Revision Rhinoplasty (Secondary Nasal Reconstruction)

Patients seeking secondary rhinoplasty after prior surgery elsewhere frequently present with structural deficiency caused by aggressive cartilage or bone removal. Over-resection along the bridge produces a scooped profile or saddle nose, inward collapse of the upper lateral cartilages creates an inverted-V shadow across the middle vault, and excessive trimming of the lower lateral crura leaves a pinched nasal tip with retracted nostril rims.

Structural loss on the outside almost always narrows the airway on the inside through recurrent septal deviation or collapse of the internal and external nasal valves during inspiration. During preoperative endoscopic evaluation, Op. Dr. Bülent maps both airway bottlenecks and surface asymmetries so breathing mechanics and external balance are restored together.

Scarred secondary nasal skin has delicate microvascular perfusion, which exposes synthetic silicone or porous polyethylene implants to heightened risks of infection and skin extrusion. Op. Dr. Bülent reconstructs every revision nose exclusively with autologous living cartilage: remaining posterior septal cartilage when available, curved auricular ear conchal cartilage for tip and alar rim support, or micro-carved costal rib cartilage when straight dorsal beams, spreader grafts, and septal extension struts are required.

All operations take place in accredited Class A+ hospital operating suites. Previously osteotomized nasal bones are often thin or irregularly healed; Ultrasonic Piezo piezoelectric instruments sculpt and reposition those bones with micrometric accuracy without mechanical hammer blows, preserving mucosal lining and minimizing postoperative bruising.