Revision Rhinoplasty in Turkey

It is normal to wait for the result to be obtained as soon as possible in aesthetic surgeries. However, it should be remembered that recovery after surgery will take a long time and there may be swelling that changes during the day. Although achieving the final shape of the nose varies from person to person, it usually requires 1-2 years. After the nose takes its final shape, 10% secondary interventions may be required for undesirable situations. Therefore, people who had rhinoplasty surgery should be patient and wait for their nasal structures to recover well before making a decision for secondary rhinoplasty.

According to the medical literature data, at the rate of 5-20% revision interventions are present after rhinoplasty surgery. So, “when should the revision surgery done at the earliest?” it is 1-2 years after surgery. The exact time will become clear after your discussions with your doctor.

After giving a general information about revision rhinoplasty, we can explain in which situations revision rhinoplasty may be required for those who are not satisfied with nose surgery.

One of the reasons for having nose operations is complaining of not being able to breathe. If the breathing problems have started or continue after the operation, this can be corrected with a 15-20 minute procedure.

Related to the weakness of the cartilages on the tip of the nose or thickness and oiliness of the nasal skin there may appear a droopy tip appearance. When this happens, surgical intervention may be required to revise it. After the revision nose surgery, the relevant negative situation will improve.

After nose surgery, excessive nasal adhesion may occur in the nasal tissues. If the adhesion situation does not disturb the person visually or functionally, it would be best not to be touched. However, if there is an uncomfortable situation, it must be corrected by surgical intervention.

There is no possibility of a 100% improvement in the nose, which is crooked before the nose surgery. The main goal in crooked nose surgeries is to improve the nose compared to its preoperative state. However, revised nose surgery may be required if the crookedness of the nose becomes worse than preoperative state or if the same crookedness continues.

After the rhinoplasty surgery, there is a 1-2 year recovery period for the nose to reach the final result. If there are irregularities such as dents, bumps, and collapses on the nasal surface after the healing process is completed, it may need to be corrected with revision rhinoplasty.

The person who had nose surgery after the surgery should never get a trauma or injury to the nose during the period indicated by his doctor. He should be very careful with any hits, strikes and collisions. Otherwise, the nose may be damaged and revision nose surgery may be required.

If the final outcome after the healing process is completed makes the patient or the surgeon unhappy, or both, it may need to be corrected with revision rhinoplasty.

Challenging revision cases can be handled by the Closed Atraumatic Technique due to protect the anatomy of the nose, prevent tissue damage and eliminate scarring on the tip of the nose. Assoc. Prof. Dr. Suleyman TAS handles revision cases with the Closed Atraumatic Technique since he doesn’t have visualization problems owing to the deep knowledge of the whole nasal anatomy, extended experience and using the latest endoscopic technology, even if the previous surgeries were performed with the open technique.  As described, closed rhinoplasty has many advantages. Among the most important of these are situations such as faster recovery process and no scar. If you want to have more information on the other advantages of closed rhinoplasty, you can use the link.

8 Months After Revision Closed Atraumatic Rhinoplasty

Before & 7 Days After Revision Closed Rhinoplasty

Revision Rhinoplasty

In this part of our article, we will give some information about the revision rhinoplasty process. Before the surgery, the deformations should be determined well and explained to the patient who will have the surgery. The patient should be informed about the interventions to be performed during the operation. The level of expectation and realistic results that can be achieved after the surgery should be evaluated together with the plastic surgeon. The first step in revision rhinoplasty surgery is a detailed examination. If the operation process is decided after the detailed examination, the date of surgery is determined. Preparations are planned for preoperative analysis and anesthesia. Revision rhinoplasty is performed under general anesthesia. It is recommended to stay in the hospital for 1 night after revision nose surgery. After 1 week the cast and tampons are removed, right after social life can be resumed.

Revision rhinoplasty can be performed due to correct deformities, preserve and support the structure and the function of the nose. Revision rhinoplasty can be applied to the patient, who had a previous rhinoplasty one or more times, desires and needs improvements cosmetically and/or functionally.

In this blog, you will find actual Revision Rhinoplasty cases performed by Assoc.Prof. Dr. Suleyman TAS with the Closed Atraumatic Technique beyond the current knowledge. Revision rhinoplasty before and after pictures are demonstrated at various deformities with the detailed descriptions.

The patient had 2 previous open rhinoplasties in USA. Her complaints were asymmetry of the tip and dorsum. Nasal base retraction and right dorsum deviation have been addressed. Here a perfect example for finesse in rhinoplasty is demonstrated.

Publications:
The alignment of the nose in rhinoplasty: Fix Down Concept. Plastic Reconstructive Surgery, 2020 Feb.
Nasal Base Retraction: A treatment algorithm. Aesthetic Surgery Journal, 2017 Jun.

The patient had 5 open Rhinoplasty surgeries before, had an extremely thick skin with severe skin laxity and absolutely no tip support. Assoc.Prof. Dr. Suleyman TAS has excessive sub skin has been thinned, provided a tip support and significantly reduced the overall size of the nose by the Closed Atraumatic Technique without utilizing a rib cartilage.

The patient had a previous surgery with an open technique in USA. The upturned nose deformity, hanging columella and pinched nose deformities have been addressed by Assoc.Prof. Dr. Suleyman TAS with the Revision Closed Atraumatic Technique without a rib cartilage. The deformity is also known as piggy nose deformity.

The problems were low radix, retracted rim, excessive alas, remaining hump and breathing problems in an ethnic nose. All of them have been solved by Revision Closed Atraumatic Rhinoplasty. This case is a good example of ethnic rhinoplasty.

The patient had a previous open rhinoplasty. Severe open roof deformity, pig nose deformity and deviated septum have been addressed by Dr. TAS using only septal cartilage. Fat injection has been performed for the under eyes area.

The patient had an open roof deformity, bulbous tip, inverted V deformity, nasal valves collapse, asymmetries, a bulbous tip with a thick skin. All her deformities have been addressed by the Closed Atraumatic Technique using a rib cartilage as there hasn’t been found leftover septal cartilage.

In this revision case dorsal irregularities, a hump occured after previous surgery, droopy tip, nostril asymmetries and hanging columella issues have been resolved.

This case has been performed as a live surgery during Closed Atraumatic Rhinoplasty Course and had many bony fragments in the tip area, open roof deformity with a crooked nose and septum deformity. A structural Closed Rhinoplasty has been performed by Assoc.Prof. Dr. Suleyman TAS without any rib cartilage grafting.

The male patient had an open roof deformity, dorsal irregularities, internal valve collapse and breathing issues which have been addressed at once by Assoc.Prof. Dr. Suleyman TAS.

The patient had an over projected nose, asymmetries and irregularities on the tip and the dorsum, deviated nose, wide tip and perforation in her septum. All issues have been addressed in one session with Revision Closed Atraumatic Rhinoplasty.

The total duration of the revision surgery depends on the number of interventions needs to be performed to address the present deformities. One of the factors determining total duration is the need of additional operation site. Due to the intervention and deformation in revision rhinoplasty, cartilage inside the nose may not be enough for most of the time. In this case, it is necessary to take cartilage from behind the ear or rib. As in most of the surgeries performed by Assoc.Prof.Dr.Suleyman TAS if the patient has functional problems they are resolved at the same time with the aesthetical concerns. Doctor Suleyman Tas never ends the surgeries until he is totally satisfied with the final appearance. Therefore, revision nose surgeries take between 1 and 5 hours on average.

The revision rhinoplasty healing process takes longer than the patients who had no previous nose surgery. The damage from the previous surgery or surgeries of the patient directly affects the new surgery process. Unexpected minor problems may occur after a successful revision rhinoplasty. Surgical or non-surgical interventions can be performed to address these problems. Total recovery period after revision rhinoplasty can reach up to 2 years. Since the recovery period is quite long, it requires patience from the patient. In order to affect positively and speed up the healing process; the person who will undergo surgery must have prepared himself psychologically apart from the financial and spiritual process. He should establish a trust-based relationship with his doctor and think positively. During the recovery period after revision rhinoplasty, he / she should follow up with his doctor and follow the given instructions religiously.

As we mentioned earlier, revision rhinoplasty occurs in cases such as choosing the wrong plastic surgeon, wrong interventions or getting an injury on the nose. The revision rhinoplasty process is a more difficult process compared to the processes of patients who have not been operated previously. It requires deep knowledge and extended experience from the doctor especially if the rib or ear cartilage has to be harvested. For all these and similar reasons, you should be careful in your research. You should investigate all the details and try to choose the best revision rhinoplasty doctor for you. Assoc. Prof. Dr. Suleyman TAS has proven himself in revision rhinoplasty by handling more than 2500 challenging revision cases so far with the Closed Atraumatic Technique.  There are countless deformities he has addressed such as pig nose deformity, open roof deformity, inverted V deformity, perforations in the septum, hard as stone tips, dorsal irregularities, collapses, crookedness and so on.

Revision rhinoplasty prices vary according to the scope of the surgery to be performed. As Functional and aesthetical interventions required to reconstruct and repair each nose are different, so the prices may vary as well. Other factors that determine the revision rhinoplasty prices include the duration of hospital stay, the doctor performing the surgery, the hospital where the surgery is performed. For more information related the secondary rhinoplasty prices you may visit below article.

Patients from all over the world decide to have rhinoplasty with Assoc.Prof.Dr. Suleyman TAS. A comprehensive questionnaire was sent to 5.000 patients to understand these patients better and also to help potential patients who are considering to have rhinoplasty. Let’s look main reasons: