Complex Revision Rhinoplasty, a Surgeon’s Detailed Structural Assessment Before Surgery

Even after carefully researching and choosing, and feeling sure you made a good decision about your first rhinoplasty, you never imagined that you would become a “difficult revision case” yourself.

Complex problems make your confidence drop even further. Where you once felt confident, now you do not even feel confident looking in the mirror to take care of yourself. You go for a consultation at several clinics but are turned down, left to live with the hurt and with questions going round in your mind, such as:

• My nose is crooked after surgery and I want revision.
• After a silicone implant my tip is thin and close to extrusion. Where can I have revision done with proper care?
• My nose is infected after my earlier rhinoplasty. What should I do?
• My nose shape does not suit my face and I want a new shape.
• My nasal skin is thin. Can it be corrected, and which rhinoplasty or revision shapes are possible?

S45 Clinic Cares for Complex Revision Cases With Detailed Assessment

Revision needs careful attention to every problem, including assessing and diagnosing the cause. If other problems or conditions are found as a result of a rhinoplasty that went wrong, many clinics are reluctant to take the risk of rebuilding the nose.

A new rhinoplasty is easier than removing an earlier augmentation and rebuilding the nose, because the changed structure and the fragility caused by earlier damage weaken the surrounding tissue, cartilage and other structures, so many cases become too difficult to correct.

What Counts as a Difficult Revision Case

• A nose misshapen by earlier surgery, such as implant extrusion, a crooked nose, a tilted silicone implant or a contracted tip
• A lot of scar tissue and damaged tissue
• Chronic inflammation or infection of the nose
• A nose that has been revised several times and still needs more correction
• A nose that needs complex and delicate correction

S45 Clinic Is Ready to Take on Difficult Cases, Because We Are More Than a Revision Rhinoplasty Clinic
we Assess Each Case Carefully, However “Difficult” Your Nose May Be

Revision, especially in difficult cases, needs a surgeon with in-depth knowledge and understanding of facial structure, who can choose a suitable surgical technique and address the problem directly. An experienced surgeon can help lower the chance of repeated problems, because rhinoplasty is not just textbook knowledge. It means designing a shape that suits the face and addressing the problems in the same operation.

How S45 Clinic Approaches Difficult Cases With Experienced Surgeons

• Detailed and careful assessment of the problem and suitable treatment planning
• Choosing implant materials that suit each person, such as ear cartilage, rib cartilage and acellular dermal matrix (a processed tissue graft)
• Considering structural rhinoplasty (reshaping the nasal structure) to correct problems from the inside
• Using up-to-date technology for diagnosis and surgery
• A detailed consultation to understand your wishes and the problems you have
• Designing a nose shape that suits your existing facial structure and correcting earlier problems

Difficult Revision Rhinoplasty Reviews at S45 Clinic

If you have a difficult revision case, talk to S45 Clinic so we can assess it and plan a nose that suits you.

Book an Appointment With a Surgeon for a Revision Assessment

Frequently Asked Questions

My Nose Is Crooked After Surgery, Can I Have Revision Rhinoplasty?

It can be corrected, but the surgeon must first assess whether the nose is crooked because of the silicone implant or because of the bone structure and the nasal pocket, as each problem is corrected in a different way. If a crooked silicone implant has not affected the nasal structure, it can be corrected straight away. If the structure has been affected, the surgeon needs to use an approach tailored to you.

Thin Tip Close to Extrusion, Do I Need Revision Rhinoplasty?

Have it corrected soon. If it is left, the implant may push through the tip and leave a lasting scar. Having revision early, before the silicone implant breaks through, makes correction easier. The surgeon may consider adding tissue to help thicken the tip.

If My Nose Is Infected, How Long Do I Need to Wait Before It Can Be Corrected?

If an infection means the silicone implant has to be removed, it is recommended that you allow 3 to 6 months for the affected tissue to heal and for scar tissue to reduce, then see a surgeon to assess a new rhinoplasty.

My Nasal Skin Is Thin but I Want Rhinoplasty for a Higher Nose, Is That Possible?

It is possible, but you may need a tip graft to lower the chance of implant extrusion, using acellular dermal matrix or your own tissue, or a revision shape that suits your skin.

How Long Does Revision Rhinoplasty Last?

How long revision lasts depends on your own decision. If you do not want to change the shape, it can last a long time without further revision, although results depend on each person.

Is Recovery After Revision Rhinoplasty Longer Than After a First Rhinoplasty?

Recovery after revision takes a little longer than the first time because of scar tissue and the tissue that has been reshaped, but this is not usually a cause for concern. Follow the surgeon’s advice and avoid activities that could knock your nose. This helps your recovery and helps the nose settle into shape.

Note: Revision rhinoplasty, which many people know as ‘nose correction’, is surgery for people who have had nose surgery before and need further assessment by a surgeon. Care depends on the original problem, the structure of the nose and the surgeon’s judgement in each case.