Secondary (Revision) Rhinoplasty

Mr Paul Wilson is an expert in secondary rhinoplasty, known for his meticulous attention to detail and ability to manage complex cases. Revision rhinoplasty requires advanced surgical skill due to the altered nasal structure and potential scarring from the initial surgery. Mr Wilson uses his extensive experience and artistic approach to deliver natural-looking results tailored to each patient’s needs. Patients trust him for his compassionate care, precision, and dedication to achieving both functional and aesthetic goals.

If you’ve had a rhinoplasty before, it is likely that your septum would have been harvested and used for reconstruction. Most cases of secondary rhinoplasty require the use of cartilage grafts either from the ear or rib. Rib may be harvested from your own ribcage (autograft) or cadaveric rib, off the shelf (allograft). Fascia may also be harvested from the muscle lining within your temple. Mr Wilson will talk you through the options for the best result.

For those seeking improved outcomes or enhanced confidence, Mr Wilson provides expert solutions in secondary rhinoplasty, combining advanced techniques with a patient-centered approach.

Due to the complex nature of this surgery, secondary rhinoplasty requires exceptional surgical skill and expertise. For this reason, it’s crucial to choose a highly experienced surgeon like Mr Wilson.

The first step in secondary rhinoplasty is an in-depth consultation. During this session, Mr Wilson assesses the nasal structure, skin quality, and concerns related to the previous surgery. Digital imaging may be used to help visualise potential outcomes, allowing for a shared understanding of what’s achievable. A tailored surgical plan is then created, focusing on achieving natural, balanced results while addressing structural or functional problems.

Secondary rhinoplasty is typically performed under general anaesthesia and involves more intricate techniques than primary rhinoplasty due to the altered anatomy and possible scar tissue from the first procedure. Mr Wilson may perform an open rhinoplasty which involves a small external incision at the columella (the tissue between the nostrils). This allows for comprehensive access to the nasal framework, making it ideal for addressing significant structural concerns or asymmetry.

However, if Mr Wilson decides a closed rhinoplasty is a more suitable approach, all incisions are made inside the nostrils, leaving no visible scars. Closed rhinoplasty is often used for minor revisions or adjustments to the nasal shape.

In many cases, secondary rhinoplasty requires the use of cartilage grafts to rebuild or strengthen the nasal structure. Cartilage is often sourced from the patient’s septum (the partition separating the two nasal chambers), ear, or rib. Advanced techniques ensure precision and durability, providing both functional and aesthetic improvements.

Once the corrections are complete, incisions are meticulously closed, and a nasal splint is applied to protect the structure during healing. Depending on the complexity of the surgery, internal nasal packing may also be used temporarily.