REVISION RHINOPLASTY LOS ANGELES – SUCCESSFUL REVISION RHINOPLASTY
Revision rhinoplasty is rhinoplasty carried out on someone who has already had a rhinoplasty previously. Some revisions consist of a mere touch-up while others are much more complex. By definition, revision rhinoplasty is a more complex procedure. The anatomy of the nose has been changed and scarring and changes in the tissues have taken place subsequent to the first surgery. In addition, some cartilage and bone is likely to be missing, having been removed at the initial surgery. The aim of revision rhinoplasty is to re-establish the breathing function of the nose if it has been disrupted, and to restore as natural and aesthetic an appearance to the nose as possible.
Revision rhinoplasty or secondary rhinoplasty is by far one of the most challenging plastic surgery procedures, requiring an experienced surgeon with particular skill in reconstructing the cartilages and bony framework of the nose. In some cases, cartilage grafts or implants may be necessary to replace missing structures. Candidates for revision rhinoplasty include men and women who are looking to improve aesthetic or functional problems of the nose which have resulted from prior surgery. It is particularly important that patients have realistic expectations as there may be limitations to what can be achieved. An initial consultation with the cosmetic surgeon at the state-of-art facility of Revision Rhinoplasty Los Angeles centers can help patients determine if revision rhinoplasty is right for them and what improvements can be achieved.
Revision rhinoplasty procedures generally average two or more hours in length and may be performed with either local anesthesia combined with intravenous sedation or with general anesthesia. An “open” approach, in which a small incision is made across the columella, or the strip of skin located between the nostrils, is often required as it permits a better view of and access to the inside of the nose. Less complicated cases may involve a “closed” or “invisible” approach in which all incisions are confined to the inside of the nose. Once the incisions have been made, the rhinoplasty surgeon will carefully separate the skin of the nose from the underlying framework of bone and cartilage. The surgeon may then re-position cartilage or replace missing structures. If cartilage grafts are needed, cartilage may be taken from the septum, ear or rib. Once the required changes have been made, the surgeon will re-drape the skin over the new framework and suture it into place. A splint will be applied to the outside of the nose and, if necessary, cotton or soft plastic splints may be placed in the nostrils. The recovery from a revision rhinoplasty is often less extensive than after a primary procedure. Though the face may look and feel puffy right after surgery, generally less bruising and swelling is encountered. Patients often experience less pain and the discomfort can be controlled with prescribed medication. Work or school may be resumed within about one week after the revision rhinoplasty procedure.
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