Specialists in reconstructive, laparoscopic, microsurgical, and general surgery. Alexandria, Egypt.
59, Alexandria-Matruh st., Ghalwash building, Agami, Alexandria, Egypt
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Revision (secondary) rhinoplasty corrects a breathing problem, a visible irregularity, or a shape that did not match the plan after a first nose operation. Around 5 to 15 percent of primary rhinoplasties are eventually revised — it is a recognised part of nasal surgery. Dr. Khaled Ghalwash approaches it as structural reconstruction: rebuilding the support the first operation lost, then refining the shape, with breathing and appearance addressed together.
Often no one is at fault. The nose heals in three dimensions over a full year: scar contracts, cartilage that was reduced loses its support, and an untreated deviated septum keeps pulling the result off line. The single most common technical cause is over-resection — removing too much cartilage at the first operation, which leaves too little structure to hold the shape. The result can be a polly-beak, a pinched or collapsed tip, asymmetry, or a nose that looks fine but no longer breathes well.
There is usually less cartilage left to work with, so structural grafts — taken from the septum, the ear, or a rib — are frequently needed to rebuild support before the shape can be refined. Scar tissue makes the planes harder to separate, so the dissection is more deliberate. Because a revised nose depends on restored structure for both function and appearance, breathing and shape are corrected in the same operation rather than treated as separate problems.
Wait until the nose has fully healed from the first operation — usually at least 12 months, longer where scar is thick — unless there is a functional emergency such as a blocked airway. Bring the operative note from your first surgery if available, photographs of your nose before the first operation, and a clear description of what bothers you now: breathing, a specific bump or asymmetry, or the overall shape.
Revision (secondary) rhinoplasty is for patients left with a breathing problem after a first nose operation, a visible irregularity such as a polly-beak, pinching, asymmetry or tip collapse, or a result that did not match the agreed plan. Roughly 5 to 15 percent of primary rhinoplasties are eventually revised — it is a recognised part of nasal surgery, not a rare event.
Often no one is at fault. The nose heals in three dimensions over a full year: scar contracts, cartilage that was reduced loses support, and an untreated deviated septum keeps pulling the result off. Over-resection — taking away too much cartilage at the first operation — is the single most common technical cause, because it leaves too little structure to hold the shape.
Wait until the nose has fully healed from the first operation — usually at least 12 months, sometimes longer where scar tissue is thick. Operating earlier on an unsettled nose makes the outcome unpredictable. The exception is a functional emergency such as a blocked airway, which is assessed sooner.
There is usually less cartilage left to work with, so structural grafts — taken from the septum, the ear, or a rib — are frequently needed to rebuild support before the shape can be refined. Scar makes the tissue planes harder to separate. Breathing and appearance are addressed together, because in a revised nose they depend on the same restored structure.
Bring the operative note from your first surgery if available, photographs of your nose before the first operation, and a clear description of what bothers you now — whether it is breathing, a specific bump or asymmetry, or the overall shape. This makes the surgical plan precise.
Bring your operative note and pre-first-surgery photographs. We assess what structure remains and plan a rebuild that restores both breathing and shape.
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Specialists in reconstructive, laparoscopic, microsurgical, and general surgery. Alexandria, Egypt.
59, Alexandria-Matruh st., Ghalwash building, Agami, Alexandria, Egypt