Revisional Rhinoplasty


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Indications
  • Nasal asymmetry, disproportion or deformity arising from previous rhinoplasty
Anesthesia
  • General
Duration
  • 3 - 4 hrs
In / Outpatient
  • Outpatient
Procedure
  • Through incisions hidden within the nostrils arid a small incision in the columella (the strip of skin between the nostrils), the skin is lifted from the underlying supporting framework. Scarring and adhesions from previous surgery make the dissection more difficult
  • The bone and cartilage framework of the nose is then reconstructed, This may require the use of cartilage graft (taken from the patients ear or rib cartilage). The skin is then redraped
Recovery
  • Swelling and bruising affecting the nose and adjacent eyelids peak at 2 days after surgery and rapidly resolve over the next 2 weeks
  • Patients wear a nasal splint for 1 week
  • Return to school or work after 1 week, but no strenuous activity or contact sports for 6 weeks
  • Subtle swelling and numbness of the nasal tip will remain for up to 6 months
Result
  • Provides a permanent correction
Risks
  • Infection, hematoma, scarring, nosebleed. Generally, these risks are greater than in primary rhinoplasty
  • Residual asymmetry or deformity