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Sydney Revision Rhinoplasty

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Understanding Revision Rhinoplasty with dr turner

Secondary rhinoplasty, often referred to as revision rhinoplasty, is a surgical procedure performed to correct the results of a previous rhinoplasty. Patients may seek secondary rhinoplasty for various reasons, including dissatisfaction with the aesthetic outcome, functional issues with breathing, or complications from the initial surgery.

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Dr Scott J Turner Plastic Surgeon

The Purpose of Revision Rhinoplasty

The primary goal of secondary rhinoplasty is to address issues from a previous rhinoplasty, whether they are related to the appearance or function of the nose. It can involve reshaping the nasal tip, straightening the nasal bridge, or correcting any other issues resulting from the previous surgery.

Complexity of Revision Rhinoplasty

Revision rhinoplasty is generally considered more challenging than primary rhinoplasty because Dr Turner has to address altered nasal anatomy and tissue scarring from the previous surgery.

When considering revision rhinoplasty, it’s crucial to consult with a board-certified plastic surgeon or an ENT specialist who regularly performs nasal surgery.

Why Choose Revision Rhinoplasty?

In some instances, the outcome of rhinoplasty is unsatisfactory as a result of technical errors, healing problems, or injuries after the first operation. Even a small correction requires a formal open rhinoplasty technique that is more complex to perform than the original surgery.

Revision rhinoplasty requires experience and dedication from your surgeon, as well as an understanding of the type of changes that the first operation would have created. Revision rhinoplasty often involves the use of grafts, commonly cartilage from inside the nose but also from other areas including the rib and ear.

Suitable Candidates for Revision Rhinoplasty

Suitable candidates for revision rhinoplasty are looking to address the outcomes of the initial rhinoplasty. Revision surgery is typically undertaken to address both aesthetic and functional concerns related to the nose.

It’s essential to maintain realistic expectations before proceeding with a revision procedure as it can be more complex compared to initial rhinoplasty. Given these considerations, Dr Turner will carefully assess any patient whom he deems suitable, however, if you have previously had rhinoplasty surgery with a different surgeon, it is often best to see the same surgeon for your revision as they know your operative history.

Risks & Complications Associated with Revision Rhinoplasty
Like any surgical procedure, revision rhinoplasty is also associated with risks and complications, such as:

  • Altered sensation
  • Anaesthesia risks
  • Bleeding
  • Breathing difficulties
  • Cartilage or bone complications
  • Infection
  • Nasal asymmetry
  • Need for additional surgeries
  • Scarring
  • Unsatisfactory results
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Specialist plastic surgeon

Dr Scott J turner

Dr Turner FRACS (Fellow of the Royal Australasian College of Surgeons – Plastic Surgery) is a Sydney Plastic Surgeon with clinics in the Eastern Suburbs at Bondi Junction and Northern Beaches at Manly.

Dr Scott J Turner has over a decade of experience in private practice solely focused on performing cosmetic surgery.

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Dr Scott J Turner Specialist Plastic Surgeon
Australian Society of Plastic Surgeons American Society of Plastic Surgeons Australasian Society of Aesthetic Plastic Surgeons Royal Australasian College of Surgeons Realself

Revision Rhinoplasty gallery

Before and afters

DISCLAIMER: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

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Rhinoplasty Before and After Gallery
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Rhinoplasty Before and After Gallery
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Reasons for Having a Revision Rhinoplasty

Revision rhinoplasty is a surgical procedure aimed at correcting the results of a previous nose surgery that did not meet a patient’s expectations or resulted in complications. Patients may seek this surgery due to dissatisfaction with the aesthetic outcome of their initial rhinoplasty, such as asymmetry. These aesthetic concerns can affect the overall facial balance. Revision rhinoplasty offers a solution to adjust these concerns.

Functional issues following a primary rhinoplasty are also common reasons for considering a revision. Some patients may experience obstructed airflow due to a deviated septum not adequately corrected during the first surgery or due to new structural abnormalities caused by the procedure, such as nasal passage collapse. These issues can lead to breathing difficulties, chronic nasal congestion, or snoring, all of which impact daily living and overall health. A revision rhinoplasty aims to address these functional problems by adjusting the nasal structures.

Furthermore, revision rhinoplasty may be necessitated by complications arising from the initial procedure, including excessive scarring or unexpected changes during the healing process. Scar tissue development can sometimes distort the nose’s shape or lead to a contraction that alters the intended surgical outcome. Over time, the nose might heal differently from what was anticipated, necessitating further surgical intervention to correct these issues. By undergoing revision rhinoplasty, patients have the opportunity to address and correct these complications, addressing both the functional and aesthetic concerns. This secondary procedure can be critical for patients seeking resolution of issues that have developed after their first rhinoplasty, aiming to stabilise the structure and appearance of their nose in line with their original goals.

Our Philosophy on Revision Rhinoplasty

At FacePlus Aesthetics, our philosophy on revision rhinoplasty is rooted in a deep understanding of the complexities and challenges that accompany secondary nasal surgeries. Dr Scott Turner approaches these cases with meticulous planning and precision, acknowledging that revision procedures require addressing issues that may have arisen from previous surgeries or changes over time.

During our thorough consultations, Dr Turner engages in detailed discussions to fully understand each patient’s concerns and goals. This conversation is crucial in establishing a clear and realistic expectation of what can be achieved through revision rhinoplasty. It allows for the creation of a customised surgical plan that focuses on addressing both the aesthetic appearance and functionality of the nose, taking into account any previous alterations and the current condition of the nasal structure.

Our commitment to patient care extends throughout the entire surgical journey. From the initial consultation to postoperative care, FacePlus Aesthetics ensures that each patient is well-informed and supported at every step. We offer detailed pre-operative and postoperative instructions and remain readily available to address any questions or concerns that may arise.

How the Procedure is Performed

Revision rhinoplasty at FacePlus Aesthetics is conducted under general anaesthesia to minimise discomfort throughout the procedure. Dr Scott Turner favours the open rhinoplasty technique for revision cases, which involves making an incision across the columella—the strip of tissue separating the nostrils. This technique provides comprehensive visibility and access to the internal nasal structure, which is crucial for precise surgical modifications.

During the operation, Dr Turner meticulously modifies the nasal bone and cartilage. This modification may include the removal or addition of tissue to change the nose’s shape and proportions to fit the patient’s facial structure. For more complex cases, cartilage grafting might be necessary. The source of the cartilage for these grafts typically includes the septum, ear, or rib, chosen based on the structural needs of the revision.

After making the required adjustments, Dr Turner secures the changes by suturing the incisions. To support the newly shaped nose and ensure proper healing, a splint is usually placed on the outside of the nose. The duration of the surgery varies, often extending several hours, dictated by the specific requirements and complexity of the revision needed. This careful and detailed approach is essential to effectively address the unique challenges of each revision of the rhinoplasty case.

Recovery Period

The recovery period following revision rhinoplasty is a critical phase in which the body adapts to the changes made during surgery. Patients typically experience initial swelling, bruising, and some discomfort—common reactions to surgical intervention. Dr Scott Turner provides comprehensive instructions tailored to each patient on managing these symptoms and caring for the postoperative nose to facilitate healing.

It is recommended that patients allocate approximately one to two weeks of downtime from work or academic responsibilities. This period allows the body to begin healing without the added stress of daily routines. Patients are advised to avoid engaging in vigorous physical activities and to maintain an elevated head position, especially during sleep, to help reduce swelling more efficiently. The splint placed during surgery and any internal packing are generally removed within the first week during a follow-up visit.

Over the weeks following surgery, the initial swelling and bruising typically decrease. However, the complete settling of the nasal structure into its final shape may extend over several months. Dr Turner conducts regular follow-up appointments to assess the progress of healing and to address any adjustments or concerns. These appointments are vital for monitoring recovery and ensuring that the nose is healing correctly. Patients are strongly encouraged to attend all scheduled follow-up visits and maintain open communication with Dr Turner, reporting any unusual symptoms or persistent issues promptly. This ongoing evaluation helps manage the healing process and supports achieving the intended outcomes of the revision rhinoplasty.

Risks and Complications

As with any surgical procedure, revision rhinoplasty carries potential risks and complications. Common side effects include swelling, bruising, and discomfort, which typically resolve with proper care. There is also a risk of infection, which can be minimised by carefully following Dr Turner’s postoperative care instructions.

Less common complications may include scarring, asymmetry, and changes in nasal sensation. Scarring is an inevitable part of surgery but may be more noticeable in some patients. Asymmetry can occur if the nose does not heal evenly, and changes in sensation are usually temporary but can sometimes be permanent.

Breathing difficulties can also arise if the nasal passages become obstructed during healing. It is important for patients to follow all postoperative instructions and attend follow-up appointments to ensure proper healing and address any issues promptly. At FacePlus Aesthetics, Dr Turner takes every precaution to minimise these risks and provides high standards of care throughout the revision rhinoplasty process.

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Dr Scott J Turner Specialist Plastic Surgeon “We are equally as passionate about cosmetic plastic surgery as we are about you and your experience with us. We are here to listen, educate, and support you throughout your cosmetic surgical journey.”

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Suite 504, Level 5 39 East Esplanade
Manly NSW 2095

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Suite 1902, Level 19 Westfield Tower 2 101 Grafton Street
Bondi Junction NSW 2022