The nose is the focal point of the face, so it’s no wonder why rhinoplasty is a popular aesthetic procedure. It’s popular but technically challenging for the surgeon, because the nose is a complex network of intersecting contours. When a rhinoplasty procedure does not go as planned, or the results are not satisfactory for the patient, a revision is often necessary for correction.
While there is no rule as to how many revisions a patient can have, the best answer is less is more. One reason is because revision rhinoplasty is more complex than the first surgery with higher complication rates. Therefore, it is best to get it done right the first time – or the fewer revisions, the better.
The Complexity of Rhinoplasty Revision
After the initial surgery, scar tissue starts to form because of the separation of the skin from the nose infrastructure. This soft tissue trauma may cause the skin to thin and weaken. The skin may then become less able to hide imperfections which may be present beneath the skin. This is known as shrink-wrapping.
Rhinoplasty is typically a reduction of nose structure and tissue. Careful consideration is necessary to maintain structural support during its reduction. Otherwise, a weak infrastructure may cause a loss of structural support.
Also, during the primary rhinoplasty, the surgeon will use the natural contours as a guide to navigating its changes. With a revision, there is an anatomical change, creating a more difficult blueprint to follow during surgical planning and execution. Grafts from existing cartilage are necessary to restore strength and support during a revision rhinoplasty as well as with some primary rhinoplasty procedures.
An understated component of a satisfactory rhinoplasty procedure is for the patient to have a firm understanding of what to expect from its results. This responsibility rests with both the surgeon and patient. When a patient expects something which is not possible, of course, they will not be happy with the results. A consultation with a board-certified plastic surgeon is important to make sure the patient fully understands what they can reasonably expect from their rhinoplasty surgery.
Picking the Right Plastic Surgeon
Despite the noted challenges, an optimal outcome is possible when you choose a surgeon with sufficient training, experience, and skill. It’s advisable to choose a board-certified facial plastic surgeon for rhinoplasty or rhinoplasty revision. Because of the complexity of revision rhinoplasty, it’s also important to find a surgeon who has performed a high number of revisions.
Dr. Oleg Slupchynskyj is a double-board certified facial plastic surgeon who has extensive experience in performing revision rhinoplasty with success and satisfied patients. He understands the complexities of the nasal anatomy and can achieve great outcomes for his patients.