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Revision of Nose/Secondary Rinoplasty
Rhinoplasties are so common operations but, sometimes the result may not be desirable and the secondary procedure might be required.Here we need to divide secondary procedures into two groups:

In the first group: There are simple interventions resulted with minor problems such as a slight irregularities  on the bridge of the nose or a minimal angle changes on the tip of the nose.


In the second group there are extensive operations carried out by an inexperienced persons and need costal  and ear cartilage tissues to solve complicated problems.


Even %5 percentage of the operations that is carried out and planned thoroughly can need slight and simple intervention.Generally,these applications is required for   slight problems  on the nasal bridge or processing at the tip of the nose and narrowing the nostrils.The most problematic group requiring an extra tissue such as; collapse of the nose,serious curvatures and the loss of support point is more difficult than the first operations In this group, condition of the skin, mucosa  and the features about structure of the bones and cartilage are noted then the operation is planned.The  general anesthesia is  mostly preferred.


Alternative plans must be thought for the problems that can take place in the time of surgery


After the first operation, It would be better not to be in too much hurry over the second operation and wait for the tissues work properly and this situation takes 6 months or a year.


The recovery of the secondary operations takes much more time due to the existence of much oedema.


Sometimes the expectation might be explained clearly. The damage caused by the previos operations can lead to a result so far away from the ideal one.In this case, the most suitable applications that should be done and the possible result must be discussed in details.



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