A Difficult Rhinoplasty Operation: 3rd Revision Rhinoplasty
Our patient, who had had nose rhinoplasty in two different countries before, was referred to us for treatment of current nasal distortion and breathing problem. As seen in the photo, there was asymmetry in the nose and a collapse in the right nose wing. We performed the third revision nose surgery using cadaveric cartilage. It was a difficult operation. You can see the photos of the nose before and after operation below.
In this case, the factors that I want to share with you and that cause the surgery to be more difficult than normal:
- the presence of insufficient amount of cartilage tissue
- two previous surgical trauma, anatomical changes
- tissue dissection is difficult due to suture reactions and healing tissue
- Serious asymmetrical areas, especially as seen at the tip of the nose
- collapse due to very small amount of cartilage tissue in the right nasal valve area
- thick skin at the tip of the nose
During the operation, the nose was reshaped by using rib cartilage, and the nose was stretched better in terms of aesthetics and functionality. Achieving complete symmetry in such surgeries is very difficult and unnecessary tissue dissections may cause wound complications. The stitches seen at the tip of the nose are self-melting. Edema appeared on the nose while photographing and video was taken.
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| Post-operative photographs of the patient show that the collapse in the right nasal valve area has resolved, the nostrils appear more symmetrical, and the light line on the nasal dorsum is free of breaks and bends. |
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| In this photo, preoperative images show a retracted ala on the right, a hanging columella, and collapse in the right supratip and valve area, but these issues were resolved postoperatively. |
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| This photo shows an under projected nasal tip, a collapse in the right supratip area, and a bent appearance at the tip of the nose. These issues were corrected postoperatively. |
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| In this photograph, preoperative images show scoliotic light reflection, a retracted ala, a hanging columella, and an uner-projected nose. Immediate postoperative images show that these problems have been resolved. |
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| In this photograph, preoperative images show right alar collapse, columella deviation, and a right retracted ala. Postoperative images show most of these issues resolved. |
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Appointment Phone: +90 212 561 00 52
Fax: +90 212 542 74 47
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