SECONDARY RHINOPLASTY
06/07/2020
In reality, only 10% of patients who have undergone rhinoplasty are dissatisfied with the result of their intervention because of a lack of understanding of the request from the cosmetic surgeon, technical faults during the operation or unpredictable phenomena of fibrosis and retractions. scarring.
WHAT IS SECONDARY RHINOPLASTY?
A second nose surgery, possible after one year of the first intervention if the result of the latter is unsatisfactory. It is a more complicated procedure, which consists of reconstructing or repairing imperfections in an already operated nose.
WHAT INDICATIONS FOR SECONDARY RHINOPLASTY?
In only 10% of cases, the first intervention is not satisfactory. Sometimes discontent comes from a lack of understanding from the start about the outcome. It is therefore essential that the patient and the surgeon agree during the consultation on the expected aesthetic expectations. However, the defects observed may also be due to technical faults on the part of the practitioner during the operation or else to unforeseeable phenomena of fibrosis and scar retraction.
The main requests for secondary rhinoplasty are caused by:
Contour irregularities visible under thin skin.
An insufficiency or an excess of correction of the bone lump.
Insufficient correction of the cartilaginous hump (Corbin's nose).
An excess of correction of the cartilaginous hump (nasal saddle).
An excess of correction of the cartilages of the tip of the nose resulting in a tip of the nose plunging or sagging.
Excessive asymmetry or shortening of the nose.
A tightening of the nasal wings.
CONDUCT OF SECONDARY RHINOPLASTY
Secondary rhinoplasty consists in operating a nose a second time in the event of an unsatisfactory result. This new surgery ranges from simple retouching to complete recovery in the event of a failed intervention.
Performable under general anesthesia, the duration of secondary rhinoplasty is longer compared to the first intervention.
1-RETOUCHING RHINOPLASTY
An improvement in the result of a first successful intervention based on the evolution of its result during the control visits by light surgical gestures for the treatment of bony or cartilaginous irregularities visible due to the thinness of the skin.
2-COMPLETE OPERATING RESUMPTION
A cancellation of the effects of the first "failed" rhinoplasty, by completely reoperating the nose on new bases.
These are major deformities that can mask the basic structures of the nose or a lack of tissue by restoring volumes or surfaces using reconstruction by cartilage grafts or implants.
SECONDARY RHINOPLASTY, RESULT
The result of this procedure is final after 12 months. Secondary rhinoplasty brings a clear improvement to the imperfections left by a previous rhinoplasty. The final result stabilizes 3 to 12 months after the intervention.
