Seven Differences Between Submucous Resection and Septoplasty

  • 12
    Apr 23
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Seven differences between submucous resection and septoplasty

Seven Differences Between Submucous Resection and Septoplasty

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Submucous resection and septoplasty are simple but highly technical rhinoplasty procedures aiming to correct the deviated septum. A deviated septum is a widespread problem; many people can go through their life without it being a bother. However, some do feel severe symptoms of the deviated or crooked nose septum and both functional and cosmetic aspects necessitating surgical intervention by an expert rhinology surgeon.

What is the nasal septum?

The septum is a vital cartilage piece that ideally should divide the insides of the nose into two equal compartments. However, when bent, it can cause crookedness in the nose and other problems.

You may not even know you have a deviated septum; however, a few septals can be problematic when they cause any of the following symptoms.

  • Obstruction in the nostrils (one or both): When the septum blocks a nostril, it can make it difficult to do normal breathing. This blockage becomes more pronounced when you suffer from a cold or a nasal allergy because the nasal passages swell and narrow.
  • Nose bleeds: because of the crookedness, the nasal septum can become dry and increase nosebleeds.
  • Pain in the face: This symptom is usually observed in cases of deviation. The surfaces within the nose touch cause pressure to one side of the face, leading to pain.
  • Snoring and noisy breathing when sleeping: A deviated septum in your nose causes the airways not able to pass the air properly, and it causes loud and bothersome breathing during sleep.
  • Alertness towards the nasal cycle: the natural nasal process compromises obstruction on one side and then to the other. Because of nasal obstruction, people with a deviated septum are often aware of this cycle.
  • Preferring sleeping on one side: People with narrow nasal passages tend to sleep on one side to optimize breathing through the nose and make sleeping and everyday work more comfortable.
  • Nasal congestion: Sometimes, it feels like there is always something inside the nose, and it feels uncomfortable. This can also cause the problem of sleep apnea, in which the breathing automatically starts or stops.
  • Sinusitis: Inflammatory changes in the nasal canal and the sinus tissues make it difficult for nostrils to drain correctly; hence, the fluid accumulates in the sinus cavity, leading to chronic pain and pressure, leading to sinusitis.

The deviated septum can be caused because of many things, such as congenital disabilities, injury, or trauma to the nose because of rough play or contact sports. In adults, the most common cause of a deviated septum is a direct injury to the nose. The deviated septum can worsen as we age, leading to more issues. The two most common nose surgeries done to alleviate the deviated septum symptoms are septoplasty and submucosal resection. The selection of the surgery depends on the type of deviation. Septum deviation is classified into five types.

Surgical management of the deviated septum is a challenging surgery that needs the best rhinologic surgeons who are experts in aesthetics and functional failures caused before and post-surgery. In the last few years, the surgery for a deviated septum has seen many modifications to preserve the septal framework. The diagnosis for both submucous resection and septoplasty needs a detailed analysis of the nasal skeleton and its shape with the rest of the facial structure.

Both surgeries aim to correct the septum inside the nose to promote better breathing and make the nose straighter. This makes both work and personal life better for the patients. However, they differ in various aspects, such as

  • Surgical technique: The septoplasty aims to straighten the deviated septum, and the resection technique removes the extra tissues (enlarged nose’s inferior turbinates) from the septum to open up the airways. SMR (submucous resection) removes the deviated septum or decreases the sign of external deviation. In SMR, the surgeon accesses the septum by elevating the flaps on both sides, but in Septorhinoplasty, the flaps are lifted from the concave side of the nose.
  • Type of surgery: SMR is a radial surgery with a large amount of tissue excavation and removal, whereas septoplasty is a conservative surgery with minimum tissue removal.
  • Endonasal or external: Submucous resection to correct the nasal deviation is performed through an open rhinoplasty, and septoplasty or the Septorhinoplasty can be done through open nose surgery.
  • Age of surgery: SMR can only be done on children above 17 when the bones and cartilage have stopped growing, whereas septoplasty can be done on children also to give them immediate relief.
  • Cartilage: The septoplasty aims to preserve as much nose cartilage as possible, but in SMR, the nose loses most of this cartilage.
  • Revision rhinoplasties: Since the submucous resection removes most of the nasal cartilage, it is difficult to perform another surgery after this type of deviation correction, however in cases of Septorhinoplasty, the rhinoplasty surgeon can do another surgery
  • Changes to the external structure of the nose: SMR does not change the nose’s appearance, but Septorhinoplasty can give you a straighter-looking nose.

Submucous resection for correcting deviated septum procedure

The SMR is a highly successful procedure that reduces the size of the inferior turbinate in the nose. The primary function of turbinates is to keep the air we breathe humidified and warm and make breathing easier. Each side of the nose has tree turbinates. When the turbinate near the bottom of the nose enlarges, it can cause breathing difficulties. Also, when the deviated septum cannot be treated in other ways and is causing disruptions in the patient’s everyday life, then SMR becomes the suitable option for a long time and immediate relief. Here are some essential things to know about submucous resection surgery of nasal septum

  • It is a one-day procedure; in most cases, there is no need to stay in the hospital overnight.
  • The surgeon will use local or general anesthesia, and the surgery takes only about 1.5 hours to complete
  • The surgeon makes small incisions in the nose and then slices up the extra tissue. This operation does not disrupt the mucus lining.
  • Then the surgeon will close the incisions, and you are on your way to recovery. There is no visible external scar on the outside of the nose.

When does a rhinoplasty surgeon recommend submucosal resection?

SMR is not a necessary surgery for a deviated septum, but a nose surgeon will recommend an SMR if you want relief from

  • Chronic sinus infections that have not responded to traditional treatments
  • Nose bleeds because of septal deviation
  • Difficulty in breathing because of a crooked septum

This surgery can also be combined with routine sinus surgery to give the surgeon better access to other parts of the nose. SMR is also done as a part of cleft palate repair.

Cost of septoplasty and submucous resection of the nasal septum

Since both surgeries do different corrections, their price is different than each other. the cost of SMR and septoplasty is dependent on

  • Surgeon’s expertise and experience
  • Location of the clinic
  • Any further corrections are done alongside it if necessary.
  • Anesthesia and hospitalization fees

When the procedure is done for functional reasons, it is generally covered by insurance; therefore, you should talk to your insurance provider and check.

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    Apr 23
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7 Best Exercises to Bring the Nose in Shape (nose reshaping)

7 Best Exercises to Bring the Nose in Shape (nose reshaping)

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The cute little nose that blends with facial features is a simple wish of every person. The nose plays a vital role in accentuating our facial features. A long nose can make a face look aged, and a bulbous nose tip overshadows other facial features. The nose is generally the first thing you notice about a person. A sharp and well-contoured nose immediately gets attention.

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  • 01
    Apr 23
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What type of nose is considered as Perfect Indian Nose?

What type of nose is considered as Perfect Indian Nose?

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The small and unassuming nose is an organ that plays a vital role in the perception of the beauty of the face. Different cultures and nationalities have noticeable differences in the structure and appearance of the nose. Your nose can tell much about your origins, i.e., your ancestors and ethnicity. This is because of the weather conditions, the type of work, and even the eating habits. People with wider noses usually come from humid and warm climates, and those in cold areas have narrow noses. The nose also plays a vital role in controlling body temperature. Narrow noses make it possible for inhaled air to be warmer. The race classifies the nose shape. Africans have predominantly flat noses (platyrrhine), Caucasians have narrow noses, and Asians have mesorrhine noses.

Indians have a wider set of eyes, and the mid-face is smaller and generally have small noses with high tip rotation (morphine noses), small ears, and a larger mouth. Indians have thick nasal skin, a sloping nasal structure, and a high nasal bridge. The nose measurements with the body’s proportion are essential when planning a cosmetic or aesthetic rhinoplasty. Indian nose is different from other populations, so surgeons need to modify the surgery techniques to match the ideal nose. India is a vast country, and the shape and size of the nose also differ by the region that people live in. For example

  • People residing in north India have long and narrow noses
  • South Indians have broader noses
  • People in Himalayan regions have narrow nostrils and short noses

The nasal analysis is the most crucial step in nose surgery. Therefore, it is essential to understand how much the nose deviates from the ideal norm to plan a nose surgery with a favorable result that blends harmoniously with other facial features. In the past, best rhinoplasty surgeon in india used to follow one set pattern and created only one ideal shape. Still, a modern nose job is tailored to give a great result to people of oriental ethnicity and Indian ethnicity even rigid the facial structures of the two are entirely different.

Features that make a perfect Indian nose

Many of us often look in the mirror and wonder if our nose is crooked nose, too big, too short, etc. So, what is an ideal nose? Ideally, the nose should be in perfect proportion to the face i.e., it should not look ‘out of place’ or overshadow other facial features. Generally, 104-108 degrees orientation is considered ideal for the nose.

It is a proven fact that humans are naturally attracted to symmetry. We naturally gravitate towards ideas or other people who have balanced proportions. When it comes to calculating facial symmetry, it is done in many ways

  • it is calculated by dividing the nose into three parts horizontally. The forehead to eyebrows is the first upper third, the eyebrows to the bottom of the nose is the middle third, and the lower third is the bottom of the nose to the chin.
  • When you look at it vertically, ideally, the nose should be perfectly in the middle third of the face.
  • If you look from the side view, the ideal nose’s parameters are that the side length should be equal to the width of the nose in the side view.
  • When using the rule of fifths, the ideal nose is when the nasal width equals the width of the person’s eyes.
  • One more way of measurement is looking from under the nose. A triangle should form with the area inside the nostrils (vestibules) making up two-thirds of the triangle.

The definition of the perfect nose is individualistic. Some features might be considered ideal. Rhinoplasty is one of the most popular plastic and cosmetic surgeries worldwide; its outcome depends on the surgeon’s knowledge of nose proportions from different ethnicities.

Features of a Perfect Indian Nose

The nose plays a large part in defining the shape of your face. In all cultures, an ideal primary nose is

  • when the wideness of the nose comes in a fifth of the face
  • Draw two imaginary vertical lines from the corner of your eyes and check if the nose’s width falls between those two lines.

Most rhinoplasty surgeons take the help of  Fibonacci’s sequence to calculate the width and height of the nose for a face. The golden ratio is the standard when altering the nose shape through rhinoplasty to enhance one’s natural beauty. The perfect nose

  • is in proportion with the rest of the facial features
  • has a smooth profile
  • has a smaller tip
  • has symmetrical nostrils
  • is straight

Nose features that are not considered to be perfect or ideal

Noses are categorized into different nose types, but there are some features that are not regarded as perfect, such as

Indian nose rhinoplasty

Indian rhinoplasty is a specific rhinoplasty that demands expert knowledge and technique from the doctor. Since it is a type of ethnic rhinoplasty, the rhinoplasty surgeon has to ensure that the organ’s ethnicity is maintained while still making natural-looking improvements in the shape and function of the nose. Here are some standard features of the Indian nose that make Indian rhinoplasty a specialization on its own

  • Indian noses have a thicker skin layer. Thus, any alterations in the bone and cartilage need to be foredefinite to show through the thick overlayer of the skin. Conservative alterations do not give the desired new shape.
  • Drooping tip. A ptotic nasal tip in the side profile characterizes Indian noses. This makes the Indian nose appear longer, and the face look aged.
  • Dorsal hump. This is also a joint deformity in the Indian nose. A bump on the nose makes the look longer than desired, and combined with the droopy tip it makes the overall appearance of the nose even more elongated.

Rhinoplasty for the Indian nose can be done in an open or closed method. This depends on the type of reconstruction the doctor is aiming for.

Are you a good candidate for Indian rhinoplasty?

Any healthy male or female is a good candidate for Indian rhinoplasty. Also

  • If you are past your teens, then you can opt for rhinoplasty
  • If you do not smoke or are willing to give up smoking for a long time
  • You are of Indian descent and have a concern about the appearance and structure of your nose
  • You have realistic goals

India is one of the top five countries with a maximum number of rhinoplasties performed in a year with a more than 97% success rate.

What to expect in an Indian Rhinoplasty surgery?

Rhinoplasty can be done in two ways.

  • Liquid rhinoplasty uses filler and threads to contour the shape of the nose. The fillers and treads are used to correct the tip orientation and reduce the bump on the nose. The results of this type of rhinoplasty last for 18-24 months.
  • Surgical nose job: A surgical nose job is done under general anesthesia. Since every nose has an individual characteristic, every rhinoplasty is tailored so that the final appearance is harmonious with the rest of the face and still maintains the unique ethnic identity. The surgeon will discuss the detailed plan with you before the surgery and discuss the implants or grafts needed to define the nose. A surgical nose job takes about 2-3 hours to complete, and the results are more or less permanent.

Indian Rhinoplasty cost

Since the perfect Indian nose has some distinct features and the results can be life-altering, it is essential to choose a qualified plastic or cosmetic surgeon over the surgery cost to get the desired results. The cost of an Indian nose job includes fees of the specialist, the surgical costs, hospital, and other allied charges. The price of Indian nose rhinoplasty varies with the nature and type of the procedure. Cosmetic rhinoplasties are not covered by insurance costs, whereas functional rhinoplasties are covered by insurance.

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    Mar 23
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Is closed rhinoplasty more desirable than open?

Is closed rhinoplasty more desirable than open?

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The first rhinoplasty done was an open nose job, performed in 600 BC in India. The surgery aimed to restore breathing function in a woman who had lost her nose in a battle. In 1800, French surgeon Dr. Joseph Bartholomew started using skin grafts from the patient’s forehead and ears. In the early 1900s, Dr. Harol Gilles introduced the innovation of the nasal flap, which is still popular today but in a more advanced form. Since then rhinoplasty surgery has made significant progress in terms of techniques and innovations.

Rhinoplasty is also known as nose job or nasal surgery and can be done in both surgical and nonsurgical ways. It can correct many issues with the nose, such as a crooked nose, drooping or upturned tips, prominent nose, small nose, bump or dip in the bridge and breathing functions, nasal polyps, injury abnormalities, inflammations, symmetry balance, and nostril correction. It often involves cutting the bone and reducing the thickness of nasal skin. In some cases, the surgeons also use grafts to augment the nose. The surgery is usually done under anesthesia and takes about 2-3 hours to complete depending on the technique used by the surgeon. Rhinoplasty can be done using the open rhinoplasty or closed rhinoplasty procedure. Both aim to improve the form and function of the nose. Still, open rhinoplasty is usually done for reconstructive purposes such as repairing a trauma nose, etc.; closed rhinoplasty is done to correct minor flaws and a deviated septum.

Open rhinoplasty

As the name suggests, this type of nose job is done by exposing the nose’s framework so that the rhinoplasty surgeon can see the structures inside the nose. This is one of the common approaches to performing a nose job as it gives the surgeon more space to maneuver around the nose. Incisions are made in the columella (tissues inside the nose ) and sides of the nose. Incisions are generally hidden inside, but the one across the columella might be visible for some time. This nose surgery technique gives the surgeon the freedom to lift the nose’s skin providing access to the tip, sides, back, septum, cartilage, and external nostrils of the nasal structure. Open rhinoplasty is done in cases of

  • Wide bridge or nasal hump that is curved and runs in the vertical length of the nose
  • The difficulty of breathing through the nose
  • People suffering from nasal tumors
  • Congenital disabilities in the nose, e.g., cleft lip
  • Revision rhinoplasty
  • Rotated tip
  • Asymmetric nose

Pros of open rhinoplasty

Open rhinoplasty is a widespread technique, but it has advantages and disadvantages. The pros include

  • The surgeon can see the anatomy underneath. This way, the surgeon can more accurately measure and analyze the nasal structures in open-nose surgery. In addition, the things that would have been missed in the external examination, such as abnormalities causing crooked shapes, can be seen clearly. This way, the surgeon does more detailed and accurate work to reshape the nose according to your preferences.
  • There is less chance of nasal asymmetry as the surgeon can be more precise in correcting bone, cartilage, and skin tissues.
  • The better and more accurate placing of grafts and prostheses: Cartilage Grafts and prostheses are needed to reconstruct the nose to its most natural contours. The surgeon can place these more accurately with open rhinoplasty because of full access to the nasal skeleton. These grafts or prosthetic devices are usually used on the nose’s bride or tip to improve or reinforce the nose structure or increase the septum length.
  • It is more accessible to the stability of the nasal elements, which results in fewer chances of nasal collapse or weakening, and it means the rhinoplasty will last longer.
  • It is more suitable for complicated surgeries: People with a bad previous or first rhinoplasty benefit more from open rhinoplasty. This is because the surgeon can eliminate most nasal defects in one go.
  • Fewer chances of scarring, bruising, and swelling: With greater surgical flexibility comes less swelling, bruising, and scaring than closed rhinoplasty.

Cons of open rhinoplasty

  • It is more invasive
  • It takes longer to heal
  • Leaves a small but visible scar
  • Has a more extended recovery period, i.e., more than two to three weeks
  • It can cause scarring on the side of the incision, but they fade away with time
  • This rhinoplasty takes about 1.5 to 3 hours

Recovery after open rhinoplasty surgery

The initial recovery time is about four to seven days, but the time might be extended if it is a functional open rhinoplasty. The surgeon will place bandages or a splint on your nose and give you something to stop the bleeding. The surgeon will tell you when the dressings can be removed, usually four to six days after the surgery. It is normal to experience nasal congestion, swelling, bruising, pressure inside the nose, headache, and nausea. This will go away in 10-14 days.

Closed rhinoplasty

In this nose job, the surgeon makes small incisions inside the nose to make the desired changes. Although it does not give much visibility, it still lets the surgeon work with great precision. This is a more common type of rhinoplasty in cosmetic nose surgery procedures. The rhinoplasty surgeon can sculpt and shape the tissue of the nose with ease to give a natural and aesthetic outcome that suits the facial features. This is a more complicated procedure that needs finer techniques on the surgeon’s part and cannot be used for making significant structural changes in the nose. Closed technique for nose surgery is done for

  • Narrowing the width of the nose
  • Reshaping the bridge and removing the hump
  • Redefining the tip
  • Reshaping the nostrils

Pros of closed rhinoplasty

  • Less and hardly visible incisions: since closed rhinoplasty is used to do only minor changes, there is no need to make visible or large incisions. The incisions are endonasal and do not show on the skin.
  • Shorter time in the operating theatre: It only lasts 30 to 90 minutes and requires less anesthesia and incision.
  • Faster and shorter recovery period: Full recovery takes about five to seven days, and the patient can return to everyday life within a week of the operation. The bruising and swelling are minimal because the blood vessels are not damaged during the procedure.
  • Fewer chances of complications because the entire method is less invasive and does not require open changes. Also, there is no open wound and hence fewer chances of infection.

Cons of closed rhinoplasty

It is an invasive surgery and, therefore, not without some disadvantages because it gives the surgeons a little less visibility than open rhinoplasty.

  • There is a slight possibility of damage to the structure of the nose because of limited access and inside incisions.
  • The surgeon can make fewer correct because of less access
  • It cannot be used for revision or secondary rhinoplasty
  • Results can change because of aging
  • It requires more delicacy to perform and can make limited changes
  • You might have breathing problems for a few days post-surgery because of swelling in the nose.

Recovery post-closed rhinoplasty

This surgery recovers faster than open rhinoplasty, about 7-10 days. The surgeon will instruct you to lubricate the nose and use nasal sprays to reduce the congestion and remove mucus as the nose heals. Inflammation, nosebleeds, minor swelling, and internal infection are common problems post-closed rhinoplasty.

How to choose between open and closed rhinoplasty?

Many factors affect this decision, mainly based on what needs to be technically done inside the nose. The surgeon will check the framework of the nose and its strength it to decide which technique will suit the best. Each structure, including the cartilage and tip, can be manipulated using open or closed rhinoplasty, depending on the complexity of the surgery. The other factors affecting the selection include

  • Your expectations
  • The natural shape of your nose and ethnicity
  • The number and severity of defects
  • The balance between the number of changes you desire and the possible

It is not possible to state which method is better. You must discuss all your expectations with the surgeon and ask about his surgical expertise and recommendations.

The cost of open Rhinoplasty

The cost of open rhinoplasty is higher than that of closed rhinoplasty, but it depends on how many procedures or corrections. In addition, the surgeon fees, experience, and location also affect the cost of rhinoplasty suitable for you.

Whether you choose to have open or closed rhinoplasty, you must consult the best surgeon in india with the experience and expertise to address your concerns regarding your nose. Have a detailed discussion with your surgeon before deciding on the best option. This is the only way to know which rhinoplasty you are suited for. Your doctor will discuss your concerns and goals and then determine the best treatment for the particular case.

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    Mar 23
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revision rhinoplasty

How frequently can you undergo a revision rhinoplasty?

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Rhinoplasty is considered to be the most complex and challenging among facial and cosmetic surgeries. The nose is a complex structure of tissues, cartilage, and bones that intersect in different convex and concave degrees. You need the best rhinoplasty surgeon for a nose job because the nose has to be reshaped to make it look better and function well. A surgeon who is not aware of the intricacies of the function of the nose is more like to botch up the nose job than one who does. Therefore, when going for any plastic or cosmetic surgery you should always choose a surgeon who has a history of satisfied clients.

Undesirable alterations in the structure of the nose can cause a difference in how the nose functions and impact how a person breathes. Most expert rhinoplasty surgeons often have a revision rate which can be because of many reasons. Rhinoplasty is surgery; sometimes, there can be complications or unanticipated problems during the surgery that necessitate the need for revision rhinoplasty. These revision rates are generally higher for inexperienced surgeons or those using outdated techniques or needing to understand the patient’s state.

A good nose job has a positive impact on the patient’s life. However, besides being highly technical, a nose job is also a sensitive issue. Revision rhinoplasty is generally done when the patient is not satisfied with the previous rhinoplasty results, but it is a very technically challenging procedure. There is no limit to the number of times one can go in for a revision or a secondary or tertiary rhinoplasty but keep in mind that each comes with its risks and problems. The best revision rhinoplasty surgeon in India will assess you to make sure you qualify for revision rhinoplasty.

How many people get revision rhinoplasty?

On average, the rate of revision rhinoplasties worldwide is around five to ten percent maximum. This is good news, and it means that more and more people are pleased with their first rhinoplasty results. But if you have had a nose job, are not happy with its results, or need additional corrections, here is some more basic information about revision rhinoplasty.

What is revision rhinoplasty?

Revision rhinoplasty uses the same basic techniques as the first rhinoplasty. Only the reasons can be different. The results of a primary rhinoplasty are often unpredictable because the tissue might not heal correctly, and changes in bone or cartilage because of the first surgery. Revision rhinoplasty is used to enhance the nose’s appearance and correct the weakened nasal functions. This is even more difficult plastic surgery than the primary or first rhinoplasty and needs advanced surgical techniques in the hands of the best revision rhinoplasty surgeon in India.

Revision rhinoplasty using dermal fillers

This is a non-surgical option for revision rhinoplasty. Dermal fillers are used to fill in the concave curves and add volume to the nose. These are purely cosmetic treatments and do not have any functional issues. Dermal fillers need to be repeated two years.

Reasons for opting for revision rhinoplasty

You can opt for revision rhinoplasty, and it can address many issues with your nose, such as

  • Asymmetrical results from the first rhinoplasty: Sometimes, the best rhinoplasty results can be underwhelming because the nose still appears uneven or does not blend smoothly with other facial features. This usually happens because the surgeon’s inexperience when performing rhinoplasty leads to a crooked nose or disproportionate nose appearance. Revision rhinoplasty can help correct this and achieve a more natural and balanced look that is harmonious with overall facial features.
  • ‘Made up’ looking results: The aim of modern plastic and cosmetic surgery is to ensure that the results look unnatural but blend perfectly. A nose that looks like a nose job is done on it can cause dissatisfaction to many people. A strange look to the nose can be because of too much correction in the first rhinoplasty or scar tissue formation. To correct this a revision rhinoplasty is needed.
  • Not happy with the results: The main culprit is the need for more communication between the doctor and the patient. Patients are often disappointed with the results because they must be briefed about the consequences beforehand. Sometimes the procedures go differently than expected. For the patients, it is essential to understand that every nose is unique, and getting a celebrity nose does not mean it will suit you. The surgeons need to understand the need to communicate the expected results correctly.
  • Functional issues with the nose: A good nose surgery is one that gives you an aesthetically pleasing nose that works perfectly. Inadequate healing and manipulation of practical aspects can lead to issues with essential nasal functions. Revision rhinoplasty can correct function issues while preserving aesthetic elements.
  • Trauma or injury post-first rhinoplasty: The nose is a delicate structure, and nose reshaping surgery increases its vulnerability. If you have had any trauma or accident that had an impact on the nose, then it can cause the cartilage and soft tissue to be damaged. They are especially delicate first 1-2 years after the surgery. In such events, a revision rhinoplasty can help reinforce the structure of the nose and resolve both cosmetic and functional issues.

Some other factors that affect the first rhinoplasty results are

  • Use of old techniques and equipment
  • Complications during the surgery
  • Not following complete healing instructions

Things that revision or secondary rhinoplasty can do

The most common things that patients seek from nose job revision are –

  • Adding or removing the volume of the nose
  • Changing the tip orientation and size
  • Correcting breathing issues
  • The Disparity in nostril size or shape
  • Asymmetric
  • Crooked nose

Benefits of revision rhinoplasty

Rhinoplasty has many benefits apart from addressing the concerns of the patients, such as

  • A skin rejuvenated appearance
  • enhanced facial balance
  • Corrections in nasal function
  • Improved breathing
  • Improved confidence in your appearance

How many times can you get revision rhinoplasty, and when?

Revision rhinoplasty is done usually one to two years after the first rhinoplasty because that is the amount of time needed for the nose to heal after the first surgery. The best revision rhinoplasty surgeon will discuss the step-by-step procedure for secondary rhinoplasty, the expected results, and post-treatment care which can be longer than the first one.

Each revision you opt for can have additional complications, and the risk might increase. If you opt for correction too many times, the changes to alter the appearance diminish because the surgeon might need more stable cartilage. Here are some other factors that affect or limit the number of times you can get a revision rhinoplasty done

  • Complexity: The more revisions you have, the more complex it becomes, and the options for alteration become limited. The changes to have dramatic revisions will decrease from the first rhinoplasty itself. This also depends on the type of issue you are seeking treatment for. For example, if your first rhinoplasty is about correcting the deviated septum and the secondary is about tip correction, then the overlap is minimal and hence fewer complications. However, if the operation is on the same tissue or area, the results might be less refined.
  • Surgeon: It is always better if the secondary rhinoplasty is done by the same surgeon who does the first rhinoplasty. Most people run to a new surgeon for a revision. But your old surgeon is already familiar with your nose, and he knows what work has he done and therefore will have a better idea and clarity on what needs to be corrected. However, if you are uncomfortable with the old one, do thorough research on a new revision rhinoplasty expert surgeon. Don’t be lured by the overpromising ones. A good revision nose job surgeon can confidently talk about aesthetics and facial symmetry and explain the limitations of secondary and tertiary nose jobs. Ask your new surgeon about their experience in issues and similar styles.
  • Patient: As the patient, it is very important that you fully understand the limitations of your nose and revision nose jobs. You need to adjust your expectations of what is possible or what is not. The more revisions you seek, the more limitations. It is an elective surgery and therefore it is essential always to keep the expectations realistic.
  • Aging nose: Like the rest of us, the nose also ages, and it also affects the results of rhinoplasty. As the nose ages, the texture and elasticity of skin change, the cartilage weakens, and therefore it is not possible to make drastic changes in the nose, especially in the revision procedures. Often in the second and third revisions rhinoplasty grafts or materials needed to be put back in the nose to improve the function and make aesthetic changes.

When revising rhinoplasty, a surgeon’s skin and experience are different. The plastic surgeon might be knowledgeable about reshaping and resizing nose jobs but might need to be experienced in various requests and suitable techniques. Each rhinoplasty needs a customized approach, be it first or revision. Therefore, it is critical to ensure that you are in good overall health and only select the best and most experienced revision rhinoplasty surgeon for revision nose jobs.

How to find a good revision rhinoplasty surgeon?

An excellent and certified plastic surgeon will ensure that the likelihood of a revision is very low, but still, if there is a need:

  • Have an open discussion about your worries and expectations
  • See if the surgeon can show you approximate results using computer imaging.
  • Pay careful attention to the healing process and what you must do.
  • Look through the photo galleries of the procedures done by the surgeon.

Do plenty of research before saying yes to one revision surgeon.

Revision Rhinoplasty cost

The cost of revision rhinoplasty might be slightly more than primary rhinoplasty. This will also vary with whether the same surgeon does the revision rhinoplasty. Some medical centers offer a combination package for a primary and a discount on a secondary rhinoplasty (if needed). The other factors that affect the cost of revision rhinoplasty are the surgeon’s fees, the location of the facility, the post-operative care, and insurance coverage.

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About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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