Revision Rhinoplasty: What Patients Need to Know

Occasionally, a nose surgery does not go as planned, leaving patients with new functional problems or dissatisfaction with their appearance. A botched nose job can lead to disappointing results, it can be an emotionally taxing and frustrating experience. Some people may have trouble breathing because of structural changes inside their bodies, like blocked nasal passages or extensive scar tissue that restricts airways. In certain situations, the nose may start to look “surgical” or unnatural, out of proportion to the rest of the face. If you’ve had a rhinoplasty but are dissatisfied with the results, then revision rhinoplasty could be the answer. Dr. Azouz, a board certified plastic surgeon, specializes in nose surgery and helps patients achieve their ideal nasal shape and function. Revision Rhinoplasty demands expert accuracy and artistry,  whether for cosmetic reasons, breathing difficulties, or structural changes.

Why do Patients Seek Revision Rhinoplasty?

Many patients consider Revision Rhinoplasty due to:

• Unsatisfactory Aesthetic Results: The nose may look asymmetrical, overcorrected, or undercorrected.
• Breathing Difficulties: A previous surgery could have damaged the nasal airway, causing functional difficulties.
• Formation of Scar Tissue: Excess scar tissue can alter the structure and functionality of the nose.
• Trauma Following the Initial Surgery: Injuries after rhinoplasty can change the surgical outcome

 

Types of Rhinoplasty Deformities

Revision rhinoplasty is commonly needed to fix surgical errors, poor healing, and structural defects. Understanding the most frequent rhinoplasty abnormalities is critical for both individuals considering surgery and those dealing with post-operative complications. Here are some common nose job problems and abnormalities:

• Polly Beak Deformity: Supratip fullness that resembles a parrot’s beak, usually caused by extra cartilage or scar tissue.
• Saddle Nose Deformity: A bridge collapse that results in a scooped profile, commonly caused by septal overresection or trauma.
• Inverted V Deformity: A visible “V” shape in the middle of the nose caused by the collapse of the upper lateral cartilages following hump excision.
• Alar Retraction: Nostrils are pulled upward, exposing too much of the nostril, usually due to cartilage over-resection or scarring.
• Pinched Tip: An overly narrow tip caused by extensive cartilage removal, which can affect both aesthetics and breathing.
• Open Roof Deformity: A flat bridge caused by a failure to seal the nasal bones following hump removal.
• Over-Rotated Tip (Pig Nose): An upturned tip with extensive nostril show, usually caused by over-resection or upward rotation.
• Bossae Deformity: Tip abnormalities or lumps caused by bent or prominent cartilage, which are often visible and palpable.

Scarring for a Revision Rhinoplasty

Patients who might face the complications listed above may consider Revision Rhinoplasty. Revision Rhinoplasty can be done in two main ways: open and closed. Dr. Azouz carefully considers the skin condition, nose structure, and any prior surgical modifications to choose the best method.

The open approach, which involves making an incision across the columella, allows better access and visibility when dealing with dense or uneven scar tissue, allowing for more exact modifications. However, it leaves a noticeable scar, which is usually well-hidden near the base of the nose. The closed approach, which involves incisions inside the nostrils, eliminates visible scarring but provides limited access, making it more difficult to treat intricate scar tissue. The open technique is used for more significant modifications requiring precise scar tissue manipulation.

Schedule a Consultation with Dr. Azouz

Revision Rhinoplasty is more complex than primary rhinoplasty and necessitates the skills of an experienced surgeon such as Dr. Azouz. His knowledge of nasal anatomy and reconstructive procedures helps patients achieve natural-looking, functional results. If you’re considering Revision Rhinoplasty in Dallas, contact Dr. Azouz today. After evaluating your concerns, he will design a customized surgical plan to give your nose the shape and functionality you desire. Call (972) 702-8888 or contact us online to schedule a consultation. Virtual consultations are also available.

Written by Pavani Mandla and Rhiya Patel on behalf of Azouz Plastic and Cosmetic Surgery