Revision rhinoplasty: how to face a disappointing nose job
What can you do if the result of a rhinoplasty does not live up to your expectations? How to deal with postsurgical aesthetic and/or functional defects? A revision rhinoplasty, which is a nose job to correct unsatisfactory surgical outcomes of the previous rhinoplasty/rhinoplasties, may be the right solution for this case. Nose revision surgery can correct both aesthetic imperfections and functional problems, first of all of impaired nasal breathing.
There can be several reasons for dissatisfaction after a rhinoplasty. Some are basically aesthetic, such as the so-called “surgical look” which a revision rhinoplasty expert can convert to more natural result. Others, on the other hand, involve the internal and external nasal structures and functionality, which causes major issues. A careless and aggressive approach in the primary reduction rhinoplasty can disrupt the supportive mechanism of the dorsum and/or tip, causing it progressive weakness and inadequacy. Excessive resection of the nasal septum, bridge and tip makes revision surgery much more challenging, up to extreme rhinoplasty. Needless to say, that it is the surgeon’s responsibility to clarify from the first consultation that a “simple nose-job” in patient’s eyes can, actually, involve complex reconstructive provedures.
However, advancements of the minimally invasive surgery over the last decade have dramatically reduced the frequency and complexity of revision rhinoplasty. In particular, minimal invasive rhinoplasty makes structural grafts substantially unnecessary in the first operation. Nevertheless, it is crucial to emphasize that every male or female rhinoplasty is a case in itself and ,as such, requires meticulous pre-operative analysis and a precise surgical project “tailored” to each patient.
Experienced and prudent surgeon will always keep in mind the hypothetic possibility of the revision surgery on the same patient. Frankly speaking, in expert hands it is rare, but possible. Therefore, a careful, conservative and mini-invasive approach should be the fundamental rule in all rhinoplasties (first of, for all in primary rhinoplasties) that creates a essential basis for the possible retouch or a complete nose job revision.