Treating Scar Tissue During Revision Rhinoplasty

Treating Scar Tissue During Revision Rhinoplasty

Treating Scar Tissue During Revision Rhinoplasty

What a Rhinoplasty Entails

The chase for aesthetic bliss is sometimes an unsteady one. Like with everything else in society, many things can go wrong and in the world of plastic surgery, this holds true. Luckily, experienced hands are the “eraser” for when another surgeon’s chicken scratch is made. Many people in the U.S. seek a revision nose job for cosmetic or functional reasons. Adults, even teens, turn to a nose job revision to correct what should’ve been corrected in the first place. However, many don’t know the different layers one has to go through to get desired results. Here’s a sort-of guideline that helps bring insight on what one goes through for this revisional procedure.

The Importance of the Consultation

The first step is to have a consultation with a plastic surgeon experienced with the rhinoplasty. This is when the options for treatment are established. The individual also finds out if they are a good candidate for the surgery and if they expect realistic results. The plastic surgeon performs an examination, discusses the details of the procedure and explains which expectations are realistic.

The individual is given the information regarding the rhinoplasty, the recovery, and any risks. Once this information is presented, the individual is free to ask questions. The specialist reviews the health history of the individual to ensure they are healthy enough for this surgery.

The Technology of Computer Imaging

Computer imaging is provided during the consultation to help the individual with the planning process and assist them in making a decision. Computer imaging is an effective means of communicating the goals of the rhinoplasty. It is important for the plastic surgeon to understand what the individual hopes to achieve through surgery. It is just as important for the individual to understand what results the plastic surgeon expects to achieve by performing the rhinoplasty.

The Best Candidates for Revision Rhinoplasty

According to Naples rhinoplasty expert, Dr. Anurag Agarwal, the most common reasons for seeking a revision is because of airway obstruction, asymmetrical issues, and flat-out displeasure with the initial nose job results. All of these reasons make you an ideal candidate for this type of correction procedure. It is important you are completely healed prior to considering having a revision rhinoplasty. This is because if you have any swelling, it can negatively impact your surgical plan and your final results. Keep your expectations realistic by striving for improvement as opposed to perfection.

The goal is to perform a few surgeries as possible while achieving the most dramatic improvements. To determine if you are a good candidate, you must schedule a consultation to talk to the plastic surgeon in person. Your surgeon will consider all your individual needs.

The Actual Procedure

Since no two noses are exactly the same, each surgical procedure is slightly different. The surgeon is always willing to talk to the individual about their options and provide the details of the surgical plan. The individual is given anesthesia prior to the start of the procedure. In most cases, this is local anesthesia with IV sedation or general anesthesia.

Once the surgeon is certain the individual will not feel any pain, they make the incisions. There are two different rhinoplasty procedures, the closed or endonasal rhinoplasty hides all the incisions inside the nose. The open or external rhinoplasty also hides the incision in the nose with one exception. The surgeon places one small incision between the nostrils across the columella.

The small incision is usually hard to detect because the length is only three to four millimeters. The plastic surgeon determines the best approach based on their skill and experience and a technical discussion with the individual regarding the specifics of the surgery. Advanced surgical techniques are used based on the exact condition of the individual’s nose and their specific goals. This can include repositioning the cartilage, removing the scar tissue and cutting or breaking the nasal bone so it can be reset. Once the surgeon has completed the process, the sutures are placed and the individual is taken to recovery.

The Recovery Period

This rhinoplasty is an outpatient surgery. The patient can usually return home after surgery to begin the recovery process. If the patient is not from the general area, they often stay in one of the many nice local hotels. The initial period of recovery requires about one week. Only a few days are necessary to recover from the anesthesia. There is usually some slight swelling and bruising that will dissolve in about one week. The individual will wear a small nasal bandage for four to six days, but nasal packing is unnecessary. Patients are recommended to take one week off from work. The recovery is uneventful with little nausea or pain. The patient can use prescription medication to control these symptoms when necessary.

The main responsibility of the individual after undergoing rhinoplasty is to rest. The plastic surgeon will provide the individual with detailed instructions for the recovery period. It is important to adhere to these instructions to help ensure optimal results. Most people are presentable in public shortly after the small nasal bandage has been removed. Most individuals can go back to work a few days after the removal of the nasal splint. It is important to note there are activity restrictions in the instructions for a few additional weeks. The swelling will continue to decrease as the individual heals for the next few weeks.

The Art and Science of the Revision Rhinoplasty

This procedure is a combination of art and science. The specific technique and approach are critical. It is important to have the procedure performed by an experienced and skillful plastic surgeon to get the best results. This surgeon has a full understanding of the underlying causes of the issues so often a part of the surgery. When the surgeon understands the reason for each complication, they can provide the correct repair approach. This process can be complicated, requiring both knowledge and skill. If an issue is limited and focused, the problem can be fixed using a limited and targeted approach. Sometimes, a comprehensive reconstruction is required. This depends on the severity and nature of the problem. Every procedure must be customized for the best results.

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