Revision Rhinoplasty

One of the most common reasons for revision rhinoplasty is dissatisfaction with the results of the primary surgery. The patient may not be happy with their nose's shape, size, or symmetry.

Another common reason for revision rhinoplasty is complications from the primary surgery. These complications include a perforated septum, a saddle nose deformity, and difficulty breathing. It's essential to seek a revision rhinoplasty surgeon with experience correcting these complications.

Kensington Medical is proud to work with one of the best revision nose reshaping surgeons in the UK, Mr Amir Sadri, who have years of experience correcting both primary and revision rhinoplasty surgeries. To view the profile of the highly experienced revision nose surgeons click here.   

Feeling like your rhinoplasty is not right can lead to lack of confidence and genuine disapointment, we have helped hundreds of partient with their revision rhinoplasty procedure. Call us today to find out more.

The nose can shift over time because of the natural ageing process or previous surgery. This can cause breathing problems and an asymmetrical appearance. Revision rhinoplasty can correct this by resetting the nose in its proper position.

Sometimes, the surgeon may need to break the nose to reset it. An incision does this in the columella (the tissue between the nostrils). The surgeon will insert a surgical instrument into the incision and carefully break the bone.

Once the bone is broken, the surgeon can reset it and secure it with titanium plates and screws. This will give the nose more support and prevent it from shifting over time.

A deviated septum is a common problem that can be corrected with revision rhinoplasty. This condition occurs when the septum (the bone and cartilage that divides the nostrils) is displaced to one side. This can cause difficulty breathing and a crooked appearance.

To correct a deviated septum, the plastic surgeon will make an incision in the columella and carefully move the septum into the correct position. Once it is in place, the cosmetic surgeon will secure it with titanium plates and screws.

In some cases, revision rhinoplasty may involve removing scar tissue. The surgeon will carefully remove the scar tissue, taking care not to damage surrounding tissues. This part of the procedure is tricky because each patient is different, and many factors can affect the amount and location of scar tissue.

A Pollybeak beak deformity is another shape that can occur whereby a revision rhinoplasty will be required. It can occur when swelling or tissue in the supratip can push the nose downward into the beak-like formation. Thsi shape This deformity will not resolve by itself and will require revision surgery to adjust the cartilage and bridge in order to achieve a more natural and balanced nose.

The surgery will take 2-4 hours and can be done under general anaesthesia or local anaesthesia with sedation.

The start of your journey involves a conversation with your surgeon during the pre-operative consultations. This important step allows you to develop trust in your surgeon and helps your surgeon understand your objective. At Kensington Medical, individuals considering surgery often undergo multiple consultations with the surgeon. Our primary focus is to ensure that our patients are thoroughly informed before deciding about surgery and have ample opportunity to ask questions about all aspects of the procedure. Generally, our patients require two pre-operative consultations.

The initial consultation usually takes place in person. Its main objective is as follows:

• You will lay out your concerns to the surgeon and explain your objectives;
• The surgeon will give you an idea of what they can achieve by showing you examples of their work in the form of Before and After photographs;
• The surgeon will photograph your nose and, with the help of an imaging software, let you simulate the nose shape you are looking for;
• Your surgoen will examine yuor nose and if necessary discuss the need for a graft;
• The surgeon will then suggest a treatment plan, or a number of treatment plans.

After the first consultation, we will send you the following information:

• A letter from the surgeon summarising the first consultation and suggesting a treatment plan;
• A quotation for the said treatment plan; and
• A document laying out the details of the procedure you are considering, including the pre- and post-operative precautions, the risks involved, the recovery period, etc.

In most cases, a second pre-operative consultation takes place. This is because:

• After having received the surgeon letter, the quotation and the treatment information, you will have questions that you had not thought about at the first consultation;
• The surgeon may have given you a range of options at the first consultation and will want to know which one you have chosen;
• The surgeon wants to make sure that you understand the risks involved with surgery and are aware of the pre- and post-operative precautions you should take.

This second consultation can either be in person or via a video call.

After you have been through the pre-operative consultation process, our medical staff remain available to answer any questions or concerns you may have in deciding whether to go ahead with surgery.

You will be asked to arrive at the hospital one hour before the scheduled surgery time. Your blood pressure and other relevant health measurements will be taken by the hospital's nursing staff. Then you will meet your anaesthetist for a final check-up. Finally, your surgeon will mark you up in preparation for the surgery.

You will then be put to sleep and taken to the operating theatre. There are two broad categories of rhinoplasties: closed and open. In a closed rhinoplasty, your surgeon will make cuts inside the nostrils, leaving no visible scars. An open rhinoplasty involves a cut between the nostrils and allows a much wider range of possibilities.

The operation may involve a great number of different techniques and steps, depending on the objective of your revison rhinoplasty. For instance, the surgeon may:

• Reorientate and reshape the cartilage of your nose, particularly the nasal tip, into a more aesthetically pleasing shape;
• Break the bone of your nose and remodel the cartilage to change its shape (straighten it, remove a bump, correct a deviation);
• Remove some of the bone and cartilage to reduce the size of your nose;
• Take some cartilage tissue from your ear and use it as a graft to enlarge your nose;
• Carry out a bone graft often from your rib area to help in your revision rhinoplasty.

In most cases, we perform this procedure under general anaesthesia. It lasts 2.0 to 4.0 hours. The operation does not generally involve an overnight stay in hospital.

You will be transferred to the hospital's recovery room after your procedure, where the nursing team will monitor your recovery. Depending on the surgery, you should spend two to four hours there. Your nose will be fitted with a protective cast, which you will wear for around one week after the operation. You will leave the hospital with a friend or a family member after the nursing staff is confident that you are fit enough to return home. You should make plans for a friend or a family member to spend the first night post-surgery with you. Although the pain post-operatively is generally not severe, you will be given painkillers just in case.

Our nursing staff will be on call after you are discharged from the hospital to make sure your recovery is as pain-free and comfortable as possible and to answer any questions you may have.

After revision rhinoplasty, you will have splints or packing in your nose to support it during healing. You will also have swelling and bruising around your eyes, which will resolve in 2-3 weeks. Most of the swelling will go down in 6-8 weeks, but it can take up to a year to subside completely.

Our Kensington Medical team may provide particular anti-inflammatory medication to help with the swelling. You should avoid strenuous activity for 4-6 weeks after surgery. It's important to follow your surgeon's post-operative instructions and attend all follow-up appointments. These will help ensure a successful outcome and reduce the risk of complications.

At Kensington Medical your plastic surgeon will see you for a follow-up appointment one week after surgery. Your surgeon will remove the splints and packing from your nose at this appointment.

Final results of Revision Rhinoplasty