Nose correction surgery is one of the most popular interventions in aesthetic surgery. But the results are not always satisfactory for the patient.
Due to the many nuances requiring special attention, revision rhinoplasty is often required. About why this is so and what to do if the new nose does not please you, aif.ru talked with plastic surgeon Dmitry S.
Why Disappointment Occurs
Everyone knows the saying “measure seven times – cut one,” which directly relates to plastic surgery. It is always better to prevent trouble than to fix it later. Therefore, before any plastic surgeries and after them, it is imperative, without hesitation, to discuss all incomprehensible and unpleasant moments with your surgeon.
Among the reasons for dissatisfaction with the performed rhinoplasty (and reasons for re-intervention) are most often:
- The asymmetrical shape of the nose;
- Not quite the aesthetic result that the patient initially expected (as a rule, this concerns the shape and size of the nose);
- The appearance of depressions or other irregularities in the area of intervention;
- Seams and scarring of tissues are pronounced;
- Deterioration of nasal breathing (up to its termination);
- Persistent pain inside the nose or headaches;
- The too-narrow tip of the nose, which does not fit the shape of the nose itself;
- Violation of the integrity of the nasal septum.
Most patients are sure that the unsatisfactory result of rhinoplasty is always a consequence of the low competence of the doctor. However, the wrong actions of the patient himself (for example, ignoring medical recommendations in the postoperative period) can also cause failure. In addition, individual complications or reactions from the body are possible, the appearance of which no doctor can predict.
In addition, expectations from the aesthetic result are so subjective and unpredictable that it is unrealistic to completely exclude possible disappointments on the part of the “customer.” Everyone has different tastes and ideas about beauty too. All this together can provoke a deterioration in the patient’s well-being and lead him to psychological discomfort and even depression.
When You Can’t Repeat
Secondary rhinoplasty, like any other surgical intervention, has contraindications. And not only in terms of health. Particular attention should be paid to the period – at least a year should pass after the first operation. This time is necessary for the tissues to adapt to their new state, the blood supply to normalize in this area, and scars to form. But some patients conceal from the doctor the timing of the primary operation. Under no circumstances should this be done – it is fraught with dangerous complications.
To avoid having to redo everything, it is better to thoroughly discuss with the surgeon all the details and the result of the operation before it starts.
Today there is the possibility of computer 3D modeling of the operation. Thanks to him, the patient can see how it will look with a new nose.
Revision rhinoplasty is not possible:
- Due to rather large scars;
- Due to the lack of the required amount of supporting tissue – cartilage.
When the doctor, having analyzed all the complications, refuses to repeat the operation for the patient, and the second doctor says the same thing, you should not look for an “independent third opinion.” In such a situation, it is better, as they say, “to stay with the nose.”
What is the method of reoperation?
Revision rhinoplasty has its technical difficulties and is carried out differently. It can be closed if it is necessary to make incisions inside the nasal cavity or open, then a small open incision is made. The first method reduces the recovery period since the operation is faster. Still, there is a possibility of missing some features of the anatomy of the nose, corrected during the initial intervention.
With the open method, the surgeon can examine the errors made earlier in more detail. But there are also disadvantages: in this case, it will be necessary to apply additional stitches to the patient, which can also affect the intervention result and the rehabilitation speed. The choice is not easy, but the aesthetic surgeon should always use the most suitable or skillfully mastered method. If the patient does not have enough cartilage tissue, the doctor can borrow material from the ear or intercostal cartilage.
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How is the recovery
Revision rhinoplasty is not easy, so it always requires general anesthesia. In addition, the secondary intervention is more complicated than the first, so the recovery period lasts much longer. The scar tissue that appears after the primary plastic surgery loses its elasticity, and metabolic processes proceed worse in it, which causes somewhat larger hematomas and swelling. And this, in turn, prolongs the inflammatory process.
Recovery after secondary rhinoplasty can be longer and more difficult, as the process can be complicated by additional inflammation of the soft tissues. The appearance of bleeding and the movement of grafts is not excluded, which can also affect the final result. Strict observance of the surgeon’s instructions is an extremely important condition for successful recovery.
Why is the price higher
The price of secondary rhinoplasty is higher due to its great complexity. If this intervention is performed by the same surgeon who performed the first operation, the patient will only need to pay for consumables and stay in the ward. But, despite the obvious savings, patients rarely turn to a doctor for a rework, the result of which has already disappointed them. As a rule, they are looking for another specialist.