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11 important points before nose reconstructive surgery

In the following, these 11 points are mentioned before re-nose surgery and all the aspects and risks that you may face in order to re-do the operation are discussed.

One of the most important points that should be paid attention to is asking for advice from a cosmetic specialist to find out whether your nose needs re-surgery or not. You can contact the office of Dr. Behzad Farrokhi through the numbers on this site and take action on this important issue.

1. Reconstructive nose surgery is more complicated than primary surgery

In the second surgery, the nasal tissue may be scarred, stuck, or reduced in flexibility. Many surgeons believe that secondary rhinoplasty requires much more skill and experience than primary surgery. There may be a need to use grafted cartilage from ribs or ears.

Be sure to go to an ear, nose and throat specialist or a facial plastic surgeon with experience in the field of secondary rhinoplasty.

In fact, once the nose has been operated on, its supporting structures may have been damaged or weakened. Consequently, restoration must not only address defects; It should also maintain the stability and function of the nose. For this reason, this action is much more difficult.

Secondary surgery can correct problems such as sunken ribs, non-relative piercings, or a weak nasal septum; But the surgeon must carefully manage the remaining tissues so as not to create a new problem.



2. It should be at least 6 to 12 months since the first surgery

The process of tissue healing and swelling of the nose may continue for a year. Early surgery can destroy the final result or cause further damage to the nasal tissue. Avoid early surgery; Patience is the key to success.

Swelling of the nose after the operation may continue for several months, and the final result is sometimes not known until a full year. During this period, many apparent defects may be resolved over time.

If you visit before the right time for repair, not only will you not get a good result, but more problems may arise for your nose; So be patient and let the tissues heal completely.

3. Specify the exact reason for your dissatisfaction

Before proceeding with the second surgery, you should know exactly what you are unhappy about:

Common problem	Description
Remaining hump	Nose hump not yet completely removed
Blade deviation	Nose tilted to one side
Problem Respiratory	due to excessive narrowness or drooping of the fins
dropped or abnormal tip	abnormal or uneven tip angle

Present the before and after photos to the surgeon and express your opinion clearly. Many patients only have a general sense of dissatisfaction, but during consultations, the surgeon needs to know exactly what the problem is. This transparency allows a more realistic solution to be proposed.

Using a mirror or photos can help you determine if the problem is with the shape, symmetry, angle, or function of the nose. If your problem is not just cosmetic, be sure to discuss it clearly with your doctor.

4. Have realistic expectations

100% complete recovery is not possible in secondary surgery. Sometimes the improvement is only 70-80%, but even that amount makes a big difference. The goal is to improve the current situation, not to achieve the dream ideal nose.

If you think that the second surgery will give you the nose of your favorite actor, you may be disappointed. Each nose has its own anatomical limitations and complete correction is sometimes not possible.

Communicating clearly with the surgeon about the expected result will help reduce stress and increase satisfaction. Sometimes the surgeon will even tell you that the second operation is not medically recommended.

5. Choosing the right surgeon is your most important decision

When choosing a surgeon, pay attention to these points:

• Real examples of secondary surgery
• Scientific background and professional experience
Feedback from previous patients
• Having a real counseling session, not just a phone one

Secondary surgery should not be left to any doctor. Many surgeons do not even perform secondary surgery, because it requires high precision and expertise. Finding a surgeon who has successful experience with reconstructive procedures not only reduces risk, but also increases your chances of achieving a better outcome.

6. Check before and after photos of similar surgeries

By viewing photos of patients with similar conditions, you get a more realistic understanding of the result. Look for cases that have a defect similar to your nose. If the surgeon doesn't want to show the case, it's not a good sign.

Comparing the before and after of other patients will help you understand whether the surgeon was able to solve your problems well before. This case is considered a kind of visual resume for a doctor.

Also, checking the photos will help you imagine a logical result for yourself and avoid having unrealistic expectations.

7. Sometimes you will need a cartilage graft

In the second and third surgeries, there is not enough cartilage tissue left in the nose and the doctor is forced to use other sources:

• Ear cartilage (suitable for the tip of the nose)
• Rib cartilage (for larger structural repairs)

Keep in mind that rib cartilage removal requires an incision in the chest and may leave a scar. Rib cartilage is the strongest option for collapsed structures or noses that have undergone multiple surgeries. But this method requires complete anesthesia and high skill.

Auricular cartilage is usually used for delicate modifications such as nose tip or fins, because it is more flexible but less strong than rib.

8. The cost of re-surgery is more

Reconstructive surgery is more expensive than the primary operation due to the need for higher precision and skill, more time, and sometimes cartilage grafting.

Note that lower cost in secondary surgery is usually associated with lower quality. So if you are looking for a durable repair, don't skimp on the cost.

9. The recovery period is sometimes more difficult

Be sure to take enough time to rest for the next two weeks; Because the tissues are more sensitive in the second surgery and the body reacts more to it. This means longer swelling, more pain and a higher chance for temporary complications.

Proper nutrition, no heavy activity, enough sleep and following all the doctor's recommendations are very important in the first weeks.

• Swelling and bruising may last longer.
• You need more careful care and more patience.
• Sometimes internal splints or more stitches are used.

10. Avoid emotional surgery

Sometimes people get anxious and make hasty decisions immediately after seeing an unfavorable result. Make the decision to re-surgery when you are mentally, calm and rational.

Feeling hopeless after your first surgery is normal, but making decisions when you're in a lot of pain can have worse consequences. Many people who performed a second surgery under these conditions have regretted it later.

It is recommended to consult a psychologist or a beauty consultant, give yourself time and ask friends or family for an opinion to make the right decision.

11. Hear the opinions of different surgeons

A surgeon may not need surgery. Another surgeon may suggest non-surgical options such as filler injections for partial restoration. The second and third consultations are always in your favor!

No surgery is omniscient! Every doctor has a different approach. Consultation with several surgeons can give you a more accurate perspective, and sometimes they even suggest less invasive ways.

Also, listening to different points of view helps to avoid hasty decisions and to consciously choose the path of treatment.

What is nose-reconstructive surgery?

Reconstructive nose surgery or secondary nose surgery is an operation that is performed after one or more primary nose operations to correct remaining or new defects. These defects can include appearance problems such as a hump or drooping of the tip of the nose or functional problems such as shortness of breath.

In many cases, patients expect a better or more natural result after the initial surgery, but for various reasons, such as improper surgeon technique, body reaction, or post-surgery injuries, the desired result is not achieved. This is where reconstructive surgery comes in.

How is the nose reconstructive surgery performed?

Nose reconstructive surgery is usually more complicated than the primary surgery; Because the structure of the nose has already changed and there are damaged tissues or scars in it. In this procedure, the surgeon may need to use a cartilage graft, usually taken from the ear or rib, to reconstruct the structure of the nose.

Surgery is performed in two ways, open or closed; But in most cases of reconstruction, the open method is preferred so that the surgeon has a more accurate view of the internal tissues and makes more accurate corrections.

Who can perform nose reconstructive surgery?

This surgery is suitable for those who are dissatisfied with the result of their previous operation; Both in terms of beauty and performance. Patients with drooping of the tip of the nose, inconsistency between the nostrils, deviation of the blade, or breathing problems; They are considered good candidates for nose repair.

However, this practice needs careful consideration. People whose nasal skin is very thin or very thick, or who have severe wounds due to a previous injury, should be evaluated more carefully to minimize the risk of complications.

When is it suitable for nose surgery?

The best time for reconstructive nose surgery is usually between 12 and 18 months after the previous operation. The reason for this distance is the time required to completely reduce the swelling and restore the internal tissues of the nose. Otherwise, the new surgery may aggravate the problems or disrupt the healing process.

Of course, in certain cases where there are acute problems such as severe respiratory obstruction or infection; Surgery may be performed earlier. But in most situations, patience is the key to success in the restoration process.

last word

Rhinoplasty is a serious and important decision that should not be taken hastily or without knowledge. Many people who decide to undergo nose surgery for the second or even the third time, have had unsatisfactory experiences in the previous operation and are looking to correct problems that may be bothering them; Both in terms of beauty and respiratory function.

Accurate knowledge of the surgical process, necessary preparations, selection of an experienced surgeon and checking the right time for the operation are factors that can significantly improve the result. This surgery is another chance to achieve a nose that is more harmonious with other parts of the face and at the same time does not disturb the respiratory function.

If you feel that your current nose needs correction, be sure to consult a reconstructive nose surgeon and make a decision based on a realistic assessment, adequate information and, of course, patience. Because in the second surgery, there is no room for trial and error.