Newport Beach secondary rhinoplasty is also called “revision rhinoplasty” and is used for functional or cosmetic deformities made worse or improperly treated by a primary procedure. Revision rhinoplasty can be used to describe rhinoplasty required after a secondary operation, like a third or fourth procedure.

Secondary rhinoplasty is usually requested by patients to correct particular imbalances that are persisting, more severe or newly created. Typically, the nose is in disharmony with other facial features or imbalanced because of unexpected complications during the healing process. This could also be caused by incomplete or improper surgical maneuvers.

The secondary procedure is usually a lot more complicated than the first. The primary rhinoplasty presents the best opportunity to address all the functional and cosmetic nasal abnormalities. However, a rhinoplasty specialist can appropriately apply advanced techniques to successfully correct abnormalities from the initial procedure.

Most cosmetic surgeons specializing in rhinoplasty have the required skills and experience to use revision rhinoplasty to address the concerns of the patient. As with the primary procedure, your goals and expectations should be realistic. These expectations should be discussed in detail with the surgeon.

Taking in pictures of your nose before the previous process could be helpful in determining what can realistically be done. Additionally, the cosmetic surgeon could ask for prior medical and surgical records to ensure a better outcome. However, this is not mandatory.

Below are some common issues that typically result in secondary rhinoplasty:

• Obstruction of the nasal airway
• Collapse of the external and internal nasal valve
• Collapse of the cartilage or nasal bones
• An overdone nose job (artificial cosmetic appearance)
• Insufficient cosmetic change (Incomplete shaping)
• Thickened scar tissue (Excessive external and/or internal scarring)
• Inadequate or excessive projection of the tip
• Pinched tip (Disproportionately narrowed nasal tip)

In secondary rhinoplasty, the required changes can be performed via an open or closed approach. Generally, if major structural changes are required, the preferred technique is an open approach. A closed approach is usually taken to address minor contour corrections.

Closed rhinoplasty is only used when endonasal (internal incisions) are made to access the nasal structures. The open technique involves making a skin-bridge incision between the columella (two nostrils) to raise the skin for more direct access to the structures that require alteration.

The choice of using either the open or closed approach in secondary rhinoplasty is usually based on the preference of the surgeon. Both the open and closed approaches have their pros and cons; these should be discussed with the surgeon before the procedure.

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