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Revision Rhinoplasty Brisbane

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Rhinoplasty requires a high level of skill. Slight changes in the nose can change a person’s overall look, which means surgeons must take special care when performing surgery on the nose. Due to the precise nature of rhinoplasty surgeries, aesthetic and breathing issues can arise afterwards. In such cases, patients may seek a revision rhinoplasty to correct issues.

Revision rhinoplasty addresses a variety of concerns from previous nose surgeries, including internal and external problems. If you are dissatisfied with the results of a past nose surgery, Dr Andrew Broadhurst in Brisbane can consult with you to determine if revision rhinoplasty is appropriate. The procedure will be tailored to your specific situation and needs.

Common Reasons for Revision Rhinoplasty

Having a revision rhinoplasty is a very personal decision. Common reasons for seeking revision rhinoplasty include addressing persistent aesthetic concerns such as asymmetry, irregular contours, or disproportional size that were not satisfactorily resolved with the initial procedure. Additionally, functional issues like breathing difficulties due to a deviated septum or collapsed nasal valves may prompt patients to consider a second surgery. Scar tissue from the first surgery or changes in nasal structure over time can also necessitate revision.

Revision Rhinoplasty with Dr Broadhurst

“I pride myself on the individual care and support I provide each of my patients. From your first consultation, I will work one-on-one with you to tailor a treatment plan to suit your body.”

Meet Dr Broadhurst

Consultation

Your Initial Consultation

Your initial appointment with Dr Broadhurst will take place virtually via FaceTime. During this appointment, Dr Broadhurst will ask you about your medical history and the reasons for wanting revision surgery. It’s important to openly discuss any concerns you have about your previous nose surgery and any functional issues with your nose. Additionally, you should communicate what you hope to achieve through further surgery. These details are crucial for creating a treatment plan tailored to your specific needs. Once all the necessary details have been discussed, you will have a clear understanding of what to expect from revision rhinoplasty.

Your Second Consultation

Your second meeting with Dr Broadhurst will be face-to-face rather than virtual. It will take place at one of our Brisbane, Sunshine Coast, Hervey Bay, or Bundaberg locations. The purpose is to confirm any last details and ensure you have a well-rounded understanding of the process. In addition to discussing the surgery, it will give you the chance to ask any further questions.

Procedure

What to expect during the procedure?

Revision rhinoplasty can take anywhere from two hours up to four hours. The exact duration is different for every patient, depending on the complexity. In some cases, the surgeon may need to take cartilage from the rib or the ear to help shape the nose. We will discuss these factors during your consultation.

During the rhinoplasty procedure, patients can expect to be under anaesthesia, either local with sedation or general. The surgeon will make incisions, usually inside the nostrils or occasionally across the columella, to access the underlying bone and cartilage. These structures are then carefully reshaped or repositioned according to the surgical plan. Once the modifications are complete, the incisions are closed, and a splint is applied to the nose to support its new shape and protect it during the initial healing process.

The two most common techniques are:

Open Rhinoplasty

Open Rhinoplasty 01, BPS

During open rhinoplasty, the surgeon makes a small incision in the columella, the strip of skin between the nostrils. This approach provides greater access to the bone and cartilage inside the nose, allowing for more precise reshaping and correction. The increased visibility helps the surgeon perform complex adjustments, such as correcting significant deformities or making detailed changes to the nasal tip. Once the necessary modifications are completed, the incision is closed with fine sutures, and a splint is applied to support the new structure during healing. This technique is especially useful for cases requiring extensive restructuring or when previous nasal surgeries necessitate increased visibility and control.

Closed Rhinoplasty

Closed Rhinoplasty 01, BPS

Closed rhinoplasty is a surgical procedure where all incisions are made inside the nostrils, leaving no visible scars. This technique provides access to the bone and cartilage for reshaping while maintaining the external nasal structure intact. The surgeon performs the necessary modifications through these internal incisions, adjusting the bone, cartilage, and soft tissues. Once the adjustments are complete, the incisions are closed, and a splint may be applied to support the nose during the initial healing period.

How much does a revision rhinoplasty cost in Brisbane?

When considering revision rhinoplasty in Brisbane, the cost is an important factor to take into account. Each patient has unique reasons for seeking this procedure, leading to variations in the surgical approach and, consequently, the cost. Factors influencing the cost include the complexity and duration of the surgery, surgeon’s fees, hospital fees, and anaesthetist fees. The length and type of surgery—whether it is open or closed—also play a role, depending on the specific issues being addressed.

Revision rhinoplasty is often sought for aesthetic reasons, aiming to correct issues affecting the nose’s appearance. As such, Medicare typically does not cover the cost of the procedure if it is not medically necessary. However, some patients may require revision rhinoplasty for functional reasons, such as correcting deformities or addressing breathing problems, which might influence the eligibility for coverage.

If you have further questions about the costs associated with revision rhinoplasty, we are happy to discuss them in detail during your consultation, providing a personalised estimate based on your specific needs and circumstances.

Recovery

Recovery after Revision Rhinoplasty

After the surgery, your nose will be bandaged, and you may be given pain medication. Some patients need to stay in the hospital overnight. In any case, you should organise for a friend or family member to drive you home.

The nose is a very delicate area, and recovery time is usually similar after revision rhinoplasty to the original surgery. This means you should not injure your nose while it heals. You should sleep on your back with your head raised and avoid hot showers and baths for the first week. You may need to wear a splint on the nose if the surgery involves changing your bones or grafting cartilage. The extent of bruising can vary between patients, but you can expect most of the bruising to resolve within 14 days. You can resume driving once you are comfortable. Along with getting plenty of rest, there are things you can do to aid the healing process. You may need to:

  • Avoid heavy lifting and exercise.
  • Be careful when bending or stooping, as this can cause bleeding
  • Avoid smoking and alcohol.
  • Wear the required splint and tape.
  • Take prescribed oral pain medication.
  • Avoid any tasks that put a strain on your body.
  • Do not take blood-thinning medications like aspirin.
  • Keep your head elevated when lying down.
  • Drink lots of water and maintain a healthy diet.
  • Take time off work to rest and recover.

Dr Broadhurst will give you specific home-care instructions to help with the recovery period.

Procedure Risks & Complications

Risks and complications associated with this surgery can include:

  • Reactions to anaesthesia
  • Bleeding or infection
  • Build-up of blood or fluid
  • Lasting pain or swelling
  • Cell death of graft
  • New asymmetry
  • Persistent asymmetry
  • Reduced nasal tip sensation
  • Airway limitation
  • Impaired or lost sense of smell
  • Scarring
  • Lip numbness
  • Septal perforation
  • Necrosis
  • Palpable irregularity
  • Nasal collapse
  • Change in skin colour
  • Temporary loss of sensation
  • Nasal blockage
  • Unwanted outcome
  • Death

Frequently Asked Questions

Who are the suitable candidates for revision rhinoplasty?

Suitable candidates for revision rhinoplasty are individuals dissatisfied with the results of previous nose surgery and experiencing functional issues such as breathing difficulties or nasal deformities. They should be in good overall health, have realistic expectations, and have fully healed from their initial rhinoplasty.

How much time should I take off work?

The length of time off can depend on the nature of your work and your body’s response to surgery. Most patients can go back to work after one week. Some may need to take two or three weeks off.

When can I exercise after revision rhinoplasty?

You can return to gentle activities like walking after one week and light exercise after about four weeks.

What results can I expect?

Results are not immediate, and patients should keep in mind that recovery will require patience. The nose is a sensitive area that can take a long time to heal. It can take up to a year for patients to see their full results.

Will I have scarring?

Scarring depends on the type of surgery you choose. Open surgery will result in a scar, which will lighten over time. Closed surgery will result in scars being hidden on the inside of the nose.

How many times can you have revision rhinoplasty?

There is no set number of times you can undergo this procedure. However, the more times you have surgery on the same area, the higher your risk of complications.