Revision Rhinoplasty in Toronto
Revision or secondary rhinoplasty corrects problems arising from previous rhinoplasty surgery. Usually the problems Toronto rhinoplasty patients experience are minor and can be dealt with by the original surgeon. The revision rate for rhinoplasty even in the best of hands is from 5 to 10%. If however, there is a major deformity it may be better to pursue your second surgery with someone experienced in revision rhinoplasty.
The second (or third or fourth) nose surgery is usually much more challenging for the surgeon. Multiple nose jobs in Toronto often alter the normal anatomy of the nose, remove cartilage, and can even compromise breathing. The revision rhinoplasty surgeon must carve out the normal structures which are usually encased in scar tissue.
There is often a need to rebuild the structure of the nose and therefore grafts (pieces of cartilage either from the nasal septum, ear or rib) are sometimes required. Some surgeons prefer to use implants (synthetic materials) for this purpose. Some of the more common materials used are gortex, medpore and hard silicone. Recently injectable fillers (Restylane®, Artecoll®, Radiesse®) have been used to fill in small defects left after rhinoplasty. Dr. Rival's general philosophy is to always use the patient's own cartilage if it is available. There are however rare situations where an implant or injectable is the preferred option.
To find out how you can benefit from revision rhinoplasty, request a consultation with Dr. Rival at one of his three Toronto-area cosmetic surgery offices. If you are interested in a facial plastic surgery procedure other than rhinoplasty, visit our main site at www.rivalcosmeticsurgery.com.
The most common and most challenging need for revision rhinoplasty occurs when too much tissue was removed at the previous surgery.
Revision Case 1: Minimal Tissue
When the nasal tip cartilages are over-resected this can create a very pinched narrow appearance from the front view.
Revision Case 2: Pinched Tip
Sometimes revision rhinoplasty for Toronto patients is done to remove excess tissue that wasn't adequately reduced at the original surgery.
Revision Case 3: Leftover Tissue
Sometimes the excess tissue or bump is a build up of scar tissue. Patients with thick skin are particularly vulnerable for this to happen. Dr Rival uses a careful post operative routine of taping and steroid injections to help control this.
Revision Case 4: Scar Tissue Build Up
This patient had an excess build up of
Often when a rhinoplasty is poorly performed there is a combination of problems including under- and over-resection and scar tissue contracture.
Revision Case 5: Multiple Problems
The ultimate goal in revision rhinoplasty is to create a more natural looking nose and often one that functions better. While improvement is usually possible this must always be balanced by the possible risks and complications of each individual case.