Hello everyone I had an open rhinoplasty 11 years ago and I have an L shape Silicon , I would like to change my implant to Gore tex and ear cartilage for the tip of my nose . My question is is it ok to undergo open rhinoplasty again for revision ? I’m scared that I’m going to have a necrosis if I will do have open surgery again . Thank you for your time and answer .
October 18, 2022
Answer: Revision Rhinoplasty and Necrosis Good Afternoon! The risk of necrosis with revision rhinoplasty comes with any compromise to the nasal skin - typically, at the tip. When too much tension is placed by an implant, for example, it may decrease the blood supply and make future procedures more risky. There are ways to combat this if there is question regarding the blood supply such as hyperbaric oxygen, nanofat injections, and camouflage grafts over the tip with temporalis fascia. These techniques help to make the skin more robust. Removal of the silicone may be a good idea, but GoreTex can cause problems as well. Maybe consider using your own rib as the results can be long-lasting and natural. Best of luck!
Helpful 1 person found this helpful
October 18, 2022
Answer: Revision Rhinoplasty and Necrosis Good Afternoon! The risk of necrosis with revision rhinoplasty comes with any compromise to the nasal skin - typically, at the tip. When too much tension is placed by an implant, for example, it may decrease the blood supply and make future procedures more risky. There are ways to combat this if there is question regarding the blood supply such as hyperbaric oxygen, nanofat injections, and camouflage grafts over the tip with temporalis fascia. These techniques help to make the skin more robust. Removal of the silicone may be a good idea, but GoreTex can cause problems as well. Maybe consider using your own rib as the results can be long-lasting and natural. Best of luck!
Helpful 1 person found this helpful
