Rhinoplasty, or nose surgery, is a plastic surgery procedure for correcting and reconstructing the nose. As expected, it is one of the most complex plastic surgeries to perform and requires much skill on the part of the surgeon. It's not just surgery to raise or lower the nose, but the doctor must also consider the function of the nose and the balance and proportions for the entire face. The line from the forehead to the tip of the nose should be naturally connected to the lips, and the balance between the cheeks and the overall face size should also be considered. For example, if a patient would insist on the shape of the nose of a specific celebrity without considering their own facial line, the overall balance of the face could be broken and give an unnatural result. This happens more often than many would like to admit, and leads to problems for patients after their first surgery.
Dr. Seo Il Beom at Marble Plastic Surgery Korea
Because a rhinoplasty is so intricate, it is one of the most frequently requested procedures for revision because oftentimes the first surgery is unsuccessful. To help make an informed decision on how to proceed with revision rhinoplasty, Eunogo spoke to Dr. Seo Il Beom, a revision rhinoplasty specialist at Marble Plastic Surgery in Seoul, South Korea, to answer the most frequently asked questions about a revision nose job.
Eunogo: Who needs revision rhinoplasty?
Dr. Seo: In most cases, many patients seek a revision when they think their original implant is too high or too low. Many people also need revision rhinoplasty when the line is deformed, there is persistent inflammation or the implant has moved. Yes, the implant can move if it did not settle properly between the nasal bone and periosteum. In this case, the inserted implant must be removed and a revision may be performed.
In addition, there are various causes such as deformation of the tip of the nose, deviation of the prosthesis, and necessary reconstruction due to adhesion.
Eunogo: How soon can you get a revision rhinoplasty?
Dr. Seo: Sometimes I see patients who seek for a revision surgery only 2-3 weeks after their surgery which is when the major swelling has gone down. However, the period of nasal revision surgery should be performed after tissues have been softened, which is at least 6 months after the initial surgery. In case of inflammation, the period of nasal surgery should be considered after confirming that the inflammation has completely subsided after removal of the original implant.
Eunogo: Can we lower the height of the implant?
Dr. Seo: Yes, it is possible to lower the position of the tip of the nose or the height of the nose. However, if you wish to lower your nose substantially, you should also take into consideration the excess skin surrounding the nose that may occur when you plan for your surgery.
Before/After of Revision Rhinoplasty from Marble Plastic Surgery
Eunogo: Can we fix nostril asymmetry?
Dr. Seo: In case of nostril asymmetry, it can be corrected with revision surgery. However, asymmetry such as differences in nostril size that existed before the first surgery cannot be fixed 100% but can be improved and made more even in appearance.
Eunogo: Tell us more about inflammation.
Dr. Seo: If you have swelling or redness after a nose surgery, and if pain is present even though it has been quite some time, inflammation is the primary suspect. If the degree of inflammation is not severe, treatment is simple, but in severe cases, nose revision surgery can only be performed after removal of the prosthesis and after all symptoms of inflammation have subsided.
The reasons to get a rhinoplasty revision are very diverse. Since each individual patient has different underlying reasons for getting a revision surgery, it is first necessary to determine the exact cause during a consultation with an experienced specialist, and it is also important to establish a customized plan for each patient to perform optimized surgery. In addition, a patient undergoing nasal re-operation may already have tissue damage, which is inevitably higher than that of primary surgery, so it is important to minimize tissue damage through elaborate and experienced surgical skills.
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