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

• 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

Operation stages

• 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