Secondary rhinoplasty

Secondary rhinoplasty – surgery aimed at correcting the results of primary surgery or the state after the primary rhinoplasty. The need for it arises in cases when there is objective evidence (uncontrolled post-operative scarring process, primary plastics defects, disorders of anatomical integrity of the cartilage and bone of the skeleton of the nose), and subjective patient’s wishes.

Secondary rhinoplasty can be carried out not earlier than one year after primary rhinoplasty. It is connected to the stages of the formation of scars and postoperative edema.

Secondary rhinoplasty can be combined with ENT stage rhinoplasty. Since firs surgery have used local tissues (cartilage, soft tissue structures) is not always possible to do without the use of autografts. In such cases, we take cartilage from ears or costal cartilage. It may also require the use of allograft “Tutoplast”.
Secondary rhinoplasty result is a more difficult to predict, as the anatomical structure of the external nose was changed with primary surgery. Secondary rhinoplasty is always more difficult to primary.

Operation results:

  • Beautiful, harmonious nose profile

  • Adjusted results of the primary rhinoplasty

  • Restoration of the external nose right proportion

  • Elimination of functional problems breathing after primary rhinoplasty

Operation time
1,5 - 3 hours
Anesthesia
General anethesia
Stationar
1 - 3 days
Rehabilitation
7 - 14 days
Result
Elimination of functional / aesthetic problems
indications and contraindications
  • conditions after primary rhinoplasty
  • functional respiratory disorders
  • scar deformation after primary rhinoplasty
  • social and aesthetic indications
  • severe somatic disorders
  • Diabetes
  • postoperative period less than 1 year from primary plasty
  • mental disorders
  • Acute phase of ENT pathology
Procedural steps

Preparation for surgery

  • secondary computer prognosis

  • ENT doctor consultation (endoscopy)

  • in some cases,external nose area imagine

  • 2 - 3 weeks prior to surgery is necessary to pass the tests prescribed by the doctor

  • 2 weeks prior to surgery stop taking drugs affecting blood clotting

  • stop smoking 2 weeks prior to surgery

Operation

  • Surgery under general anesthesia

  • Preoperative marking

  • additional infiltration anesthesia

  • Interoperability by the previous scars

  • Primary rhinoplasty defects correction

  • absorbable and non absorbable sutures

  • steri-strips on nose dorsum

  • fixing plaster splints on nose dorsum

  • aseptic bandage and nose tampons

The postoperative period

  • patient stays in clinic for 2 days

  • tampone removal on second or third day

  • physical restrictions up to 14 days

  • sutures being removed on 7 day , fixing plasters splint on 9-10 day

  • not sleep in the nose pad for 14 - 30 days

  • limiting the glasses wearing (in a heavy frame) up to 3 weeks

Results Photos
Patients feedback

*The result depends on the individual of the patient

Frequently Asked Questions
This surhery is recommended when there are significant postoperative deformities of the external nose and functional disorders of nasal breathing. However, to adequately assess the results of the primary rhinoplasty is possible only after 10-12 months.
Yes. But each successive intervention worsens the prognostic properties of secondary rhinoplasty.
Functional disorders of nasal breathing. Violation of the integrity of the cartilage of the nose skeleton. Poorly controlled scarring associated with the peculiarities of violation trophism after primary rhinoplasty.
Video materials
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