A rhinoplasty which is more commonly known as a ‘nose job’ is one of the most common plastic surgeries that are performed in India. Infact, now in India, rhinoplasty is considered to be a weekend surgery as the patient can recuperate very fast. A primary rhinoplasty can be performed for many reasons. For people who feel awkward about the shape of their nose, rhinoplasty can be the answer. Also, rhinoplasty is performed to fix any breathing issues or for minor reconstruction. Primary rhinoplasty can be used to alter the length of the nose, width of the nose, the position, size and shape of the tip etc.

A revision rhinoplasty or a complex rhinoplasty is performed after a primary rhinoplasty. Though a rhinoplasty is very basic surgery, some people may not be satisfied after a primary rhinoplasty is performed on them. A revision rhinoplasty may also need to be performed where more complex outcomes may be needed from the surgery. So, a complex rhinoplasty may need to be performed for aesthetic as well as functional issues after a primary rhinoplasty. A revision rhinoplasty can be done to repair the excessive scarring that may occur after a primary rhinoplasty.

What are the common objectives of a complex or revision rhinoplasty?

A revision rhinoplasty is often performed for over- correction or under-correction of the issues of the nose. A complex rhinoplasty is performed to repair the asymmetry that may occur due to an improper primary rhinoplasty. Cartilage protrusion may cause the tip of the nose to look uneven and unnaturally pointy. This can be corrected with the help of a complex rhinoplasty. Sometimes, the obstruction of the nasal duct could become even worse after a rhinoplasty therefore in such cases a complex rhinoplasty may help the patient. A complex rhinoplasty can also be done if the proportion of the bridge of the nose and the cartilaginous part of the nose is improper.

A variety of functional issues are also addressed with the help of a complex rhinoplasty. A complex rhinoplasty is most commonly performed to clear a nasal duct obstruction. A primary rhinoplasty is sometimes used for correcting a deviated septum. Because of deviation in the septum the nasal cavities are divided unequally which can cause obstruction in the smaller cavity. A primary rhinoplasty sometimes can make the nasal problems even worse. And in rare cases, post a primary rhinoplasty a nasal obstruction may happen in a patient where it may not be present in the beginning. Internal scarring may also be needed to be fixed by a complex rhinoplasty because excessive internal scarring can lead to major nasal obstruction. Complex breathing problems associated with allergies can also be fixed by revision rhinoplasty.

Due to the complex nature of a revision rhinoplasty, the final approach that is used by a surgeon will depend on the case. Sometimes, large amount of reconstruction may be required therefore grafts may be used for revision rhinoplasty. Typically, cartilage is used for reconstruction in revision rhinoplasty. The type of cartilage that is harvested from a patient’s body depends upon the part of the nose which is requires revision rhinoplasty. Cartilage can be harvested from the ribs of the patients. Generally, a rib cartilage is harvested if the revision rhinoplasty is being performed for the reconstruction of the nasal bridge. The nasal bridge may require revision rhinoplasty for the augmentation or reconstruction in case it has collapsed due to improper primary rhinoplasty. A rib cartilage is harvested by making a small incision on the chest in males and in females the incision is made just under the breast area. In India, a revision rhinoplasty is often done using an auricular cartilage which is a cartilage from the ear. After the auricular cartilage is harvested, the shape of the ear remains intact. The auricular cartilage is used in nasal reconstruction rhinoplasty and is generally used as a substitute for a septal cartilage. The skin of the ears also remains intact once the auricular cartilage has been harvested. The method of cartilage harvesting is completely dependent upon how complex the nasal reconstruction is. An auricular cartilage graft may give very good results in complex cases of reconstruction where only a normal revision rhinoplasty may not be enough. A complex or a revision rhinoplasty begins with examination of the patients for any asymmetry on the outside and any obstruction inside the nose. For a complex or revision rhinoplasty, the patient’s breathing pattern is observed which can indicate a possible collapse of the nasal valves.

 A revision rhinoplasty is a complex procedure with very little scope of error because the nasal area is very delicate and any mistake in a revision rhinoplasty may cause a complex set of problems in breathing and aesthetics. Therefore a revision rhinoplasty should be only performed by a very experienced facial plastic surgeon.

Dr. Debraj Shome who is the co- founder of The Esthetic Clinics in Mumbai has been handling complex cases of rhinoplasty for over a decade now. In Mumbai, The Esthetic Clinics are known for handling some of the most complex cases of revision rhinoplasty. Patients from all over India who have lost hope have found a new lease of life at The Esthetic Clinics in Mumbai. With multiple branches of The Esthetic Clinics in Mumbai, Dr. Debraj Shome has ensured that patients from all over India can get the treatment without any time lag.

The methodical approach that Dr. Shome takes for a revision rhinoplasty is unparalleled not only in Mumbai but all over India. Since the nature of a revision rhinoplasty is very complex, the treatment in The Esthetic Clinics in Mumbai begins with a thorough consultation. All the patients of Dr. Shome in Mumbai are treated with an elaborate and systematic plan which involves a thorough insight into their previous rhinoplasty procedure. In a complex rhinoplasty, multiple aspects of the nasal structure are dealt for a complete revision of the problem. Therefore, it is crucial to visit a surgeon who can handle the complex nature of a revision rhinoplasty with precision and proficiency. In Mumbai, there is no one better than Dr. Shome for a complex rhinoplasty. The Esthetic Clinics in Mumbai have been managing cases of revision rhinoplasty for years now with a flawless reputation in all over Mumbai.


About Dr. Debraj Shome

Debraj Shome-2
Debraj Shome, MD, DO, DNB, FRCS (Glasgow), FICO (USA), MNAMS, MBA (Healthcare Management, Vanderbilt University, USA), is Consultant Facial Plastic Surgeon, Oculoplastic Surgeon & Cosmetic Surgeon at Nova Specialty Surgery, Mumbai, India..Read more

Contact Us

Your Name *

Your Email *

Subject

Your Message

Find Us on Facebook