Revision Rhinoplasty: Q&A
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Revision Rhinoplasty 1 Year After First Surgery?
I am a 32 year old female and I had a surgery done on a month ago. My diagnosis was: Kyphosys nasi et deviatio septi nasi. Rhinitis hyperplastica. I had two doctors performed my surgery, an oral surgeon and a plastic surgeon. OP was: Septorhinoplastica corrective. Mucotomio bill.Post op., recovery went well.
I went to see my doctor today, one month after surgery, and he told me that he is not happy with the outcome(my nose was asymmetrical, the left and right side are completely different) and he wants to perform revision surgery six months from now. I'm not happy with results either, but I thought that we should wait for one year to pass, but he said it would be alright. Now I'm confused. He has a good reputation and he is a member of ASAPS. What shall I do?
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16 Doctor Answers |
Asked by
jelena
in belgrade,serbia
+1
If asymmetry is the main issue it may be OK to do sooner
Asymmetry won't change much over time so it is OK to do revision. For other revision issues such as tip side and width it is much better to wait.
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When can you have a revision rhinoplasty?
Generally surgeons say wait a year. Why? Because this is how long it takes for the vast majority of healing to have finished. Since revision work is more difficult than the first time, surgeons want everything to be going as best as possible before starting another surgery. Its difficult having to wait, but if it will increase the likelihood of success, then its worth it.
+2
When to perform revision rhinoplasty surgery
Ultimately, the decision on when to perform revision will be up to the surgeon (and you). Many surgeons wait 1 year, some may feel comfortable doing it sooner. It may depend on the what he/she did the first time around, and the amount of revision required. It is probably best that you bring your concerns up with your surgeon, who may explain why he/she feels that 6 months is a good time to do the revision.
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Timing of Revision Rhinoplasty
There is no absolute rule that a patient must wait one year for a revision. Nor is your surgeon saying that it should be done in exactly 6 months. As he follows your recovery he may suggest waiting a bit longer. Follw his advice as you progress.
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Follow your surgeon's recommendations
Your surgeon may have insight into your nose that has prompted him/her to make the recommendations they did. I would follow their advice. Nothing is written in stone and if things should change or the swelling persists or the timing is wrong, you can always modify the date of the surgical revision. A lot will change in the next three months. Work hand in hand with your surgeon. It is their goal to achieve the best possible result they can.
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Rhinoplasty and when to do revision rhinoplasty
In my practice I unfortunately do a lot of revision rhinoplasty surgery from other physicians it is my personal choice to typically wait at least one year. This allows a more predictable result for the revision rhinoplasty. Best regards!
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The timing of revisional rhinoplasty depends on various factors
The use of revisional rhinoplasty is based on two factors, need and timing. Sometimes the need for it can be seen quite early, other times the need does not appear for many months or even years as the nose settles. In the case of the late revisional rhinoplasty need, the timing of it is much easier to decide as the nose may have had plenty of time to heal and relax. This is certainly true in most issues that are not discovered or considered until 6 months or later...
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There is no set rule on when to do revision rhinoplasty
There is no set rule on when a revision should be done. It is true that swelling can take 9-12 months after rhinoplasty to settle down. However, if a surgeon can clearly see that things are not going according to plan, it is not unheard of to do an earlier revision. Talk to your surgeon about his and your goals.
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Timing of revision rhinoplasty
Unless there is something very dramatically wrong, then it is best to wait at least one year if not longer before doing the revision because it takes that long for all the swelling to go away. The nose s the body part that takes the longest to recover this way.
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Have Patience!
Following Rhinoplasty surgery, it is very important to have patience. There can be considerable swelling that will decrease following 3 months. The results usually continue to improve for up to a year. Some aspects of your nose that you are seeing now may not be there long term. In particular, the tip is the area of nose that can have the most swelling, and can decrease in size.
The initial effects of rhinoplasty may not be visible for weeks and the final result may not be attained...
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Revision rhinoplasty may improve results
In general most surgeons like to wait 6-12 months before a revision rhinoplasty. Sometimes the surgeon may decide early on based on the intra-operative experience and the immediate post op appearance that a revision will be needed. Even in the most experienced surgeons a 5-10% revision rhinoplasty rate occurs.
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Timing of revision rhinoplasty - Should you wait 1 year after the original surgery
There are many elements to consider after revision rhinoplasty. It is wise to wait at least one year to determine the extent to which your cartilage and skin heal after the surgery. In this particular case, it is evident that your cartilaginous structure of your nose is already repositioning in the early phase of healing. For this reason, it would be theoretically prudent to wait at least one year.
On the other hand, it seems as though your surgeon is well...
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When to consider a revision rhinoplasty
After a patient has had a rhinoplasty, a small percentage of patients may choose to further modify their nose or correct in area that they feel was not impressed with the first surgery by receiving a revision rhinoplasty. It is important to only consider the surgery once your nose has fully healed from the first procedure. For this reason, we recommend that patients wait at least 10 months after their surgery before considering a revision. This will allow the swelling to go down and will...
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Time span to revision rhinoplasty
Although you may be unhappy with your original rhinoplasty, it is best to wait for at least one year until you have a revision even if it is obvious you will need to have one. The reason is due to the uncertainty in wound healing that can result from operating too soon. Also, it is technically more difficult to mobilize underlying nasal tissue due to scarring until it can soften up and allow for more predictable results. I hope this information helps.
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You should generally wait 1 year to have a revision rhinoplasty
The general rule of thumb is to wait 1 year to have your revision rhinoplasty but if your surgeon is good and you trust him then follow his advice. I have gone in on people earlier then 1 year when I have all the information including photos and reports from their previous doctor because the information was enough to have a really good idea of what to expect at the time of surgery.
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Rhinoplasty revision best when swelling subsides
Rhinoplasty revision is best performed after all the swelling has gone done and things are healed. Usually 6 months to a year is the minimum time to wait.
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