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Revision Rhinoplasty

Revision rhinoplasty or secondary rhinoplasty is a term used for repeated nose surgery in patients who have previously had surgery.

After nose surgery, the fact that your nose does not get the shape you want and the need to have surgery again for this can be discouraging for people in this position. Understandably, they are hesitant about the second surgery, and there may be a feeling of distrust towards their first surgeon, and they may start looking for a more experienced doctor in this regard.

Revision rhinoplasty surgery is one of the most difficult surgeries to perform, and it is important that the person who performs it has extensive experience in this regard. Revision You can think of nose surgery as a wide range, from correcting a small irregularity that occurs on the back of the nose to rebuilding and shaping a collapsed nose with cartilage tissues taken from the rib. For this reason, it is always necessary to keep in mind: “Every patient is special and individual results may vary.”

How is Revision Nose Surgery Performed?

Open technique is usually preferred in secondary nose surgeries because it is necessary to fully evaluate the cartilage disorder and deformity in the nose. After the skin on the nose is removed and the underlying cartilage and bone tissues are seen, it is necessary to behave according to the existing disorder. For example, if there are irregularities and protrusions in the cartilage on the back of the nose, it may be enough to correct it. But sometimes the cartilage tissue is removed so much during the first surgery that it is necessary to take a cartilage graft from the rib to ensure the stability of the nose (that is, to provide support for the nose) and shape it by carving it almost like a sculptor according to the existing deficiency and identify it appropriately.

Otherwise, contortions and bends may occur in the cartilage part that is placed. In addition, the ends of cartilage grafts placed in blocks should be properly thinned, if attention is not paid, it may be visible. Sometimes the nose structure may remain intact, but there may be a low tip of the nose or a slight low back of the nose. In such cases, if there is not enough cartilage tissue inside, it can also be taken from the ear.

The Healing Process After Revision Nose Surgery?

In patients who have received rib cartilage, the healing process is not very long compared to those who have not been taken, a 2-4 cm incision is made under the chest to remove rib cartilage, and cartilage tissue is removed as needed. In other words, if we are not reshaping the entire nose, it is enough to partially remove it from the upper part (by splitting), in which case the probability of unwanted conditions, which we call complications, is very low. There may be a pain in the form of pain for the first 2 days, but other than that, we do not expect a lot of pain and pain.

How Long Does Revision Nose Surgery Take?

The duration of revision nose surgery may be longer than normal initial surgeries. Of course, it varies depending on the procedure to be performed, but the average time varies between 2-5 hours.

When Can I Have the Revision Surgery?

If it has been 6 months since the first surgery, it is theoretically said that you can have surgery. But it is necessary to decide this again during the examination, because the healing process varies from person to person. If the back of the nose and especially your long skin are sufficiently softened and mobile (mobile), there is no harm in having surgery.

How Many Times Can I Have Revision Surgery at Most?

There is no clear answer to this either, we can say as much as your nasal skin allows. If you smoke, 2. even having surgery can be risky, so if you are thinking of having a revision nose surgery, you should definitely quit smoking.

Assoc. Dr.



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


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Medically Reviewed by Professor Doctor Alper Demirbaş
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