5 Problems That Require Revision Nose Surgery

By | September 23, 2019

Some undesirable results may occur in 7-10% of aesthetic nose revision surgery. After these operations, a second revision surgery can become inevitable. In revision operations, besides the deformity, aesthetic and functional problems in the nose can be corrected. However, the revision surgery for at least 9 months after the first surgery, if possible, even a year must pass. Memorial Hospital, Aesthetic, Plastic and Reconstructive Surgery Department. Dr. Teoman gave information about nose aesthetics and revision surgeries.

Must be both aesthetic and functional

Many people, whether or not they have problems with breathing, resort to plastic surgeons for nasal surgery with aesthetic concerns. After aesthetic nose surgery (rhinoplasty), people have a nose that is both beautiful and aesthetic and can breathe more easily. When evaluated aesthetically and functionally, the narrowest place in a normal nose should be the root of the nose. In addition, the shape of the nose slightly widening towards the tip is the most functional form of function. Sometimes it is seen that some important anatomical regions are deformed in aesthetic nose surgeries after the procedures performed to create a more beautiful and gentle nose shape. In classical aesthetic nose surgeries, the bone roof is narrowed, the cartilage roof is reduced and the tip of the nose is thinned. When performing these surgical procedures, undesired deformities and difficult breathing problems occur after surgery if some areas are not observed.

nose revision surgery before after
nose revision surgery before after

Functional structure should be preserved in surgery

The nose is anatomically similar to a pyramid of cartilage and bone roof. This pyramid is divided into two parts, a septum called cartilage and bone. The nasal passages through which air passes while breathing may contract due to mechanical and dynamic effects. This leads to difficulty breathing. Mechanical obstructions are caused by curvatures in the nasal wall and growth in the flesh inside the nose. Dynamic blockages are caused by moving parts of the nose (valve regions). These problems may be congenital or occur due to subsequent surgeries or traumas. The nostrils form the outer valve region, and the region of the central cartilage roof region closest to the tip of the nose ridge forms the inner valve region. In aesthetic nose surgeries, it is very important to protect the valve regions while removing the curvatures in the septum for functional purposes.

Cartilage from the ear is used in the nose

When not observed during surgery, closures occur in the nostrils or side walls known as ‘collapses. This causes difficulty in breathing, valve failure. In other words, to reduce the tip of the nose cartilage to take more than necessary weakens this area. This causes the nostrils to close completely. Cartilage grafts from the back of the ear or rib are used to correct the deformation after this surgery. The aim is to restore the old strong structure of the nose structure. Preventive and functional surgical techniques should be preferred for nasal surgery. As a result, the correct surgical procedure makes both the physician and the patient happy.

What is the revision nose surgery?

The problem that the nose valve closes or does not enter enough air during deep breathing.
Aesthetic disorder due to insufficiency of the belt on the nose back during the first operation for the nose.
Inability to remove the nasal tip in the first operation or the nasal tip to look swollen.
Nose nostrils are seen from the front because of the very lifting of the tip of the nose.
Disparity between nose and face size. In the first operation, the nose is not sufficiently reduced or over-reduced according to the face.

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