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Revision Rhinoplasty

Revision Rhinoplasty refers to any second or third ‘nose job’ that is done in order to revise or improve upon a previous Rhinoplasty surgery. It is also sometimes called Secondary Rhinoplasty.
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Rhinoplasty Revision Surgery Sydney

Rhinoplasty Revision Surgery

Revision Rhinoplasty, also known as Secondary Rhinoplasty, refers to a subsequent surgical procedure performed on the nose following an initial surgery. Its main purpose is to rectify any aesthetic discrepancies or functional concerns that may have occurred or were not properly handled during the first operation. The ultimate objective of this kind of procedure is to fine-tune the surgical results to more closely align with the patient’s medical needs and aesthetic desires, ensuring improvements in both the look and functionality of the nose.

What concerns may Revision Rhinoplasty help to address?

  • Correcting Breathing Difficulty: A revision rhinoplasty may be necessary to alleviate functional issues such as difficulty in breathing that were not fully addressed or caused by a previous surgery.
  • Addressing Prior Surgical Dissatisfaction: This procedure may be suitable for individuals dissatisfied with the result of a previous nasal surgery, whether in terms of appearance or functionality.
  • Further Nasal Reshaping: For those who desire further adjustments to the shape of their nose following an initial procedure, a revision rhinoplasty could be considered.
  • Fixing Asymmetries: A revision rhinoplasty may correct irregularities or asymmetries that resulted from a previous surgery, like an asymmetrical nasal tip.
  • Dealing with Septum Issues: A deviated septum not corrected by a previous procedure, causing discomfort or breathing problems, might necessitate a revision rhinoplasty.
  • Correcting Wide Middle Third: A wide middle third of the nose, if considered disproportionate or aesthetically unpleasing, could be addressed through revision rhinoplasty.
  • Scar Tissue Management: Excessive or problematic scar tissue resulting from prior nasal surgeries may require revision rhinoplasty for both functional and aesthetic reasons.
  • Adjusting Nostril Width: Wide nostrils that were not adequately addressed during a previous procedure can be corrected through a revision rhinoplasty.

It’s important to remember that every individual is unique and so too are their needs and desired outcomes for cosmetic surgery. If you’re considering a procedure, it’s essential to have a comprehensive consultation with one of our experienced surgeons. They can help you understand whether you’re a suitable candidate and what you can realistically expect from the surgery. The information provided here is meant to help guide you, but it’s not a replacement for professional medical advice. Always organise a consultation for personalised advice.

If you are concerned about the way you look or are thinking about cosmetic surgery for confidence reasons, there are alternatives. Talking to a counsellor or psychologist may help you overcome your concerns about your appearance.

Patient Results
Primary Rhinoplasty Before & After

Photographs shown above are actual patients from our clinic, who have given their consent for the use of their images purely for informational purposes. It is important to note that the results observed are subjective, and will differ based on each individual’s unique characteristics and the specific surgical or non-surgical techniques implemented. As with all procedures, both surgical and non-surgical, there are inherent risks involved.

Despite our efforts to maintain standardisation in our before and after photos, certain inconsistencies, such as differences in lighting, posture, facial expression, hairstyle, and make-up, may still exist between images. For a more comprehensive understanding of potential results, additional surgical result photographs can be viewed during a private consultation at our clinic located in Double Bay, NSW.

Additionally, we wish to emphasise that individual outcomes can greatly differ. The results experienced by one person should not be viewed as an exact indication of the results that others may experience. Such variations are due to a multitude of factors, including an individual’s genetics, diet, and exercise regimen.

All photos are watermarked and hold the copyright of Dr Zacharia. Any unauthorised usage or distribution is strictly prohibited.

What to Expect

Consultation

The first step towards a revision rhinoplasty is a thorough consultation with our highly skilled surgeon, Dr Zacharia. During this meeting, your concerns, medical history, and nasal structure will be assessed. He will examine your nose externally and internally, possibly utilizing imaging technology to understand the structural complexities. This consultation offers an excellent opportunity for you to discuss any worries or ask any questions you may have about the procedure.

Number and type of consultation
It is a requirement under the law, that a patient seeking cosmetic surgery must have at least two pre-operative consultations. The patient’s first consultation must be with the medical practitioner who will perform the surgery or another registered health practitioner who works with the medical practitioner who will perform the surgery (not a patient advisor or an agent). At least one of the two consultations must be in person with the medical practitioner who will perform the surgery. Other consultations can be in person or by video.

When consent can be given
A patient must not be requested to sign consent forms at their first consultation and cannot consent to cosmetic surgery until they have had an in-person consultation with the medical practitioner who will perform the surgery. The decision to have the surgery (provision of informed consent) must be made at a consultation with the medical practitioner who will perform the procedure (in person or by video).

Cooling-off Period
There must be a cooling-off period of at least seven days after the patient has had two consultations and given informed consent (signed consent forms), before the surgery can be booked or a deposit paid.

Preparation

Once the surgical goals have been agreed upon, you will receive specific preoperative instructions to prepare for your revision rhinoplasty. These guidelines may include dietary recommendations, advice on smoking and alcohol consumption, managing certain medications or supplements, and cleaning your nostrils.

Surgery

Revision rhinoplasty is often more complex and may take longer than primary rhinoplasty, typically ranging from two to four hours. The surgery is usually performed under general anesthesia. The procedure involves making incisions either inside the nostrils or across the columella, depending on the technique best suited to achieve your goals. The surgeon then works to correct the issues from the previous surgery, which may involve reshaping the nasal structure, enhancing nasal function, or both.
  • Surgery Time
    2 to 4 hours
  • Hospital Time
    Day stay with an option for overnight

Recovery

Post-surgery, you will be monitored in a recovery room for a short period. Most patients are allowed to go home the same day, although sometimes an overnight hospital stay may be required. Splints and/or packing may be placed inside your nose and a cast or bandages on the outside to support and protect the new structures during initial healing.

Swelling and bruising around the eyes and nose are normal after revision rhinoplasty and will start to improve after a few days. Most patients feel ready to return to their daily activities within a week or two.

Regular follow-up appointments will be scheduled to monitor your progress and ensure a smooth recovery. The final outcome of your revision rhinoplasty may not be apparent for 18 to 24 months, as it takes time for the nose to fully heal and settle into its new shape.
  • Time off work
    2 weeks
  • Cast Removal
    After 12 days
  • Exercise
    4 to 6 weeks
  • Driving
    24 hours after general anaesthetic and not while taking prescribed pain relief. We also recommend checking with your CTA insurer as to the post surgery exclusion period.
  • Travel
    After 7 days for national and 4 weeks for international
  • Full Recovery
    24 months for final results

Send an Enquiry

Want to ask a question or organisation a consultation?
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Our Rhinoplasty Surgeon

Dr Michael Zacharia

MBBS, FRACS, FAAFPS, ACCS
Dr Michael Zacharia is a Fellow of the Royal Australasian College of Surgeons, Head and Neck (Otolaryngology) and practices in Facial Plastic Surgery. He is also an Ear, Nose and Throat (ENT) physician and has completed over 8,000 procedures, with over 4,000 being Rhinoplasty. Combining the latest medical, surgical and health techniques, Dr Zacharia strives to deliver the best outcome for each and every one of his patients.
Learn more
Cosmetic Surgeon & ENT Specialist
MED0001178357

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Make an Enquiry

Get in touch today to organise a consultation or to find out more information.

Our team will give you a call to discuss your enquiry and we will then send you any relevant information via email.
You will need a GP referral for surgical procedures. AHPRA require all patients having a surgical cosmetic or medical procedure to have a GP referral. You can fax your referral to 02 8072 6824 or email office@drzacharia.com.au
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You will need a GP referral for surgical procedures. AHPRA require all patients having a surgical cosmetic or medical procedure to have a GP referral. You can fax your referral to 02 8072 6824 or email office@drzacharia.com.au

Considerations Before Cosmetic Surgery

While we aim to provide accurate information about the different surgical procedures available, it’s important to understand that the content provided here serves as a general guide only. The specifics of each surgery, including the procedure detailed above, can and will vary significantly from person to person, depending on their unique circumstances and physical characteristics.

Undergoing cosmetic surgery is a serious decision that requires ample thought, careful consideration, and meticulous planning. It should never be taken lightly or treated trivially, as it can have profound impacts on one’s lifestyle and wellbeing.

Recovery from cosmetic surgery, too, requires time, support, and proper aftercare. We strive to present realistic and transparent information about the recovery process, but individual experiences may vary. It is typical for recovery to involve certain services or requirements, such as the use of compression garments or receiving therapeutic massages. It also often necessitates significant lifestyle changes, which may include a period of absence from employment and temporary restrictions on certain activities.

In light of these considerations, we strongly encourage potential patients to engage in comprehensive discussions with their GP and our surgeons. The goal is to fully understand the implications, requirements, and likely outcomes of any chosen procedure, and to make informed decisions about their health and aesthetics.

For more information on preparing for cosmetic surgery visit health.gov.au/cosmeticsurgery

General risks and complications

  • Substantial Hemorrhage: This involves severe blood loss from the area that underwent surgery, which may necessitate additional medical interventions.
  • Susceptibility to Infection: Post-surgery, the risk of infection can rise, potentially requiring either antibiotic treatment or subsequent surgical interventions.
  • Allergic Responses: Patients may exhibit allergic reactions to medical materials such as sutures, dressings, or antiseptic solutions used during and after the procedure.
  • Hematoma Formation: This involves the development of a sizable clot of blood beneath the incision site, which may necessitate medical drainage.
  • Post-Surgical Discomfort: Patients may experience pain, bruising, and swelling in the area surrounding the surgical site.
  • Scar Development: There's a risk of developing keloids or hypertrophic scars, which are elevated, red, and thickened scars over the healed incisions. Though they can be bothersome and aesthetically displeasing, they don't pose a direct health threat.
  • Delayed Healing Process: Healing can be sluggish, especially in patients with pre-existing conditions like diabetes or those who smoke.
  • Anaesthesia Risks: Patients may experience short-term nausea following general anaesthesia, along with other potential risks associated with anaesthesia.

Revision Rhinoplasty risks and complications

  • Post-Surgical Pain: Nose surgeries can lead to severe and persistent pain that requires pain management.
  • Altered Sensations: After the subsidence of bruising and swelling, the nose may exhibit numbness or a changed sense of touch.
  • Temporary Numbness in Teeth: Following the surgery, the upper front teeth may experience temporary numbness.
  • Unfulfilling Cosmetic Outcome: There's a chance that the visual outcome may not meet expectations, necessitating further corrective surgery.
  • Impaired Olfactory Function: The sense of smell may be negatively affected, with rare instances of permanent loss or distortion.
  • Long-term Swelling: The nose may remain noticeably swollen for several months post-operation.
  • Darkened Under-eye Skin: The skin beneath the eyes may darken, persisting for more than six months after the procedure.
  • Structural Instability: The support structure of the nose may weaken, leading to a flattened appearance of the nose. This could also result in complications with any implanted materials, possibly causing them to protrude into the nose or through the skin, and potential narrowing of major airways that may result in difficulty breathing.

Contact Facelift Plastic Surgery

Dr Zacharia
Level 1 /424 New South Head Road
Double Bay, NSW 2028

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AHPRA Registration

  • Dr Michael Zacharia MED0001178357 - Otolaryngology
  • Dr Kenneth Brito MED0001680302 - General Practice
  • Dr Ahmed Alsultan MED0001647273 - General Practice
Disclaimer: Surgical and invasive procedures are not an exact science and they carry risks. Results vary with each patient depending on their age, health, weight, hormones and lifestyle. Please note that results are not permanent solutions and will change as your body changes over the years. After you consult with Team MZ, you should seek a second opinion from an appropriately qualified health practitioner
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