Is the second nose surgery performed as open or closed?
Revision rhinoplasty is the second surgical intervention aimed at correcting shape or breathing problems that arise after the previous surge...
Yasal Uyarı:
Her cerrahi veya girişimsel işlemde sonuçlar kişiden kişiye değişiklik gösterebilir. İşlem öncesinde hekiminizden detaylı görüş almanız önerilir.
Revision rhinoplasty is the second surgery performed to correct shape, breathing, or loss of support in the nasal tip after the first nose surgery. This operation requires a more detailed plan because changes in the nasal anatomy occur due to the previous surgery. Therefore, choosing the right surgeon is a key factor in the success of both functional and aesthetic outcomes.
Specialty and Academic Competence
- The surgeon should be a specialist in either ENT (Otolaryngology) or Plastic Surgery.
- Experience in revision rhinoplasty must be researched.
- Scientific publications, academic background, and training are important indicators.
- Associate professorship and academic titles support experience in the field.
Experience Level in Revision Cases
Revision surgeries require:
- More technical precision
- A higher likelihood of cartilage support being needed
- Greater risk of complications due to scar tissue
Therefore, the surgeon should be skilled in:
- Having performed a large number of revision cases
- Reconstructing nasal tip support
- Experience in using rib/ear cartilage
Personalized Rhinoplasty Planning Approach
Each patient has different needs in revision surgery. It is important for the surgeon to work with the following criteria:
- Skin thickness of the nose
- Cartilage reserve status
- Loss of support in the nasal tip
- Deviations – asymmetry – breathing passages
Assoc. Prof. Dr. Ali S. Resul uses an individualized anatomical analysis approach in revision rhinoplasty planning. This approach ensures that a different surgical strategy is applied for each nose.
In visual analysis:
- Nasal bridge height
- Nasal tip angle
- Projection
- Symmetry
- Functional airway
Criteria such as these must be evaluated. While simulation does not guarantee the final result, it supports personalized planning.
Techniques Used: Open / Closed / Hybrid Technique
When researching the surgeon, the following questions should always be asked:
- Does he/she prefer the open technique for revision?
- In which cases is the closed technique applied?
- How does he/she provide cartilage support?
- What is the principle of using rib or ear cartilage?
In revision rhinoplasty, most specialists use the open technique as it allows a clearer view of the anatomy.
Approach for Cartilage Requirements
In revision rhinoplasty:
- Septum cartilage is often insufficient
- Ear cartilage is suitable for small corrections
- Rib cartilage is used for large reconstructions
It is important to know in which situations the surgeon prefers which source of cartilage.
The surgeon must provide open and neutral information to the patient:
- That results vary from person to person
- That guaranteed results cannot be given
- That every nose’s healing process will be different
It is a legal and ethical necessity to clearly express this.
