Revision rhinoplasty is a very common procedure due to the fact that primary rhinoplasty is one of the most challenging facial surgeries to perform. Very few rhinoplasty results are absolutely perfect, however an extremely competent and experienced surgeon can come very close. That said, great surgical skills alone do not guarantee a good outcome. Good tissue and favorable healing responses also play a significant role for a successful rhinoplasty. Bad genes can affect even the most skillful surgery, especially when combined with weak cartilage and poor skin.
Revision rhinoplasty surgery is often conducted in order to touch up a minor imperfection. A reconstructive revision rhinoplasty comes with more risk and is typically required to repair a misshapen nose or breathing issue. Revision rhinoplasty is considerably more complicated and can possibly be less effective than a first-time rhinoplasty so it’s very important to take this into consideration before moving forward.
When performing revision rhinoplasty, one of the challenges facing your plastic surgeon is scar tissue that’s formed following primary rhinoplasty surgery. This scar tissue can be an obstacle when trying to separate and reposition the existing cartilage and bone and plays a role both internally and externally. Other factors affecting the outcome of a revision rhinoplasty, include nasal contours, the integrity of the framework of the nose, the texture and thickness of the skin.
As part of the reconstruction, septal cartilage, or cartilage grafts from other areas of the body, such as the ear, rib or fascia scalp, are often used for rebuilding. The first choice would be to use septum cartilage. Should the septum be inadequate or if it had been removed, then your surgeon will opt to use cartilage from other areas of the body. When correcting the nasal tip, cartilage from the ear is a good option, however it can perhaps lack the structural strength needed to support the tip adequately in certain cases. When needing large grafts, rib cartilage is a good option however, not all patients are willing to undergo a chest incision nor the discomfort from the harvesting of the cartilage.
Gore-Tex Or Medpore
At Solomon Facial Plastic, Dr. Philip Solomon prefers to use natural tissue harvested from his patients during their reconstruction revision surgery. However, in some cases, specifically surgeries that require an augmentation, Dr. Solomon may use Gore-tex or Medpore, which are both synthetic implant material. Gore-tex and Medpore are both a medical grade implant substances, known to be generally safe. That said, there is a 3% chance for infection or rejection by the patients’ body.