Secondary Rhinoplasty

Op. Dr. Serif Yavuz 

Rhinoplasty is known as the most popular type of aesthetic operation of recent times. For many people, we have to say that congenital or later deformities in the nose are not destiny anymore. In addition, the number of people who have trouble in breathing through their nose is quite high! At this point, nose aesthetic operations (such as Rhinoplasty) are needed for both aesthetic and health reasons.

Rhinoplasty operation involves less risk compared to other aesthetic operations. It is unlikely that any complications occur after the surgery. Besides that, it is usually ends up successfully. However, in some cases, we should be clear about the nose shape that occurs after the surgery, if it is not liked, it could be due to the miscommunication between the patient and the surgeon. If the patient is not correctly clear about his/her expectations before the surgery to the surgeon, he/she will not be satisfied with the new shape of his/her nose. In addition, those who apply for aesthetic surgery in order to improve their respiratory functions are not satisfied with the result when they realize that this problem has not been solved after the operation. In such cases, revision rhinoplasty can be performed.


What is Secondary Rhinoplasty surgery (reconstructive Rhinoplasty)?

It has different names such as secondary nose surgery or correction nose aesthetics. It is performed to correct the complications that occur after the first rhinoplasty operation. However, it is a much more difficult and informative operation compared to primary rhinoplasty. So, it must be done very carefully by the experts only.

There may be more than one reason for the failure of the first rhinoplasty operation such as: If the surgery is not well planned, if the experience of the surgeon who is performing the operation is not sufficient, if the patient is not able to convey his expectations and wishes accurately, if there are functional problems caused by scar tissue during the healing process, if support sutures are opened or trauma is experienced after the operation, if one of these occurred we can say that the first operation was unsuccessful.

Secondary rhinoplasty is recommended to eliminate deformities that are not pleasant for the patient or the surgeon. With the secondary nose operation, it is aimed to obtain a nose shape that is compatible with the face and reach to both health and quality of life. However, secondary rhinoplasty is not suitable for everyone. A detailed examination has to be applied to the patient before the operation. During the examination, sagging, collapsing, asymmetry in the nostrils, cartilage and bone problems are detected. In addition, the patient’s expectations and wishes should be better understood at this time. As a result, problems that arise after the first operation are detected. Planning for secondary rhinoplasty surgery begins in the next process.

Secondary rhinoplasty is a procedure performed under general or local anesthesia or intravenous sedation, just like in primary rhinoplasty. In addition, the duration of the surgery varies depending on the size of the problem and patient’s needs.


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We make sure that the patient is knowing all the details of the operation in order to explain  what to expect after the operation


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When should Secondary Rhinoplasty performed?

The most important point about secondary rhinoplasty is when the operation should be performed. As everyone knows, swelling and bruises disappear within 10 days after the first operation. However, it takes an average of six months for the nose to take its new shape. In other words, within a period of six months to twelve months, the nose will have a completely new look. In this way, it will be much clearer in which points the failures occur to the nose after the first surgery.

Secondary rhinoplasty should not be performed less than six months after the first operation. We must explain that it will cause in serious failures if it’s done. In secondary rhinoplasty, failure of the operation is encountered if a certain period of time does not pass after the first surgery due to the cartilage tissue transfer as well as small fillings.

“Even if Secondary Rhinoplasty (reconstructive Rhinoplasty) is completed, the patient should continue life with caution“

Op. Dr. Serif Yavuz 

What happens during Secondary Rhinoplasty surgery?

Secondary Rhinoplasty has many names. However, we should say that the definition of revision surgery is the definition that best expresses itself. This operation is completed in different periods depending on the seriousness of the situation. It should be said that it takes at least thirty minutes, but also three or four hours. If it is an operation where only small touches will be made, the operations will be completed in half an hour. However, we should state that this period will be longer for major revisions.

After secondary Rhinoplasty, some pain could be encountered as in the first operation. Severe pain could show itself during the first few days. If the painkillers that been recommended by the surgeon are used, the problem of pain will disappear. Secondary Rhinoplasty is a much more difficult and complex process compared to primary nose operation. The plaster used in bone interventions during this operation is removed at the end of the fifth day. Depending on how serious the operation is, the patient is usually kept under observation in the hospital for one day. However, there is no harm in sending the patient home the next day and continuing his/her life by paying attention to the rules. Some bruising and swelling will occur in secondary rhinoplasty. Such scars may take a few days longer than those in the first operation.

What should be taking care of after Secondary Rhinoplasty surgery?

Even if the secondary Rhinoplasty operation is finished, the patient should continue his/her life carefully, just as after the first operation. We can say that the process is similar to primary rhinoplasty. The patient should be aware that this operation is more difficult and complex.

  • After secondary rhinoplasty operation, especially in the first few days, the patient should be be eating with watery and soft foods.
  • It is very important that the head is constantly facing upwards. Therefore, two pillows should be used for both rest and lying down.
  • The patient should avoid any heavy and extreme sport activities for at least a month after Rhinoplasty.
  • As in the first operation, bleeding in the form of leakage may occur after surgery. This situation should be taken naturally. However, in case of excessive bleeding, the surgeon who performed the operation should be contacted immediately.
  • It’s possible for the patient to have a bath. However, the bath should be for the hair only without contacting the water with the face.
  • When brushing the teeth, the patient should be very careful. It is necessary to brush the teeth using a soft brush without harsh movements.
  • One of the most important aspects of secondary Rhinoplasty is the drugs that should be used during and after the operation. At this point, medications that been recommended by the doctor should be used. In addition, blood thinners should never be used.
How long is the healing time after Secondary Rhinoplasty surgery?

Secondary Rhinoplasty is performed after the examination of the nose condition by the surgeon after that, the surgeon decides an open or closed technique. After the first operation: bone, cartilage and soft tissue, where some deformities occur, are reshaped. In addition, if there is a low or height at the tip of the nose is also intervened. There are also solutions to problems such as asymmetry disorder and curvature.

During secondary Rhinoplasty: at first, some studies are performed on the cartilage tissue. In case of insufficient cartilage tissue, cartilage graft can be taken from the rib. In addition, efforts are made in order to improve breathing function. If no other actions are required, the operation is concluded.

Because secondary Rhinoplasty is difficult and complex, it takes longer than the first operation. The healing process also varies according to the patient’s condition and the severity of the operation. The patient, who is discharged one day later, is relieved with applying ice. Pain killers can also be given to patients with severe pain. After seven days of the operation, the plastic splint is removed. Then the tape is attached again.

As a result, the nose takes its final shape after one year after secondary Rhinoplasty.


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Questions and Answers

Staying for one night in the hospital for monitoring, and after the surgery for a period of 6 days for the examination and control by the doctor

It is possible to return to daily life after at least 10 days, keeping in mind that the patient should be following the instructions explained by the doctor

The duration varies between 3-5 hours, depending on each patient condition

People over the age of 18 and in good health condition 

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