PROCEDURE
Revision Rhinoplasty
Revision rhinoplasty is a specialised type of rhinoplasty which aims to revise cosmetic and or functional concerns following an initial rhinoplasty. Rhinoplasty stands out as one of the most complex plastic surgeries, primarily due to the nose’s complex structure. Even with top-tier expertise, outcomes can sometimes fall short of expectations, leading to deformities or breathing difficulties.
Book your consultation for revision rhinoplasty in London, UK.
Delivering Rhinoplasty Results You Deserve
If you’re considering revision rhinoplasty, it’s important to know that you’re not alone. In some cases, patients may feel that their initial surgery didn’t deliver the desired results, whether due to suboptimal outcomes, unforeseen complications, or simply dissatisfaction with the appearance or functionality of the nose. Mr Kshem Yapa has a distinguished reputation for expertly addressing these concerns, using his years of experience to craft natural, harmonious results that not only enhance the look of your nose but also restore its functionality.
At Yapa Plastic Surgery, we understand the emotional and physical impact that nasal issues can have on your confidence and daily life. That’s why our team is dedicated to providing personalised care and 24-hour support, ensuring that your nose looks beautiful and performs optimally, so you can feel your best in every way.
At a glance
Procedure Length:
Typically 2-4 hours, depending on complexity.
Hospital Stay:
Usually an overnight stay, depending on the procedure’s extent.
Anaesthesia:
Typically general anaesthesia.
Downtime:
1-2 weeks off work or daily activities; full recovery may take several months.
Showering:
Wait 48 hours post-surgery; avoid hot steamy showers for 1 week.
Sleeping:
Sleep with head elevated for the first week and avoid sleeping on the side or face-down for 4 weeks.
Make-Up:
Avoid application to the surgical site for at least two weeks.
Driving:
Avoid driving for 7-10 days and off pain medications.
Smoking:
Stop smoking 4 weeks before and after surgery.
Direct Sun Exposure:
Avoid for 4-6 weeks; always use a high SPF when outdoors.
What Is Revision Rhinoplasty?
Revision rhinoplasty is a procedure that aims to correct any deformities or complications caused by a previous attempt. It’s tailored for those who’ve undergone one or more nose surgeries but need more improvements or to correct complications, be it unresolved cosmetic issues or new ones that arose post-surgery. Scar tissue from the first surgery can pose challenges, potentially limiting optimal outcomes.
Furthermore, it’s not uncommon to use additional cartilage in revision cases, especially if the previous operation removed too much. Structural issues, such as a deviated nasal septum or collapsed cartilage, can impede breathing or appearance. To address these, cartilage grafts, known as “spreader grafts”, might be utilised to rectify narrow regions.
Choosing to undergo a revision nose job in London means pursuing a more satisfactory result. With Mr Yapa’s expertise, you’re making an informed choice towards achieving your desired outcome.
Revision Rhinoplasty With Kshem Yapa
For revision rhinoplasty in London, you can place your trust in Kshem Yapa and his skilled team of cosmetic nurses, who are dedicated to helping you achieve the nose you’ve always dreamed of. As a board-certified plastic surgeon, and a proud member of prestigious organisations such as the BAAPS and ISAPS, Mr Yapa specialises in advanced facial rejuvenation techniques, with a particular focus on revision nose jobs.
Kshem Yapa’s extensive experience in performing revision rhinoplasty procedures has earned him the trust and admiration of countless patients. Known for his compassionate approach, he ensures that every step of the journey is clear, informative, and tailored to your unique needs. Whether you’re seeking aesthetic improvements or functional restoration, you can be confident that your secondary rhinoplasty is in the safest, most capable hands.
Ideal Candidates For Revision Rhinoplasty in London
Ideal candidates for revision rhinoplasty are typically those who have experienced dissatisfying results following an initial rhinoplasty procedure. These effects can be aesthetic, functional or structural resulting in the patient facing mental and or physical discomfort. To qualify for this procedure with Kshem Yapa, you need to meet the following criteria as a minimum, and further discussions will be had during your initial consultation:
Good Health – You need to be in good health to be accepted for revision rhinoplasty in London. Poor health, such as obesity, hereditary conditions, or illness prior to surgery may require the surgery to be pushed back, or an alternative to be presented.
Non-Smokers – Stopping smoking at least 4 weeks prior to and following revision rhinoplasty will be crucial. Patients need to be willing to make this adjustment for the safest outcome possible.
Realistic Expectations – While Kshem Yapa always endeavors to meet and exceed expectations, they must still be managed before surgery. You need to have realistic expectations in regards to your revision nose job.
Benefits of Revision Rhinoplasty
Revision rhinoplasty isn’t just chosen to correct a previous surgery. It’s about enhancing your overall well-being and confidence. Here are some of the standout benefits this procedure can bring:
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Boosted Confidence:
Shaping your nose to better match your desired outcome can immensely elevate your self-esteem. It’s about ensuring you feel good every time you catch a glimpse of yourself.
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Clearer Breathing:
If you’ve been struggling with breathing issues, a revision nose job can clear those obstructions – particularly if obstructions were caused after your initial rhinoplasty. This means better sleep, improved respiratory health, and an overall enhanced daily experience.
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Restored Nasal Function:
Beyond how it looks, it’s vital that your nose works as it should. A revision nose job can correct any functional issues, ensuring you can breathe, smell, and live without nasal hindrance.
Methods Used in Revision Rhinoplasty
There are multiple ways a surgeon can approach a revision rhinoplasty. The chosen method depends entirely upon the reasons why you need corrective surgery, your anatomy, and the current state of your overall health. The approaches that Mr Kshem Yapa may take include:
Hump Remodelling: Addressing a previously over or under-corrected nasal hump requires precision. The nasal hump, comprising both bone and cartilage, can be rectified with osseocartilaginous vault surgery. Different tools and techniques, such as the rasp, are chosen depending on the specific issue.
Grafts and Reshaping: For challenges like the camelback hump or open roof deformity, grafts are essential. Autografts, sourced from your own bone and cartilage, are often the most effective. Spreader grafts in particular can address deformities like the inverted V, where the cartilage along the bridge appears sunken.
Micro-Osteotomies: This technique involves the precise remodelling of the fragile bony pyramid in the nose. When initial rhinoplasties neglect this area, asymmetry may arise. Advanced methods, such as piezo surgery (ultrasonic rhinoplasty), can be employed to meticulously reshape the nose’s bony structure.
Radix Nasi Correction: The radix nasi, located between the eyes, plays a subtle yet vital role in achieving facial harmony. Ensuring this region complements the entire face is crucial for a balanced appearance.
Advanced Nasal Tip Sculpting: A defining feature, the nasal tip’s projection and shape can profoundly influence facial aesthetics. Correcting deformities such as the pollybeak or misaligned tips demands an intricate blend of surgical skill and knowledge of nasal anatomy.
Profiloplasty: More than a procedure, Profiloplasty is a holistic approach, harmonising surgical technique with artistic vision. This method prioritises the overall enhancement of the face, ensuring every alteration complements your natural beauty.
Your Revision Rhinoplasty Consultation
Your revision rhinoplasty in London starts with a consultation with Kshem Yapa. Consultations are conducted in the refined setting of his Harley Street Clinic, infamous for some of the most prestigious private health care providers in the UK. For patients unable to visit in person, virtual appointments are available, ensuring you receive the same level of care and attention no matter where you are.
During the consultation, Mr Yapa will take the time to listen to your concerns and understand your motivations for pursuing revision rhinoplasty. Whether your goals are to improve functionality, address aesthetic issues, or correct complications from a prior procedure, the focus will be on finding a solution that aligns with your expectations.
Mr Yapa will carry out a detailed assessment of your nose and its relationship to your overall facial features, ensuring a tailored approach to achieve balanced, natural-looking results. Additionally, your medical history will also be thoroughly reviewed to confirm your suitability for the procedure.
Your consultation is your opportunity to discuss any questions or concerns you may have. From this first meeting to the completion of your recovery, Mr Yapa and his dedicated team are committed to guiding you with empathy, expertise, and meticulous care.
Revision Rhinoplasty Procedure Steps
Understanding the steps to a revision rhinoplasty can be reassuring. Here’s a breakdown of the steps Mr Kshem Yapa follows throughout:
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Anaesthesia
Typically, general anaesthesia is administered, ensuring you’re unconscious and pain-free throughout the procedure. Occasionally, local anaesthesia combined with sedation might be preferred, depending on the complexity of the revision.
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Incision
A decision between open or closed rhinoplasty dictates the incision’s placement. An open approach involves a small external incision at the base of the nose, offering broader access. A closed approach involves incisions inside the nostrils, leaving no visible scarring.
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Correction Based on Technique
Drawing on the detailed assessment of your unique needs, specific corrections are made. This may involve reshaping cartilage, graft placements, or bony adjustments. The exact methods and techniques are tailored to your requirements and the challenges presented by the previous procedure.
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Closing
Once corrections are completed, incisions are sutured to ensure minimal scarring. Depending on the extent of the revision, internal or external splints might be placed to support and protect the newly structured nose during the healing proces
Risks and Complications
While revision rhinoplasty inherently presents more challenges than a primary procedure, Mr Yapa’s expertise and approach aim to minimise potential complications. Nevertheless, it’s important for you to be aware of possible risks, including:
Surgical procedures inherently carry a risk of bleeding. Gentle handling post-surgery and avoiding certain medications can help mitigate this.
Some people may develop allergic reactions to anaesthesia, but this can be mitigated once we understand all of your known allergies and sensitivities.
Post-surgery swelling or structural changes can cause temporary breathing difficulties. On rare occasions, complications like a perforated septum or collapsed nose might arise, necessitating further correction.
Though rare, infections can occur post-surgery. These can often be managed using creams or oral medicines.
Ensuring realistic expectations and a well-understood surgical plan can reduce the likelihood of post-operative disappointment.
Revision surgeries might lead to a higher risk of noticeable scarring due to previous incisions and the complexities of the procedure. Proper wound care and post-operative follow-up can aid in minimising this risk.
Revision Rhinoplasty Recovery
You can typically expect a recovery period of one to two weeks after your revision nose job in London. It’s recommended that you set aside 7-10 days away from work or daily activities to allow uninterrupted resting time. It’s common to have a splint placed on your nose which will usually be removed after about a week. Fortunately, however, most patients don’t need nasal packing.
In the initial days following the surgery, you may experience swelling, pressure, and some discomfort. You’ll be prescribed medication to help manage this postoperative pain. You might also find it slightly challenging to breathe through your nose for the first few days, but rest assured, this generally improves within two weeks.
By the second day after the procedure, you should feel up to undertaking light activities like walking around. However, try to steer clear of activities that might cause strain or potential nasal bleeding, such as heavy lifting or bending over, for about three weeks.
It’s also advised to avoid certain over-the-counter pain relievers, particularly those containing ibuprofen, for the first two weeks as they could hinder your recovery process. Most people find themselves ready to return to regular routines or work after just one week, however, everyone is different and you should therefore prepare to take at least 2 weeks off work/ strenuous activities. And, like traditional rhinoplasty procedures, full results may not be noticed until one year after your treatment.
24-Hour Support
You will be provided with a direct phone line to our experienced specialist cosmetic surgery nurse who provides an on-call service 24 hrs a day, from the moment you have surgery, for any questions or concerns you may have or any other support you may need. We take pride in making sure our patients are well looked after following surgery and want you to feel well-supported throughout your journey with us.
Revision Rhinoplasty FAQ’s
Whether you’re dealing with aesthetic dissatisfaction, functional issues, or both, revision rhinoplasty requires careful planning and expert execution to achieve the desired outcome. Here are some of our most commonly asked questions, but for a personalised approach please do not hesitate to get in touch with our team and we will be happy to book you in for a consultation with Kshem Yapa.
Revision rhinoplasty, also referred to as secondary rhinoplasty, is a surgery performed to resolve issues presented by an initial rhinoplasty. These can be due to some factors, from aesthetic results to functionality hindrances. Whilst both are considered invasive procedures, revision rhinoplasty is considered to be more complex due to working with altered or scarred tissue and may require reconstructive techniques, such as cartilage grafting, to rebuild or reshape the nasal structure.
Kshem Yapa can determine your eligibility for the revision rhinoplasty procedure during a consultation. You may be a good candidate for revision rhinoplasty if you are dissatisfied with the appearance or function of your nose following a previous surgery. Ideal candidates are in good general health, have realistic expectations, and have allowed enough time for the initial surgery to heal fully.
If you are experiencing breathing difficulties, visible deformities, or dissatisfaction with the symmetry or proportions of your nose, a consultation with an experienced surgeon can determine if a revision nose job is right for you.
It is generally recommended to wait at least 12 months after your initial rhinoplasty before considering revision surgery, but your surgeon can determine whether your previous procedure is healed during a consultation. This allows sufficient time for the nose to heal completely and for swelling to subside, providing a clearer view of the final results. In some cases, Kshem Yapa may recommend waiting longer depending on the complexity of the first surgery and your healing process to ensure your safety.
Achieving the best results starts with working with a highly experienced and qualified surgeon who specialises in revision rhinoplasty. Kshem Yapa has nearly two decades of experience, specialising in facial rejuvenation and reconstructive techniques such as revision rhinoplasty.
During your consultation, ensure that you communicate your goals and concerns, and ask any questions you may have about the procedure. Following Mr Yapa’s pre-and post-operative care instructions is also crucial for optimal healing and outcomes.
The cost of revision rhinoplasty can vary significantly depending on the complexity of the procedure, the techniques required, and the surgeon’s expertise. Kshem Yapa will be able to provide you with bespoke costings for your revision nose job in London following your consultation. The cost of the initial consultation will be deducted from the total price.
