Revision Rhinoplasty: How Can You Increase the Success Rate?

Because the nose is located at the center of the face, it determines the overall impression and influences a person’s first impression. For this reason, many people seek rhinoplasty. However, as demand for rhinoplasty increases, revision surgery is also on the rise.

In revision rhinoplasty, it is important to accurately identify the cause of the first surgery’s failure so the same mistake is not repeated. In general, the most common reasons for revision rhinoplasty are a mismatch with the facial image or dissatisfaction with the nose shape itself, as well as side effects such as inflammation and contracture caused by excessive implant insertion. For successful revision rhinoplasty, it is advisable to take a careful approach by examining the nose shape that naturally harmonizes with the current face, the skin compatibility of the implant, and nasal function.

VN Plastic Surgery’s revision rhinoplasty checks the basic height, length, width, tip shape, skin thickness, nostril shape, and the type of implant used when the patient is dissatisfied with the shape after nose surgery or develops side effects. It then determines the appropriate timing for surgery and plans the procedure. Through an accurate analysis of the cause, we strive to create a natural nose shape optimized for each person’s face and deliver satisfying results.

In general, the most suitable time for revision rhinoplasty is 6 months to 1 year after the first surgery. To achieve highly satisfying results, it is most important to eliminate the side effects and aftereffects of the first surgery. It is not something that should be decided unconditionally as 6 months or 1 year later; because each person’s nasal condition and surgical method differ, the exact timing is best determined after consultation with a specialist.

At VN, we accurately identify the cause of the first surgery’s failure and, through sufficient communication, determine the appropriate timing for revision rhinoplasty and plan the surgery.

VN revision rhinoplasty, natural nose lines through customized surgical methods by case!

POINT01 Customized bridge height and starting point for each individual

POINT02 Nostril width and length considering facial proportions

POINT03 A beautiful tip by adjusting the length and shape of the columella

POINT04 A three-dimensional, refined tip with firm fixation

VN revision rhinoplasty: How is the surgery performed?

CASE 01. In cases of tip drooping (a phenomenon in which the tip is raised without considering the condition of the patient’s skin or cartilage, and over time the tip sags), if the tip support structure is solid, additional grafts such as cartilage and dermal tissue can be placed in the tip to supplement the height. If the tip support structure is weak or has collapsed, the support structure can be rebuilt from scratch in a sturdy way using septal cartilage, rib cartilage, etc., and the tip height can be supplemented by additionally grafting ear cartilage, dermal tissue, etc.

CASE 02. In cases requiring silicone correction (when silicone was inserted too high or too low, or when the postoperative nose shape is unsatisfactory, silicone correction is needed), the implant can be replaced through minimal incision to find a more beautiful line and correct it. If both the tip and bridge are unsatisfactory, tip revision surgery can also be performed together with implant replacement to improve the overall harmonious and attractive line.

CASE 03. In cases where the nose appears crooked (when crooked nose correction was not sufficiently achieved in the first surgery, or when the inserted implant has shifted and the nose appears crooked), if the bridge is crooked because the original nasal bone is asymmetrical, the base should be made as symmetrical as possible through osteotomy, hump removal, and cartilage grafting, followed by silicone replacement. If the tip has rotated, the tip support must be straightened again from the start using septal cartilage, rib cartilage, etc., and delicate tip surgery should be performed.

CASE 04. In cases of contracture nose / upturned nose (when severe scar tissue forms due to inflammation after surgery, when hyperplasia of the silicone capsule and contracture occur for various reasons, when the support structure of the nose weakens due to an incorrect surgery, or when the tip becomes shorter or turns upward compared to before surgery), all nasal tissues including the skin, cartilage, and mucosa must be lengthened through delicate dissection and scar tissue removal, and the stable support structure of the nose must be rebuilt through cartilage grafting.

CASE 05. In cases of implant/cartilage visibility (when the skin becomes thin after nose surgery and the implant shows through or turns red, or when a thick implant was inserted), the implant used in the first rhinoplasty can be removed and the bridge can be rebuilt with autologous tissue, or the implant can be covered with dermal tissue and reinserted into the nose to improve the condition.

CASE 06. In cases where the tip appears pinched (when the tip cartilage is tied too tightly during surgery, or when a small, thin-skinned tip is excessively raised), the tip cartilage can be repositioned or the cartilage can be grafted to spread the tip cartilage. In addition, the area around the tip is reinforced with dermal grafting to address the issue.

In this way, by accurately identifying which case applies and the specific problem, and then performing customized revision rhinoplasty for each person, a highly satisfying surgical result can be achieved.

VN revision rhinoplasty, what makes it special?

• Customer-tailored revision rhinoplasty: We analyze the current condition and accurately check the type of implant used in the previous surgery and its issues, then perform customized revision rhinoplasty.

• A harmonious and natural nose line: By considering various factors such as the nose height, length, line, and tip shape, we strive to create a natural and beautiful nose line that suits each person well.

• Skill and know-how in revision rhinoplasty: We have the know-how and skill to create an attractive nose line suited to the various cases of revision rhinoplasty, and we do our best in both treatment and surgery.

• Systematic aftercare system: We operate a thorough postoperative management system for faster recovery and to prevent side effects.

VN revision rhinoplasty is performed more carefully with delicate technical skill so that no further tissue damage occurs, and we strive to prevent the same mistake from being repeated.

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