The nose is at the center of the face, therefore it is highly recommended to have your nose surgery performed by a true rhinoplasty specialist, the slightest defect being easily noticeable.
Reasons motivating revision rhinoplasty requests
People tend to think that patients undergoing more than a single nose surgery will never be satisfied by their facial appearance. In reality, in a large number of cases, this decision is motivated by an impaired respiratory function or an unsatisfactory rhinoplasty result. These issues can result from a lack of experience from the surgeon or from nose scarring.
Revision rhinoplasty limitations
Revision, or secondary, rhinoplasty is more complex than the first nose procedure. Difficulties are there from the beginning since nasal structures have been altered. It is hard to determine with precision the amount or quality of existing structures before surgery (which is perfectly possible when planning the first rhinoplasty).
The complexity of revision rhinoplasty
The nose underwent a first procedure, therefore the surgeon has two options : performing rhinoplasty in a very delicate way in order to achieve the expected result or, in the case of a patient with insufficient tissues, harvesting cartilage grafts in the ear or ribs to implant them in the septum.
The surgeon will have to handle firmer and more dense tissues during a revision rhinoplasty, which is why surgical dissection and handling of tissues are more complex.
The surgeon’s dexterity has a major impact on the success of the procedure. However, there are factors that surgeons cannot control such as the thickness of the skin or the amount of scar tissue in the nose. These factors can make the procedure hard to perform. The surgeon will have less tissues to work with if the nose underwent multiple procedures.