Have you ever wished there was such a thing as a corrective rhinoplasty?
If you have, let me guess how it all played out.
You are very excited about the ‘nose job’ that you got done recently. As the swelling gradually reduces, and you start seeing the structure of your newly formed nose, you realize what you expected is not exactly what you see in front of the mirror. Don’t lose heart.
There is definitely a way to correct it through a specific and customized corrective rhinoplasty procedure. However it is important to check if you are fit enough to get a corrective rhinoplasty immediately. This depends on factors affecting your own anatomy or the actions taken during the primary rhinoplasty procedure. Here are some of the factors which will help you to take the decision:
The nasal swelling needs to subside
Some of the nasal swelling caused after the primary rhinoplasty, reduces immediately. However, most of the time it takes a year for the swelling to completely subside. Only once the swelling reduces completely, will the nose take its final, permanent shape. It is better not to rush to take a decision on getting corrective rhinoplasty before this swelling process is complete. Who knows, you might just like how the altered nose will look once the swelling has completely subsided.
The scar tissue needs to soften
Post the primary rhinoplasty, the natural tissues were disrupted and were replaced with scar tissues which take time to soften. Deep scars can make it difficult for the plastic surgeon to dissect further. It would not be a good idea to go for the corrective rhinoplasty before the tissues are healed completely.
No more extra cartilage available
Often, corrective rhinoplasty requires additional cartilage to be augmented to the nose. This extra cartilage is taken from other parts of the body like the ear, the nasal septum or from one of the ribs. Sometimes, the surgeon uses up most of the available cartilage during the primary rhinoplasty, which makes it difficult to plan for the revision surgery. In such cases donor cartilage or a synthetic implant might be necessary which further complicates the revision rhinoplasty.
Quality and characteristics of the nasal skin
The quality and thickness of the skin is an important factor to consider before rhinoplasty. If the skin is too thick, it is a major hindrance to achieving a well-defined tip or a defined profile line.
Extent of deformities caused by post-surgical healing
In those cases where the secondary rhinoplasty is being contemplated to correct deformities created by trauma during the post-surgical period following the primary rhinoplasty, the deformity is so severe that it makes it very difficult for the corrective rhinoplasty to normalize the nose completely in a single procedure.
Number of prior surgeries
Repeated surgeries to have the ‘perfect’ nose, may cause a permanent disfigurement. Repeated surgeries can add to the deformity of the face each time. With the hope of looking better, things might get worse. Thus, it is crucial to have a qualified, experienced and ethical surgeon who is willing to have a more open and heart-to-heart dialogue with the patient on the risks and rewards of revision rhinoplasty.
Repeated rhinoplasty surgeries also make the healing process difficult. In fact the healing process takes longer with each successive rhinoplasty. Patients should aim for near-perfection rather than absolute perfection and know when to stop doing repeat surgeries.
The surgeon must understand the patient’s concerns and verify, with complete internal and external examinations of the nose, the feasibility of the corrective rhinoplasty. The nose is a vital organ which adds to the attractiveness of the face. It is disturbing for the patients when they find that the nose is not looking perfect after the primary rhinoplasty. However it is important to sit with the doctor and rationalize the circumstances and the desired expectations. It is always better to think that the goal of rhinoplasty is cosmetic improvement as it is impossible to achieve absolute perfection.
What you must note, however, is that there is a limit to the number of revisions you can get done without seriously risking permanent damage to the nose. Also, the more the number of previous nose surgeries, the more expensive a corrective rhinoplasty will be. Hence, we recommend that you do some thorough research to find a highly competent plastic surgeon who is experienced specifically in corrective rhinoplasty. Some of the best corrective rhinoplasty specialists in the world can be found in Seoul, South Korea which is a global mecca for facial plastic surgery.