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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