What is Secondary Rhinoplasty?

Secondary rhinoplasty is the procedure performed for the second, third, fourth, or fifth time and is perhaps the most challenging of all facial surgery procedures. Its actual name is “revision rhinoplasty.” Even in the best hands, external deformities or breathing difficulties can occur after rhinoplasty. This is due to the complex anatomy of the nose and the individual patient’s internal healing factors, which can be “erratic,” meaning they cannot be controlled by the surgeon or the patient.
Scar tissue from a previous rhinoplasty is often a problem in revision cases and can limit the final result. Additionally, revision rhinoplasty often requires the use of cartilage to replace damaged and/or deficient cartilage extracted in the previous surgery, as well as to provide support to the new structure.

The nasal septum may be deviated, requiring correction to improve both the appearance and function of the nose. Nasal obstruction can also be caused by collapse of the tip cartilages, leading to collapse of the external valve. Deviated nasal septum along with deficiencies in the upper lateral cartilages are a common occurrence in revision cases resulting in collapse of the internal valve, which requires the use of cartilage grafts called “spreader grafts” to open up this narrowed area.

The Importance of Surgeon’s Experience in Secondary Rhinoplasty

In such cases, when a second surgical procedure is performed, the surgeon’s experience becomes even more important. Dr. Susan Diaz Reverand, as a Specialist in Maxillofacial Head and Neck Surgery, specialized in racial and nasal reconstructive surgery, has developed an important regional referral practice for revision rhinoplasty in Barcelona and beyond.

The recovery from secondary rhinoplasty is quick. The word “ultrasonic” added to the term “revision rhinoplasty” means that the surgeon will not only perform the relevant nasal reconstructions but will also incorporate complex reconstructive techniques using the new technologies of the 21st century. In this case, it is the utilization of ultrasound or piezoelectricity in nasal reconstruction, which is a device that allows precise filing of irregularities and also provides a simpler postoperative period, rapid recovery, with less swelling and/or bruising compared to the traditional method.

If you have undergone rhinoplasty and are experiencing breathing problems or the external shape of your nose is not correct, a consultation with Dr. Diaz can help determine if you are a candidate for this procedure.