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Nasal Bridge Surgeries

Nose Revision Surgery Information

Nose Revision

  • Duration: 2 hours
  • Anesthesia: Local (Deep Sleep) Anesthesia
  • Hospitalization: N/A
  • Stitch Removal: 5-7 days after
  • Clinic Visit: 2-3 times
  • Recovery Period: Return to everyday activity 1 week after
What is Revision Rhinoplasty?
Revision Rhinoplasty is a surgical procedure to revise or improve upon a previous Rhinoplasty surgery. Revision Rhinoplasty is much more complicated than primary nose surgery so it requires very unique expertise to undergo with.
Recommended for those who
  1. 1. Have crooked nose
  2. 2. Have visible implants
  3. 3. Have redness on the nose bridge and tip

Revision Surgery Methods for Nasal Deformities

Since the nose is located on center of the face, subtle changes can drastically affect the aesthetic appearance and as a result, it can cause severe stress to some.
As for all types of revision surgeries, revision rhinoplasty is more difficult that primary rhinoplasty. It is important to thoroughly consult with a well-experienced surgeon to determine the cause and then properly plan the surgery to accurately address the problems.

Nose with blunt tip rhinoplasty surgical method
Nose job revision required cases image

CASE 01 Improper Placement of the Implant

Cause

  • Improper placement of Implant causing deviation of dorsal line
  • Incorrect implant size

Revision method

The pre-existing implant is removed. The insertion area is adjusted for the new implant to be inserted.

The implant has moved image

CASE 02 Movement of the Implant

Cause

  • The implant is not safely secured between the bone and periosteum
  • Torn periosteom from primary surgery leading to poor implant fixation.

Revision method

This method corrects the movement of prosthetics by relocating it on the right place under the periosteum.

Nose tip change due to implant image

CASE 03 Change of Nose Tip Shape due to Implant

Cause

  • Over projected nasal bridge after inserting prosthetics
  • Raised nasal tip by silicon without having any nasal tip plastic surgery
  • Constitutionally skin gets thinning or pressured

Revision method

Removing the prosthetics that is already implanted in nasal tip, and reconstruction of changed cartilage are processed. Using autologous cartilage or skin can reshape the nasal tip naturally.

Structural issue image

CASE 04 Structural Deformity

Cause

  • Tissues around inserted prosthetics are getting stiff and contracted leading to pulling off skin
  • Leaving an infection untreated after surgery

Revision method

First of all, alleviate all scar tissues in nose then reform cartilage in nasal tip to the original length and shape. Then nasal septum cartilage is used to reshape the nose tip into a natural look.

 Nose bridge being too high image

CASE 05 Over projected nasal bridge

Cause

  • Insertion of a large implant without determining the entire facial structure into consideration

Revision method

The originally placed implant is extracted and then a newly customized implant inserted for better fit and size.

 Narrow nose bridge image

CASE 06 Narrow Nose Bridge

Cause

  • Narrow prosthetics
  • Implants are visible through thin skin

Revision method

The pre-existing implant is removed and another implant with customized width is re-inserted. For people having very thin skin, autologous skin or fascia are custom-designed according to their nasal shape and inserted for natural outcomes.

 Drooped nose tip image

CASE 07 Under-projected nose

Cause

  • Nasal tip’s cartilage gets compressed as Nasal tip’s weak structure hasn’t been considered in previous nasal tip surgery.

Revision method

Septal cartilage is used to strengthen and support the tip and straighten the tip projection angle.

When is the best time to do revision rhinoplasty?

  1. 1. At least 6 months after the primary rhinoplasty surgery.
  2. 2. Hasty decisions can cause more problems. Thus, revision rhinoplasty should be performed by well-experienced specialists after swelling and other post-operative symptoms are subsided.