Revision Rhinoplasty Q&A
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What Are the Long-term Effects of Having Multiple Rhinoplasties?
asked 2 years ago by Freya in Hattiesburg,Mississippi
Latest answer by William Portuese, MD
Question viewed 586 times
Tags: long-term, side effects
I've had primary and secondary rhinoplasty done. And I was wondering if it could possibly give me any problems in the future...Say 10 or 20 years. How much weaker does it make the structure of the nose?
13 answers to What Are the Long-term Effects of Having Multiple Rhinoplasties?
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Long term effects from multiple rhinoplasties
In 10 to 20 years, the skin in the nose tends to give a slight shrink wrap effect and if the structural component of the cartilage and bone of the nose is not sufficient it can collapse inward. It really depends on what type of procedures were performed and where the cartilage grafting has taken place and how much structural integrity was left in the nose at the time of the rhinoplasty to predict what it is going to look like in 10 or 20 years.
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Long-term effects of multiple rhinoplasty
The fact that you have had two rhinoplasties does not necessarily mean that you will have problems in the future or that the structure of the nose will necessarily be weaker. The reasons for your primary and secondary rhinoplasty and the quality of the procedures performed are the important factors.
There are some people that have revision rhinoplasty procedures where a large portion of the bone and cartilage structure is missing and replaced with significant scar tissue. On the other hand...
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Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon
Freehold Facial Plastic Surgeon
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Nothing to worry if...
If you had your surgeries performed correctly, there is nothing to worry. One important factor to consider is when were your surgeries performed?, the final result from a rhinoplasty is not earlier than 12 months, your scar tissue will continue to change and some details will be able to be more noticeable. A rhinoplasty may look great for 6-12 months and then you can start noticing some imperfections. But again if the surgery was done properly and this was done more than 2 years ago, most...
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Victor Manuel Perez, MD
Kansas City Plastic Surgeon
Kansas City Plastic Surgeon
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Multiple rhinoplasties is not a sign of good things to come
If you have only had two previous rhinoplasties and you are not having problems with nasal breathing and your nose looks good one year after the surgery that is a good sign. The framework (bones and cartilages) of your nose are probably stable and well supported and you will probaly do well in the future.
However, if your nose does not have a good shape and you are having breathing difficulties it probably means the last surgery was...
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Long Term Effects of Revision Rhinoplasty
Aproperly performed revision will not necessarily weaken the nasal structure and may in fact increase nasal strength and integrity. I understand your concern, but you will not know the answer to your question for many years. Other than normal aging, you probably will do fine.
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Long-term effects multiple rhinoplasties
In rhinoplasty one modifies the dorsum and the tip. Some noses need adding cartillage if the supporting structures are weak, some carillage is removed, some a combination of both. So it depend on what was done. Enjoy what you have now and see how it changes in the next few years.
Samir Shureih, MD
Baltimore Plastic Surgeon
Baltimore Plastic Surgeon
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Long term effects of multiple rhinoplasties.
If the secondary surgery was done in a way to support the nose, there will be little to worry about in the future, i.e., 10-20 years.
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Rhinoplasty and nasal change
If you had a significant amount of cartilage removed, then conceivably you might notice changes within 2-3 years. If there is no change by that time, then it would be unusual to see a change at 10 years out from surgery. Every additional surgery creates more scar tissue which can heal unpredictably, which is another reason why we try to avoid too much work on the nose after the initial surgery. Good luck, /nsn.
Nina S. Naidu, MD
New York Plastic Surgeon
New York Plastic Surgeon
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Long term effects of multiple rhinoplasties
If you have one or two it is probalby OK. The nose will age like the rest of the body and may thin out a bit. If you are talking about more than 1 or 2 or even 3, I would suggest looking at MJ's before he passed.
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Scar contraction after rhinoplasty
Ideally, proper structure should be preserved or created during rhinoplasty to avoid the inevitable and relentless forces of contracting scar. A well executed rhinoplasty–even a revision–should take that into account. The bigger concern, perhaps, with multiple revisions is the quality of the blood supply to the tissues. There's a limit to how much this can be controlled. Two rhinoplasties is usually not an issue, however, in a non-smoking, non-diabetic patient, in my...
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David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
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Long Term Effects of Multiple Rhinoplasties; Can You Say Michael Jackson?
Hi Freya,Can you say Michael Jackson (rest his soul)? Michael Jackson is an example of the removal of the underlying structural supporting cartilage and bone of the nose. When the scaffolding of the nose is removed, the overlying skin "shrink-wraps" giving the nose a very unnatural appearance. As long as your surgeon has maintained the boney-cartilaginous skeleton of your nose, you should not worry about your nose in the future. It will continue to refine over years as scar tissue...
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Long Effects of Rhinoplasty
Hi,
That depends on what was done. If you had allot of cartilage removed and the supporting structures of your nose, then you could develop nasal valve collapse. The nasal valve is the support mechanism for the lower 2/3 of your nose and allows you to breath normally. In addition, as you age, the cartilage will weaken and further contribute to nasal valve collapse. However, if your tip and nasal valve where re-supported with cartilage during your rhinoplasties, then you should not have this...
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Noses heal for a few years after rhinoplasty but still age normally
We tell all patients that the nose heals for a few years following rhinoplasty. This is true and supported by following rhinoplasty patients for many years. After about 2 to 3 years or so following a primary surgery and 3 to 5 years after revisions, there are usually little to no further changes. However the nose still ages as do all other parts of the body. Properly performed rhinoplasty should leave sufficient structure to minimize changes other than normal aging 10 to 20 years after surgery.
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