BK Plastic Surgery Hospital
Nose surgery: Revisional Nose Surgery
As nose is placed on center of face and it is protruding,
it is easy to notice the change of overall impression after surgery.
These days, nose surgery is performed as many as eyelid surgery,
which is the most common surgery.
But if nose surgery is practiced
without consideration of the harmonization with other facial features,
patients can feel dissatisfaction from the result or get infection.
If you want to have revisional nose surgery,
you must have a thorough consultation with experienced plastic surgeon
since there are various surgical method depending on each condition.
●● Cause of Revisional Nose Surgery and its Treatment
Contracture on Nose Tip
Symptom : Neglectiong infection after rhinoplastic surgery leaves scar on inner structure that causes hardening of nose. Nose may become short and stiff if not treated properly.
Treatment : After infection-causing implants are replaced with autologus tissues(corium, fat, or rib cartilage), the nose tip is reshaped using autologus septal cartilage or rib cartilage.
Imbalance in Nose and Face
Symptom : Lack of aesthetic consideration often results in a visual imbalance in nose and face, most patients are unsatisfied with such results and revision should be considered.
Treatment : Revisional surgery, in this case, requires precise techniques to carry out size reduction or relocation of implants.
Symptom : Nose appears bent or unnatural when the implant deviates from the nose bridge.
Treatment : A new proper implant replaces the older one. The site of misplaced implant must be treated as well.
Allergic Reaction to Silicone
Symptom : Patients who were unaware of the fact that they were allergic to silicone yet received procedures may experience allergic reaction such as prolonged swelling, and fluid retention around the nose bridge.
Treatment : Although allergic reactions are not easily anticipated, any silicone implants are immediately removed and replaced with autologous tissues(corium, fat, or rib cartilage) upon detection of the symptoms.
Nose Tip Deformation Caused by L-Shaped Silicone
Symptom : When L-shaped silicone is placed on the nose tip, the cartilage can be deformed with pressure. The skin on the tip may become reddish and transplant that the implant would be visible or even protruding.
Treatment : L-shaped silicone is replaced with another implant that would inserted only into the nose bridge area, an the tip is operated with autologus cartilage. The skin affected by deformation may be further damaged unless reinforced by autologus cartilage or alloplastic dermis.
●● Significance of Revisional Nose Surgery
It is important to minimize separation of tissues during revision in order to preserve them. This reduces recovery time after surgery and also maintain the natural nose shape by minimizing tissue damage.
Revisional surgery is a very delicate and difficult operation even at the hands of experienced surgeons. Therefore, it is important to be able to understand the cause of failure from previous surgery in order to complete the procedure safely and successfully.
Revisional surgery is generally recommended 6 months
after the preceding surgery when tissues become tender.
However, a revision of relatively simple surgery
such as nose bridge augmentation, can be performed within 3 months.
In case of infection, revisions should be postponed
until implants are removed and inflammation is soothed.
Revisional surgery must be approached with caution
since it is likely to damage tissues more than the first surgery.
It is also important to note that an excessive adjustment
can result in another revision.