I had Revision Rhinoplasty 12 weeks ago. At least 3 times a week, my nose from the bridge to the tip turns red and then the color disappears a couple hours later. My surgeon took cartilage from the bridge to build up the tip, where it had formed a dent. It is still very swollen and the bridge still hurts at times. Does revision take longer to heal? Thank you.
Revision Rhinoplasty Recovery
Doctor Answers 19
Recovery After Revision Rhinoplasty Can Take Longer
Recovery after a revision rhinoplasty can take longer than the after the first surgery. Generally, the nose will be more swollen and the swelling will persist longer. It is not uncommon for patients to have slight discoloration of their skin after a secondary (revision) surgery because the skin has been traumatized by the multiple surgeries.
Fortunately, with time these problems should resolve. Visit with your surgeon so he or she can reassure you that what you are experiencing is normal for this phase in the recovery period.
Revisions take a lot longer to heal
One of the most difficult things when counseling revision rhinoplasty patients is setting appropriate expectations. I especially emphasize with my patients that revisions will take a much longer time to settle, contract, and take on the final nasal appearance.
While we commonly cite a one-year time-frame for primary rhinoplasty (i.e., the initial rhinoplasty), revisions can easily take 18 months to two years...or longer...in many patients for healing to be essentially done.
This prolonged healing phase is probably the result of several factors such as impaired blood supply, impaired lymphatic drainage, more dissection trauma, additional fibrous tissue formation, etc.
Hope this helps,
Revision Rhinoplasty Recovery
Absolutely. You will find that the text book answer of one year very much holds true for revision surgery. There is truly nothing you can do to speed up the process besides time and patience. The good news is that you will have a full 12 months for these issues to resolve and improve. And they will! Hang in there.
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Revision Rhinoplasty - Prolonged Healing Time
There is no one standard Revision Rhinoplasty and therefore there is no one standard Healing Time. However, the addition of grafting material does seem, at least in my opinion, to cause more prolonged firmness in the tip. The more heavily scarred the nose is - the more prolonged the swelling is as well. Some primary Rhinoplasty patients take longer to clear swelling than other secondary Rhinoplasty patients so there is not always a clear correlation between the number of surgeries and the amount of healing time involved. In your case the intermittent redness may simply be the result of healing of the nerves that control blood flow to the skin. Typically, infections of the nose are very rare but if one did occur it might present with redness but it would also probably be associated with increasing tenderness and pain and would be constant. If you've seen your surgeon and explained your concerns and he did not feel that anything was wrong then just give it time and expect it to improve. Best of Luck
Is recovery longer after revision Rhinoplasty?
Yes, recovery is often longer after revision Rhinoplasty. The surgical area is no longer natural and untouched. The surgery is more difficult and often complex. Skin color changes are common and usually resolve with time.