Revision Rhinoplasty 3 Years Later, a Patient’s Case Review With Dr. Ty at S45 Clinic

Revision rhinoplasty and open rhinoplasty with rib cartilage are options for people who want to correct a nasal structure with complex problems.

Today S45 Clinic shares the experience of Khun Praew, a skincare brand owner, who has updated her results 3 years after revision rhinoplasty with Dr. Ty (นายแพทย์กิตติศักดิ์ วงค์เทียนชัย, ว.35602) at S45 Clinic.

Khun Praew, a skincare brand owner, decided to have revision rhinoplasty after she had problems from her previous rhinoplasty.

Problems Before Revision Rhinoplasty

• The outline of the silicone implant was clearly visible along the bridge, caused by her previous rhinoplasty.
• A tilted nasal axis, where the nasal structure was not symmetrical with the face.
• A thin, droopy nasal tip, which made the nose look out of balance with the face.
• A chance of implant extrusion, where the implant may push through the skin, which can be harmful.

These Problems Are Common in People Who Have Had Rhinoplasty Before and Want It Corrected

Open rhinoplasty with rib cartilage is a surgical technique in which a small cut is made at the nasal tip area so the surgeon can see the internal structure clearly, and your own rib cartilage is used as the material for the correction. The open approach lets the surgeon adjust the structure in detail and with precision.

What Is Open Rhinoplasty With Rib Cartilage?

Benefits of Using Rib Cartilage

1. It is your own tissue, so the chance of rejection is low.
2. The nose does not feel stiff and is softer than with artificial materials.
3. Your own cartilage tends to last longer.
4. It lowers the chance of complications in the long term.

Khun Praew’s Revision Rhinoplasty

1. Straightening the structure of the bridge to correct the tilted nasal axis.
2. Lifting the droopy nasal tip using her own tissue to reshape it.
3. Using the open technique so the reshaping could be done in more detail.

Using Your Own Tissue

This lowers the chance of rejection by the body and gives a nose that does not feel stiff and a face that does not look tense. The result is intended to last a long time with a shape that stays stable, although results depend on each person.

How Does She Feel 3 Years and 1 Month After Revision Rhinoplasty?

The clear changes after open rhinoplasty with rib cartilage, 3 years and 1 month on, in Khun Praew’s own words: her nose shape suits her face and her face feels more balanced, the tilted nasal axis has been corrected, and the nasal tip is lifted and no longer droopy. It looks soft and gentle, the shape has not changed and she has had no complications. She says she really likes her face now. Results depend on each person.

Care After Revision Rhinoplasty

• First 2 weeks, rest fully and avoid any knocks to the nose.
• 1 to 3 months, avoid strenuous exercise.
• 6 months or more, you can return to your normal routine.

Self-Care Tips

• Wash your face carefully.
• Avoid wearing heavy glasses.
• Protect your nose from direct sunlight.
• Attend your follow-up appointments with the surgeon regularly.

Khun Praew’s experience of revision rhinoplasty using open rhinoplasty with rib cartilage.

Deciding on revision rhinoplasty is an important decision that needs careful thought. Choosing a suitable technique and an experienced surgeon can help you get a result you are satisfied with, although results depend on each person.

Note: Repeat nose surgery, which many people know as ‘revision rhinoplasty’, is surgery for people who have had nose surgery before and need a further assessment by a surgeon. The approach to care depends on the original problem, the nasal structure and the surgeon’s judgement in each case.