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Revision rhinoplasty is a cosmetic surgery procedure often performed to correct any structural deformity or functional limitations of the nose, along with the aesthetics of the nasal structure. It is one of the most technical and complicated procedures as no two noses are the same. It is also difficult due to the central location of the nose and the highlight of even the tiniest flaw related to the nose as a result of this location. Moreover, there has to be extreme care taken during the recovery period to ensure that the results of the rhinoplasty are not compromised. Because even if the procedure went well, and the surgeon did a great job, lack of proper care during the recovery period can increase the risk of infections and wound separation. This can result in excessive scarring which ruins the results of the procedure.

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If the results of the procedure are compromised during the recovery period or you are not satisfied with the results of your initial rhinoplasty, whatever they may be, you can choose to undergo a revisional procedure which is basically the same procedure but you are undergoing it for the second time, or more. 

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What is Revision Rhinoplasty Procedure?

Revision rhinoplasty is a cosmetic surgical procedure that is performed to improve on the results of a previous rhinoplasty procedure. It refers to any rhinoplasty procedure that is not being performed for the first time, such as the second or third rhinoplasty procedure. The purpose of this procedure is to help the patients achieve the nasal structure and shape they want after the results have been negatively affected by infections during the recovery period from the previous procedure or the results were never achieved, to begin with. 

A revision rhinoplasty procedure is trickier than a rhinoplasty procedure as there might be loss of cartilage or bone grafts, and the initial surgical incisions can become hypertrophied and covered in large scars. However, the benefits of the procedure may outweigh the risks. Book a consultation now to find out if the revision rhinoplasty is the right procedure for you. 

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What are the benefits of the Revision Rhinoplasty Procedure?

A revision rhinoplasty procedure, despite the difficulty associated with it, has several benefits that make it the benefit of choice for many. The physical and aesthetic benefits alone of the procedure make many consider undergoing the procedure. If you have injured your nose after undergoing a rhinoplasty procedure, the results of the procedure are bound to be ruined. In such cases, a revision rhinoplasty can help you get your post rhinoplasty nasal shape back. 

Moreover, the procedure can be especially beneficial if you contracted an infection and that resulted in the destruction of the nasal cartilage and graft. This can often create a little bump or indent in the nasal bridge which severely impairs the aesthetics of the nose. Aesthetics of the nose can also be affected if your surgeon never achieved the results you were looking for with the initial rhinoplasty, hence, leaving you with an aesthetically unpleasing nose and a dissatisfied feeling. This also calls for a revision rhinoplasty and undergoing the procedure at this time can significantly improve your facial structure and reduce your worries. 

Revision rhinoplasty may also be performed if you are suffering from one of the side effects of the rhinoplasty procedure. The rhinoplasty procedure is a surgical procedure, and as such, has certain risks and complications associated with it. One of the main structural complications of a rhinoplasty procedure is septum deviation. This can prove to be a cause for concern as it affects your ability to breathe properly, along with the quality of your sleep as you are more likely to snore with a deviated septum. Other structural defects can also manifest after a rhinoplasty procedure, all of which have a common physical finding; lack of airflow through the nostrils. A revision rhinoplasty procedure can help fix the deviated septum and the aesthetic defects associated with it. This will result in better airflow, easier breathing, and an overall increase in quality of sleep. 

The mental benefits of the revision rhinoplasty are just as significant as the physical benefits. Once the deformity of the nose manifests or you feel unsatisfied, there can be a huge mental burden that eventually affects your ability to maintain social and interpersonal relationships. The revision rhinoplasty procedure helps repair the defects and improve the aesthetics which can give you the confidence boost you deserve. The increase in self-worth and improved self-image result in improved psychological health as well. 

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What to Expect During the Revision Rhinoplasty Procedure

The revision rhinoplasty procedure is a complicated cosmetic surgery procedure, the success of which depends on your discussion with your surgeon during the consultation period. The most important step during this phase is to discuss why the rhinoplasty needs to be repeated and both, you and the doctor should be ready and determined to undergo and perform the procedure, respectively. You have to understand how much your expectations the surgeon can meet and you should also be candid about those expectations with your surgeon. This will allow both of you to decide if the procedure is the right fit for you or not.

The procedure itself is longer and more complicated than primary rhinoplasty as there is more scarring and the muscles and tissue have already been operated on once. Once the procedure itself is completed, you may have to stay in the hospital for the night or you can go home the same day, depending on the complexities of your case. 

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Recovery after Revision Rhinoplasty Procedure

Recovery after revision rhinoplasty procedure is more intense and longer than the primary rhinoplasty procedure, for the same reasons why the procedure is longer than the latter. During this period, you have to be careful to not injure your nose in any shape, way, or form. You should avoid sleeping in any position except on your back and alone. Sleeping with a loved one or a pet can increase your chances of getting a nose injury. At the same time, you should avoid getting your sutures wet. 

You should also avoid baths and showers at least till the swelling subsides or the first week. There is going to be significant swelling and bruising, along with discomfort for which you will be prescribed painkillers. You should rest and not try to resolve these symptoms of the recovery period through any method not suggested or approved by your surgeon.

You should refrain from any strenuous activities that can put pressure on your incisions and result in wound separation. You should also avoid smoking and drinking as they increase the risk of infection which can be disastrous for your nose shape and aesthetics. 

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Am I a Good Candidate for a Revision Rhinoplasty?

A good candidate for a revision rhinoplasty procedure is someone who meets the following criteria of eligibility: 

  • Had a rhinoplasty procedure a minimum of a year ago. 
  • Is not satisfied with the results of the primary procedure
  • Or is suffering from serious physical and medical side effects of the primary rhinoplasty procedure which can only be resolved by undergoing the revision rhinoplasty procedure
  • Is generally physically and mentally healthy
  • Is aware of the increased risks and complications associated with the procedure 
  • Is a non-smoker or willing to quit smoking for at least eight weeks before and after the procedure. 
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Risks and Complications of Revision Rhinoplasty

Revision rhinoplasty has certain risks and complications associated with it, much like other surgical procedures. The most common complications of this procedure are: 

  • Allergic reaction to the anesthesia
  • Infection
  • Bleeding
  • Collection of blood at the operation site (hematoma)
  • Collection of fluid at the operation site (seroma)
  • Persistent swelling
  • Severe and permanent discoloration
  • Temporary loss of sensation 
  • Nasal collapse
  • Cell death or necrosis of graft
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Will Medicare Fund my Revision Rhinoplasty Procedure?

Medicare is a national insurance policy that helps cover the costs of medically necessary procedures. A rhinoplasty is not a medically necessary procedure and as such, is not covered by the Medicare program. Some of the complications of this procedure that require a revision rhinoplasty to be performed deem the procedure to be medically necessary. However. As these complications arise as a result of an elective procedure, Medicare will not cover the procedure required to treat these complications. 

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Why Choose Dr Richard Sackelariou?

Dr Richard Sackelariou is a renowned plastic surgeon with over 20 years of experience. He is highly skilled and has worked in England, Paris, and Sydney, learning and improving his techniques as he went along. Dr Sackelariou specialises in face, nose, breast and body surgery for women and men.

Recommendation: Choose a FRACS recognised Specialist Plastic Surgeon who has expertise in your chosen procedure.

Frequently Asked Questions

When should you have a revision rhinoplasty?

You can have a revision rhinoplasty if you are unsatisfied with the results of the initial rhinoplasty or have contracted an infection resulting in poor wound healing and recovery. If you have enough reasons to undergo the procedure then you can book an appointment with a specialist plastic surgeon and undergo the revision rhinoplasty procedure a minimum of six months after the initial rhinoplasty. 

Should I go to the same surgeon for revision rhinoplasty?

You can go to the same surgeon for the revision rhinoplasty or a different one, depending on how you feel about the procedure and what the reason behind your revisional surgery is. If it is because you are not satisfied with the results, then it isn’t helpful to undergo the procedure with the same surgeon. Moreover, the surgeon may not accept to do a revisional surgery. 

Can you do a second nose job?

Yes, you can have a second nose job done if you are unhappy with the results of the first one. 

Does revision rhinoplasty take longer to heal?

Yes, a revision rhinoplasty takes longer to heal as the skin and muscle have already been cut and changed once before. The procedure itself takes longer than usual due to the complexity of the procedure. 

Is revision rhinoplasty covered by insurance?

Insurance companies do not cover any procedure That is elective and not medically necessary. Since a rhinoplasty falls under that category and revision rhinoplasty is the consequence of an elective procedure, it is not covered by medical insurance, even if it becomes medically necessary to perform the procedure.

Is revision rhinoplasty common?

Revision rhinoplasty statistics may differ from hospital to hospital, with different surgeons having different rates for the procedure. In the United States, the average rate for revision rhinoplasty is approximately 15 percent, which makes it a slightly common procedure.

How much does a second rhinoplasty cost?

A second rhinoplasty costs just as much as the first rhinoplasty but with a potential for a longer hospital stay, depending on your case, which may increase the overall price for the procedure.

How many times can you have revision rhinoplasty?

There is no specific number of times you can undergo a revision rhinoplasty procedure. The choice for that is yours, however, it is important to note that the more times you undergo this procedure, the higher the risk of you developing complications from the procedure, and even during the procedure. The likelihood of great results decreases significantly with more revision rhinoplasties. 

Can your nose collapse after rhinoplasty?

Yes, one of the biggest complications of a rhinoplasty or septoplasty procedure is the collapse of the nasal bridge. If during the procedure, septal manipulation is excessive such that too much cartilage has been removed or excised, then the support system for the nasal bridge will collapse. This gives the appearance of nasal collapse and required revision rhinoplasty to fix the deformity. 

Further Medical Reading

https://www.realself.com/question/revisions-safely-nose-job

https://www.google.ae/amp/www.plasticsurgery.org/news/blog/understanding-revision-rhinoplasty-and-why-patients-seek-out-this-procedure%3famp=1

https://med.stanford.edu/drmost/aesthetic-services/procedures/revision-rhinoplasty.html

What’s Next

Book a Consultation with Dr Sackelariou in Melbourne or Sydney. A caring discussion with a Plastic Surgeon about all your options can really help. The best thing is to start with a phone enquiry and consider having a Consultation.

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If you are considering cosmetic plastic surgery then Dr Richard Sackelariou is the specialist plastic surgeon for you.

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