offers unique advantages, and your surgeon will recommend the most suitable technique for your individual needs.
When is the best time for a revision Rhinoplasty Surgery?
The best time for revision rhinoplasty surgery is when the swelling from the primary surgery has gone down. This can take up to a year. It’s essential to wait until all the swelling has gone down before having a revision rhinoplasty. Revision rhinoplasty is considered a second procedure, and waiting at least one year before undergoing this second procedure is important to ensure proper healing and to allow swelling to fully resolve. If not, the surgeon won’t be able to see the true shape of the nose. This could lead to more surgery in the future.
What to expect during revision Rhinoplasty Surgery or Secondary Rhinoplasty?
During revision rhinoplasty surgery, the surgeon will make incisions in the same places as the primary surgery. However, because revision rhinoplasty is more complex, the incisions may be more significant.
The surgeon will then correct any aesthetic or functional problems. This may involve breaking the nose and resetting it, correcting a deviated septum, or removing scar tissue.
In some cases revision rhinoplassty involves a graft. This is because of the scarring process following a primary rhinoplasty. The main aim of a nose reconstruction surgeon is to restore structural support, this is where a graft comes in.
Autogenious cartilage grafts generally come from rib cartilage, septum cartilage and ear cartilage from the patient. It is favoured over foreign grafts as it removes risk of infection. Cartilage grafts can help to build structure, help with the contour of the nose and symmetry and help to improve breathing.
During your consultation, your plastic surgoen will examine your nose, they will discuss the options best suited for your nose. At Kensington Medical revision nose surgery is our speciality, we have decades of experience in this nose procedure.
Breaking the Nose
Sometimes, the surgeon may need to break the nose to reset it. An incision does this in the columella (the tissue between the nostrils). The surgeon will insert a surgical instrument into the incision and carefully break the bone.
Once the bone is broken, the surgeon can reset it and secure it with titanium plates and screws. This will give the nose more support and prevent it from shifting over time.
Correcting a Deviated Septum
A deviated septum is a common problem that can be corrected with revision rhinoplasty. This condition occurs when the septum (the bone and cartilage that divides the nostrils) is displaced to one side. This can cause difficulty breathing and a crooked appearance.
To correct a deviated septum, the plastic surgeon will make an incision in the columella and carefully move the septum into the correct position. Once it is in place, the cosmetic surgeon will secure it with titanium plates and screws.
Removing Scar Tissue
In some cases, revision rhinoplasty may involve removing scar tissue. The surgeon will carefully remove the scar tissue, taking care not to damage surrounding tissues. This part of the procedure is tricky because each patient is different, and many factors can affect the amount and location of scar tissue.
A Pollybeak beak deformity is another shape that can occur whereby a revision rhinoplasty will be required. It can occur when swelling or tissue in the supratip can push the nose downward into the beak-like formation. Thsi shape This deformity will not resolve by itself and will require revision surgery to adjust the cartilage and bridge in order to achieve a more natural and balanced nose.
The surgery will take 2-4 hours and can be done under general anaesthesia or local anaesthesia with sedation.
Cost and Pricing
The cost of revision rhinoplasty can vary significantly based on several factors, including the complexity of the surgical procedure, the extent of the previous surgery, and the expertise of the revision rhinoplasty surgeon. In the UK, the average revision rhinoplasty cost typically ranges from £10,000 to £15,000 or more. Factors that can influence the final price include the need for cartilage grafts, the presence of extensive scar tissue, and the overall intricacy of the procedure required to achieve the desired results. During your consultation, your rhinoplasty surgeon will assess your nose, discuss your goals, and provide a detailed breakdown of the costs involved. It is important to consider all aspects of the procedure and discuss any available financing options to ensure you are fully informed before proceeding with surgery.
Choosing the Right Surgeon
Selecting the right surgeon is one of the most important decisions you will make when considering revision rhinoplasty. Because revision rhinoplasty procedures are more complex than primary rhinoplasty, it is crucial to choose a surgeon with extensive experience and a proven track record in performing these surgeries. Look for a GMC Specialist Registered Plastic Surgeon who specialises in rhinoplasty both the aesthetic and functional aspects of rhinoplasty, and who is recognised for delivering best results. Take the time to research the surgeon’s credentials, review before-and-after photos, and read patient testimonials. Scheduling consultations with potential surgeons will allow you to discuss your concerns, ask questions, and determine if you feel comfortable and confident in their expertise. By choosing the best surgeon, you can significantly reduce the risk of complications and increase your chances of achieving the results you desire.
Nose Job Considerations
Before undergoing revision rhinoplasty, it is important for patients to carefully consider their motivations, expectations, and the potential risks involved. Having realistic expectations about the outcome of the surgical procedure is essential, as revision rhinoplasty can be more challenging due to scar tissue and changes from previous surgeries. Discussing your goals, concerns, and medical history with your rhinoplasty surgeon during the initial consultation will help determine if you are a suitable candidate for revision rhinoplasty. Consider factors such as the complexity of the procedure, the presence of scar tissue, the recovery process, and the overall cost. By thoroughly evaluating these aspects and working closely with an experienced revision rhinoplasty surgeon, you can make informed decisions and increase the likelihood of a successful outcome that enhances both the appearance and function of your nose.
Recovery after Revision Rhinoplasty
After revision rhinoplasty, you will have splints or packing in your nose to support it during healing. You will also have swelling and bruising around your eyes, which will resolve in 2-3 weeks. Most of the swelling will go down in 6-8 weeks, but it can take up to a year to subside completely.
Our Kensington Medical team may provide particular anti-inflammatory medication to help with the swelling. You should avoid strenuous activity for 4-6 weeks after surgery. It's important to follow your surgeon's post-operative instructions and attend all follow-up appointments. These will help ensure a successful outcome and reduce the risk of complications.
At Kensington Medical your plastic surgeon will see you for a follow-up appointment one week after surgery. Your surgeon will remove the splints and packing from your nose at this appointment.
Final results of Revision Rhinoplasty
Your nose will continue to heal and change shape for up to a year after surgery. However, you will see the final results of your revision rhinoplasty within 6-12 months. At this point, you should be able to breathe easily and have a nose in the desired shape.
How long do the results of a Revision Rhinoplasty last?
The results of revision rhinoplasty are usually long-lasting. However, it's important to remember that the nose is a complex structure, and no surgery is perfect. There is always a small risk that the nose will shift over time or additional surgeries will be required. It's important to follow your surgeon's post-operative instructions and attend all follow-up appointments. These will help ensure a successful outcome and reduce the risk of complications.
What are the risks of Surgery?
There are risks associated with all forms of surgery including revision rhinoplasty. These include:
● Infection
● Bleeding
● Nasal septum perforation (a hole in the nasal septum)
● Persistent pain
● Numbness
● Unsatisfactory results
Revision rhinoplasty is a complex surgery, and it is crucial to choose a surgeon who is experienced in this procedure. Kensington Medical only works with the best revision rhinoplasty surgeons in London, so you can be sure you are well cared for.
If you are considering revision rhinoplasty, it is essential to consult with an experienced facial plastic surgeon who specialises in this procedure. Mr Amir Sadri and Mr Naveen Cavale are two of the best revision rhinoplasty surgeons in the UK. They will be able to assess your case and recommend the best rhinoplasty procedure.
Please contact Kensington Medical today to learn more about revision rhinoplasty or to book a consultation If you prefer you can phone us on 0204 5514892