Revision Rhinoplasty

Kris Conrad, MD
Article by
Toronto Facial Plastic Surgeon

I see numerous patients still legitimately concerned about their appearance, despite having undergone multiple operations by more than one surgeon.

In revision rhinoplasty, a most delicate procedure, I correct the unwanted outcomes of previous primary rhinoplasty surgeries. This requires an exceptional volume of experience, packaged with an innovative ability to apply many techniques to repair damaged anatomy and create the desired result.

Plastic surgery of the nose is thought to be the most difficult among all the cosmetic operations.  Most surgeons consider a rhinoplasty a significant challenge, as it requires not only considerable artistic sensibilities but also scientific understanding of function.

From the first consultation to the stage of complete healing, I am always acutely aware of the responsibility and trust placed in me by my patients.

 

Revision Rhinoplasty Procedure

In order to restore the nose after prior damage, tissue grafts with material being harvested from the nasal septum, ear cartilage, or rib cartilage are sometimes used, together with suitable synthetic implants.

Special rhinoplasty techniques are now available to improve inadequate projection and definition of the nasal tip.  This will also create better harmony and balance between the upper and lower part of the nasal bridge.

In most instances, improvement or almost total restoration is possible. 

 

DR. CONRAD WOULD LIKE YOU TO KNOW…

Revision after unsuccessful rhinoplasties previously performed by other surgeons must not be confused with minor adjustments necessary in 5 to 15% of surgeon's own rhinoplasty patients. Such touch-ups after a primary operation by the best hands in the world, are needed because of the unpredictability of tissue healing and are prompted by the surgeon's high standards in his aesthetic expectations.

Full revision naturally entails a higher risk of complications and the need for further treatment is greater than those undergoing a primary operation. There is an increased possibility of the skin showing permanent redness or an uneven surface.

 

The grafts and the implants may require reinsertion, as they could be extruded or displaced. Such occurrences in my practice are very rare. Despite all the potential problems, this group of patients can be significantly helped.