Revision Rhinoplasty

Primary rhinoplasty alters the nose's original anatomy. Revision rhinoplasty addresses a nose that has already been surgically changed. The surgeon works with scar tissue, a potentially depleted cartilage supply, and skin that has been lifted and redraped. This history dictates the surgical plan more than in a first operation. The goal is to improve form or function within the limits set by the previous surgery.

This depends on the state of the nasal structure after the first operation. If the original surgery removed too much cartilage from the septum, or if new support is needed to reshape the tip or bridge, grafts may be required. These are typically taken from the patient's own ear or rib cartilage. The assessment of whether a graft is needed, and from where, is a central part of the surgical evaluation for a revision.

Addressing functional issues is a key objective of many revision procedures. Problems like a collapsed nasal valve, a new septal deviation, or internal scarring can result from a previous operation. The surgical plan assesses the airway and the structure of the nose together. The aim is to improve both breathing and appearance, but the extent of possible improvement is determined by the condition of the internal nasal structures.

The choice between a closed or open technique depends on the complexity of the case. Revision surgery often requires significant structural work, such as placing cartilage grafts to rebuild support. For this kind of detailed work, the direct visibility and access offered by the open approach are frequently necessary. The surgeon determines the appropriate technique based on the specific anatomical challenges and the goals of the revision.

For a revision consultation, any documents from your first surgery are very useful, especially the operative report if you can obtain it. Clear photographs of your face from before any surgery—front, side, and three-quarter views—are also important for assessment. Finally, a written list of what you wish to change about your nose's appearance and any breathing issues you have can help focus the discussion on your specific goals.

Revision rhinoplasty is performed in a fully accredited hospital in Istanbul, chosen to support the specific requirements of the procedure. The hospital is named in your written surgical plan before you travel. The operation is conducted by the surgeon and the clinic's own anaesthesiology team. An interpreter is present from the consultation through to the hospital discharge to ensure clear communication.