SECOND CHANCE IN RHINOPLASTY:

Revision Rhinoplasty

The term ‘revision rhinoplasty’ is used for the second operation or each subsequent operation in noses which are previously operated without success or failed to produce the desired outcome.

There are various reasons as to why patients who are previously operated are dissatisfied with the result and want a revision surgery:

* A nasal tip inclined downwards
* Problems with the nasal angle such as the nose being too thick, too short, too long, too pointed or too wide
* An exposed view of the inside of the nostrils
* A nasal ridge that is too thin or too thick
* A nasal curvature, an inverted V deformity
* A ram’s nose appearance due to a failure to provide the right angle to the nasal root

The term ‘revision rhinoplasty’ is used for the second operation or each subsequent operation in noses which are previously operated without success or failed to produce the desired outcome. Small interventions sometimes suffice to eliminate huge problems but reconstruction is required now and then in cases when there is a lack of tissue to complete what is missing in terms of the main cartilage and even the bone structure that hold the nose. To this end, it is possible to use the cartilages within the nose but sometimes it may be required to use the cartilaginous tissues in the ear or ribs.

The basic principle in revision surgery is to support and strengthen the septal cartilage, which can be called the load-bearing column for the lower half of the nose and thus for the nasal tip, in order for this cartilage to do its job.

Following this, it is necessary to build the link between the cartilages of the nasal tip and the septum in order to enable the load-bearing column to carry the nasal tip. This is the point where two methods developed by Prof. Erdem Tezel shine through.

The method Prof. Tezel developed to extend the load-bearing cartilage called septum was published in the International Journal of American Plastic Surgeons in 2015, thus making its way into the literature.

Another method Prof. Tezel developed, namely the Septocolumellar Suture in Closed Rhinoplasty, connects this extended septum with the cartilages of the nasal tip and ensures integrity of the nasal tip.

 

Press coverage for Prof. Erdem Tezel: Take a look at all videos>

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