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When a previous nose job hasn’t given the results you were hoping for, a revision rhinoplasty can restore the shape and the function of your nose. Revision rhinoplasties are not uncommon, as rhinoplasty is considered one of the most challenging aesthetic surgeries and a procedure that is constantly evolving.

The nose has a three-dimensional structure and operating such a delicate part of the body can sometimes lead to complications and the need of a revision – including grafting. But you’re not alone! Our team of highly-skilled surgeons are here to help you if you need advice on your next nose job or need to revise one that was previously performed.

A nose job is performed to harmonise your features and enhance your natural beauty. We always encourage and guide our patients towards realistic expectations and advise them on what would work best for them. Our plastic surgeons are here to help you make the changes that will enhance your appearance and correct any problem derived from a previous surgery – whether from an aesthetic or medical point of view.

In this article, we are going to explain what a revision rhinoplasty is, when grafting is deemed necessary, and how the procedure works.

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When is it time to have a revision rhinoplasty?

Generally speaking, patients seek advice on a revision rhinoplasty when they are unhappy with a nose job they already had done. This can happen for a variety of reasons, including aggressive surgery, scar contracture with the healing process, or nose cartilage looking deformed. All this can lead to pinched nostrils or nasal obstruction. In these cases, it’s important to act promptly and investigate what the causes are in order to carry out the most suitable corrections for each individual case.

Revision rhinoplasty: Do I need a graft?

In order to understand how to best proceed with a revision rhinoplasty, the first step is to perform an internal and external examination of the patient’s nose. As one of the goals is to restore the structural support of your nose and replace any soft tissue volume that has been lost, the surgeon must often rely on grafts.

Grafts for revision rhinoplasty can be used in one of these cases:

Strengthening the nose

During a revision or secondary rhinoplasty, a patient may need grafting to strengthen the structure of the nose and rebuild it to improve the contour. In this case, cartilage grafting can help correct Pollybeak deformity (a dorsal hump located in the supratip region of the nose), pinched nostrils, or a crooked shape.

Correcting nasal obstruction

When you have breathing issues following a rhinoplasty, causes may vary. Typically, the cartilage that is supposed to support the side walls of your nose needs to be repositioned as it’s not in the correct location. In this case, grafts can help straighten out or widen the airway and improve breathing.

Adjusting the nose tip

If your nose tip needs to be reshaped or strengthened, grafts can help achieve the shape you desire. The surgeon will be able to refine the nose in a more defined and balanced way.

Restoring nasal dorsal height

If you had a dorsal hump removed, grafts may be necessary to strengthen the structure of your nose as well as achieve an ideal aesthetic result.

Revision rhinoplasty: Where are grafts taken from?

In revision rhinoplasty, grafts can help strengthen the nose, improve the functionality, and improve its contour. Ideally, grafts are autogenous (taken from the patient’s own body), and they are sourced from other cartilage of the nose, from the ears, or from the ribs. The procedure is minimally invasive, and it is carried out by making very small incisions, leaving a virtually invisible scar.

When it’s not possible to use autogenous grafts, the surgeon may choose to use synthetic grafts, such as alloplastic implants.

Revision rhinoplasty: How does it work?

For most revisions, the surgeon will choose an open approach (you can read more about the difference between open and closed rhinoplasty here), as it gives a better, extended view and access to the structures of your nose. Below, an overview of how a revision rhinoplasty works step by step.

Pre-op evaluation

The first step is to carry out a thorough examination of the nose. This will help the surgeon understand the patient’s concerns and advise on the best course of action. During the evaluation, the surgeon will especially assess the quality and the thickness of the skin, and any deformity or obstruction that may have been caused by the first operation. Then, the surgeon and the patient will discuss concerns, expectations, and possible surgery to correct the nose – aesthetically, medically, or both.

Grafting

As already mentioned, grafts are necessary to improve the structure or to refine the volume of different parts of your nose. The surgeon will assess how much grafting material is necessary and where it should be sourced from.

Nose job revision

Once the evaluation has been carried out and the necessary grafting material has been sourced, it is now time for the surgeon to make the necessary changes and adjustments. When surgery is complete, your nose will be covered with bandages and you will be given post-op instructions for the following weeks and months.

Revision rhinoplasty at KCM Clinic

Do you need to speak to someone about a possible revision of a nose job that was previously performed? Or are you unhappy with the results of your nose job? We’re here for you. Contact with us and one of our patient coordinators will be in touch with you.

For information on prices, feel free to have a look at our price list.

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