Secondary nose surgery is a surgical intervention to resolve problems that have not been corrected in a previous rhinoplasty. The surgical intervention aims to improve both aesthetic and functional problems. Also called revision rhinoplasty, this procedure involves an aesthetic and reconstructive nasal reshaping. Secondary rhinoplasty is much more complex than primary rhinoplasty. Therefore, the surgeon's experience in this field and his competency in using advanced techniques is very important.

The most common complaints of the individuals admitted for undergoing secondary rhinoplasty include nasal airway obstructions, collapsing cartilage or nasal bones, an artificial look of the nose, collapse of the internal and external nasal valves, asymmetry, excessive shrinkage or insufficient dorsal height, excessive or insufficient projection of the nasal tip, an excessively narrowed down nasal tip, excessive scar tissue formation internally or externally…

Doctor B performs the required revisions for secondary rhinoplasty using either an open or closed approach, whichever will fit for the patient. Typically, an open approach may be preferred if major structural changes are required. Small revisions for recontouring can be performed with a "closed" technique. The decision to use a closed or open approach in secondary rhinoplasty will be made after Doctor B makes a physical examination.

Cartilage grafts (from the septum, ear, or cartilaginous parts from a rib) are often harvested necessarily to achieve aesthetic and functional goals of secondary rhinoplasty.

Candidates of secondary nose surgery (secondary rhinoplasty)

Individuals, who could not get the most of the desired outcomes from the previous rhinoplasty procedure may be the good candidates for secondary rhinoplasty.As with all surgeries, patients should have realistic expectations and have a good health condition.

Secondary nasal aesthetic surgery usually takes longer than the primary types; we can suggest that it takes about three to four hours.

Secondary nose aesthetic surgery is usually no worse than the primary procedure. The pain can be controlled with analgesics.

The risks are the same as those of the primary rhinoplasties.

Although it is very rare, the risk is possible. We hope that all your concerns will be revised with this surgery but there is always a minor possibility that a retouching procedure will be needed in the future.

Usually, the nose has to heal well before another surgery is performed. Therefore, after the primary rhinoplasty, you should wait one year before the revision surgery.

Yes, some swelling or bruising is possible. Swelling and bruising on your face, dark circles under the eyes, nasal congestion or numbness in the nose, lips or cheeks may appear but they are all temporary.

The Doctor B Team will give you the instructions you need to follow. Please be patient during the healing process. You can apply soft and cool (not ice) compresses around the eyes and the nose to alleviate any discomfort and reduce swelling. Do not apply ice or anything frozen directly on the skin.

There may be a splint on your nose to protect and support the nasal structures at the beginning of the healing process. Do not remove this splint for any reason unless specifically directed by Doctor B.

This is critically important. Smoking or consumption of other nicotine-containing products delays wound healing. Do not consume nicotine or alcohol for at least 3 weeks after the surgery.

We recommend that you will take a rest in the first place. Although resting is important in the early stages of recovery, a 10-minute walk every 2 hours is very important for the first week. You may experience pain so you should take your anti-pain medication as recommended. We recommend that you always keep your head upright, that you do not lean forward or backward, and sleep on your back with your head elevated. Relax. Do not engage in stressful activities and do not continue any exercise routine other than walking. Do not care about anyone but yourself.

Do not cover your nostrils in any way and try to exhale air through your mouth if you have to sneeze.

You can take a shower after surgery, but make sure you do not wet your face. It is very important to keep your nose splint dry at all times.

Fluid intake after surgery is of critical importance. You can take no-alcohol, no-caffeine, no-sodium or no-green tea-containing non-carbonated cold beverages as refreshments; including fruit juices, water, milk, and yogurt drink (ayran or buttermilk). Do not drink anything hot or frozen. If you are more comfortable, you can use a pipette.

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