REVISION NASAL SURGERY
(SECONDARY RHINOPLASTY)

         The deformed nose following prior nasal surgery can usually be corrected or improved using the most advanced surgical techniques.

         If you have had prior nasal surgery which failed to meet your expectations, either in terms of appearance or airway, your condition may benefit from corrective nasal surgery (Secondary Rhinoplasty). The previously operated nose is more complex than the primary rhinoplasty. Patients may complain that their nose is “worse than before” or that they “still can’t breathe”. Breathing difficulties can generally be corrected. By using state-of-the-art surgical techniques such deformities resulting from a failed prior rhinoplasty can also generally be corrected.

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         Frequently findings in the less-than-acceptable post-op nose include supra-tip swelling or “Polly beak” deformity, over resection of the hump or “scooped nose”, over resection of the tip or “pinched tip”, and a turned up nose or “piggy snout”. A dropped tip can also occur giving the nose a decidedly unnatural appearance. Other problems include an asymmetrical nose, a nose which goes over to one side, and a collapsed nose which doesn’t breathe well. There may be lack of correction of the internal airway problems, constriction of the nasal vault reducing airway, and even nasal septal perforations (a hole through the central membrane of the nose).

         Most of these problems have solutions; however corrective surgery must be extra carefully done. Surgery is tedious and time consuming. As a result of dense scar tissue from prior surgery, the anatomy can be less predictable. Each case must be individualized, and extensive pre-operative planning is necessary. Our goal, and yours, is to have a nose which does not have an operated look, one which functions well, and one which you feel good about the appearance. The techniques of secondary rhinoplasty will be explained to you in detail.

         We accept referrals of patients who have had unfortunate results from their first, second, and multiple prior rhinoplasties. These are complex cases, and must be studied thoroughly before proceeding with corrective/revisionary surgery. In many of the cases cartilage grafts will be required. To avoid complications the cartilage grafts must come from the patient themselves (autogonous). This provides for the most reliable and predictable results. Sources for cartilage grafting will be explained at your consultation.

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         Your surgeons at the Fairbanks Plastic Surgery Center have extensive experience in correcting deformities from prior nasal surgery. If you have a nose which has uncorrected problems after a prior rhinoplasty, we are pleased to consult with you, examine your nose, and explain what can be done to improve or correct it. Explanation of airway considerations, comparative anatomy, and methods of correction will all be discussed at the time of your initial consultation.



For further information regarding Revision (Corrective) Nasal Surgery, call the Fairbanks' Plastic Surgery Center at (801) 268-8838 and come in for a consultation.