Correct and refine previous results
You likely went into your first rhinoplasty procedure with high expectations. If the results did not meet these expectations, you may have been left disappointed, and perhaps even with reduced nasal function. Whether your issues are due to existing problems which went untreated in the first procedure, or complications which developed after surgery, revision rhinoplasty may be necessary to correct the issues and produce the aesthetic results you desired in the beginning.
“A journey of a thousand miles begins with a single step”. Lao Tzu
The results you deserve
A number of issues may have arisen following your initial rhinoplasty which could prompt the need to consider revision surgery:
- Saddle nose deformity
- Polly beak deformity
- Hanging columella
- Pinched nose
- Misaligned nasal bridge
- Bump on the nose
- Nose is not proportionate to the face
Your first surgery may also have resulted in functional problems, including breathing difficulties or chronic nasal obstruction. Both cosmetic and functional problems can be addressed through revision surgery, helping you to look and feel better overall.
Meeting your surgeon
If your nasal surgery produced undesirable results, or breathing problems, any fear or frustration you are experiencing is understandable. However, the only way to fix the problem is through corrective surgery. Dr Paul Gerarchi specialises in revision rhinoplasty to help patients who have already gone through a failed nasal procedure correct the appearance and function of their nose. He will take the time to discuss your concerns and aesthetic goals with you, to ensure your second surgery meets your expectations more precisely.
Revision nasal surgery is more technically complicated than initial rhinoplasty. In fact, it is regarded as one of the most complex cosmetic surgery procedures. As such, it is critical to seek a trusted professional with reliable experience and knowledge to perform your revision. When your first surgery did not go as planned, you want to be able to rest in the assurance the revision procedure will be a more positive experience for you overall.
Preparing for your revision rhinoplasty
Deciding to move forward with revision rhinoplasty is not easy. Having already undergone one surgery and recovery process, the prospect of doing it again can be daunting. However, there are a number of reasons revision rhinoplasty may become a necessity for you:
- Existing problems may go unnoticed during the initial procedure
- Complications may occur after the first surgery
- A new cosmetic or functional problem may develop
- An overly ambitious surgeon may have produced unsatisfactory results
- The first surgery did not meet your expectations or cosmetic goals
It is recommended patients wait at least one year following their first nasal surgery before seeking corrective surgery. Nasal surgery results in swelling which can take up to one year to fully resolve, and the scar tissue needs time to soften. By waiting at least one year, your nose will achieve its final appearance and be most suitable for a full evaluation.
Your revision procedure will also be far more predictable. While the wait may be difficult if you are not satisfied with the results of your first procedure, the benefits of waiting far outweigh this.
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Your revision rhinoplasty journey
Revision rhionoplasty may be performed as an outpatient or overnight procedure, depending on the complexity of your unique circumstances. Surgery typically takes one to four hours to complete using general anaesthesia to ensure your comfort and safety.
While Dr Gerarchi may use the closed technique with incisions located inside the nasal cavity, this technique limits his access to the areas which may require correction. In most cases, the open technique will be used to give Dr Gerarchi greater access to the structure of the nose and increased ability to correct cosmetic and functional issues. This will be discussed with you prior to surgery so you know precisely what to expect.
The procedure begins with a very small incision between the nostrils on the underside of the nose. The skin will then be pulled back for full access to the structure of the nose. Depending on the nature of the issue to be corrected, nasal cartilage may be sculpted, excess tissue and skin may be removed, and reconstructive cartilage grafts or implants may be added.
Once this is complete, Dr Gerarchi will reposition the skin and use small sutures to close the incision, minimizing the appearance of scarring. A cast may also be placed over your nose to hold it in place while it heals.
Most patients find the recovery for revision rhinoplasty takes between one and two weeks. While some bruising and swelling can be expected, Dr Gerarchi will give you comprehensive post-operative instructions to help you minimise the side effects.
You should find you look and feel well enough to go out in public and return to work about two weeks after your procedure. Revision surgery recovery is often regarded as less difficult than that of the initial surgery.
Your post-surgical journey
For an easier and faster recovery, we strongly recommend you avoid alcoholic beverages and smoking, as well as strenuous activity for the first six weeks after your surgery. Protecting your nose is critical to an effective recovery, so any bumping, rubbing or touching of you nose should be avoided. Also avoid any strenuous sniffing or blowing of the nose for the first 3 weeks. If you need to sneeze, do so through your mouth, and try not to hold it in as this can create additional pressure.
Sleeping with your head elevated for the first two or three weeks will improve your circulation and minimise post-operative swelling. Direct sunlight should also be limited so as to avoid permanent marks on the nose. You may wear contacts after surgery, but do not wear glasses for the first month to avoid placing extra pressure on the nasal bridge.
Managing your pain and recovery
Discomfort can be expected for the first few days after your revision rhinoplasty, but this can be managed effectively through pain medication prescribed by Dr Gerarchi.
Taking appropriate steps to minimise swelling will also help with your discomfort in the first few days after surgery.
You may also be given a prescription antibiotic to protect you from infection after the procedure.
If you are unhappy with the results of your first rhinoplasty, revision rhinoplasty can be an effective way to address your concerns and complete your cosmetic goals.