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Secondary nose surgery
The hope and pride of Secondary Nose Surgery
Unsatisfied with your previous nosejob? This must be very frustrating personally when you do not meet the expectations on the most prominent feature on your face. There are two types of patients that can become a candidate for secondary nose surgery, those with unnoticeable change after the procedure and those with identifiable problem such as twisted tip, different nostril shape, or irregular area on the bridge of the nose. In this case, getting closer to being happy may require a secondary nose surgery.
Patients for secondary nose surgery are encouraged to return to their original surgeon since it is more practical, financially speaking. As practitioner, they will be the most motivated to work in getting closer to the result you want. Outcomes are not always indicative of the surgeon's skill or experience. There are always risks involved in secondary nose surgery no matter how well the procedure was executed such factors of nasal distortion are caused by the healing process and scar contracture, or even infection.
Secondary nose surgery patients are usually different from first timers. They often are much more skeptical, their emotional and cost issues for surgery again make them jittery and a little hostile. But because they are going to be worked upon by a new plastic surgeon, they remain optimistic in most cases. Sometimes dealing with the secondary nose surgery patient is a little difficult because it is not always clear on what exactly bothers them. It is easier to identify the exact steps to be done prior to the surgery so the nose will be realistically changed. Consultations on secondary nose surgery are common but a third inquiry does not mean doing the operation again.
The reality of certain nose problems after an initial nosejob is that some simple corrections are just impossible. During a second nose surgery, limitations are to be considered such as the scar, lost anatomy, and the thickness of one's nasal skin. The nose may have not been perfected but the main goal now is to settle its improvement.
Common nose problems prior to secondary nose surgery which can be assertively improved are a residual bump or irregularity on the dorsum (bridge) of the nose, a scooped-out appearing nose (too much lowered bridge), middle vault collapse (pinched middle part of the nose accompanied by breathing difficulties), an excessively narrowed or pinched tip, a supratip or pollybeak deformity (tip too full in side view without a supra tip break), and a hanging or retracted columella. (strip of skin between the nostrils). In most of this secondary nose surgery, modification comes from adding tissue (cartilage) to sustain structure to the framework of the nose.
More intricate adjustments include the residual crooked nose, seemingly not straight and distinction in both the shape and size of the nostrils. These are more difficult due to the origin of the problem which is multi-factorial and secondary scarring really works against what is achieved during the secondary nose surgery. This doesn't mean that a secondary nose surgery should not be done but expectations have to be tempered.
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