rhinoplasty or revision rhinoplasty is performed
in order to correct unsatisfactory results of previous nose surgery after
nose injury. Rhinoplasty in the hands of an experienced surgeon, using
appropriate methods generally gives excellent results however, in a minority
of cases, the appearance of the nose after primary rhinoplasty can be
improved with additional surgery. Reasons for secondary rhinoplasty is
either the inadequate aesthetic result or breathing difficulties.
Establishment of desired aesthetic proportions of the nose, which did not
achieved by previous surgery.
Basically, almost in all of the cases the
modern open techniques of nasal reconstructionare performed. We should bear
in mind that during the secondary nasal reconstruction surgery, all of the
appropriate natural material needed for reconstruction is already used
mostly duringthe first surgery. Sometimes it is necessary to harvest ear or
rib cartilage, in order to perform adequate surgery. All this facts make
secondary rhinoplasty more complex. That is a reason why it requires an
experienced surgeon, who has previous experience in the field of secondary
Duration and Anesthesia:
Depending on the complexity of the
reconstruction,the surgery can last from 2 to 4 hours and is performed under
general or local anesthesia with iv analgosedation.
with theprimaryrhinoplasty, in the nose of the patient the tampons are
placed,which usually should be removed on the fourth postoperative day, and
immobilization mask, which needs to be removed on the seventh day. It is
certainly advised avoidance of strenuous physical activity,in order to avoid
unnecessary swelling and bruising. Swelling and bruising on the face.