In some cases, after a rhinoplasty, some patients may find themselves dissatisfied with the results. Nothing is wrong with feeling a little bit down after healing from a rhinoplasty and seeing the final product doesn’t meet expectations. This happens all the time, as rhinoplasty is a very difficult procedure to perform. Revision rhinoplasty is even more complicated and therefore riskier.
It is recommended that you wait a year before deciding on revision rhinoplasty. This is because, during recovery from a primary rhinoplasty, the swelling can take up to a year to completely subside. Scar tissue is another concern, and could possibly take a year to soften.
Before considering revision rhinoplasty patients should take a few important steps to ensure the results of a revision rhinoplasty will meet their expectations. Understanding the delicacies of revision rhinoplasty surgery is an important first step. Here are some of the most important questions and answers when it comes to revision rhinoplasty.
WHAT IS REVISION RHINOPLASTY SURGERY?
Revision rhinoplasty is a procedure that repairs form and function of a nose that has been operated on previously. There are many reasons why someone would want revision rhinoplasty. Perhaps the primary rhinoplasty doesn’t fit a person’s face. In some cases, patients may find themselves having difficulty breathing after their primary rhinoplasty. Some find their primary rhinoplasty didn’t have the effect they were looking for; any and all of these reasons are a valid reason to consider revision rhinoplasty.
Anyone considering a revision rhinoplasty surgery you must consider the procedure wisely. The procedure itself can be more complicated than the first surgery and will require a surgeon with extensive knowledge of both the nasal structure and surgery techniques. It is recommended to find a surgeon who will understand any and all problems that may have occurred during the primary rhinoplasty and can fix them.
Be sure to have an open and honest conversation with your surgeon when discussing the problems being suffered from the primary rhinoplasty. This way your doctor can perfectly match your expectations and deliver a final product both you and he/she can be proud of.
Revision rhinoplasty is common, rhinoplasty surgeries are some of the most difficult and complicated plastic surgeries to perform. Some estimates indicate that 15% of primary rhinoplasty procedures will require revisions.
REVISION RHINOPLASTY PROCEDURE
There are variations to the revision rhinoplasty procedure. The procedure can be simply requiring the removal of excess bone and cartilage. On the other hand, the procedure can be complicated when it requires a complete makeover of the nasal structure. If a patient’s procedure is due to the removal of too much tissue, these patients can expect a long and complicated surgery. These types of surgeries will require tissue grafts that are harvested from ears, ribs or temple regions in the body.
Problems can and do occur within any area of the nose. The upper third, middle third, or nasal tip can face complications and will possibly need adjustment. Thus, it is important to go over the procedure with a surgeon and make sure that the recommended surgery is customized to deal with your specific problems.
There are two types of incisions to choose from with a revision rhinoplasty. Each has benefits and pitfalls:
Closed Rhinoplasty – This technique is when the incision is made on the inside of the nose. Closed rhinoplasty is beneficial because it is less invasive to tissue and the surgeon can only work on the areas that need to be corrected. Some surgeons consider this technique safer, especially if scarring from earlier rhinoplasty surgery is present.
Open Rhinoplasty – This incision is made on the underside of the nose between the nostrils. This technique involves a wider area of dissection and more manipulation of supporting structures. This can help surgeons to better understand complicated cases because of the wider exposure.
Be sure to consult with your surgeon beforehand and discuss the particulars of each incision. A surgeon should be offering the most beneficial procedure for your particular needs.
TYPES OF ANESTHESIA
Generally, revision rhinoplasty is performed with local anesthesia or general anesthesia. Because a revision rhinoplasty surgery will take longer (usually 3-4 hours) than a primary rhinoplasty surgery, it is usually recommended that a general anesthetic is used. There are, however, four main categories of anesthetics though there is a possibility that not all of them will be offered at every surgeon’s office.
Local anesthesia – typically a shot that will numb the immediate area to be worked on; during a rhinoplasty procedure, this is used in addition to sedation and/or general anesthesia
Regional anesthesia – a region of the body will be anesthetized, however, the patient will remain conscious
Sedation –gas, oral, or intravenous anesthetic that is usually given in addition to a local anesthesia. Usually, this is given ahead of time and customized for a specific patient.
General Anesthesia –taken by inhaling gas or ingesting a liquid a general anesthesia uses neuromuscular blocking agents that leave a patient immobile and unconscious.
As mentioned before, a revision rhinoplasty could possibly take several hours. The procedure will depend on the specific work that is needed. You and your surgeon should review the expectations from your surgery and determine the best anesthetic that will be used for your procedure.
PREPARING FOR REVISION RHINOPLASTY SURGERY
Before the procedure, you should be given a pre-op information packet. This packet will be full of information such as things you should do and know before the surgery. The packet will contain a list of medications that should not be ingested for at least 2 weeks before the procedure. These medications will usually include aspirin, alcohol, or herbal supplements. Smoking is also not allowed for at least 2 weeks before the surgery.
You should also prepare a “healing room,” and stock it well with supplies before your surgery. To ease swelling and bruising frozen vegetables and/or fruits will be helpful in icing the area down. Other items that should be stocked include:
- Anti-bacterial soap
- Gauze and other dressings
- Shop beforehand for easy to make meals such as frozen dinners, cans of soup, pudding etc.
- Take care of all laundry
- Entertainment such as a laptop, video games, or even a Kindle to fill the time
- Extra blankets
This list is by no means comprehensive, but a good start for the preparation and after effects of surgery.
RECOVERY AFTER REVISION RHINOPLASTY SURGERY
Recovery from revision rhinoplasty is similar to recovery from primary rhinoplasty. If there is any nausea or if you have experienced nausea during your primary recovery inform the surgeon so that they may provide you with anti-nausea drugs in advance. Bleeding will occur during the first few days but should gradually dissipate. Cold compresses are useful and will help reduce swelling.
Keep your head elevated during the first week after surgery. This will help avoid any trauma to the nose area. It is also recommended to not blow your nose for two to three weeks after surgery. Three to seven days after surgery you will have to return to your surgeon to have the stitches and cast removed. After, the swelling should subside after two weeks. Complete healing time will depend on the patient, but a general consensus is that after two or three months, the nose should be completely healed. However, your nose will continue to experience subtle changes for up to a year.
COMPLICATIONS AFTER REVISION RHINOPLASTY SURGERY
As with any surgery, there are always complications and risks. Some of the risks that come with revision rhinoplasty are similar to those in primary rhinoplasty. Risks include but are not limited to:
- Prolonged Swelling
- Temporary loss of sense of smell
- Excessive scarring
- Anesthesia complications
Review all of the risk factors with your surgeon both before and after surgery, so that you are prepared to handle any problems that might arise.
CHOOSING A SURGEON
Be certain to thoroughly research your plastic surgeon before deciding on revision rhinoplasty. If you are searching for a revision rhinoplasty specialist in New Jersey, the Glasgold Plastic Surgery may be the surgeon for you. The Glasgold Group specializes in a variety of surgical and non-surgical facial rejuvenation procedures.