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  • Q&A with Australian Health Practitioners

    How common and successful are rhinoplasty revisions?

    Related Topic
    Plastic Surgery
    I had a closed rhinoplasty 10months ago to reduce the hump on my bridge. I have now developed 2 bumps/lumps on my tip which are cartilage. This coupled with the fact that my bridge wasn't reduced enough means I now require open nose revision. How common is this and how successful is a desired result 2nd time round? Further surgery is not a desirable option but neither is living with this nose.
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  • Dr Walter Flapper

    Plastic Surgeon

    Dr Flapper is a craniofacial surgeon in Adelaide. Following the completion of his training as a plastic and reconstructive surgeon, Dr Flapper completed a post … View Profile

    Even in the most experienced hands, revision of a rhinoplasty is required in around 10% of cases. There is no guarantee that a rhinoplasty is going to produce the exact result that you are after, and it is important that you are aware of this prior to undergoing any procedure. A thorough preoperative assessment and discussion will be give both yourself and the surgeon a good idea of what result you are after and whether or not this is achievable.  

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    Dr Sim Choroomi

    Ear Nose and Throat (ENT) Surgeon

    Most experienced rhinoplasty surgeons would quote a 5-10% revision rate for a primary rhinoplasty at some point in the future. As in your situation, when the swelling reduces and the bone and cartilage heals an irregularity which is visible or feelable may become appartent one or 2 years later. 

    If your only issue now are these 2 irregularities and the remainder of your nose is satisfactory, this should be pretty straight forward - your doctor may approach this via an open approach to give superior access and viewing of these areas and either rasp (file) or trim them, or may add small pieces of cartilage around them. Small other "tweaks" can be done as well.  Your recovery for this should be somewhat easier than your last as no bones will be re-broken etc. The swelling post op however will be similar and may last a little longer.

    If however you are requiring a total revision to address multiple issues then this is a different issue all together and you will need a thorough preopertive assesment, assesment of whether cartilage needs to be borrowed from elsewhere (such as ear) and  complete re-do of imaging and computer morphing. This type of revision is undergoing another major operation and recovery. Your goals and expected outcomes need to be looked into detail over a few consults with you and your surgeon. 

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