Rhinoplasty Revision 鼻部修复
别名
鼻修复、隆鼻失败修复、鼻子修复
项目介绍
隆鼻手术后，患者鼻部出现传染、排异等状况，需到正规医院取出假体；或者患者对术后鼻部形态不满意，隆鼻术后外形不自然，无正常鼻额角、鼻面角、鼻唇角，无理想的美学曲线，就需要进行鼻部修复。鼻部修复是指通过假体取出、再次植入，或采用自体软骨隆鼻等方式，对初次手术失败的情况，进行矫正和修复，以重塑美的鼻部形态。
项目特色
找出鼻部缺陷缘由，然后依据患者鼻部问题综合设计修复方案。
功效
鼻部修复，隆鼻失败修复
适合人群特征
鼻部整形失败，鼻部假体老化，鼻部假体顶出
适合人群
隆鼻术后出现假体顶出、外露、歪斜、移位、变形者； 注射非正规注射隆鼻材料，如奥美定、人工骨粉等人群； 隆鼻术后鼻部形状不自然，不符合个人审美需求者； 鼻整形手术后，出现感染或排异者。
关注度
⭐⭐⭐⭐✩
安全度
⭐⭐⭐⭐✩
复杂度
⭐⭐⭐⭐⭐
项目优点
恢复鼻部的形态，阻止进一步恶化； 可以在修复时，雕塑更适合更美的鼻型。
项目缺点
手术难度高，对医生要求高，术中无菌要求更高； 费用较初次鼻整形手术高； 创伤更大，留下鼻部组织创伤，恢复时间更长； 术后要更严格遵循护理注意事项； 受鼻部条件限制，有时只能修复，而不能达到理想的鼻部形态。
禁忌人群
对恢复手术心理准备不足者； 期望过高的完美主义者； 月经期及哺乳期女性。
留疤
无
麻醉方式
局麻/全麻
治疗周期
单次
操作方式
手术
效果持续
10年以上
恢复时间
3-6个月
操作人员资质
医疗美容科或整形科执业医师
疼痛感
无痛
术前必读
- 术前检查，包括血常规加免疫四项、血压、肋软骨的三维CT检查。确定身体健康，无传染性疾病或其他身体炎症；
- 患有高血压和糖尿病的患者，应该在初诊时向医生告知病情，以便应诊医生确认整形手术和术后治疗方案；
- 患者的面部不能够带有任何的细菌，所以患者绝对不能患上毛囊炎和痤疮以及急性眼炎等疾病。在隆鼻的前一天，患者需要洗澡，并且洗干净面部的油脂，使细菌减少，而且患者还需要清洁鼻腔和剪鼻毛；
- 女性避开月经期；
- 术前两周内，请勿服用含有阿司匹林的药物，因为药物会使得血小板凝固的功能降低；
- 手术一般采用全麻，术前需要空腹6-8个小时以上，所以一般术前前一天的晚上12点后，就需要禁食禁水
0-第365天
恢复提示:
因鼻部修复采用的术式不同，其术后护理方式也有所差异，建议遵医嘱执行
以上术后护理仅供参考。因个体差异、采用术式不同，恢复周期、拆线时间及护理方法均会有所不同。具体护理方案，建议遵医嘱执行。
Alias Name
Revision Rhinoplasty, Rhinoplasty Correction
Procedure Detail
Revision rhinoplasty can be described as a surgical treatment aimed at repairing the form as well as function of your nose after a previous rhinoplasty operation. There are many people who end up being dissatisfied with the way their nose looks after an earlier nasal surgery.
Features
It is important to understand that revision rhinoplasty varies in its complexity.
Benefits
Nose job repair, failed rhinoplasty revision.
Recommended
Remaining cosmetic problems to correct, such as a saddle nose deformity, polly beak deformity or a pinched nasal tip.
Suitable Candidate
People who have prosthesis protruding, exposed, skewed, displaced or deformed after rhinoplasty; People who have injected irregular rhinoplasty materials, such as Ogilvy, artificial bone powder, etc.; The shape of the nose after rhinoplasty is unnatural and inconsistent; those with infection or rejection after rhinoplasty.
Popularity
⭐⭐⭐⭐✩
Safety
⭐⭐⭐⭐✩
Complexity
⭐⭐⭐⭐⭐
Pros
Restore the shape of the nose to prevent further deterioration; when repairing, sculpt for more suitable for a more beautiful nose shape.
Cons
Surgery is difficult and high complexity, requires experience doctors, and higher intraoperative sterility; the cost is higher; the trauma is greater, leaving nasal tissue trauma, and the recovery time is longer; postoperative care must be strictly followed ; Limited by the nose condition, sometimes it can only be repaired, but the ideal nose shape cannot be achieved.
Unsuitable Candidate
Those who are not mentally prepared for recovery surgery; perfectionists who expect too much; women during menstruation and breastfeeding.
Scar
No
Anesthesia Method
Local/ general anesthesia
Treatment Course
Single time
Procedures Technique
Surgery
Sustainability
10 years and above
Recovery Period
3-6 months
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
No pain
Before the Procedure
- Preoperative examination, including blood check, blood pressure, and three-dimensional CT examination of ear cartilage. Make sure that you are healthy and free from infectious diseases or other body inflammation.
- Patients with hypertension and diabetes should Inform the doctor about the condition at the first visit, so that the doctor in charge can confirm the plastic surgery and postoperative treatment plan.
- The patient must not suffer from folliculitis, acne, and acute ophthalmitis. On the day of rhinoplasty, the patient needs to take a bath and wash away the grease on the face, and the patient also needs to clean the nasal cavity and cut the nose hair.
- In order to avoid infection, women cannot undergo surgery during menstruation.
- Two weeks before the operation, do not take drugs containing aspirin, because the drugs will reduce the function of platelet coagulation.
- If general anesthesia (removal of nasal septal cartilage) is used for surgery, you need to fast for more than 6-8 hours before surgery.
0-365th days
Severe swelling period from 0 days to 3 days Recovery Tips:
Because of the different surgical procedures used for nose repair, the postoperative care methods are also different. It is recommended to follow the doctor’s advice.
Reminder
The above postoperative care is for reference only. Due to individual differences and different surgical procedures, the recovery cycle, suture removal time and aftercare methods will be different. The specific plan is to follow the doctor’s advice.
FAQ 常见问答题
Recovery after revision rhinoplasty is variable. Sometimes this can take months for swelling to go down. For those who have had 2 or more it can take years.
术后72小时是肿胀高峰期，建议静养休息，术后72小时后逐渐开始消肿，可恢复正常工作生活。2-3周恢复60-70%左右；3-6个月完全恢复。
To correct aesthetic and functional problems that may have either not been addressed by the previous plastic surgeon or may have been caused by the previous nasal surgery. The ultimate goal is to create an aesthetically appealing nose and a functionally sound nose that will not attract undue attention to itself. The goal of any Rhinoplasty is to redirect attention to the beauty and intrigue of the eyes.
1.医生要仔细观察患者鼻部外形和面部轮廓，找出鼻部缺陷，设计合理的手术方案；2.认真雕刻鼻假体模型，矫正原有缺陷；3.手术时确保假体植入腔准确无误，假体正确植入；4.术后护理到位，避免逆行感染和假体移位。
Patients frequently ask me how long after a first nasal surgery must one wait until a revision rhinoplasty can be performed. The best answer is: to wait as long as possible after the first surgery to allow all of the swelling, edema, bruising and scar tissue from the first surgery to have resolved as much as possible. If wound healing, scar formation, and edema are still present then the results of the revision rhinoplasty (the second nasal surgery) can still be impacted by the effects of the first surgery. By waiting at least, a year all of the negative effects of the first surgical procedure will have gone away and the operating surgeon performing the revision procedure has more control over the tissues and the ultimate outcome.
做鼻部修复前必须明白：就算再成功也不能变成正常的人形态。因手术瘢痕，隆鼻手术次数越多，越难塑造鼻的形态。鼻部修复最重要是现有鼻子状态问题，过去因隆鼻后效果非患者所愿，隆鼻修复前需对变化部位和形态要经过充分商谈，再决定做鼻部修复手术。
During the revision rhinoplasty, doctor will use a mixture of IV sedation and local anesthesia.
如果只是单纯取出假体或假体置换、重新放置，只需局麻就可以。如果需要取自体软骨、真皮组织进行综合鼻部修复，则需要全麻。
Doctor will decide whether you will have your rhinoplasty open or closed. Depending on the patient’s needs, the doctor may reposition cartilage and replace missing structures. The incisions for a revision rhinoplasty can be made inside of your nose (a closed rhinoplasty), although in some cases, a smaller incision may be made under your nose’s tip (an open rhinoplasty).
由于初次手术失败后，鼻部皮肤张力较差，采用自体软骨或脂肪、真皮组织较假体柔韧，可以达到更好的修复效果。但具体还要根据患者的鼻部状态进行设计，如果只是单纯假体的雕刻和植入层次问题，重新雕刻或置换就可以。
Usually, a nose has to heal thoroughly before another surgery can be done. So, you will often need to wait six to nine months after a primary rhinoplasty to undergo a revision. This is very important though – during the waiting period, your nose will gradually and continually change, and you will likely find that a revision is not needed if you were unhappy at first.
鼻部修复手术不是随时都可以做，而是需要等前一次隆鼻手术6个月以后，组织恢复充分后再做。
The risks are the same as those of primary rhinoplasties.
隆鼻术后外形不自然（无理想的美学曲线，无自然的与面部和谐的弧度）、植入体的轮廓隐匿可见（即感到植入的鼻梁假体，在皮下漂浮，晃动）、假体偏斜、术后鼻背部皮肤发硬或反光增强、皮肤变色（发白或呈灰暗色）、有皮肤坏死的先兆症状等。
In general, the recovery for nasal surgery whether it’s for the first time or a revision is similar, but the swelling and bruising may be slightly worse after revision rhinoplasty surgery and may take longer to resolve as the nose recovers from a second procedure.
鼻部修复和隆鼻手术一样，可能出现出血、感染、肿胀、瘀血、修复失败等情况。比起初次手术，再次手术对组织的损伤更大，所以应充分考虑这个形状是否适合自己，以及安全性问题以后，再决定要不要再次接受手术。
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