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Revision Rhinoplasty

    Revision Rhinoplasty is applications that aim to improve the situations that patients are not satisfied with after the aesthetic operation. Bending, asymmetry and structural defects in the nose after nose surgery require a new surgical application. Against the emergence of both visual and functional problems, it is possible to open the door to a quality result thanks to revision rhinoplasty.

    Although aesthetic applications are realized in line with the patient’s preferences and the planning of the physician, there may be 10% to 15% dissatisfaction. This necessitates revision solution in all aesthetic applications. Within the framework of revision practices, a healthier nose structure is achieved and the satisfaction of the patient is aimed.


    Why is Revision Rhinoplasty Preferred?

    While rhinoplasty is a procedure that healthy individuals apply to improve their nasal structures, revision rhinoplasty is preferred after a nose surgery. These applications, also known as correction nose surgery, are carried out in the context of the factors listed below.

    • Problems arising from not knowing exactly the problem before rhinoplasty,
    • Errors in surgical technique selection,
    • The patient has a structurally very thin or weak nose,
    • Problems experienced in the recovery process after surgery,
    • Although there is no serious problem in terms of aesthetics, aesthetic applications are preferred,
    • Occurrence of minor defects on the back of the nose,
    • Defects in cartilage and bone structures.

    While all these factors are reasons for revision rhinoplasty, it can be said that there may also be situations arising from the patient or the application.


    Can You Get Definitive Results With Revision Nose Aesthetics?

    The aim is to get precise results thanks to revision rhinoplasty, which is preferred after the problems experienced in rhinoplasty. In this context, it is aimed that the application of rhinoplasty will produce ideal results both visually and functionally. Preferring the application to improve an already problematic situation requires the right planning for the ideal solution.

    After detailed examination and examination, the patient’s problem is determined and revision rhinoplasty planning is made. With the rhinoplasty performed within the framework of this planning, the result that could not be achieved in the first application is achieved. The expertise of the physician is important in achieving the desired appearance of the patient and eliminating functional problems. In this context, it is necessary for the patient to show meticulousness in order not to experience the problem he faced in the first application again.

    Bruises typically heal within a week, while swelling can take anywhere between 1 to 3 months to fully subside. The effects of surgery should end within a week, and the following period is focused on the healing of edema.

    We use silicone tampons with a hollow center that allow the patient to breathe comfortably, rather than the traditional tampons, in our surgeries. We provide detailed instructions to our patients on how to care for these silicone tampons after the surgery.

    At our clinic, patients have their cast and silicone removed on the fifth day after surgery. They are advised that they can return to work with special taping. If a special circumstance arises, a report can be provided and the rest period can be extended.

    Generally, there is no pain after rhinoplasty. Patients may experience swelling and a feeling of fullness in the nose, which they may find more uncomfortable. These complaints should be completely resolved within five days after surgery. After the removal of the cast and silicone on the fifth day, the healing process accelerates dramatically.

    Yes, it is possible. Speaking specifically about nose surgeries performed in our clinic, almost all of our surgeons perform septum and turbinate (nasal tissue) surgery in addition to rhinoplasty. Functional nose surgery is a concept that enables both a functional and aesthetically pleasing nose. Therefore, in addition to rhinoplasty, nasal airway surgery is also performed during the nose surgery operation. In addition, procedures combined with facial and body surgeries in different regions of the body can be determined by consulting with your surgeon. Our patients generally prefer to have several combined operations together.

    We perform nose surgery using both open and closed techniques in our clinic. As a surgeon who frequently utilizes both methods, I choose the approach that best suits the patient’s facial structure and the needs of their nose. When more detailed and precise shaping is required at the tip of the nose, a small incision made in that area can result in a more effective operation. Open and closed surgeries are not superior to one another when not necessary, but are two different techniques that are chosen based on individual needs.

    After surgery, bones do not grow again, and the removed bones do not regenerate. However, during the bone healing process, the healing tissue of the bone, called callus tissue, can sometimes react more than necessary. In such cases, we use different treatment methods.

    No, we do not use external materials. Previously, materials like silicone were commonly used in nose operations. However, as we observed reactions to these foreign substances, we moved away from these techniques. In our clinic, if possible, we prefer to use the patient’s own cartilage for successful revisions. Our doctors provide detailed information about graft materials.

    We generally recommend having surgery after the age of 18, considering the development of facial structures and tissues.

    No, it doesn’t drop. Due to swelling, your nose tip may appear slightly raised after the surgery. However, as the nose settles over time, the nose tip gradually lowers. This is not nose dropping. Nose dropping used to be more commonly observed in the past due to the use of traditional suture materials. With the cartilage reconstruction techniques we currently use, such problems have significantly decreased.

    We have conducted numerous scientific studies on this subject. If the cartilage is harvested using the correct technique and a dissection is performed without damaging the tissues, the process can proceed smoothly. However, as with any surgical procedure, there are risks of complications. You can watch the speech of Dr. Ferhat İlen on this topic on Instagram and YouTube.

    If necessary, of course, it is not harmful.

    You can read the article of Op. Dr. Ferhat İlen regarding this topic.

    You can see the result between 3 and 6 months after the surgery. However, in patients with thick skin or where the surgical technique is different, this period may extend up to 2 or 3 years.

    You can board a plane 4-5 days after surgery if there are no complications. You can swim in the sea after 1 week, and in the pool after 3 weeks. You can start light exercise 1 week after surgery and more intense sports after 1 month. These periods may vary depending on the individual.

    The nose is not just an external skeletal organ. Prior to a rhinoplasty procedure, it is very important to examine the inside of your nose and if possible, to visualize it with technological cameras for the sake of the operation’s health. This is because some structural problems or diseases inside the nose cannot be observed without this examination. For instance, if you have a breathing problem and the cause is a tumor or growth, it needs to be evaluated. Without evaluation, your problems will persist after the surgery.

    When the tip of the nose is slightly lifted in patients with droopy nasal tip, the distance between the lips and nose may not necessarily lengthen, but rather become more noticeable. This distance, which previously did not attract attention due to the droopy tip, may become more prominent after surgery and bother the patient. If this is the case, a lip lift surgery can be combined with the rhinoplasty procedure to address both issues simultaneously.