Monday, July 1, 2019

How To Fix Failed Nose Surgery?

How to fix aesthetic nose surgery which resulted in failure?

Revision rhinoplasty - Failed nose surgery - Secondary nose job in Istanbul

No matter how experienced the surgery is, the result may not be exactly as desired after each nasal surgery and correction may be necessary with a new operation. This is 10% or less in experienced surgeons.

The patient seen in the photo above, underwent revision nasal aesthetic operation using rib cartilage. After nasal surgery 8 years ago, it was found that the nasal tip had sagging down and nasal obstruction, and most of the intranasal cartilages were excised during the operation and cartilage tissue did not remain in the nose for adequate grafting. Therefore, rib cartilage was used.

Since the result after nasal aesthetics is not as desired, performing a new nasal surgery is called nasal revision surgery or secondary rhinoplasty / secondary nose job.

Nasal revision surgery can sometimes be a simple procedure such as a small correction of blistering and the problem can be solved easily by an outpatient operation with local anesthesia without sleep.

However, in some cases, the nose may have a distorted appearance that negatively affects social life and may require a more extensive operation than the first for correction.

Some of the post-aesthetic nasal irregularities may develop due to reasons such as cartilage melting or spontaneous bending over time. The same applies to nasal cartilages, just as age can exhibit spontaneous and unpredictable bends while drying a tree branch. Although cartilage curvatures can be corrected completely on the operating table, they can be spun again after months. As the experience of the physician increases, the prediction of how much cartilage can change in the future increases and the unwanted effects of late bending can be prevented to a great extent.

Revision nose surgery can be performed for aesthetic and functional reasons


Revision nasal surgery can be performed because of aesthetic problems or functional insufficient results. Particularly in noses with severe cartilage and bone deformities, it is not easy or sometimes impossible to achieve a full millimeter result with only one nose operation.


The patient who was seen in the video above underwent revision nasal esthetic operation for the treatment of pollybeak deformity.

Nasal cartilage and bones have important tasks. One of them is to keep the dome up and make sure the nostrils are open. If we compare the nose to an umbrella, the fabric is made up of the nasal skin, the bones and cartilages that hold the umbrella tense, and the handle that holds the umbrella in the air, and the middle pole of the umbrella (called the septum in medicine). The most important reason why the postoperative image is not as desired is the wrong procedures applied on the bones and cartilages. Removing the bones and cartilages from the wrong places with the aim of shrinking the nose may cause the nasal roof to collapse. The pitting of the back of the nose to look like a saddle is called saddle nose deformity in medical language.

Nasal tip cartilages can be thinned to make the tip of the nose look thin. However, this has a limit, and when this is exceeded, a nasal tip appears to be squeezed with a finger. This is called medicine pinched nose or pinched nose doformity.

The symmetry of the nose after the rhinoplasty operation


The symmetry of the nose, ie the right and left halves appear to be the same, is aesthetically important. If the cartilage and bones are not taken in a balanced manner during surgery, then the differences that we call asymmetry emerge. Cartilaginous parts are more depressed than the other half. This results in an oblique and curved image of the nose.

In a natural nose, whether bony or curved, bone and cartilages are in a harmonious transition. Nearly the tip of a normal nose is made of cartilage and half of the forehead is made of bone. If you try to move your nose left and right, you will see that only the front half plays and the back half is fixed. However, you cannot normally understand the boundary between the bone part and the cartilage part. Because this transition is very soft and uncertain due to the connections between bone cartilage. This soft transition may be lost when the bone and cartilage connections are separated during aesthetic nose surgery. A very typical inverse letter V appears on the nose back after a period of surgery. This is due to the sharp transition line formed by the separation of the connections between the bone and the more extreme cartilages.

In some noses, the postoperative image is not liked because the preoperative image does not change much due to insufficient bone and cartilage removal. For example, it is undesirable to have a hump-like protrusion on the back of the nose. Noses with a flat back are more attractive. If the hump on the back of the nose is not sufficiently removed, it is natural that dissatisfaction occurs after surgery. Excess excision of cartilage and bones is how much error; more graft application is that much error.

Failing resulting in aesthetic nose surgeries is not always caused by a surgical error (doctor's fault)!


The question immediately comes to mind: When the doctor looks at the nose after reshaping the bones and cartilages on the operating table, can't he see the shape he will take? The answer is amazing. No, he can't. Because during the nose surgery the tissues swell and the shape that appears on the operating table does not fully represent the shape that will appear after healing. It is common to understand that a nasal ridge, which is thought to have been adequately lowered on the operating table, then remains high or vice versa. That is one of the reasons that makes nose surgery difficult. Experienced cosmetic surgeons can predict how their operations will change shape after the nose is healed and do not change their plans by being fooled into the image on the operating table.

Secondary (secondary) nose surgery is another building block used in ready-to-sell human cartilage. These cartilages prepared from dead people are taken from the ribs, disinfected and sold in special packages for a long time (several years) at room temperature. These cartilages, which are also present in our country, are harmless, even if they do not belong to the person, and can remain in place where they are placed for a long time (without melting). Over time it is very easy to replace new ones even if they are melted. Some patients prefer dead human cartilage, which is less risky and easier to use than their own ribs.

Nasal surgeries (secondary rhinoplasties) performed for the purpose of revision. This operations should be performed at least 6 months - one year after the first operation. After a nose surgery, deep wounds take a full recovery (what we call a scar-scar ripening). The time it takes for a wound to mature is at least one year and sometimes up to two years. That's why you wait.

A failed result after nasal surgery is not the end of everything. Sometimes a small procedure and sometimes a significant surgery can be improved. However, each surgery will cause damage to the nose and make subsequent operations more difficult than before. Therefore, if a significant deformity has occurred after the first nasal surgery, it is necessary to select the correcting physician very carefully because it will be more difficult if a subsequent operation is necessary.

You can find details about "revision rhinoplasty in İstanbul" and before and after photos at >> Rhinoplasty in Istanbul / Revision Rhinoplasty in Istanbul

Source link >> Revision Rhinoplasty | Facial Plastic and Reconstructive Surgery

Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey
Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47




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