Home | REVISION RHINOPLASTY

REVISION RHINOPLASTY

HAVE YOU HAD A PRIOR RHINOPLASTY PROCEDURE AND NEED REVISION?

It is not uncommon for the rhinoplasty surgeon to be presented with a patient that has had a prior rhinoplasty. It is estimated that between 2 and 30% of rhinoplasties result in secondary rhinoplasty. The preoperative assessment described above for primary rhinoplasty, for the most part, applies in revision rhinoplasty. Of particular importance is the patient’s previous surgical history, the nature of their concerns or dissatisfaction, the patient’s social history and psychiatric history and, of course, a thorough objective evaluation of the patient’s anatomy.

REASONS FOR REVISION RHINOPLASTY:

  • Too much was taken out or left in
  • The bump on the nose was not properly corrected
  • Asymmetry
  • The tip of the nose is too upturned
  • The nostrils are too wide
  • The nose looks “surgical” or “pinched”
  • Nasal obstruction – difficulty breathing

EVALUATION:

OPERATIVE HISTORY

It is important to attempt to obtain the operative record of any and all previous nasal surgeries as part of the preoperative evaluation of a patient presenting for revision rhinoplasty.

PATIENT-REPORTED ISSUES

The surgeon needs to have a very clear and specific understanding of the source of the patient’s dissatisfaction. Perhaps even more than with the primary rhinoplasty, realistic expectations must be established. If the patient’s expectations are judged to be unrealistic, it should be made clear and documented whether the surgeon believes that their desired results are attainable.

OBJECTIVE ISSUES

A full examination and facial analysis should be performed. The height, width and symmetry of the nose should be asserted.

SKIN

Skin examination in the patient who has had a previous rhinoplasty is important as it can be thinned or scarred from previous surgery.

STRUCTURAL SUPPORT

The full nasal exam and analysis as described above will provide insight about the structural support remaining in the previously operated nose.

Dr Ross Farhadieh

Dr Ross Farhadieh

Dr Farhadieh is an internationally renowned Australian qualified and trained Plastic Surgery. He holds fellowship qualifications in Plastic Surgery from Royal Australian College of Surgeons, Royal College of Surgeons (England) as well the European Board of Plastic Reconstructive Aesthetic Surgery. He has multiple clinical subspecialty fellowships in Cosmetic, Pediatrics as well as Microsurgery from World Leading institutes in London.

RHINOPLASTY FACTSHEET

The nose is a complex three-dimensional structure with critical structural...

Read more

WHAT ARE 5 COMPLICATIONS OF RHINOPLASTY?

Complications in surgery are divided into general and procedure specific...

Read more

WHAT ARE 7 THINGS YOU NEED TO KNOW ABOUT RHINOPLASTY?

So you’re doing your homework and you’re considering having a...

Read more

Speak to us for more information

Contact Panthea’s Sydney or Canberra clinics today to book your initial consultation or have your questions answered by our dedicated team of surgical professionals.

Get in touch

As seen on...