Revision Rhinoplasty 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

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

Frequently Asked Rhinoplasty Questions

The cost of revision rhinoplasty in Sydney can vary widely, typically ranging from $10,000 to $25,000 or more. This variation depends on factors such as the surgeon’s expertise, the complexity of the procedure, and your specific needs as a patient. To get an accurate estimate tailored to your situation, it’s essential to consult with a qualified surgeon.

Whether revision rhinoplasty is right for you depends on your individual concerns and goals. If you’re dissatisfied with the results of a previous rhinoplasty and have realistic expectations about what can be achieved, it might be a suitable option. Discussing your expectations and concerns with a qualified surgeon is key to determining if this procedure aligns with your needs.

Good candidates for revision rhinoplasty are individuals who:

Are unhappy with the results of a prior rhinoplasty.
Have realistic expectations about the outcome.
Are in good overall health.

It’s also recommended to wait at least one year after your initial surgery to allow for full healing before considering a revision. A consultation with a qualified surgeon can confirm if you’re a suitable candidate.

Primary rhinoplasty is the first surgery to alter the nose’s shape or function, while revision rhinoplasty is a follow-up procedure to correct or enhance the initial results. Revision rhinoplasty is often more complex due to scar tissue and changes in nasal anatomy from the previous surgery.

Recovery from revision rhinoplasty may take slightly longer than the initial procedure.

Expect:

Swelling, bruising, and discomfort for the first few weeks.
Return to work or normal activities within 1-2 weeks.
Full recovery and final results in several months to a year.

Following your surgeon’s post-operative care instructions is crucial for a smooth recovery.

The results of revision rhinoplasty are generally long-lasting when performed by a skilled surgeon and with proper post-operative care. However, natural aging and other factors may gradually affect the nose’s appearance over time.

As with any surgery, revision rhinoplasty carries risks, including:

Infection
Bleeding
Anesthesia complications
Unsatisfactory results
The need for additional surgery

Discuss these risks with your surgeon and adhere to all pre and post-operative guidelines to minimise complications.

Send an Enquiry

Want to ask a question or organisation a consultation?

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.