When can I have my nose redone after a
previous unsatisfactory rhinoplasty?
to wait one entire year after a rhinoplasty before making another attempt.
scar tissue that forms underneath the skin of the nose after a primary
(first-time) rhinoplasty is hard at first, as is any scar. If you
have a scar from an operation, such as an appendectomy, the scar starts
out being quite firm; it feels like a cord underneath the skin. With
time, the scar softens, so that eventually you can't find your
appendectomy scar by feeling for it -- you have to look for the scar,
because it feels just like the surrounding skin.
scar tissue in the nose starts out hard, and after a few months it starts
to soften. You can't feel much of the firmness, except perhaps at
the tip of the nose, which might feel more solid than natural, but the
firm scar tissue is there, underneath all of the nasal skin,
until the scar has had time to soften. It takes about a year for the scar
tissue to soften completely.
a surgeon attempts a revision rhinoplasty before that scar tissue has had
a chance to soften completely, he is operating with one hand tied behind
his back, because he is guaranteeing himself a difficult time trying to
fight through the firm scar. Even after it has softened, the scar
tissue makes a revision operation difficult, but before it has softened,
it's just impossible.
as the swelling in the nose decreases after a primary operation, the nose
gradually looks different, hopefully better, and it's important to wait
until the swelling has resolved and the nose stops changing in appearance
before attempting a revision operation. Scar tissue under the skin of the nose can
also shrink as it softens,
further helping with the appearance of the nose. If you operate too early,
the surgeon may be operating to correct problems that would at least
partially correct themselves as the rest of the swelling resolves.
He doesn't really know how much to do if he operates too early.
on a nose too early can be likened to building a house on a soil
foundation that is still settling: you want everything to stop moving
before you decide exactly what changes to make and attempt those changes.
we have said that a revision rhinoplasty is much more difficult than a
primary rhinoplasty. A third-time operation is even harder
yet. You want to give yourself every possible advantage before
having a secondary operation, to absolutely minimize the chances that
you'll need or want a third operation.
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