Is Revision Rhinoplasty Dangerous?


Rhinoplasty is a major cosmetic surgery procedure that aims to change the shape of the nose by making the nose bigger or smaller, changing the angle of the nose in relation to the upper lip, making the tip of the nose smaller, etc.

Nose surgery can also be performed for medical purposes such as improving breathing, removing polyps, and treating chronic allergies. Although rhinoplasty is an effective procedure, not all patients are satisfied with its results; therefore, they undergo another surgery called revision rhinoplasty.

This essay discusses all aspects of revision rhinoplasty and provides useful tips.

What Is Revision Rhinoplasty?

What Is Revision Rhinoplasty?

In some cases, the patients are disappointed with the final shape of their noses after rhinoplasty. Also, some patients get persistent breathing issues after the operation as the surgeon made the air passageways too slim or changed the nasal skeleton incorrectly. In these situations, the patient should undergo revision rhinoplasty, secondary rhinoplasty, and revision nose job. The nose is reshaped one more time in this surgery, and all its deformities are corrected. 

Who Should Get Secondary Rhinoplasty?

As mentioned earlier, people who are dissatisfied with the shape and function of their nose after a nose job should get secondary rhinoplasty. If you have one of the following problems, you are a good candidate for a secondary nose job:

  • Short nose;
  • Nasal hump;
  • Pinched nasal tip;
  • Breathing problems, especially when sleeping;
  • Nasal deviation;
  • Nasal tip being too low or up;
  • Visible scars or keloids;
  • Saddle nose;
  • Nasal tip bosses;
  • Asymmetrical nostrils.


Who Should Get Secondary Rhinoplasty?

Revision Nose Job Benefits 

The benefits of a revision nose job are much the same as the primary one. Some of the most prominent advantages of rhinoplasty include the following:

Improving facial appearance by correcting the nasal deformities

During the revision nose job, all the deformities of the nose -whether caused by a congenital disability or primary rhinoplasty- are corrected. As a result, you will have a more balanced face and feel better about your look.

Improved breathing

One of the main aims of revision rhinoplasty is to minimize the breathing problems caused by primary surgery. Therefore, sometimes, the surgeons perform revision rhinoplasty together with septoplasty to remove all the nasal obstructions and inflammations.

Deviated Septum
Read more: Septoplasty Pros and Cons

Making a face more symmetrical

Like the primary rhinoplasty, a revision nose job is performed to correct crooked noses, nasal dents, droopy nasal tips, too wide or slim nasal fins, etc. Therefore, it can bring harmony to your facial features.

Boosting self-confidence

Since the nose is located in the middle of the face, it is the first thing that catches the eye. By having a well-shaped nose, your face will look more beautiful and revitalized, and your self-confidence will increase.

What to Do Before Revision Rhinoplasty?

The preparation process for a revision rhinoplasty is very similar to the primary nose job. However, consider the following tips before undergoing revision rhinoplasty:

  • Choose a new surgeon. To avoid any further treatment, you should find a skilled and experienced surgeon who is capable of reshaping your nose in the way you desire;
  • Prepare a detailed medical history. In your file, mention your allergies, current medications, and how long ago you performed the previous surgery;
  • Make an appointment with the new surgeon and ask him about your operation's procedure, results, and side effects. In the consultation session, you should also mention why you didn't like the outcome of the previous surgery and discuss your expectations with the surgeon;
  • Plan for the surgery's recovery period. Revision rhinoplasty is more challenging, and its healing process takes longer than the original surgery. Therefore, you'd better prepare for a two-week recovery by asking someone to take care of you and your children, making different kinds of food and storing them in the fridge, taking a couple of days off, etc.
  • Avoid smoking and drinking alcohol. Tobacco and alcohol interfere with the healing process and can cause high blood pressure, nosebleed, nasal inflammation, etc., after the surgery. Thus, you must avoid them for at least a month before the surgery.
  • Stop taking blood thinners and herbal supplements. Blood thinners such as aspirin and Advil, herbal medicines, and certain medications should be used only with the doctor's permission because they can cause bleeding during and after the revision rhinoplasty.


What to Do Before Revision Rhinoplasty?

Revision Rhinoplasty Procedure

A revision nose job is a lot more challenging and riskier than primary surgery because the surgeon should make cuts on the former scar tissues and changes on previously-treated areas. The procedure of revision rhinoplasty is quite the same as the primary one, with one additional step:

  • Revision rhinoplasty is a major operation and is done under general anesthesia. So, first, the surgeon administers anesthesia and puts you to sleep.
  • Since the skeleton of the nose should be modified in revision rhinoplasty, the surgeon has to lift the nasal skin by cutting the area beneath the nostrils. 
  • Depending on your expectations and the severity of the nasal problems, the surgeon adds extra cartilage to your nasal structure to support the tip and bridge of the nose, open the airways, or restore the nose's form. This cartilage can be taken from your ear, rib, or nasal septum. 
  • When the changes have been made, the surgeon puts back the nasal skin, stitches the incision site, and wraps your nose with splints and bandages. As revision rhinoplasty is an inpatient procedure, you should stay at least a night at the hospital to be monitored by your healthcare providers.


Revision Rhinoplasty Recovery

The recovery period of revision rhinoplasty lasts two to six weeks, depending on your health condition, the extent of the surgery, skin type, and how well you take care of your nose after the operation. While there is no definitive revision rhinoplasty recovery timeline, you can shorten the recovery period by following these postoperative instructions:

  • Have a healthy diet and avoid having spicy and allergen foods;
  • Take the prescribed medications on time and as your doctor has suggested;
  • Drink plenty of water;
  • Do not smoke until you are fully recovered;
  • Avoid taking any medication, vitamin, or supplement at your discretion;
  • Avoid heavy activities such as swimming, running, biking, lifting heavy objects, and bending over for four weeks;
  • Apply cold compress on the operated area to minimize the swelling;
  • Keep your head elevated while sleeping for a week.


Rhinoplasty Aftercare: All Recovery Tips You Need to Know
Read more: Rhinoplasty Recovery: All Aftercare Tips You Need to Know


Revision Rhinoplasty Recovery

Secondary Rhinoplasty Results 

One of the essential points about secondary rhinoplasty results is that you must be realistic and not expect perfection. Fixing smooth cartilage in a stable position is hard, and even very skilled surgeons sometimes fail to do it. However, you can expect a much better appearance and improved breathing after secondary rhinoplasty. Keep in mind that the recovery period of revision rhinoplasty is longer. The final results will appear almost a year after the operation, i.e., after the swelling has subsided and the tissues have healed.

Revision Rhinoplasty Success Rate 

Although studies and statistics show that the success rate of revision rhinoplasty ranges from 5% to 10%, most patients who have undergone it are satisfied with its results. Experienced rhinoplasty surgeons will give you enough information about the possible results of your surgery. They will not perform if they estimate a low success rate for your operation. Mainly, the success rate of revision rhinoplasty depends on the severity of your breathing disorders, the amount of graft available, how long has passed from your previous operation, the amount of scar tissue in and around your nose, experience and expertise of the surgeon, and how well you take care of your nose following the surgery.

Revision Rhinoplasty Success Rate

How long after the first rhinoplasty can I get revision rhinoplasty?

Although many would like to undergo revision rhinoplasty as soon as possible, the surgeons recommend waiting 6 to 12 months (depending on your skin type and the extent of primary nose job) before getting it. The reason for waiting that long is that the swelling and inflammation of the former operation should subside and the previous scars should heal completely. Also, in some cases, when the patients see the final result of the surgery, they find it acceptable and refrain from doing the secondary rhinoplasty.

Conclusion

In sum, Iran is one of the main destinations for the ones who want to get rhinoplasty. Iranian plastic surgeons are experienced in nose jobs, and you can rely on their expertise in getting revision rhinoplasty because they perform thousands of nose surgeries annually. For more information on the cost and the best rhinoplasty surgeons in Iran, contact Raadina consultants.

Rhinoplasty in Iran

FAQs on Revision Rhinoplasty

1) Will I need a graft for revision rhinoplasty? Why?

Whether you need a cartilage graft for revision rhinoplasty depends on the changes that should be made to your nose. You need a graft if your nasal passages are too narrow or your nose is shorter than usual. In most cases, surgeons use cartilage to reconstruct the nose properly. 

2) Is revision rhinoplasty safe?

Yes. Revision rhinoplasty is a challenging but safe procedure, but you shouldn't underestimate its risks and complications.

3) Is there an age limit for revision rhinoplasty?

It is usually recommended not to get rhinoplasty -whether primary or secondary- before age 18.

4) Does secondary rhinoplasty have any risks?

Like any other major surgery, secondary rhinoplasty has possible risks, such as temporary loss of smell and taste, scarring, infection, skin discoloration, and prolonged swelling. 

5) How can I find a good surgeon for revision rhinoplasty?

Finding a good surgeon for revision rhinoplasty is crucial to achieving desirable results. You can find an adept plastic surgeon by searching on the internet and reading other patients' comments, asking someone who has undergone this surgery and is satisfied with its results about their surgeon, checking the before/after pictures of different surgeons, and meeting reputable surgeons in person.

You can also contact us for more information about the revision rhinoplasty in Iran.

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