Revision Nose Surgery
Revision Rhinoplasty Planning Should Be Done Very Well
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Unfortunately, the revision rhinoplasty has been performed in close number to the aesthetic nasal surgeries (rhinoplasty) in our country. Not being able to sufficiently fulfill the expectations of patients, performing really unsuccessful surgeries, doctor mistakes, healing problems, and being performed of the aesthetic surgeries by the doctors from other branches except the cosmetic surgeons are among the factors that cause these numbers. As well as sometimes these surgeries are secondary one, there are also surgeries that were performed three-four times and are still unsuccessful.
The ideal time for the revision rhinoplasty is after 6th month. The procedures performed and the results gotten in the first surgery shape the revision rhinoplasty. To correct the deformity occurred, the state of bone and cartilage structures of the nose gains importance. It requires the addition of sometimes bone tissue, and sometimes cartilaginous tissue. And in cases the nasal supports are removed, the problem gets bigger. Therefore, revision surgeries are more difficult than the first surgeries for the surgeon.
To be replaced of the missing tissues, and to be able to correct the deformity ear and rib cartilages can be needed. And sometimes there may be deformities formed in consequence of not doing something too much, removing insufficient tissue. In such cases, easier procedures suffice compared to the cases I just mentioned. Also, in the revision rhinoplasty adherences are observed in the nose, and the surgery becomes more difficult.
When analyzing the patients before surgery, it is required to determine what will be performed in the nose. Sometimes, we may encounter some surprises in the revision rhinoplasty in the course of the operation. As well as a cartilage we thought it as in existence before may be removed, also in case we thought there is no more cartilage we may find cartilage at bottom of the nose.
In the revision rhinoplasty, the cartilage is sought firstly at the intranasal tissues; the existing cartilages at bottom of the nose can be used. If there is insufficiency here, the cartilage of ear can be benefited from. The cartilages gotten from the ear do not give damage to the ear, and the mark does not appear because it will be behind the ear. If deformity in the nose is very bad and large amount of cartilage is needed, in this case a piece of cartilage can be taken from the rib. The piece taken out from inside a very small incision will not cause a change in your body; it will only leave a thin and small mark.
Sometimes, there may be problems concerning the bone, not the cartilage. Incorrect bone unions, the open roof deformity, being shaved less or much of the bone, and the step deformity are the deformities that cause the revision rhinoplasty. The plaster time in revision rhinoplasty changes according to the operation performed. It should stay 5 days if a procedure will be performed only related to the cartilages, and 7-10 days if a correction will be performed related to the bone.