Revision and reconstructive rhinoplasty

Revision or secondary rhinoplasty (operation performed to revise an unsatisfactory outcome from a previous rhinoplasty) a reconstructive rhinoplasty (restoring the normal shape and function of the nose following its damage) are much more difficult operations then first rhinoplasty. Frequently, it is neccesary to use autocartilages which can be extracted from nose partitition, ear helix or rib’s cartilage, to restore nose structure. In our clinic we have a big experience of performing such surgeries.

While performing secondary rhinoplasty it is often needed to correct: gone-down tip of the nose, deformed nostrils, saddle-shaped deformation of nose and asymmetrical bone-cartilaginous tissues and restore extracted cartilages.

In our clinic we have enormous experience of performing secondary and revision rhinoplasty.

While performing secondary rhinoplasty it is frequently necessary to correct gone down tip of the nose, correct deformed shape of the nostrils, assimetry of bone-cartilage, restore extracted cartilages and correct saddle-shaped deformation of the nose.

Reconstructive rhinoplasty is also performed to correct inborn deformations like cleft lip and palate and nasal traumas that injured inner and external structures of the nose.

Reconstruction rhinoplasty is performed after traumas which affected inner (bone-cartilage) and ostensible structures (partly or fully absence of the nose).

In cases of such difficult surgeries microsurgical method is used, which gives the possibility to restore lost nasal structures.

Reconstruction of saddle-shaped deformation

Saddle-shaped deformation of the nose (boxer’s nose) most frequently forms after the trauma, badly performed septoplasty and infectious-purulent problems of the nose.

In a case of saddle-shaped deformation we meet the problem of partly, or full absence of cartilage and losing of tip of the nose fixation. In order to correct saddle-shaped deformation and restore cartilage of the nose, auto-cartilages are used.

Operation

Operation is performed under a general anesthetic. The operation lasts for 2,5-6 hour. The incision is made on nostril’s inner surface and across the columella( the pole of skin separating the nostrils).

The post-operation scar is unseen. The interference is made on soft tissues of the nose, cartilage and bone in order to reconstruct them. Autocartilages can be extracted from nose partitition, ear helix or rib’s cartilage without damaging the donor zone.

Frequently it is needed to use auto-cartilages in order to restore lost structures. Auto-cartilages are taken from nose partition cartilage, ear cartilage and rib cartilages.

Post-operation period

After operation special tampons are put in nose hole. We remove them in 3-6 weeks; it depends on character of the operation .We use modern tampons and it is painless to remove them.

To preserve the outcome nose is put in plaster, which is removed in 5-12 days, depending on the character of operation.

The patient is discharged on ambulatory treatment on the 2nd day after the surgery and returns to work on the 3rd day.

Sutures are usually removed on 6th day after the surgery. The skin of the tip of the nose might lose it’s sensibility for a while.

The patient can drive car on the 3rd day after the surgery.

Heavy activity is limited for 2 weeks.

The swell and hematoma appears individually and disappears in 1-2 weeks.

It is not recommended to wear glasses for 2 months after the surgery.

The nose gets its final shape in 6-12 months after the surgery. Though, we should mention that 3 weeks after the surgery, patient does not notice any further chengelings of the shape of the nose.

Individual approach and prolonged observation makes it possible to take notice of the stable results we achieve.

 

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