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Revision Rhinoplasty

Those who have previously undergone nose surgery and want to make corrections are recommended to consult with the surgeon beforehand about which correction approach would be best. Common cases include:

  1. Deviated nose: Can be corrected with either Open or Closed Rhinoplasty. The surgeon will create a new pocket and straighten it. For Closed Rhinoplasty, there may be a need to re-adjust the silicone shape after the operation at least 3 month until the silicone fits snugly into the new pocket, and may be more prone to having the nose becoming deviated again than Open Rhinoplasty.

  2. Thinning nose tip: This may result from using a silicone that is too large. Correction can be done via Open or Closed Rhinoplasty to reduce the silicone height as well as take additional tissue elsewhere (conchal cartilage, coccyx, or tummy tissue) and apply to the apex to thicken it. With Open Rhinoplasty, the surgeon can limit the usage of silicone to only the nose bridge area, and the patient's own cartilage will be used to reconstruct the tip area, in order to gain the maximal nasal height.

  3. Altering nose shape: Issues ranging from overly prominent nasal bridge, short nose, crooked nose, or hump from the silicone can be fixed with either Open or Closed Rhinoplasty. The operation procedure will depend on the existing and desired shape of the nose. For example, individuals with short nasal tip may still be eligible for Closed Rhinoplasty if the surgeon deems they have enough nose tissue. On the other hand, individuals with insufficient nose tissue who wish to have a more prominent nasal tip are recommended to have Open Rhinoplasty instead.

  4. Visible or bumpy silicone edge: This is caused by capsular contracture and/or calcified capsule, which may exist several years after the operation. The solution is to remove the capsule and create a new one. Then the operation can be performed by either close or open technique.

  5. Disfigured nose: This can result from having infection after the operation, overly large silicone protruding from the tip, or after having gone through multiple operations. Open Rhinoplasty will often be the solution in this case. However, not all cases can be corrected, and further operations may even make things worse.

Operation details:

The surgeon will remove the existing silicone, and will operate using either Open or Closed Rhinoplasty approach.


Post-operational treatments:

  1. Apply cold pack to the area during the first 3 days.

  2. Wrap nose bandage for 3 days.

  3. Clean the area daily, avoid contact with water.

  4. Internal cuts inside the nose do not need suture removal. Nose can come in contact with water only after 7 days (suture will remove itself after 1-2 months).

  5. Suture removal for nasal septum cartilage wound after 1 week, for conchal cartilage and costal cartilage after 2 weeks. The wound can only get in contact with water after suture removal.

  6. Avoid nose picking or blowing.

  7. Sleep with head straight and avoid wearing eyeglasses for 1 month

  8. Bruises will typically be less noticeable after 2-3 weeks, and swelling after 3-6 months.


Possible side-effects:

Will depend case by case.

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