REVISION RHINOPLASTY(Nasal Reshaping)
Revision rhinoplasty is more challenging than primary rhinoplasty for several reasons. First is the altered "geography" of the nose. At the time of the primary rhinoplasty, distorted cartilage was removed to make the nose straight and restore function. Therefore, in revision rhinoplasty, the cartilage needed for reconstruction is no longer available. Depending on the amount of cartilage that remains, the need to borrow cartilage from behind one ear (an auricular graft) to restore nasal form and function is not uncommon. Although the ear incision is camouflaged well and does not change the shape, size, form or function of the donor ear, the need to borrow neighboring cartilage means an extra incision.
Nasal lining that has undergone surgery is now subject to scar tissue, which also increases the complexity of revision surgery. Therefore, amount of surgical time required to perform revision rhinoplasty typically is longer than primary rhinoplasty.
One risk of primary rhinoplasty is the appearance of telangectasias - little spider like veins that are typically present prior to surgery but become more noticeable after rhinoplasty. This is not commonly an issue and the overall improvements far outweigh the appearance of these. However, in revision rhinoplasty, the appearance of telangectasias can be more pronounced. This point should be discussed prior to revision surgery so your doctor can provide his opinion depending on your individual skin type, texture and thickness.
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