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;
- 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 the nose reshaping.
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
- 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.
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.