Secondary Rhinoplasty

While the cosmetic revision of the nose is the most difficult of the rhinoplasty procedures, secondary rhinoplasty or revision rhinoplasty is much more complicated. The difference between positive and unsuccessful results in secondary rhinoplasty is only 1-2 mm. In fact, the best results are obtained for the first time in the nose. Therefore, the first person needs to research and choose the surgeon, targeting the first and last surgery.

For revision rhinoplasty, the surgeon must be well-trained and experienced in this field to achieve effective rhinoplasty results. This experience can be measured by contributing to developments in the area with new techniques, training courses, and training given to the revision intervention literature.

Problems in secondary rhinoplasty often require restoration of skeletal support, although they can sometimes be corrected with the correct application of basic surgical techniques. Constructing the nasal skeleton is complex and requires a three-dimensional perception of the nasal anatomy.

The most challenging aspect of secondary rhinoplasty is subcutaneous scar tissue and deterioration of skin quality due to previous surgeries. The surgeon can correct the cartilage skeleton by eliminating deficiencies and supporting or removing excesses. Considering all these, you can understand that secondary rhinoplasty is a more complex operation than primary rhinoplasty (first rhinoplasty). Common complications after rhinoplasty include:

• Nasal tip and nasal ridge asymmetries.
• Droopy nasal tip.
• Excessive narrowing of the nasal tip.
• Extreme weakening of the side wall.

In addition, collapse or retraction of the nasal wings, the opening of the nasal bone roof, reverse V-deformity, excessive narrowing of both aesthetic and functional problems, and deterioration of skin quality is also essential.

Detailed problem analysis and correct application of patient-specific surgical techniques are required to prevent such complications in primary rhinoplasty. In secondary rhinoplasty, which includes a wide variety of problems, the surgeon must make a more complex plan and apply it meticulously to eliminate them. Our surgeon corrects all these problems by reconstructing the normal nasal anatomy using cartilage tissue.

The most crucial step in this surgery is the reconstruction of the septum because the septum forms the base of the nose. With secondary rhinoplasty in Turkey, our surgeon reconstructs this often-deteriorated floor. The most crucial process is to find cartilage. Our surgeon uses the rib cartilage by preparing it with a correct technique in patients with insufficient left nasal cartilage and unsuitable ear cartilage. Our surgeon, who has gained experience in this field for many years, pays attention to every detail in cartilage removal, preparation, and use. For this reason, our doctor constantly checks the patient’s comfort and the surgery’s result. Therefore, you can have a good lasting effect.

What is Secondary Rhinoplasty?

Secondary rhinoplasty is a revision to correct the defects specified in the agreement between the patient and the surgeon, following at least one initial intervention. Secondary rhinoplasty can correct a very thin or bent nose, a bulge in profile, or a drooping, asymmetrical, or rounded tip.

This procedure is complicated because the nose’s skin, cartilage, or bones may have weakened or changed during the initial surgery. If you have had nose surgery, it may be challenging to know the condition of the cartilage and bones of your nose before the surgery. In addition, since the structure of your nose has already changed, it is necessary to be especially vigilant about the modifiable respiratory function.

This is a particularly delicate and complex surgery. Our expert surgeon will explain everything to you, down to the smallest detail of the procedure.

Who are the Ideal Candidates for Secondary Rhinoplasty?

This includes reconstructing or repairing a previously operated nose. It is sometimes impossible to know the condition of the bony and especially cartilaginous structures under the skin, and dissection can be complicated. Those with the following conditions are ideal candidates for secondary rhinoplasty in Turkey:

• Nasal skin and subcutaneous tissue may be damaged, weakened, or hardened.
• Bones may be collapsed, too close together or not close enough, or asymmetrical.
• Structures related to nasal breathing may be damaged.
• Cartilages are often weakened, altered, deformed, or deviated.
• Asymmetrical nose problems may occur.
• There may be visible or palpable depressions in the bone and cartilage.
• There is a mismatch between certain parts of the nose or between the nose and the rest of the face.

These defects, whether mild or more significant, can occur at any time and require secondary rhinoplasty in the operating room under general anesthesia. In case of apparent defects, our surgeon can take the grafts from the nose, at ear level, or from a rib, sometimes just under the scalp. Using grafts in this way isn’t severe but requires excellent expertise so that the result is as natural as possible, immediately and in the long run.

What happens at the Consultation for Secondary Rhinoplasty?

Consultation for secondary rhinoplasty is generally the same as for primary rhinoplasty. However, it has certain features. Before your first surgery (or between surgeries if you have had several rhinoplasty surgeries), we recommend taking photos of your face in as many different views as possible. These photos are essential to evaluate how the nose is at each stage.

You can show the reports of the previous rhinoplasty and pictures of your nose before the surgery to our doctor.  These documents and pictures describe what our surgeon does during each operation. It would be best if you offered our doctor all the tests you may have done before or between rhinoplasties. Our surgeon will also examine nasal breathing. For this, the doctor makes a general analysis and evaluates the different nasal valves. Some factors may prevent the evaluation and treatment of various problems during secondary rhinoplasty.

Our specialist asks you to stop smoking as it can create serious healing problems during secondary rhinoplasty. It would be best to quit smoking at least six weeks before any secondary rhinoplasty.

What are the Risks of Secondary Rhinoplasty?

Secondary rhinoplasty is a simple surgical procedure that involves minimal, though minimal, risks associated with any medical system. It is necessary to distinguish complications related to anesthesia from those associated with the surgical procedure, which is different from dissatisfaction.

When it comes to anesthesia, our specialist will inform you about the risks of anesthesia during the consultation. You should be aware that anesthesia causes reactions in the body that are sometimes unpredictable and easy to control. Thanks to our fully qualified anesthesiologist, these risks almost don’t arise.

You eliminate these risks by choosing our surgeon trained in this type of intervention. Thanks to such rules, real complications after secondary rhinoplasty are rare. In practice, most surgeries go smoothly, and our patients are delighted with their results. However, although they’re rare, you should still be aware of possible complications:

• Bleeding: Possible in the first hours, but usually very moderate. When they are crucial, this may justify a new, more extensive drilling or restart in the operation room.
• Hematomas: May require draining if large or very painful.
• Infection: Despite the natural presence of microbes in the nasal cavities, it is sporadic. If necessary, it quickly justifies appropriate treatment.
• Unsightly scars: These can only be related to external wounds (when they’re present) and rarely look ugly enough to require reoperation.
• Skin conditions: Although rare, it is always possible, usually due to a nasal splint. Superficial wounds or erosions heal spontaneously without scarring, which is fortunately exceptional and usually leaves a small area of ​​scarring, unlike cutaneous necrosis.
• Smell disorder: They are mostly temporary, exceptionally defined as permanent.

As a result, you should not exaggerate the risks. You should be aware that any surgical intervention, even seemingly simple, always carries a slight danger.

How doYou Prepare for the secondary Rhinoplasty Procedure?

Our surgeon will explain how to prepare for secondary rhinoplasty surgery. For example, if you smoke, the doctor will ask you to quit because smoking increases the risk of respiratory and wound infections and slows healing. If you have a sore throat, cough, or cold, you should wait for your recovery as it can increase the risk of infection and bruise. If in doubt, you can ask your surgeon for advice.

The surgeon may ask you to follow brief instructions, such as not to eat or drink for about six hours before secondary rhinoplasty. The surgeon will talk to you about what happens before, during, and after rhinoplasty and any pain you may experience. This is your chance to understand what will occur after rhinoplasty. It would be good to prepare some questions to ask about risks, benefits, and possible alternatives to the procedure. This will help you adequately inform you to consent to the process. The surgeon will examine the nose and measure its shape and size.

What is the procedure of Secondary Rhinoplasty?

Secondary rhinoplasty in Turkey aims to repair defects caused by a previous rhinoplasty. Therefore, it’s a very specialized intervention that isn’t accessible to all surgeons.

This rhinoplasty will not only aim to answer aesthetic problems. Secondary rhinoplasty, in addition to giving the nose a harmonious appearance, also makes it possible to correct the health problems that occur in the patient due to an unsuccessful procedure. These can include broken nasal bones or breathing difficulties, among other things.

Secondary rhinoplasty requires meticulous preparation. The operation is more complicated than primary rhinoplasty for several reasons:

• The surgeon adapts to the tissue changes caused by the initial surgery.
• You will generally be more resistant to surgery after a failed initial rhinoplasty.
• Our surgeon may have to adapt the surgical strategy according to the surprises encountered during the surgery and the factors that are impossible to predict.

Follow for secondary rhinoplasty steps in Turkey:

• Anesthesia

Like primary rhinoplasty, you will also be in the hospital for secondary rhinoplasty and stay in the hospital overnight. The intervention will be much easier if the surgery doesn’t require a bone fracture or a complex graft. Usually, secondary rhinoplasty is longer than primary because tissues reshape with primary rhinoplasty. The procedure does under general anesthesia.

• Techniques

Secondary rhinoplasty requires a unique surgical technique. The surgeon’s choices will be thoughtful, creative, and tailored to each nose and the observations made during the operation.

The techniques used are like those of primary rhinoplasty, but the surgeon can re-adjust the problems faced. You may need cartilage grafts to your nasal septum and the sides of the nose. In addition, the surgeon can make a graft of cartilage and temporal aponeurosis. This very soft graft is helpful for masking irregularities in the bridge of the nose in secondary rhinoplasty.

In most cases, resection of excess bone or permanent cartilage perform. The surgeon may also need to stitch the cartilage of the tip of the nose to reshape or straighten the nasal septum.

• Incision

Our surgeon selects the appropriate technique from the above and makes the first incisions. Next, the specialist separates your skin from the nasal bone and cartilage. The doctor moves your cartilage to a new position based on your individual needs.

• Final

The surgeon re-drapes the skin over your new nose structure and closes your incisions with stitches. The entire procedure can take 2 to 4 hours, depending on the result you want and the size of the problem. You will generally have much less pain and bruising immediately after revision rhinoplasty.

How is the Recovery After Secondary Rhinoplasty?

Even if the risks associated with this intervention are almost zero, it will be enough to follow some simple guidelines to avoid the possibility of unpleasant setbacks after secondary rhinoplasty in Turkey. Follow the behaviors you should follow secondary rhinoplasty in Turkey:

• Don’t wash your face on the first day after the procedure unless your doctor recommends it.
• Eat only cold foods for the first 48 hours; eat soft foods to avoid chewing for the first two weeks.
• Be careful not to consume alcohol in the first months. Avoid drugs with salicylic acid and limit yourself to pain relievers.
• During the first months, try not to force your nose too much when blowing your nose, especially when sneezing. Your doctor will explain it to you clearly.
• Avoid smoking. Smoking significantly delays your recovery.
• You should try not to expose yourself to the sun, especially in the first months after the procedure.
• Avoid makeup as much as possible until your surgeon tells you to continue as usual.
• Avoid doing sports for at least a month after the surgery. However, we recommend walking because walking reduces the chances of blood clots and swelling.

You can use your glasses fully three months after secondary rhinoplasty surgery. This precaution prevents the pressure exerted by the nose piece on the bony walls during the consolidation phase from compressing them to form a depression. Therefore, in the first days, you can use contact lenses supported by patches on the forehead or a light frame to avoid weight on the nasal walls. Of course, your doctor will tell you about them.

To reduce post-operative edema, it is possible to perform drainage massages accompanying the skin starting from the tip and upwards. You can use almond or olive oil.

When will you see Secondary Rhinoplasty Results?

Edema after a secondary rhinoplasty in Turkey usually lasts longer and delays the evaluation of the result. It is typical for difficulty breathing to last longer. But if done correctly, the intervention should make it possible to see an apparent recovery very quickly.

We don’t recommend massaging your nose after secondary rhinoplasty, especially in the case of a transplant. Post-operative appointments and instructions are essentially the same as for primary rhinoplasty.

In very complex secondary rhinoplasty cases, the need for additional retouching isn’t uncommon. Although infrequent, possible risks of infection are slightly more frequent than in primary rhinoplasty.

Especially in smokers, some risks can occur after one or more rhinoplasty when the nasal skin is overworked. Therefore, you must stop smoking 6-8 weeks before a secondary rhinoplasty. Risk of lousy scarring, especially if you need to go over a previously made scar.

As a result, secondary rhinoplasty procedures are always technically and sometimes psychologically complex interventions. This procedure usually yields excellent results when performed by our rhinoplasty specialists, who thoroughly know all its aesthetic and functional aspects.

Most of the time, the results of secondary rhinoplasty in Turkey are very positive. The defects of the primary rhinoplasty have been corrected and will be as close as possible to the project defined before the initial surgery. After the edema dissolves, you will have to wait almost a year till 1,5 year to see the final result.

How much is Secondary Rhinoplasty in Turkey?

Secondary rhinoplasty is suitable for those who have had one or more rhinoplasty surgery before. Surgeons also recommend it for those who want to improve the appearance of their nose and, in some cases, respiratory function. Secondary rhinoplasty is one of the most complex procedures as it involves correcting the defects caused by primary rhinoplasty. Therefore, this type of rhinoplasty, which often involves modifications to bone and cartilage, requires excellent mastery of the surgical techniques of the nose. This also changes costs.

The secondary rhinoplasty cost in Turkey depends on many factors, such as the surgeon’s experience, the techniques preferred by the surgeon, whether a graft is required, and the complexity of the procedure. However, the secondary rhinoplasty price in Turkey is very affordable compared to many countries.

You can contact us immediately if you consider a secondary rhinoplasty in Turkey. You can call us directly, write on WhatsApp or use our live support line. We look forward to meeting with you.