Revision At Sensual Body Dream we are specialists in the repair
to cases of Cosmetic Surgery that have been performed in other
centres and have resulted in being deficient or unsatisfactory.
This is one of the
exclusive products you will only find at
Dream, thanks to the high professional level of our
Medicine and Surgery are not exact sciences, and therefore
contain a degree of variability and unpredictability. In part,
this is due to the human factor, thanks to which Cosmetic
Surgery at Sensual Body Dream is offered at the highest degree
However, this same human factor, if it lacks the correct level
of excellence, can be the cause of inadequate or complicated
Separately, there are the individual and genetic factors
corresponding to each patient, that may condition the work
performed by the professionals.
Currently, Cosmetic Surgery is a massive phenomenon that has
been popularized and has penetrated all social levels.
Whether due to the factors inherent in each patient or, what is
more customary, through errors in the indication or execution of
treatment, from the vast number of operations performed certain
patients may be frustrated in their desire for improvement.
The situation for patients suffering from poor results in their
treatments is, at times, desperate, because they cannot find
specialists who are sufficiently honest or who have enough
experience in this type of re-operations.
It is not about applying customary and normal techniques of
Cases of secondary surgery require a meticulous and personalised
study by professionals especially dedicated to these types of
repair. The techniques applied have to be designed to measure
for the condition of the tissue.
Our medical team provide a great wealth of experience in
secondary surgery or for the revision of those cases that have
already been operated on and in which the patient wishes to
improve the result. These situations are very demanding
professionally and only certain Specialists can meet them with
due guarantees. We assess you in a totally independent and
professional manner, we shall inform you of the real
possibilities of improving your result, and we shall try to
achieve the success so desired from the previous treatments.
Body Dream we shall know how to
listen to you and to understand what you are looking for.
Thanks to our Plastic Surgeons many patients have recovered
their belief in Plastic Surgery and the joy of living.
With any cosmetic surgery, a touch-up or revision procedure is
sometimes necessary. Even in the hands of the best surgeon, the
need for revision sometimes occurs. And because rhinoplasty is a
complex operation, it has a higher revision rate than other
Revision rhinoplasty is a surgical procedure designed to repair
both form and function of a nose that has previously been
Many people have difficult breathing from their nose or are
dissatisfied with the cosmetic appearance of their nose as a
result of prior nasal surgery. In fact, many patients have had
several unsuccessful nasal surgeries, even as many as six or
seven prior procedures. Because rhinoplasty is one of the most
difficult of all plastic surgery procedures, there is a large
need for secondary surgeries. Further, revision rhinoplasty
tends to be an even more complicated procedure than primary
rhinoplasty, making it essential that patients find a
sufficiently qualified and experienced surgeon.
Good candidates for revision rhinoplasty include physically
healthy men and women who are realistic in their expectations
and are unhappy with the results of a prior rhinoplasty
In our plastic surgeons' practice, about 30% of the
rhinoplasties they perform are revision rhinoplasty cases from
patients who had operations elsewhere by another surgeon.
The most common thing these patients say is they did not realize
at the time of their first operation that not all plastic
surgeons specialize in rhinoplasty or facial surgery.
If your first surgeon specializes in whole body plastic surgery,
chances are his/her practice does not specialize in nose
surgery. Rhinoplasty may not be the most common procedure
performed in their practice. Unfortunately, most people seeking
revision surgery realize this after a bad outcome.
Like any other cosmetic surgery, rhinoplasty is not an exact
science and some irregularities may appear after rhinoplasty
surgery. Rhinoplasty surgery, as opposed to all other cosmetic
surgeries, is by far the most challenging surgery.
No two noses are alike, each surgeon's sense of aesthetics is
different and the surgery is performed differently by each
surgeon. Even if the surgeon does everything within his/her
power to do the operation as well as he can, he cannot control
how the body heals postoperatively.
It may seem that nobody would want to have rhinoplasty surgery
to start with. In reality, if you have real expectations about
plastic surgery, the majority of outcomes are positive and most
people will not require additional plastic surgery.
But let’s focus on the small percentage of patients who did not
get the outcome they wanted. How and why does this happen?
Patient expectations are very important. No one’s nose, or face
for that matter, is perfectly symmetric. Therefore, it is
important to understand that minor asymmetries are present prior
rhinoplasty surgery, so asymmetries will be present afterward as
well. Some patients may not be able to accept minor
imperfections after surgery because of the idea that results
after surgery should be “perfect.” Remember, there is no
perfection when it comes to surgery; it is merely an
improvement. Your nose was not perfect before rhinoplasty
surgery and will not be after either.
There are other common reasons why
one might seek revision rhinoplasty.
Callous or bump: A small
callous or bump may appear on the dorsum up to one year
following your procedure. The cause of this is unknown, but if
it occurs, it can usually be removed in a minor procedure.
Sometimes called a "parrot beak," this can occur when
a hump on the bridge of the nose isn't sufficiently reduced in
the area just behind the tip or when there's a build-up of scar
tissue. Correction requires revision rhinoplasty.
Pinched tip: When the tip of
the nose appears pinched, it's often because too much tip
cartilage was removed or the cartilage didn't heal well and
collapsed. To correct this, cartilage is usually added to the
nasal tip in a revision rhinoplasty procedure.
Inverted V: When a hump is
reduced, sometimes the middle vault of the nose collapses
inward, causing an "inverted V" appearance. This may be
corrected with the placement of grafts in a revision rhinoplasty
Post-operative changes: In general, following primary
rhinoplasty, the nose changes every year. These changes can be
unpredictable, and you may not like the way these changes look.
Disappointment with results:
Despite your surgeon's best efforts, it's possible that you may
be disappointed with your results. Disappointment may be due to
unrealistic expectations on your part, unclear communication of
your goals, surgical aesthetic misjudgment, or complications
during the healing process.
Even if you're completely satisfied with the way your nose looks
following surgery, it is possible to experience a nasal
obstruction that make it more difficult to breathe through your
nose. Most nasal obstructions can be corrected with revision
rhinoplasty. If your breathing is hindered in any way, you may
want to consult with your surgeon about a follow-up procedure to
alleviate the problem.
Be Realistic Concerning Revision
No plastic surgeon will get a perfect result. If your surgeon
tells you that he never performs revision rhinoplasty on his own
patients because they all turn out great, say thank you for the
consultation and leave the office. All rhinoplasty surgeons at
one time or another must perform Revision Rhinoplasty surgery on
their patients because rhinoplasty surgery and the postoperative
healing are not completely 100 % predictable processes.
The real question then becomes: What percentage of
Revision Rhinoplasty surgery does each surgeon perform in his
own patients? And, what are the problems needing Revision
Rhinoplasty surgery? The acceptable rate, in our opinion, for
patients requiring Revision Rhinoplasty should be about 5%.
The type of problems requiring Revision Rhinoplasty surgery
performed by each plastic surgeon is also important.
Not all revisions are the same.
Revision Rhinoplasty surgeries in one doctor's practice may
imply coping with minor problems after healing. While in someone
else's practice, it may mean returning to correct plainly
unacceptable results after the first surgery.
It is true that we cannot control all aspects of the surgery,
but the way the surgery is performed, the level of expertise of
your plastic surgeon in the field of Revision Rhinoplasty, the
type of training and the number of nose surgeries he does will
have a significant influence in the outcome of the procedure.
Stated simply: You cannot control all aspects of the surgery and
the healing accompanied with it, but you can control who you
choose to do your surgery. From all controllable aspects in
rhinoplasty, choosing the right plastic surgeon is probably the
most important factor in achieving a desirable outcome.
should you have another surgery? Who should do your surgery? And
when is it appropriate to have it?
As discussed earlier, no plastic surgeon gets perfect results
all the time. The first issue you must address is whether the
problem needing repair is minor or an unpredictable result after
the surgery was performed properly by your surgeon. If this is
the case, the first surgeon likely will be able to take care of
On the other hand, if the result of the first surgery is plainly
unacceptable and you just realized that your plastic surgeon's
practice doesn’t really specialize in rhinoplasty surgery, it is
not in your best interest to have the same surgeon correct the
first surgery. Chances are your doctor is not equipped to
perform the revision surgery required. Just as he did not get it
correct the first time, he/she will not get it right the second
time. In fact a bigger problem may be waiting for you.
Emotionally this is very difficult. You just invested energy,
time and money on a procedure that had an unacceptable outcome
(assuming your expectations were realistic before and after
The last thing you feel like doing is paying for another
surgery. Having a second surgery by the same surgeon to repair
the problem at no charge now sounds very appealing. What you do
not realize is that you have a very high probability of having a
second bad outcome. A second bad outcome will result in even
more emotional distress to you and more damage to your nose,
which will be even more difficult and expensive to repair.
It is hard to make the decision to pay someone else for a
second surgery. But, before you commit to revision surgery by
the first surgeon, get a second opinion by someone who
specializes in rhinoplasty to weigh all options.
Timing of surgery is also very important. Several months after
surgery swelling may still bother you, and no treatment may be
needed. Conversely, problems that are not evident several months
after surgery may only be visible a year later when swelling
fully subsides. I know it is very difficult emotionally to wait
for resolution of your concerns, but be patient.
Why is Revision
Rhinoplasty So Difficult?
During revision surgery, the surgeon usually encounters scar
tissue inside the nose. It is very difficult and time consuming
to operate with scar tissue. Also during this surgery, the
surgeon typically must “undo” what the previous surgeon did and
then “redo” an entire operation. This is a reason revision
rhinoplasty will take up to four times as long as a primary nose
Here’s another thing to consider. In most revision surgery cases
the nose’s skeletal support has been overly weakened from
excessive removal of cartilage and bone. Thus, the support and
breathing function must be rebuilt at the same time as the
cosmetic aspect is addressed.
If your first surgery was less than satisfactory, chances are
that in the right hands you will achieve a very good result with
revision rhinoplasty. Just like with primary rhinoplasty, you
must have realistic expectations about what the surgeon can and
cannot do. Expect improvements, not perfection. Remember, during
the second surgery your nose may have large amounts of scar
tissue that makes it more difficult to manage during surgery and
creates even less predictable results than the first time.
Consequently, it is important to have the surgery done by
someone who specializes in revision surgery; someone who is
accustomed to dealing with scar tissue and who can maximize your
chances of a good outcome.
Emotionally Prepared For Revision Rhinoplasty?
If you had a less-than-ideal outcome from your first procedure
and you will require further surgery, do not rush into it. You
must be ready emotionally t deal with another operation and
another recovery period. As mentioned before, revision
rhinoplasty involves operating on scar tissue. Scar tissue will
take even longer to heal as compared to normal tissue. It may
take your nose twice as long to recover from swelling as
compared to your first surgery.
The resolution of swelling associated with surgery is a
continuous and slow process. Your nose should look better after
surgery, but it will not have its definition or desired shape
for many months. You must prepare yourself to accept small
incremental improvements on the appearance of your nose as the
months go by, rather than expect to be fully healed after
Revision rhinoplasty is a highly skilled surgery and is very
time consuming. It may take two or three times the length of
time required for a first-time surgery.
Revision rhinoplasty can be done successfully if done properly.
Make sure you choose the right doctor, have realistic
expectations and are emotionally ready to have another surgery.