Secondary rhinoplasty is a surgery aimed at correcting the results of the primary surgery or the condition after the primary nose job. The need for it arises in cases where there is objective evidence (uncontrolled postoperative scarring, defects in primary plastic surgery, impaired anatomical integrity of the cartilage and bone skeleton of the nose), as well as the patient's subjective wishes.
Secondary rhinoplasty can be performed no earlier than one year after primary rhinoplasty. This is due to the stages of scar formation and postoperative swelling.
Secondary rhinoplasty can be combined with the ENT stage. Since local tissues (cartilage, soft tissue structures) may have been used during the first operation, it is not always possible to do without the use of autografts. In such cases, cartilage tissue is harvested from the auricles or rib cartilage. It may also be necessary to use a Tutoplast allograft or temporal fascia.
Our many years of experience in performing such operations, proprietary suturing techniques and the use of various grafts are the key to a successful outcome. And thanks to the unique special method of physiotherapy developed by our specialists, in 1-2 weeks the patient gets rid of all visible signs of the operation (swelling and bruising). Our specialists help not only to improve the appearance, but also to correct the defects of the respiratory tract. High-precision equipment in the hands of experienced surgeons is the key to the success of the operation.
Results of the operation
Beautiful, harmonious nose profile
Adjusted result of primary plastic surgery
Restoring the correct proportion of the external nose
Elimination of functional breathing problems after primary nasal plastic surgery
Work examples
Operation time
2 - 4 hours
Anaesthesia
General
Inpatient
1-2 days
Rehabilitation
3-5 weeks
Result.
Eliminated functional / aesthetic problems
Why you should do it
- Dissatisfaction with the shape of the nose after primary rhinoplasty
- functional respiratory disorders
- scar deformity after primary rhinoplasty
- Eliminating asymmetry
- social and aesthetic evidence
Contraindications.
- diseases of the cardiovascular system
- impaired blood clotting
- diabetes mellitus
- oncological diseases
- severe diseases of internal organs
- postoperative period of less than 1 year
- viral diseases in the acute stage
- pregnancy
Preparation
secondary computer forecast
3 weeks before the operation, you need to pass the tests prescribed by your doctor
ENT doctor's consultation (endoscopic examination)
in some cases, a tomogram of the external nose area
4 weeks before the operation, you must quit smoking
2 weeks before the operation, stop taking drugs that affect blood clotting
Operation.
preoperative markings are applied
additional infiltration anaesthesia
surgical access for preliminary postoperative scarring
correction of primary rhinoplasty defects
removable and non-removable sutures are applied
Steri-strips are applied to the back of the nose
fixation of the back of the nose with a plaster cast
aseptic dressing and nasal tamponade are applied
Stages of the operation
the patient spends 1 - 2 days in the clinic
removal of tamponade for 2-3 days
Sutures are removed on the 7th day
the cast is removed on the 9th - 10th day
restriction of physical activity and a ban on sports - 1 month
restrictions on wearing glasses (in heavy frames) for up to 3 weeks
physiotherapy is required within 7 days after surgery
for 1 month you should sleep only on your back on a high pillow
1 year after the operation, it is strictly forbidden to become pregnant
Popular queries
When is secondary rhinoplasty necessary?
This operation is recommended for significant postoperative deformities of the external nose and functional disorders of nasal breathing. However, it is possible to adequately assess the result of primary nasal plastic surgery only after 10-12 months.
Are additional surgeries possible after secondary plastic surgery?
Yes. But each subsequent intervention worsens the prognostic properties of secondary rhinoplasty.
What are the possible complications?
Functional disorders of nasal breathing. Violation of the integrity of the nasal cartilage framework. Poorly controlled scarring associated with trophic disorders after primary rhinoplasty.