Secondary rhinoplasty is carefully planned around each patient’s anatomy, previous procedure and goals. The process begins with a detailed consultation and may involve advanced techniques to refine shape, improve support or address functional concerns. The exact approach will depend on the complexity of the revision and the changes needed.
Consultation and Assessment
The first step is an in-depth consultation with Mr Wilson. During this appointment, he will assess the nasal structure, skin quality, breathing function and concerns related to the previous surgery. Digital imaging may be used to visualise potential outcomes and support a shared understanding of what is achievable. This assessment is also an opportunity to discuss previous surgical history, healing, expectations and any functional symptoms.
Surgical Planning
A tailored surgical plan is created based on the patient’s anatomy and the issues being addressed. The plan may focus on cosmetic refinement, structural support, breathing improvement or a combination of these areas. As secondary rhinoplasty is more complex than primary rhinoplasty, Mr Wilson will explain the likely surgical approach, whether grafting may be required, and the limitations to consider before proceeding.
Open or Closed Rhinoplasty Techniques
Secondary rhinoplasty is typically performed under general anaesthesia. Mr Wilson will use an open rhinoplasty approach, which involves a small incision at the columella, the tissue between the nostrils, to provide comprehensive access to the nasal framework. This is often suitable for more significant structural concerns or asymmetry. In selected cases, a closed rhinoplasty approach may be appropriate, with all incisions made inside the nostrils and no visible external scar.
Cartilage Grafting and Structural Support
Many secondary rhinoplasty procedures require cartilage grafts to rebuild, strengthen or support the nasal structure. Cartilage may be sourced from the septum if available, or from the ear or rib where additional support is needed. These grafts can help improve definition, restore stability and address areas weakened by previous surgery. Once the corrections are complete, the incisions are carefully closed, and a nasal splint is applied to protect the structure during healing.