Revision rhinoplasty

Secondary rhinoplasty requires compelling medical reasons. This is a complex type of surgery that is more difficult for the body to tolerate and requires a longer recovery. To consider all the pros and cons, you should consult a plastic surgeon.
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What can be achieved with rhinoplasty

Secondary surgical intervention is performed to correct defects formed as a result of a previously performed similar operation, or defects that cannot be eliminated during the procedure alone.

Compared to primary surgery, revision rhinoplasty is technically much more difficult, because the doctor has to deal with the presence of formed changes that interfere with a full understanding of the volume and nature of the upcoming intervention. In this case, the following is taken into account:

  • Low information content of palpation about the condition and location of the cartilage framework
  • The presence of dense scar tissue, causing slow metabolic processes in the operation area
  • Structural changes in soft tissues requiring more delicate handling during surgery
  • Lack of cartilage reserves, requiring, if necessary, implantation of biomaterial taken from the tissues of the auricle
  • High risk of unpredictability of the operation, during which the surgeon’s ability to act rationally and quickly is required

Such difficulties pose a difficult task for the surgeon, requiring extensive practical experience and certain knowledge. The final result of the operation depends on this, which should best meet the aesthetic needs of the patient.

rhinoplasty
Indications

Objective reasons are taken into account, the result of which is revision rhinoplasty. We are talking about defects formed by:

  • During primary plastic surgery and assessed as cosmetic or physiological complications
  • Injury to the structures of the nose, leading to distortion of the previously obtained aesthetic result
  • As a result of the doctor’s erroneous actions during the previous manipulation

The following problems may result from such developments:

  • Nasal breathing disorders
  • Curvation or destruction of the nasal septum
  • An asymmetrically located or displaced nose, dissonant with the proportions of the face
  • Inconsistency of shape and size with expected requests
  • Formed defects of the osteochondral frame (hump, depression, knob-like growths)
  • Unnaturally narrowed or drooping tip, its aesthetically unsightly outline
  • Keloid scars (external and internal)

For many patients, postoperative dissatisfaction with the appearance of the nose results in the development of psychological problems that complicate everyday life. Secondary rhinoplasty is often the only way to achieve the desired attractiveness and get rid of personal complexes.

Contraindications

Any highly qualified specialist will refuse to perform a second operation if the rehabilitation period after the initial intervention is shortened. This is a fundamentally important point that the patient must take into account if he wishes to undergo surgical correction again.

The final results of plastic surgery should be judged no earlier than after 6-7 months. During this period, blood circulation and trophism of soft tissues will be restored, and postoperative scars will be fully formed. The surgeon will assess the condition of the nose and advise on the time when you can resort to rhinoplasty again. If the patient is diagnosed with atrophic skin lesions or a significant lack of subcutaneous fat and cartilage, then plastic surgery on the nose is most likely impossible. In this case, you should resort to cosmetic correction.

Types of operations

Revision rhinoplasty, like primary rhinoplasty, is performed in a closed or open manner.

Closed or open rhinoplasty

If there are small contour defects that do not require deep intervention, a closed operation is used, when a penetrating incision is made on the inner surface of the nasal passages. This reduces operating time and recovery period. It is possible to perform closed plastic surgery under local anesthesia, which greatly facilitates the procedure for the patient.

However, in case of serious structural disorders or complications, the operation is performed openly under general anesthesia. The soft tissues are dissected between the bases of the nostrils and carefully pushed back until the osteochondral frame is exposed. In this case, the surgeon has access to the entire surgical field with the ability to perform a full list of surgical actions. The likelihood of not missing details that require correction is practically reduced to zero.

After completion of the manipulation, sutures and fixing splints are applied to the operating area.

Reconstructive surgery

The indication for nose correction is insufficient volume lost during primary plastic surgery. To replenish it, cartilage grafts are used, taken from similar tissues of the nasal septum, and if they are deficient, from a rib or auricle. The removed material is given the desired shape and implanted in a new location.

Rehabilitation

Nose rhinoplasty performed repeatedly requires a long recovery in compliance with all medical recommendations. Only in this case can one expect a high aesthetic result without complications.

Postoperative sutures are removed after a week, and a fixing bandage is used for at least 2-3 months. Swelling, hematomas, and pain in the early postoperative period persist for a long time, but with the use of antibacterial, anti-inflammatory, and absorbable drugs they gradually disappear.

During the rehabilitation period it is recommended:

  • Sleep face up
  • Do not be exposed to physical activity or stress
  • Avoid hypothermia, overheating, exposure to ultraviolet radiation
  • Eat right, don’t drink alcohol
  • No smoking
  • Don't wear glasses

The period of complete recovery also depends on the individual characteristics of the body. On average it takes 7-8 months, but it can take 1.5 years.

Revision rhinoplasty at the K+31 clinic

Specialists at the Department of Plastic Surgery perform rhinoplasty of the nose of any complexity, including after previous surgery. The clinic's plastic surgeons are true professionals who help each patient find their ideal nose. To make an appointment for a consultation, you just need to fill out the form on the website or call the reception.
Revision rhinoplasty at the K+31 clinic
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Price

Primary appointment with a plastic surgeon
from 7 500 ₽
Repeated appointment with a plastic surgeon
from 6 700 ₽
Nasal contour plastic (Aesthetic rhinoplasty with congenital defects)
from 165 600 ₽
Nasal contour plastic (Aesthetic rhinoplasty with acquired defects)
from 207 700 ₽
Nasal contour plastic (Repeated aesthetic rhinoplasty)
from 333 500 ₽
Tip of nose plastic (Tip of nose plastic with acquired defects)
from 134 800 ₽
Rhinoseptoplasty (Rhinoseptoplasty with congenital defects)
from 176 000 ₽
Rhinoseptoplasty (Rhinoseptoplasty with acquired defects)
from 238 720 ₽
Rhinoseptoplasty (Repeated rhinoseptoplasty)
from 318 800 ₽
Rhinoplasty Program
from 279 620 ₽

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Reviews 10

I was admitted to the clinic with carcinoma. I am happy that I ended up in the hands of Ivan Aleksandrovich. A very competent, attentive to the patient, and most importantly - an honest doctor. I received answers to all my questions and was offered several options for subsequent plastic surgery. The doctor came personally for dressings, after discharge I could always ask questions at subsequent dressings. If you have a choice and have the opportunity to go to Ivan Aleksandrovich - know that you are in reliable and good hands.
01.08.2024
Elizaveta Igorevna
I had surgery in this clinic with Mitoyan Ruzanna Yesaievna, the doctor made an impression from the first appointment. During the consultation, everything was explained in detail about how it goes, what is needed for the operation to take place, and what recovery is like. I received very competent answers to all my questions, I compare with other clinics where I consulted, they wanted to impose such a feeling more than anything else. I really liked her delicacy, attentiveness, charge with calm and confidence. On February 22, 2024, I had upper blepharoplasty, the operation went perfectly, the postoperative period was easy, I followed all the recommendations and no problems arose, there were almost no bruises or swelling and everything healed very quickly. I want to express my deep gratitude to you for your professionalism and light hand! I was delighted with my eyes! It’s been a long time since my look has been so fresh and not overweight. And another miracle that you did - you saved all my colored permanent makeup on my eyelids!
08.04.2024
Lokotko Elena Borisovna
I had mammoplasty with the surgeon Meloyan Misak Mkhitaorovich. I'm very, very pleased. The surgeon, despite his young age, is a professional in his field. Competent approach and accuracy. My stitches are not visible, as if nothing had happened, my breasts are gorgeous! the result exceeded all my expectations. Thanks a lot !!!
29.03.2024
Elena
Many thanks to Galina Telnova. Great professional. In December 23, I had my eyes done (bottom, top), I was terribly afraid that my appearance would change, that something would go wrong. Everything went perfectly. Attentive nurses. Galina Sergeevna inspires with calmness and confidence. Very grateful. I like myself very much. If I decide to undergo any more plastic surgery, only go to Galina Sergeevna Telnova.
01.03.2024
Margarita
I had breast shape correction and abdominoplasty done at K+31. After the operation, I spent only 3 days in the ward, after which I went home and recovered at home. I waited about two months for complete healing. The clinic (West) has excellent staff, friendly attitude
03.01.2024
Angelina
Many thanks to plastic surgeons K+31! All my life I suffered from back pain due to the constant load on the spine... Finally, at the age of 45, I decided to have a breast reduction. Within a week, the swelling went down and I finally had small breasts. The rehabilitation period passed as quickly as possible and without complications.
01.12.2023
Alexandra
The augmentation was done in early autumn with round Mentor implants. I wanted to achieve the maximum effect and I was right. The breasts are firm, soft and beautiful, the seams are not visible. +100 to confidence. If you want a more natural effect, the doctor may suggest teardrop-shaped implants.
28.11.2023
Victoria
The best !!!! Gorgeous, cool surgeon!!! Wizard ❤️
19.11.2023
Khaertdinova Liliya Shamilevna
I contacted Dr. Ruzana Mitoyan about intimate plastic surgery (resection of the labia minora), the result exceeded all my expectations, I was afraid of pain and disappointment from the final result, but everything is fine, even better than I expected! The doctor was in touch, the rehabilitation period was easy.
07.11.2023
Kurilova Zalina Amilvarovna
Ruzanna Yesaievna made the most pleasant impression on me even during the consultation. She explained everything in detail about the operation, anesthesia options, and rehabilitation. After the consultation, we set a date for the surgery. The operation itself went well, there were no complications. Although I planned to spend the night under observation, I went home because I felt good. It is now 9 days after surgery. There was no pain from the word at all, not a single seam came apart. Now the healing is progressing at its own pace, without causing me any discomfort. And the result is already incredibly pleasing! Ruzanna Yesaievna is a tough professional who does her job with love. I am very glad that I ended up with her. Choosing a surgeon is a rather difficult process. Based on my experience, I can confidently recommend Ruzanna Yesaievna.
31.10.2023
Daria Sergeevna
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