Revision Nose Tip Plasty in Istanbul

Revision Aesthetic Nose Tip Surgery in Turkey

Revision Aesthetic Nose Tip Surgery, Revision Nose Tip Plasty in Istanbul,

Revision nasal tip aesthetic surgeries can be planned for patients who have previously undergone rhinoplasty or nasal tip surgery. In the presence of the following problems, especially at the tip of the nose, revision nose type plasty operation may be required:

- nose tip asymmetry (aesthetic reasons)
- collapse, asymmetry in the nose wings (aesthetic and functional reasons)
- nasal valve stenosis - collapse
- drooping at the tip of the nose

Difficulties of revision nose tip plasty operation

As in revision rhinoplasty operations, understanding almost all details during the surgery (such as opening the surprise box), different and changed anatomy, the presence of suture reactions and fibrosis, more difficult tissue dissection, revision nasal tip aesthetic operation is more difficult than primary nasal tip aesthetics. makes. Since there is not enough cartilage tissue in the nose in some patients, additional cartilage tissue is required.

Revision Aesthetic Nose Tip Surgery, Revision Nose Tip Plasty in Istanbul,

The patient, who was grinned in the above two photographs, had a nasal aesthetics twice before, and a rather pointed protrusion and asymmetrical appearance appeared at the tip of the nose. In the postoperative image of the patient we performed revision nasal tip plasty operation, the nose, which looks quite natural and compatible with the face, is seen.


A good case example: Open technique revision nose tip plasty operation

Open technique revision nose tip plasty operation

Really, no revision nose surgery is like any other. We recently performed another revision nasal tip aesthetic surgery, and since it is a common procedure, when I try to interpret only the tip of the nose and the inside of the nose before the surgery, the protrusion on the left side of the nose is a rotated cartilage graft, suture reaction or alar cartilage at the tip of the nose. It occurred to me that there might be an asymmetrical angulation on the left side.

In fact, the back of the nose in general, although there is not a very serious problem in the general nose outside the tip of the nose; You can understand how important the tip of the nose is from these photos. Since the left side of the nose tip is lower and front, the nose is long on the left side; it appeared short on the right, and the nose appeared in a C-shaped opening to the left when viewed from the front.

Before surgery, we also check the stiffness of the burr wings, and the left wing was observed to collapse inward while breathing (alar collapse).

I generally prefer to perform revision nasal tip aesthetic surgeries with open technique and I would like to show the shape of the alar cartilages at the nasal tip of the patient you see in the picture above by drawing them in red below:

Open technique revision nose tip plasty operation


The alar cartilages at the tip of the nose, where the outer and inner legs join, and the corner at the tip of the nose, is called the "dome" and a permanent suture (transdomal suture) and dome at the junction of the inner and outer legs is vertical incision can be made with a scalpel. 

In this patient, a piece was taken from the outer leg of the right alar cartilage and placed under the outer leg of the left alar cartilage as a graft. Unilateral transdomal suture was opened and a cartilaginous membrane was placed over the dome at the left tip of the nose. We have obtained the following results (the top photo shows more clearly how the angulation of the nose wings changed):



Open technique revision nose tip plasty operation

In revision nose tip surgeries and revision rhinoplasty surgeries, it is difficult to obtain exactly equal noses without millimetric asymmetry. As cartilages have their own memories; The healing tissue properties of the patient can also affect the result.

We have completed a very good healing process so far. Nasal tip aesthetic surgeries are performed in a small area with great aesthetic and functional effects. The following possible positive effects include:

A natural look at the tip of the nose and a more natural and beautiful appearance of the nose
Decrease in nasal congestion complaints and normalization of nasal functions (increase in sleep quality, increase in exercise capacity, decrease in the frequency of throat infections ...)
When laughing, decreased sagging and spreading at the tip of the nose and the emergence of a sympathetic smile

I have attached the 1st week photos of our patient below. Compared to the photos taken immediately after the surgery, the tip of the nose is seen to be much more edematous and rounded. Edema period in revision nasal tip operations may take longer than normal nasal tip aesthetic surgeries. However, if symmetrical tissue dissection and graft application are not performed at the tip of the nose (in this patient, more procedures were performed on the left side of the tip of the nose for the asymmetrical areas in the left wing region before surgery), edema may also occur asymmetrically in the early postoperative periods. I generally use soluble suture materials in the suturing of the incision area at the tip of the nose and we recommend our patients to regularly apply antibiotic pomade to the tip of the nose. You can also see in the photos that the incision scar has decreased up to 1 week.

Open technique revision nose tip plasty operation

Open technique revision nose tip plasty operation

Cost of revision nose tip plasty operation in Istanbul

The cost of revision nose tip plasty in affordable hospitals is approximately US $ 2250 - 2750 (one day hospital stay, all materials, blood tests and doctor fees are included). In luxury hospitals total cost can reach up to 3500 US Dollars. When turbinate reduction with radiofrequency and septoplasty are performed during the procedure, the price can be increased. The price may increase in patients who do not have sufficient nasal cartilage tissue and need additional graft procedures. For example, if the graft is taken from the patient's auricle or rib cartilage, or if the cadaveric rib cartilage is used, the total surgery fee may increase.

Revision Aesthetic Nose Tip Surgery,Revision Nose Tip Plasty in Istanbul,

Revision Aesthetic Nose Tip Surgery,Revision Nose Tip Plasty in Istanbul,

Revision Aesthetic Nose Tip Surgery,Revision Nose Tip Plasty in Istanbul,

Revision Aesthetic Nose Tip Surgery,Revision Nose Tip Plasty in Istanbul,

Revision Aesthetic Nose Tip Surgery,Revision Nose Tip Plasty in Istanbul,

Revision Aesthetic Nose Tip Surgery,Revision Nose Tip Plasty in Istanbul,


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
E-Mail: muratenoz@gmail.com 
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47



  

 


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