Figure 1. Facial Height, horizontal thirds.
Figure 2. Facial width, vertical fifths.
Figure 3. Surface characteristics of the nose.
Figure 4. Brow tip aesthetic line.
Figure 5. Nasofrontal angle.
Figure 6. Nasolabial angle and tip rotation.
Figure 7. Frankfort plane.
Figure 8. Goode Method assessment for nasal tip projection ratio.
Figure 9. Columellar show
Figure 10. Excess columellar show with retracted nostrils, lateral view.
Figure 10A. Excess columellar show with retracted nostrils, frontal view.
Figure 11. Insufficient columellar show
Figure 12. Nasal tip.
Figure 12A. Ideal columellar show, frontal view.
Figure 13. Nasal base, proximal view.
Figure 14. Pinched nasal tip, proximal view.
Figure 15. Bulbous nasal tip, proximal view
What is Revision Rhinoplasty?
Revision rhinoplasty is an intervention that involves correcting the shape of the nose after a preliminary primary nose job. The main indication of this operation is the patient’s dissatisfaction with the result. Violation of the requirements for previous treatments can lead to the following problems:
- deviation of the nasal septum;
- asymmetry;
- impaired breathing;
- loss of smell;
- deformation of facial proportions.
Of course, this result of nose reshaping is unlikely to please anyone, so the surgeon leads the patient for a second treatment. The revision rhinoplasty cost is reasonable for those who plan to reshape the nose.
Indications and Contraindications for Revision Rhinoplasty in Turkey
Most often, revision rhinoplasty is executed for aesthetic reasons when a patient is dissatisfied with the result of the first surgery. Flaws in appearance can be subjective (critical for a particular person) and objective (a nasal shift to the side or pronounced asymmetry of the wings.). Surgery for medical reasons is necessary in cases of deterioration or complete absence of nasal breathing and headaches caused by a lack of oxygen.
The list of contraindications to revision nose job includes the following aspects:
- Impaired blood clotting
- Immunodeficiency conditions
- Pregnancy and breastfeeding period
- Malignancies of any localization
- Infectious diseases
- Fever
- Severe general disorders (including chronic ones)
- Diseases of the endocrine system (including diabetes)
- Autoimmune processes
You should understand that revision rhinoplasty is a complex process, usually more time-consuming and technically demanding than last treatments. The significant deformation of nasal tissues causes it after previous surgeries. The operation’s success depends on careful planning, modern and gentle techniques, and the skill of the best doctor for revision rhinoplasty in Turkey.
What is the Right Time for Revision Rhinoplasty?
Revision rhinoplasty timing is largely based on opinion, but most surgeons believe that 4-6 months from a patient’s primary surgery are needed to begin revision work. If the patient already had a revision surgery, it would be best to wait for 8 months up to one year before the second revision. In the case of multiple revisions done previously, patients may have to wait up to two years to ensure full healing and tissue recovery.
This waiting period will allow the bone and cartilage tissues to settle and fuse correctly, and for the skin and soft tissues to heal up fully. This period will then allow an appropriate assessment of the need for revision surgery and accurate surgical planning if a revision is indicated.
Revision Rhinoplasty Methods
Technically, plastic surgeons perform nose reshaping in open and closed approaches. Both have specific benefits for specialists and patients, so let’s review them in more detail.
An open intervention involves an incision along the columella, followed by raising the skin flap to expose all the bone and cartilage structures of the nose. Given the risks and complexities of the second intervention, it may be an ideal approach to solving the problem. The surgeon can fully see the state of all anatomical elements, making the work much more manageable. Specialists resort to open plastic surgery in some cases but often try to solve problems without such a large-scale detachment of the skin. It means using the closed method.
No visible stitches characterize a closed rhinoplasty because a surgeon makes incisions on the side of the nasal mucous. It is a highly complicated method. If the surgeon has a lot of expertise in carrying out such operations, they can use this method. On average, Turkish clinics’ ratio of closed to open revision rhinoplasties is about 90/10. In other words, a surgeon performs significantly fewer nose jobs of the first type.
The final result depends on the skilled specialist in the clinic so that a patient will be satisfied with a revision rhinoplasty before and after. Besides, the recovery period after the treatment is short, allowing people to return to daily life quickly.
How long after the surgery can I see the results of revision rhinoplasty?
Revision Rhinoplasty is carried out to improve undesired results from previous rhinoplasty. The time a patient has to spend recovering from the surgery is determined by the level of intervention. If revision surgery has been minor with small corrections, the patient can normally return to normal activity within a few days. If major revisions have to be made, including structural grafts, then months may be required. Often, this extends to 8-12 months, and in cases of multiple revisions, even up to 1.5-2 years. During this time, micro edema must resolve to show the final results fully. Usually, though, the surgical scar becomes barely perceptible within two weeks after surgery.
Cost Factors of Revision Rhinoplasty: Budgeting for Your Surgery
It is the nature of revision rhinoplasty procedures that will dictate costs. Some minor adjustments are generally more affordable than the first surgery, while many major revisions are much more costly. The other factor which can also increase the costs is when expensive materials need to be used, such as outside grafts.
Managing Expectations: Realistic Goals for Revision Rhinoplasty
Revision rhinoplasty, though targeted to achieve the same objectives, is often more delicate and complex than primary rhinoplasty. Knowing the things to expect will not only help you get mentally prepared but also physically ready for the surgery.
- Higher level of difficulty. Scar tissue and changed nasal structures are complications that revision rhinoplasty often has to deal with, which are harder for a surgeon to work with. Advanced surgical techniques that may be used by the surgeon in revision rhinoplasty involve grafting with material from other parts of the body.
- Realistic expectations. The goal for revision rhinoplasty is improvement, not perfection. Patients need to set realistic expectations that overall results will enhance, not idealize, the outcome.
- Understanding the recovery process. Recovery from revision rhinoplasty can be longer or more complicated than recovery from the first surgery.
Revision rhinoplasty results are usually monitored through online follow-ups, so it is not necessary to come back to Istanbul. Most importantly, there should be proper education regarding the achievable results and realistic expectations from the side of the patients.