IS REVISION SURGERY NECESSARY AFTER rhinoplasty?

The nose performs a vital function such as breathing and since it is in the middle of the face, it affects facial expression, gaze and smile. At the same time, since it is worked in a very small area, even micro-level interventions during the operation create positive or negative differences on aesthetic and functional results. For example, taking the bridge of the nose more than it should be can cause nasal depressions and breathing complaints, and taking it less may cause the appearance of the arch to continue. Or, lifting the tip of the nose more than 1 degree may lead to an undesirable appearance, such as the nostrils being visible from the front; A degree lower than 1 may cause the nose to appear low. Functionally, micro-level curvatures in the middle cartilage, called the septum, narrow the air intake channel and cause nasal congestion complaints, while the correction of the cartilage also helps the patient to breathe in a healthy way. For this reason, nose surgery is one of the most delicate aesthetic operations performed on the human body. In order to obtain a natural, aesthetic appearance and a healthy functional nose, as we always emphasize, the surgeon’s knowledge on the anatomy of the nose, his experience on many different noses, his dexterity and the view of deciding what the right interventions will be to eliminate the present defects of the patient by detecting them. It is very important. When looked at all over the world, the number of surgeons who have these qualifications is not very high. For this reason, it can be said that the rate of need for revision after rhinoplasty is high. While this rate is around 9-10% for good surgeons, it drops to 1% for really good specialists.

The Most Common Errors in Nose Surgery 
Rhinoplasty is not a nose reduction surgery. Some parts of the nose are reduced; It is a balancing operation in which some parts of it are enlarged with cartilage additions when necessary. One of the most common mistakes is making the nose smaller than it should be. It is not aesthetically appropriate to make excessive reduction attempts during the reduction of the arch, narrowing of the nose wings and the tip of the nose. Because the nose should be compatible with the other contours of the face. In addition, reduction processes should be compatible with the structure of existing bone, cartilage and soft tissues. However, curvature of the nose, inequality in the wings of the nostrils, excessive lifting of the nose tip, irregularities on the nasal dorsum are frequently encountered deformities. Cartilage tissues taken from the ear or ribs are generally used to correct nasal skeletal deformities and to restructure the nose aesthetically and functionally, in revision surgeries to reshape the nose with rib cartilage and eliminate deformities.

It may be necessary to remove the cartilage tissues that were destroyed during the previous operation / operations and replace them with a smooth cartilage.

 
What are the techniques used in nasal revision surgeries?
In previous operations, the abdominal muscle membrane is used together with the rib cartilage in patients whose noses are excessively reduced. The cartilage tissue taken from the rib is chopped into very small pieces of 1 mm and placed inside the muscle membrane. Thin cartilages placed in the membrane prepared in the size needed in the nose are placed on the septum cartilage and the cartilage of the nose is elevated. After augmentation surgeries performed in this way, the rate of complications decreases.
 

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