If the issues from before the first surgery were not fully resolved, if complications occurred during or after the operation, if the patient was not satisfied with the aesthetic outcome, or if the surgery failed to improve nasal function, a revision rhinoplasty may be considered.
Revision rhinoplasty is generally more complex than a primary rhinoplasty. It requires special techniques and a high level of surgical expertise. The procedure also tends to take more time, and the risk of complications is slightly higher compared to the first surgery. However, this should not alarm the patient. These risks are still rare and only marginallyhigher than in initial surgeries. The increased complexity stems from the fact that the nose has already been operated on and the tissues have been previously altered.
That’s why clear and honest communication between surgeon and patient before the surgery is essential. The patient must be fully informed about what can and cannot be achieved. Most revision rhinoplasty patients have already experienced disappointment and may be emotionally affected. For this reason, it is critical to avoid giving false hope and to approach the case objectively.
Both open and closed techniques can be used in revision rhinoplasty. One of the most common challenges is that there may not be enough remaining cartilage due to prior surgeries. If so, cartilage must be harvested from another area of the patient’s body (such as the ear or rib) for grafting.
The most crucial step in revision rhinoplasty is accurately diagnosing the underlying problem. Understanding the real cause behind the current issue is essential. With a proper diagnosis, the correct treatment plan can be implemented, leading to a satisfying and successful outcome for the patient.
Frequently Asked Questions
Most Frequently Asked Questions About Rhinoplasty
How Long Does a Rhinoplasty Surgery Take?
On average, it takes about 2 to 2.5 hours. The duration may vary depending on the specific procedures performed.
When Can I Take a Shower After Nose Surgery?
You can take a shower during the first 2 weeks as long as you avoid getting your face wet. You can wash your hair by tilting your head back and wash your body carefully without letting water touch your face. After 2 weeks, there are no restrictions.
Can I Get My Face Wet After Nose Surgery?
You should avoid getting your face wet for the first 2 weeks.
When Will My Nose Fully Settle After Surgery?
It usually takes between 6 months to 1 year for the nose to fully settle into its final shape.
Will There Be a Scar After Rhinoplasty?
There may be a very faint and barely noticeable scar under the nose.
Do I Need to Follow a Diet After Rhinoplasty? Are There Any Forbidden Foods?
There is no need for a special diet, and there are no food restrictions after surgery.
When Can I Return to Work After Nose Surgery?
Most patients can return to their daily routines the very next day. They can go out and manage their daily tasks comfortably. However, we recommend resting — not necessarily in bed — for the first week. Returning to work is generally suitable after the nasal splint and packing are removed, about one week post-surgery.
What Type of Anesthesia Is Used During Rhinoplasty?
Rhinoplasty is performed under general anesthesia.
When Are the Nasal Tampons Removed?
They are removed one week after the surgery.
When Is the Splint Removed?
The splint is also removed one week after the surgery, together with the tampons.
When Are the Tapes Removed?
At the one-week check-up, when the splint and tampons are removed, the tapes are replaced with new ones. The tapes are usually kept for another week, so in total, tapes remain in place for 2 weeks.
Will I Experience a Lot of Pain After Rhinoplasty?
No. Any discomfort can be easily managed with mild painkillers.
Can I Wear Makeup After Nose Surgery?
Yes, after 2 weeks. Makeup is allowed along with showering.
Are There Massage Techniques to Reduce Swelling?
Gentle downward massages from the bridge of the nose can help reduce swelling. However, since patients tend to apply too much pressure, we usually don’t recommend it strongly.
Is There Any Medication That Helps Speed Up Healing?
There are special creams available for bruising. Your doctor will recommend one after the surgery.
What Are the Advantages of the Piezo Technique?
Piezo surgery targets only the bone tissue without damaging the surrounding soft tissues. Since it doesn’t harm soft tissue, under-eye bruising and swelling are minimal. The recovery process is faster, and it provides greater ease during the surgery.
When Does Under-Eye Swelling Go Away After Nose Surgery?
Thanks to the Piezo technique, swelling is minimal and typically resolves within 2–3 days.
When Does Under-Eye Bruising Go Away After Nose Surgery?
Again, due to the Piezo technique, bruising is minimal and usually disappears after about one week.
Will My Nasal Congestion Be Treated During Rhinoplasty?
Yes. Addressing breathing problems such as nasal congestion is one of the core principles of rhinoplasty.
Can the Nose Drop After Surgery? What Causes It?
Yes, if the structural support of the nose is compromised, it may drop. That’s why the surgical technique and the attention and skill of the medical team are extremely important.
Can Anyone Have a Nose Surgery?
Rhinoplasty is not recommended for individuals under 18, as their nasal development is not yet complete. It also cannot be performed on patients with certain health conditions that make general anesthesia risky.
Is There an Age Limit for Rhinoplasty?
Since nasal development is usually completed by age 18, we do not recommend surgery for anyone younger.
Can Both Cosmetic Correction and Deviated Septum Be Fixed in One Surgery?
Absolutely. Both procedures can be done in a single session.
Will I Need Someone to Take Care of Me After Surgery?
No, you’ll be able to manage your daily activities on your own. However, it’s beneficial to have someone accompany you during your overnight stay at the hospital.
