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If you
have had a rhinoplasty (or several) and still do not
like the way your nose looks, you are not alone. It
is estimated that as many as 40% of nose surgery patients
are dissatisfied with their resutls and seek revision
surgery.
Revision or secondary rhinoplasty
is a surgical procedure performed to correct an unsatisfactory
result of previous nose surgery. Sometimes it is to
correct the cosmetic aspects of the result (i.e. too
thin, too scooped, etc.…), and sometimes it is to correct
breathing problems.
If you are in good health and it
has been more than six months since your previous surgery,
then you are eligible for a revision rhinoplasty consultation.
It takes at least six months (and sometimes up to twelve
months) for the tissues in your nose to heal completely
so that a revision plastic surgeon can examine your
nose and make an accurate assessment of the problem.
Post-operative swelling (even if
very minor) can diminish the surgeon's ability to make
such an assessment, so it is important to wait at least
that amount of time. (Read more about recovery
from secondary nose surgery). If it has been less than
six months since your previous surgery, try to be patient.
Although the majority of patients consider their nose
"healed" when the initial swelling and bruising
subside, the reality is that their noses are still healing
for at least six months after the surgery.
The next step is to meet with a
skilled cosmetic surgeon to see if surgery can meet
your expectations. Revision rhinoplasty surgery is significantly
more difficult than the original surgery, and requires
a surgeon with considerable experience in that specialty,
since scar tissue is usually involved and can be harder
to work with. Further, implants and/or cartilage grafts
may need to be used to build up parts of the nose, such
as the bridge or the tip. (Read more about different
grafts used for revision
nose surgery).
Other factors that determine
when and if a patient is a good candidate for revision
rhinoplasty are the elasticity of their skin, as well
as any previous existing medical and/or psychological
conditions. Further, patients who have been on Accutane®
any time in the last 6 months need to wait until it's
been at least six months since they last took the medication.
If you are unhappy with the results
of your previous nose surgery, you have waited at least
6 months, are in good medical and psychological health,
and are free of Accutane medication for at least 6 months,
then you are ready to find out how an experienced cosmetic
surgeon can help improve your nose, your confidence,
and your self-esteem.
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