Rhinoplasty surgery, more commonly known as a nose job, is a surgical technique that is used to alter the look and feel of the nose. It is a highly delicate process and may result in a myriad of problems if it is performed by an untrained plastic surgeon.

If there are any problems during the primary surgery, patients may require a secondary nose surgery. The procedure is called a revision rhinoplasty, and can help solve any issues caused by the initial surgery. In some cases, the primary rhinoplasty can lead to a variety of problems such as difficulties breathing, an asymmetrical nose, or an artificial appearance.

While recalling their experience, some patients say that some of the problems they experience are small, but there are some problems that may require a more careful analysis and solution. Such problems usually occur when the normal anatomy is disturbed and the tissue planes consist of scar tissue, making it difficult for the remaining cartilage and bone to be repositioned.

The problems can thus be classified into two major types – functional pathology (related to nasal function) and aesthetic concerns.

Secondary rhinoplasty takes into consideration all the same factors seen in primary rhinoplasty, including nasal balance, function, deformities of cartilage and bone, additional support for areas that may need reshaping, and meeting the aesthetic requirements of the patient as far as possible. The basic aim of this procedure is to restore both function and structure to the nose.

The secondary rhinoplasty surgery is a complicated process due to the following reasons:

• The lack of basic building material – the nasal septum might have been partially or completely removed.
• The cartilage and bone required for giving shape to the nose might have been altered, scarred, or even deformed.
• The skin might be thicker and less pliable.

During the revision rhinoplasty surgery, your doctor may choose between two types of incisions, which will be:

• On the inside of the nose – Indicating a technique known as a closed rhinoplasty.
• The underside of the nose i.e. between the nostrils – a technique known as an open rhinoplasty.

A closed rhinoplasty is the better option among the two as it is less invasive and less traumatic. This is so because only the area that needs to be modified is uncovered. While in an open rhinoplasty, your surgeon will engage in a wider dissection, including the disconnection and reconnection of the supporting structures.

When the nasal septum is missing the appropriate materials, it must be taken from the patient’s body. Artificial material like silicone does not last long and may not suit those patients who have already undergone surgical procedures on the nose in the past. The nasal graft can be taken from the cartilage of the ear, from the rib, or from the outer layer of the skull.

Before deciding on the appropriate donor site, your surgeon will consider a number of factors such as your age, the issues that need to be treated, and your personal preference.

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If you’re in need of a secondary rhinoplasty procedure, Dr. Jason Roth, a highly skilled plastic surgeon, will help you acquire the nose you desire. Contact us to schedule a consultation and begin your journey to a better nose today!