Keep in mind #1
Internet resources and e-communication with surgeons on your nasal condition provides only general information. These are not, and never will be, a substitute for a face-to-face personal consultation with a highly experienced rhinoplasty surgeon.
Keep in mind that following advices from surgeons on whatever website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, evaluating your level of maturity, and discussing the pros and cons of the operative procedure with you would not be in your best interest.
Your pre-rhinoplasty consultation is an important prerequisite for any successful rhinoplasty surgery. Only a personal consultation provides you with the opportunity to discuss your concerns with your surgeon, to align both your expected outcomes, and for you to be comfortable with and trusting of your selected surgeon.
Keep in mind #2
Despite meticulous clinical planning, and expert surgery, not all goals can be achieved in rhinoplasty. As no surgical operation has a 100% success rate, rhinoplasty patients must accept that some imperfections can persist in about 10% of the cases, leading to a not completely satisfactory result. Unless the patient is willing to accept that imperfect results may happen, the operation cannot go ahead.
There are several reasons for post-operative problems. First, the nose can only be changed to a certain degree: trying to force nature to do things that are impossible, simply does not work. Secondly, each patient heals according to his/her genetic background such that the same operation may produce slightly different results in two individuals. Thirdly, in revision cases the nose lacks much of its supporting structure, may have received several grafts, and the quality of blood supply has decreased. Furthermore, nasal skin that has been exposed to previous multiple operations often does not heal as well as ordinary skin, and itself this can create a barrier towards an optimal result.
So, even in the hands of world-experts, a second procedure known as “touch-up” surgery may be required to refine results. Although we do not charge you, this “touch-up” procedure will carry a reduced charge for anaesthetist care and clinic facilities.
Unfortunately, some patients cannot be helped by revision surgery. Under these circumstances, surgery can cause further problems and result in a very poor outcome. Honest, firm and expert advice is paramount here. In some cases, I do advise these patients that in their particular condition, major revision surgery should not be undertaken. In other cases, minimally invasive touch-ups can help in restoring a more natural look.