Secondary rhinoplasty which consists of intervening in a failed nose surgery, or even repairing an accident, is, unfortunately, more frequent than one might think … A trauma is very often hidden behind this intervention, which makes the surgeon’s job very much delicate.
What are the different types of nose surgery?
There are two types of rhinoplasty, primary rhinoplasty, and secondary rhinoplasty. The primitive is said to be of reduction and is for aesthetic purposes, this is the classic case of a young woman presenting with a bump on her nose.
In this case, this intervention is called cosmetic surgery of the nose or rhinoplasty. Secondary rhinoplasty is reconstructive surgery, which is carried out after a trauma or after a first rhinoplasty but the result of which is not satisfactory.
What is trauma?
The caricature of trauma is the boxer’s nose. The blows and traumas of the nasal pyramid will each time lead to a septum hematoma, it is an accumulation of blood in contact with the septum and this hematoma can become infected and melt the cartilage.
In this type of rhinoplasty, there is a lack of material, which is why we have to do a graft that we usually get from the patient.
What does the intervention consist of?
Depending on the size of the graft, cartilage can be removed from the rib, the ear, or bone in the skull for major restorative surgeries. In primary rhinoplasty, what the patient does not like is often an osteotomy that has not been done.
After having removed the bump, the fracture allowing this aspect of tiles between the eyes did not hold well, anyway the nose is found a little flabbergasted. The intervention is quite simple because it would suffice to redo only the osteotomy and to regularize the bridge of the nose.
Is there a part of the nose that is more difficult to repair?
At the level of the upper two-thirds of the nose, the interventions are quite simple. For noses that have been amputated at the tip, the operation is much more difficult. It is no longer an aesthetic problem.
These amputations of cartilage at the tip can have considerable functional repercussions because if the nasal valve (fairly strong cartilage that opposes the negative pressure generated by inspiration) is no longer competent, there will be a collapse of the nasal valve and the patient will no longer be able to breathe.
We will try to reconstruct this valve by putting small cartilages atlas. Here, we are far from cosmetic surgery, it is functional reconstructive surgery.
Cost of Rhinoplasty
The cost of rhinoplasty also called a nose job, depends on a lot of factors. These factors include the clinic a patient chooses, the surgeon for the intervention, the facilities at the hospital, the standard of the hospital.
The cost of Rhinoplasty is much higher in the United States and the United Kingdom than in Turkey. Along with the cheapest prices for rhinoplasty, Turkey has the best plastic surgeons for rhinoplasty.