What is secondary rhinoplasty surgery? + Complete guide

What do you know about secondary rhinoplasty? Have you ever considered having a secondary rhinoplasty? Most plastic surgeons believe that rhinoplasty is one of the most challenging methods of plastic surgery (cosmetic), which is used for many reasons. The nose is a complex structure with a clear position in the middle of a person’s face. A rhinoplasty specialist needs to correct nasal deformities at the same time, while maintaining maximum nasal function. A person cannot have a good nose without optimizing nasal airway function. In this article from Dr. Salam’s beauty, skin and hair section, we will examine secondary rhinoplasty.

Why do patients choose secondary rhinoplasty?

Patients seeking secondary rhinoplasty test the skills and experience of plastic surgeons. Secondary rhinoplasty is used for any patient who has had rhinoplasty one or more times and wants to improve their appearance, often seeking nasal function. These are among the most difficult cases for cosmetic facial plastic surgeons for several reasons.

For example, patients are often dissatisfied with their previous surgery and may not realize that most rhinoplasty may not be completely successful in completely correcting cosmetic facial abnormalities that did not occur in the last surgery or occurred as a result of surgery. Scar tissue from previous rhinoplasty is often an issue in secondary cases and can limit the final results, as it may return even after a successful secondary rhinoplasty. Also, secondary rhinoplasty often requires the use of cartilage to replace damaged cartilage or defective cartilage removed in previous surgery.

The nasal septum may be deviated, which needs to be corrected to improve the appearance and function of the nose. Nasal obstruction may also occur following the collapse of the tip of the nasal cartilage due to the collapse of the external nasal valve. Deviation of the nasal septum and defects in the upper lateral cartilage are a common occurrence in secondary surgery, leading to collapse and depression of the inner nasal valve and the need to use cartilage grafts called “spreader grafts” to expand this area. .

What is done in a secondary rhinoplasty?

Secondary rhinoplasty often requires cartilage for structural support of the tip or bridge of the nose. Middle septal cartilage is often scarce, and plastic surgeons often have to select cartilage from other parts of the body, especially the ear and sometimes the ribs. Soft tissue irregularities along the bridge or tip of the nose may require tissue that provides coverage or camouflage and acts as a natural filler that is permanent. An excellent source is the “temporalis fascia”, which can be taken from a remote incision in the hairline, resulting in no significant defects. Sometimes, sores inside the nose require the use of skin grafts to reopen the narrowed airways and narrowed airways.

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Despite the best efforts of surgeons, secondary rhinoplasty has a higher rate of correction than primary rhinoplasty (not previous rhinoplasty). It is important for you to know that no ethical plastic surgeon can guarantee the outcome of secondary rhinoplasty or other cosmetic plastic surgery procedures.

If you are considering re-rhinoplasty, make sure your plastic surgeon, who has a board certification, has significant experience in rhinoplasty. Experienced rhinoplasty surgeons are more likely to see cases of secondary surgery than those who perform the procedure frequently. Visit your surgeon’s website to see if there are several rhinoplasty cases in their photo gallery. Computer imaging may be helpful for your surgeon to be able to visually relate information about potential outcomes that may be expected from surgery. Previous rhinoplasty patients are also an excellent reference for future patients; Your plastic surgeon should be able to talk to patients who have been referred to talk to you and others to explain some of the details of their experience.

In the end, your decision to have a secondary rhinoplasty is personal. Choosing an experienced and sometimes specialized plastic surgeon who communicates with you and earns your trust will have the best chance of success. Most patients who are dissatisfied with the outcome of primary rhinoplasty are happy with the end result of secondary rhinoplasty if they follow these simple recommendations.

Have you had a secondary rhinoplasty? Were you satisfied with the results? Share your experiences and suggestions with other Dr. Salam users.

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