What to check at a revision rhinoplasty consultation

Revision rhinoplasty involves more considerations than a first operation, because the altered structure, the condition of the tissue and the materials used before all need to be assessed. Preparing the following helps.

When is revision considered?

• The result differs from what you expected and you want the shape corrected
• There are implant-related problems (movement, show-through, deformity, etc.)
• Functional problems such as congestion have developed
• The shape has changed after an injury or over time

The approach and complexity depend on the concern.

What to prepare

• When, and at which clinic, the previous surgery took place
• The materials used (type of implant or cartilage), as far as you remember
• Surgical records or receipts, if you have them
• What you most want to improve now

Information about the earlier surgery is an important clue for planning. The consultation also checks whether any substance was ever injected into the nose.

Timing of revision

Revision is usually considered once the tissue has settled sufficiently after the previous surgery. The right time depends on what was done before and on the current state, and is judged individually with age and condition in mind.

Methods and materials

Which materials can be used depends on the remaining tissue and cartilage. Your own cartilage (ear, septal, rib and others) is sometimes used; the choice depends on your individual condition.

Possible risks

Tissue may be altered and blood supply different after earlier surgery, so there are more risks to consider than with a first operation. It is important that the consultation explains the possible risks and how they would be managed.

Frequently asked questions

Is revision possible without records of the earlier surgery? Records help, but a plan can still be made from examination and imaging. Bring as much information as you can remember.

Do I have to go back to the clinic that did the first surgery? No. What matters is an accurate assessment of the nose now and a suitable plan, which is decided together at the consultation.