There is a risk of revision (re-correction) in every plastic surgery. The surgeon’s experience, the technique applied, the nose structure, previous surgeries or an accident may result in results that require revision.
The surgical intervention to be performed varies according to the degree of deformity (disorder).
The condition of the septum (cartilage separating the nostrils) is very important in revision nose surgeries. Preoperative physical examination, endoscopic examination and, if necessary, CT (Computerized Tomography) should be performed.
Since the nose was previously intervened in revision surgeries, the cartilage tissue to be used to repair deformities is preferably used from the septum, but if there is not enough septum left after the previous surgery, this cartilage can be taken from the ear turbinate (cartilage tissue around the ear canal). When this process is done carefully, it does not cause deformity in the ear. However, this cartilage is not used for support, it is used for camouflage or filling.
In severe cases that require support, rib cartilage, which is a stronger cartilage, is used. In women, this cartilage is made from the lower fold of the breast, through a 2-3 cm incision (incision) made at the level corresponding to the 7th or 8th rib in men.
The surgical process is not much different from primary rhinoplasty surgery.
I prefer to do it under general anesthesia. After an operation that lasts for 2-3 hours, unpadded or silicone breathable perforated tampons are used, depending on the situation. There will be a plastic thermal splint and bands on the nose. It is normal to have bleeding in the form of oozing within 24 hours after the surgery and this situation is resolved with a gauze pad placed on the tip of the nose. You can eat something 3-4 hours after the operation and if there is no additional problem, you can be discharged or stay in the hospital for one night.