is revision surgery necessary after rhinoplasty |


The nose performs a very vital function in breathing and since it is in the middle of the face, it affects the facial expression, gaze and smile. Just as it is worked in a very small area, even micro-level interventions during the operation create positive or negative differences on aesthetic and functional results. For example, taking the bridge of the nose more than it should be can cause nasal depressions and breathing complaints, and taking it less may cause the appearance of the arch to continue. Or, lifting the tip of the nose by 1 degree may lead to an undesirable appearance, such as the nostrils being visible from the front; A degree lower than 1 may cause the nose to appear low. Functionally, the micro-level curvatures in the middle cartilage, called the septum, narrow the air intake canal and cause nasal congestion complaints, while the correction of the cartilage in the same form helps the patient to breathe in a healthy form. For this reason, nose surgery is one of the most delicate aesthetic operations performed on the human body. In order to obtain a natural, aesthetic appearance and a healthy functional nose, as we always emphasize, the surgeon’s knowledge on the anatomy of the nose, his experience on very different noses, his hand dexterity and the view of deciding what the correct interventions will be to eliminate the existing defects of the patient. it is very valuable. When viewed all over the world, the number of surgeons who fully possess these qualifications is not very high. For this reason, it can be said that the rate of need for revision after rhinoplasty is high. While this rate is around 9-10% for good surgeons, it drops to 1% for really competent specialists.

The Most Common Errors in Nose Surgery
Rhinoplasty is not a nose reduction surgery. Some parts of the nose are reduced; It is a balancing surgery in which some parts are enlarged with cartilage additions when necessary. One of the most common mistakes is to make the nose smaller than it should be. It is not aesthetically appropriate to make excessive reduction attempts during the lowering of the arch, narrowing of the nose wings and the tip of the nose. Because the nose should be compatible with the other borders of the face. In addition, reduction processes should be compatible with the structure of existing bone, cartilage and soft tissues. At the same time, curvature of the nose, inequality in the wings of the nostrils, excessive lifting of the nose tip, irregularities on the nasal ridge, are frequently encountered deformities. In revision surgeries to reshape the nose with rib cartilage and to remove deformities, cartilage tissues taken from the ear or rib are mostly used to correct nasal skeletal deformities and to restructure the nose aesthetically and functionally.

It may be necessary to remove the cartilage tissues that were destroyed during the previous operation / operations and replace them with a smooth cartilage.

What are the techniques used in nasal revision surgeries?
In previous operations, the abdominal muscle membrane is used together with the rib cartilage in patients whose noses are very reduced. The cartilage tissue taken from the rib is chopped in the form of very small 1mm cuts and placed inside the muscle membrane. Thin cartilages placed in the membrane prepared in the required size in the nose are placed on the septum cartilage and the cartilage of the nose is elevated. After augmentation surgeries performed in this way, the rate of complications decreases.

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