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Revision Rhinoplasty

Rhinoplasty is one of the aesthetic operations that our people do the most. But in 10 percent of rhinoplasty operations, revision (secondary rhinoplasty) operation, that is, the need for a second operation for correction arises.

There are many reasons that lead patients to revision rhinoplasty.

• The fact that the nose shape that occurs after surgery causes dissatisfaction in the person,

* Excessive rasping of the middle bony part of the nose, eventually collapsing,

* The insufficiently supported tip of the nose falls off over time or becomes excessively erect,

* The continuation or occurrence of breathing problems,

• Excessive appearance of the nostrils when viewed from the opposite direction,

* Design of the nose tip curved to the right or left,

* Excessive reduction of the nose by excessive removal of cartilage and bone tissue,

• Not taking enough of the arched area,

• Inability to create a feminine curve form from the eyebrows to the tip of the nose,

• Formation of deformities together with faulty boiling nasal bone, revision constitutes the main reasons for rhinoplasty operations.

Success Criteria of the First Rhinoplasty Surgery

There are a number of criteria so that the need for revision rhinoplasty does not occur. It is very important for the patient to be aware of the new nasal structure to be created to the extent of the possibilities offered by the nasal structure, to have realistic expectations, and to have lasting satisfaction after surgery. The second criterion is the doctor’s knowledge and experience. These two criteria play a leading role in the smooth completion of the first surgery.

Cartilage Transplantation to the Tip of the Nose That Falls Off After Surgery

Revision rhinoplasty surgery is more difficult than the first surgery, but the desired results are achieved. The basic tissues that make up the nose structure, determine the functionality and aesthetic appearance are bone, cartilage and skin structure, that is, the thickness of the skin. Improper planning of the adaptation of these structures during the first surgery most often leads to low nasal tip and nasal collapse.

Low tip of the nose occurs at the end of which the tip, which is the most important region determining rhinoplasty, is not adequately supported by cartilage tissue. Nasal collapse, on the other hand, is caused by excessive removal of bone and cartilage tissue. In order to eliminate these two problems, cartilage transplantation from the ear or rib is performed if there is a lack of tissue. The collapsed nasal ridge is repaired again, the tip of the nose is supported with sufficient cartilage tissue and falls are eliminated. Cartilage transfer is also used to make the nose structure that shrinks too much compatible with the face.

The Ideal Curve in a Woman’s Nose Is Possible with Secondary Rhinoplasty

The presence of the nasal arch, which is still obvious, is another defect that requires revision surgery. The tissue forming the arch is rasped and restored to the ideal form. The curved nose structure is ideal for women. If the curve from the upper border of the nose to the tip of the nose is not curved enough, this problem is corrected with revised nose surgery.

If curvatures and excess nasal flesh still remain in the intranasal breathing channels, these deformations are intervened by restoring the channels to the appropriate angles and creating a nose structure that can breathe comfortably in terms of health. In addition, a harmonious design is revealed by interfering with the acitmetry on the nose wings.

Minor and Major Treatments for Revision Rhinoplasty

For revision rhinoplasty (secondary rhinoplasty), it should take at least 6 months after the first nose surgery. Because it is important to see complete healing in the nose, to clearly identify the defects. One of the minor and major correction operations is preferred. Minor operations are usually completed in 30 minutes. For example, if there is a collapse on the back of the nose, this part is restored to the planned appearance by filling procedure according to the patient’s preference. It is a temporary but comfortable solution. It needs to be repeated.

Major applications, on the other hand, can take an average of 3 hours or more. It is performed under general anesthesia. Usually, the open nose surgery technique is preferred. If the tissues in the nose are taken too much, cartilage tissue transplantation is performed to restore the defective areas to their ideal form. Deformities and defects that negatively affect breathing are eliminated.

Swelling and Bruising Are Less Compared to the First Surgery

Although it is a more difficult operation than the first surgery, there is less bruising and swelling during the recovery period. The stitch and splint on the nose are taken by the doctor at the end of the first week. It is normal for edema and bruises to form around the lips and nose. But it is a temporary situation. The feeling of pain after surgery is prevented with medications.

The patient can return to work within 10 days and exercise after 3 weeks. Patients wearing glasses 3. he can use lenses from day to day. after 1 month, he can also wear glasses. However, it should be noted that the glasses should be light. Passing of edema and bruises The full recovery processes may be later in patients who smoke.

Full Recovery After 6 Months

It takes at least 6 months for the nose to fully fit and regain its natural appearance. Although the failure of the first surgery creates justified anxiety and insecurity in the patient, a satisfactory, face-appropriate, natural nose shape can be obtained from the second rhinoplasty operation.

Hope to see you in our next post,
Stay with health and love.



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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.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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