VN Plastic Surgery: When Closed Revision Rhinoplasty Is Possible (Side Effects / Contour / Nasal Tip)

Hello, this is VN Plastic Surgery.

Today, we would like to provide detailed information about closed revision rhinoplasty, which many people have concerns about.

Revision surgery is usually considered when ​​the results after the first surgery are disappointing or discomfort remains.

In particular, demand for closed revision rhinoplasty has been increasing recently to reduce the burden of scarring.

There are more reasons than you might expect for considering closed revision rhinoplasty after nasal surgery.

The contour may not be satisfactory, the nasal tip may appear turned upward, or silicone may become visible. In severe cases, even crookedness may develop.

When these issues occur, revision rhinoplasty may be considered for both functional and aesthetic improvement.

In particular, feeling that the nasal contour looks unnatural after surgery is one of the most common reasons for revision surgery.

The bridge may be excessively high, or, conversely, lower than expected.

These contour issues can also be adequately corrected and improved through closed revision rhinoplasty.

Concerns related to the nasal tip are also among the main reasons for revision surgery.

If the nasal tip appears turned upward or looks bulbous, natural improvement is also possible with closed revision rhinoplasty.

Many people think that revision surgery is always possible only through an open approach involving an incision in the columella, but that is not the case for every situation.

However, an important point to note is that closed revision rhinoplasty is much more technically demanding than a primary procedure.

Because correction must be performed precisely from inside the nose using internal incisions instead of a columellar incision, the skill of an experienced medical professional is extremely important.

This is because, by its nature, the closed approach provides a limited field of view. Rather than opening the structures widely for direct examination, the procedure is performed within a restricted space. Therefore, when experience is lacking, it can be difficult to achieve the desired result.

For this reason, relatively few hospitals are able to perform closed revision rhinoplasty.

Revision surgery itself requires greater caution than the first surgery.

Tissues that have already undergone surgery are sensitive, and scar tissue or adhesions may be present.

For this reason, whether closed revision rhinoplasty is possible should also be determined through a thorough consultation and detailed diagnosis.

Dr. Oh Seung-il, Medical Director of VN Plastic Surgery, takes the difficulty of revision surgery into account and carefully examines the internal structure of the nose based on CT scans before planning a surgical method suited to each individual’s condition.

Because the process involves examining not only the external appearance but also the internal structures and tissues, we aim to help make closed revision rhinoplasty safer and more systematic.

Finally, the timing of closed revision rhinoplasty is also an important consideration.

In general, it is recommended six months to one year later, after the tissues have stabilized.

If the procedure is performed too soon, there may be a risk of side effects.

Therefore, satisfaction with closed revision rhinoplasty can be improved only by considering both the timing and the method.

In conclusion, I believe revision rhinoplasty is a process of analyzing the problems with the previous result and making precise improvements so that the same issues do not occur again.

The most important thing is to find the approach that suits you through a consultation with a medical professional who has extensive experience and expertise. In that process, closed revision rhinoplasty may be a good alternative.

Thank you.