Because of its three dimensional nature, the nose is one of the most complex parts of the face. On the outside, it is framed by the mouth, the cheeks, the forehead, and the eyes and can significantly affect the appearance and balance of the rest of the face. In addition to this, the nose has a complex internal structure responsible for breathing, warming and moistening the air that we take in, our sense of smell, and allowing aeration of the sinuses among other things.
Too often patients and sometimes physicians do not realize the complex nature of the nose when approaching it surgically. Any surgical approach on the nose that does not take into consideration all of the factors mentioned above increases the risk of developing some type of nasal problem postoperatively. Overly aggressive reduction of a large nose can result in inability to breathe through the nose, a nose that doesn’t fit with the face, and a “surgical” look.
Any patient considering rhinoplasty or septoplasty surgery should strongly consider choosing a surgeon such as Dr. Thompson or Dr. Henstrom whose training and experience reflect a thorough understanding of these principals, and whose practice manages surgical and non-surgical nasal problems on a regular basis.
Revision rhinoplasty surgery presents more of a challenge than a traditional rhinoplasty as the presence of scar tissue and, sometimes, lack of cartilaginous support will demand the surgeon have a lot of experience with how to deal with the problems that may be encountered due to the past surgery. With cartilage having been removed in the original rhinoplasty, cartilage often needs to be taken from behind the ear to restore the nasal form. The ear incision is well hidden and there is no change in the shape of function of the ear.
Although revision rhinoplasty has special considerations, it is a very rewarding procedures. Surgery time is typically longer for a revision rhinoplasty and typically takes about 5 hours. The mucus membranes revert to their normal size in 1-2 weeks after the surgery but the results continue to evolve over the course of a year, though noticeable improved post operatively.
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