What is the difference between secondary and restorative rhinoplasty and primary rhinoplasty?
Restorative cosmetic surgery | Secondary rhinoplasty It is a very complicated surgery because the nose has a three-dimensional structure . And there is also the amount of scar tissue that usually occurs after the first rhinoplasty surgery. The first goal of secondary rhinoplasty surgery is usually to restore the correct and normal function of the nose. Aesthetic aspects are also considered in this operation, but not as much as restoring the normal structure of the nose.
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Types of nose reconstruction surgery
The necessary changes in nose reconstruction surgery can be applied through two methods, open or closed. Usually, if there is a need to make many changes, the open method is used. Smaller changes can be made through the technique of closed nose surgery. In closed surgery, internal incisions are made to access the internal structures. In open surgery, an incision is made in the skin between the nostrils (columella) It is used to lift the skin of the nose . and directly observe the structures that are to be changed.
Cartilage transplantation
In secondary rhinoplasty, often to achieve aesthetic and functional goals to grafted cartilage (Parts of cartilage in the nasal septum, ear, or rib) it is needed. Usually, in the initial operation of the nose, a large amount of nasal cartilage is shaved. In most cases, due to the reduction of the cartilage of the nasal septum, cartilage from the ear or rib is used for cartilage grafting.. Then the pieces of removed cartilage are shaped similar to the structural and shaped pieces of the nose.
As with primary rhinoplasty, there is no room for error and it is very important to perform this procedure in the hands of a skilled and highly experienced surgeon in the field of secondary rhinoplasty.. برای کاهش احتمال نیاز به ترمیمهای بیشتر و دستیابی به نتایجی موفقیت آمیز، بهتر است به دنبال جراح بینی باشید که در زمینه ی رینوپلاستی و رینوپلاستی ثانویه have expertise.
Goals
In this method, the shape of the nose can be reconstructed . So that the nose, which has become too short, long, large, wide or narrow due to previous surgery, looks more natural.. If the problem of the nose was not completely corrected in the previous nose surgery, it can be fixed in the nose operation again.
If there were defects in breathing through the nose during the previous surgery . They can be substantially removed through restorative surgery. By visiting a cosmetic surgeon, you can gain a sense of self-confidence and the hope of having a natural appearance through nose reconstruction surgery..
Patient expectations after nose reconstruction surgery
What you can expect after rhinoplasty:
day of operation : Someone should accompany you to take you home and help you for the first 24 hours after surgery. The patient is comfortable after this operation and has no problems, despite the fact that Mexeni drugs have been prescribed . Often you won't need them. A little swelling will be observed . And the patient will see no bruising or maybe a small amount of bruising. Maybe they put a splint or a nasal plaster or a bandage on your nose.
A week: They remove the nasal splint or plaster and you can go back to work. There may still be some RAM left.
six weeks: The appearance of your nose will improve and become perfect. Only you and your surgeon will notice that there is some residual swelling. Of course, it still takes a lot of time to get the final results of your nose job.
18 months: The swelling disappears completely and your nose has reached its final size and shape and is fixed. Your appearance will look great.
Challenges
Sometimes, the person's nose may have undergone too much surgery . But this is not usual. The biggest obstacle faced by a cosmetic reconstructive surgeon . It is an attempt to restore a nose that has undergone secondary rhinoplasty several times . And there is limited texture available to work with. The amount of scarring or the degree of skin contraction can limit the healing of the nose.
Although it may be somewhat disappointing . In some cases, it is better to avoid surgery . Because its risks may outweigh its benefits.