If a nose job is unsuccessful or the patient is dissatisfied, they may wish to have the nose corrected again (revision rhinoplasty). However, this step should be carefully considered, as not every surgeon who performs rhinoplasty is qualified to perform a revision rhinoplasty.
Depending on the severity of the deformity, patients may present with minor imperfections or even tragic cases with a partially disfiguring appearance and significantly impaired nasal function. A thorough analysis of the nose and review of the surgical reports are mandatory.
Despite thorough preparation, surprises often arise during the surgery, which requires a wide range of different techniques and extensive experience with rhinoplasty.
Duration of treatment | Approx. 2 hours | |
---|---|---|
Anesthesia | General anesthesia | |
Stay | Outpatient or 1-2 nights | |
Dressing | Cast for 1 week | |
Nasal packaging | No nasal tamponades necessary | |
Showering | Morning after operation | |
Wash hair | 3. day after surgery | |
Suture removal | Self-dissolving | |
Socially presentable | Usually after 2 weeks | |
Sport | After 6 weeks | |
Wear glasses | After 6 weeks | |
Costs | From 7.450 euros |
A revision rhinoplasty, also known as revision rhinoplasty, can vary considerably in scope: If patients are generally satisfied with the rhinoplasty performed and only wish to make minor adjustments, such as removing minor bumps or a minor residual hump, the effort involved is often limited. Minimally invasive solutions are often sufficient in these cases.
The more pronounced the deformity is after a previous operation or even after several previous operations, the more complex techniques are required for the revision rhinoplasty. For example, in some cases, the nasal septum can be so severely crooked that it must be completely removed. It is then straightened, reinforced, and reinserted (so-called extracorporeal septal reconstruction). A stable and straight nasal septum is a basic prerequisite for a straight and well-functioning external nose. Scarring is another complicating factor – not only during the preparation of the revision rhinoplasty, but also affects the healing phase due to poor blood circulation.
If the stability of the previous surgery(s) has been compromised to such an extent that parts of the nose have collapsed, the nasal support structure must be rebuilt from scratch, as stability is crucial for a good long-term outcome. In such cases, we almost always choose the open approach to the nose to obtain the best possible overview of the deformity.
In addition to cosmetic correction, improving the function of the nose is always a top priority. A stable nasal framework is then constructed from various transplants, and the further details of the nose are then created on this foundation. The cartilage required for this can often no longer be used in the nose and is then harvested from the auricle or rib.
Once the stable basic framework is in place and scarring and functional limitations have been eliminated, the nasal tip is optimally aligned with the nasal bridge. The skin, as an important factor in the final appearance, must be handled with extreme care. The patient's cooperation during the healing phase is just as important as the surgery itself, which is why we maintain close communication with our patients in Hamburg.
A personal examination and consultation are particularly crucial for rhinoplasty: The patient's wishes and realistic feasibility must be reconciled. I take the time to discuss your needs and advise you in my practice in Hamburg.
Competent and very niceDr. Wilke did a wonderful job correcting my four-fold nose surgery. I am very grateful and satisfied. I was disappointed by many other ENT doctors, but only Dr. Wilke was able to give me hope again and correct my disfigured nose. Thank you again!
April 12, 2022 - Jameda
Great resultFirst, I received a detailed consultation in a calm atmosphere. I was able to ask all sorts of questions, which Dr. Wilke answered thoroughly and professionally.
I immediately felt in good hands. I had to wait a bit for the surgery appointment, but what can I say - the wait was worth it. I am extremely satisfied with the result and can recommend Dr. Wilke to everyone.
October 5, 2021 - Jameda
Competent and very friendly doctorI was treated very well by Dr. Wilke.
A great doctor with a very friendly team, all of whom do a great job. I am really happy with the surgical outcome.
February 15, 2022 - Jameda
Such revision surgery may be necessary if a previous nose surgery did not produce a satisfactory result.
An additional rhinoplasty should not be performed until at least 1 year has passed, because the wound healing is complete only then.
Rhinoplasty procedures can vary greatly in scope: from the minimally invasive removal of minor imperfections to complete reconstruction. For a customized treatment plan, please schedule a consultation at our practice in Hamburg.
Revision rhinoplasty is generally significantly more complex than the first surgery. Reasons include scarring, missing tissue, or improperly performed previous surgery.
Reconstruction often takes longer than rhinoplasty. The approximate surgery duration is 2-4 hours.
Thanks to our gentle surgical techniques, we can also avoid nasal packing for rhinoplasty revisions. The external splint is usually applied for 1 week.
Thanks to an experienced team and gentle surgical techniques, the risks of rhinoplasty in Hamburg are low. Any swelling and bruising usually subside after a few weeks. Compared to the first rhinoplasty, wound healing often takes a little longer.
The goal of a rhinoplasty is a significant improvement in appearance and function. Realistic results will be clarified during the detailed consultation.
After about 2 weeks, most swelling and any discoloration of the skin will have disappeared.
Due to the widely varying complexity of the procedures, the costs can only be estimated after a personal examination and consultation.
Health insurance companies can cover the functional portion of this type of surgery.