With a second operation, the surgeon and the patient have to face much greater difficulties than with the first correction of the nose shape:
- with a second operation, the physician deals with the altered tissue structure;
- there is scar tissue, which is not so elastic and the metabolic processes in which occur worse;
- changed cartilage;
- it may turn out that cartilage is not enough to form a change and you will have to use implants;
- a longer rehabilitation period.
The repeated procedure differs by its unpredictability, so sometimes the doctor has to look for safe correction options already during the operation itself.
Side effects with repeated rhinoplasty are similar to the primary intervention:
- the appearance of edema;
- formation of hematomas;
- inflammation in the field of intervention.
They are a natural consequence of the operation, however, the tissues changed by the previous correction and healed, can be much longer restored after repeated intervention.
For the same reason, complications of secondary rhinoplasty are not excluded:
- rupture of blood vessels;
- increased scarring;
- nose displacement;
- rejection of the implant;
- inflammatory complications (abscesses).
OPERATION REPEATED RHINOPLASTY
Differences from primary rhinoplasty - if during the first correction the surgeon has reliable information about the location of cartilage and their size, then with repeated intervention, he often has to act blindly.
Palpation inspection can not give complete information about the location and appearance of the cartilage at the moment.
In this regard, the repeated operation is carried out very slowly, neatly and shallowly.
The situation is complicated by the presence of scar tissue.
Sometimes there is a lack of cartilage to correct the defect, the doctor has to use an implant.
CAN REPEATED OPERATION BE ALWAYS CARRIED OUT?
- Sometimes the consequences of the first correction of the shape of the nose can not be corrected.
- Lack of cartilage tissue or extensive scar changes may prevent it.
- A qualified plastic surgeon will be forced to refuse re-rhinoplasty.
- If the patient has been refused with explanation of the reasons by several doctors, do not look for the surgeon who will undertake a second operation, when others refused it.
THE PERSON SHOULD RECOGNIZE THAT IN THIS CASE HE IS STRONGLY RISKING NOT ONLY ONE AESTHETIC OF THE EXTERNAL KIND, BUT HIS HEALTH AS WELL.
According to statistics, about 10% of patients who performed the correction, are forced to reapply to the doctor to correct his form.
The reason for this may be the following factors:
- the size and shape of the nose after rhinoplasty significantly differ from the expected result of the patient, being, in his opinion, unsatisfactory
- the patient's breathing is impaired, he experiences pain or headaches;
- scars after surgery are noticeable
- there are fossae or dips on the nose;
- the nasal septum is curved;
- the organ acquired an asymmetric shape, shifted in any direction;
- there was a hump that was not there before and which was not planned during the first correction.
- nose seems "too corrected" and look on the face is alien, badly combined with other features of the face
The main contraindication to re-correction of the nose is less than 6 months after the first correction.
It is during this time that there is a restoration of blood circulation and the formation of scar tissue, which is ready for reconstruction after a year.
Some patients are ready to hide the real timing of the first correction to quickly get rid of visible or functional defects.
- diseases of the cardiovascular system, in particular, ischemic heart disease, heart failure and arterial hypertension.
- liver and kidney disease.
- Bleeding disorder
The rehabilitation process after repeated rhinoplasty is more complicated and lasts longer. This is due to the existing scar tissue, which was again subjected to surgical intervention or removal. Usually, the sutures after the secondary surgery are removed after 7 days, but the edema and bruises can last up to three weeks or a month.
That the healing process was faster and the edema subsided:
- for 3-4 weeks after surgery, sleep exclusively on the back, on a high pillow or with a raised head of the bed;
- to refuse to wear glasses (for the period of rehabilitation replace them with lenses);
- exclude any physical activity;
- protect the face from sunlight;
- Eat balanced, excluding salted and fatty foods, coffee;
- refrain from alcohol and smoking;
- avoid catarrhal diseases.