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Why revision rhinoplasty is so common? | Reasons

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Particular challenge: Severe scarring and loss of structure

A nose correction represents a particular challenge for a nose surgeon due to the often very severe scarring and the loss of structures. It should therefore only be carried out by doctors who have specialized in the nose and have mastered this demanding operation for years.


Having performed this type of surgery regularly for over twenty years and have developed several techniques to improve the results, I, Dr. Mustehtehsem Bashir, the Best Rhinoplasty Surgeon in Pakistan, am happy to offer you an in-depth conversation about a realistic possibility of improvement.



The right time for a revision rhinoplasty

The right time for a revision should always be decided to take into account the biological wound healing phases. Even if you are very dissatisfied with the result of the previous operation and want a quick change, it is extremely important to be patient at first. Here the experience of the surgeon, our experience, will help you. 

In most cases, a revision can be considered at the earliest one year after the previous operation.


The reasons for this are:

  • The biological processes of wound healing take at least a year to complete. Any hasty intervention reduces the chance of a satisfactory result.
  • The swelling hasn't gone down yet. From a surgical point of view, it is accordingly difficult to assess exactly which excess tissue may be removed and which areas should be altered.
  • The scars in the skin are still too hard so some patients cannot stretch the skin if their noses are too short.

A rhinoplasty is therefore only recommended when healing is complete or almost complete.

For the most affordable Nose Job Cost in Pakistan feel free to call us from Monday to Friday between 6:00 PM to 8:00 PM.

Reasons for an aesthetic post-rhinoplasty

Nose tip asymmetry and clothespin nose


A nasal tip asymmetry or massive constriction of the nostrils with the appearance of a “clothespin” or pinched nose. Such a picture can arise due to uneven or exaggerated cartilage removal as well as constriction of the tip of the nose by sutures.


In rare cases, in patients with thin skin, the scarring can be so severe that the delicate alar cartilages become twisted. Basically, cartilaginous transplants from the nasal septum, auricle, or rib are used as stabilization and shaping structures.

Collapsed nasal bridge


A collapsed or collapsed bridge of the nose occurs most frequently in patients with short nasal bones without stabilization measures after removal of a larger hump. The so-called lateral cartilages in the middle of the nose recede with all the aesthetic and functional consequences.


In the international literature, the resulting clinical picture is known as an inverted-V, since the nasal bridge has the shape of the inverted letter V from the outside in front. Patients very often complain of obstructed nasal breathing.


A reconstruction of the bridge of the nose is most often carried out with cartilaginous rods (“spreader grafts”), which restore the contour of the bridge of the nose.



Dropped tip of the nose


A sunken tip of the nose can often be seen several months after the operation due to the lack of stabilization of the same.


The method of choice is a cartilaginous graft that serves as a supporting structure for the tip of the nose.

crooked nose


A crooked nose can have several causes, such as insufficient detachment of anatomical structures of the nose during rhinoplasty in the case of a pre-existing crooked nose. During the healing process, it can also shift to one side due to strong, asymmetrical scarring. The treatment consists of balancing measures in the cartilaginous and bony areas.



Very high tip of the nose


A not uncommon consequence of rhinoplasty is the excessively high tip of the nose. Because a large part of the lower nasal septum has been removed, the angle between the mouth and nose is extremely large and looks unnatural. In extreme cases, one can look into the nostrils. Treatment involves the insertion of cartilaginous grafts designed to lengthen the nose.

Bridge of the nose too low – “ski-jump nose”


If you remove a disproportionate amount of tissue on the bridge of the nose during the operation, in some cases combined with a nose tip that is too high, this is referred to as an “artificial-looking” or “ski-jump nose”. Treatment consists of reconstruction of the bridge of the nose. This often requires the removal of rib cartilage.



Irregular nasal bridge


An irregular bridge of the nose can arise as part of the healing process and from displacement of the grafts or overconfidence by the surgeon, most of whom is inexperienced, that the surgically created irregularities will be hidden by the skin coat.


In this case, smoothing and, if necessary, camouflage with the body's own material is necessary.

saddle nose


A saddle nose can result when the necessary support from the nasal septum is lacking due to excessive cartilage harvesting. The “bearing wall” of the bridge of the nose must be treated with great care. In this case, the bridge of the nose needs to be redesigned using the body's own cartilage.



parrot beak deformity


A “parrot beak nose” or poly-beak deformity most commonly occurs when the upper, bony bridge of the nose is excessively worn away and there is excess tissue in the middle, cartilaginous portion of the nose. The method of choice is compensation in the upper part of the nose with the body's own material and additional removal of the excess part. Dr. Mustehsen is proving the best Rhinoplasty Success Rate in Pakistan.


worsening of breathing


In our practice in Hamburg, we sometimes see in previously operated patients that function has been sacrificed in favor of optics. One of the goals of post-rhinoplasty (also called secondary rhinoplasty) is therefore to restore normal breathing.


The picture shows an example of a nose with sunken nostrils on both sides and a deviated nasal septum. The patient complained of obstructed nasal breathing, especially when inhaling.



It is a great disappointment for every patient when the first rhinoplasty does not have the desired effect – and there are many reasons for this. Sometimes, despite the surgeon's best efforts, you cannot get the best result because you cannot control the healing and the nose changes for the worse over time.


In some cases, the surgeon's lack of experience with a type of operation or with a more complex nose is also the decisive factor in the failure. And finally, the dissatisfaction can also be related to unrealistic expectations of the patient, since it is seldom possible to achieve a geometrically ideal nose, as some would like.


After a detailed consultation and an examination of the inner and outer nose, we can discuss the realistic chances of success together.

What is the cost of non-surgical rhinoplasty?

The Non Surgical Rhinoplasty Cost in Pakistan must be calculated individually according to the time required, degree of difficulty, and material consumption. As a price range, you can say that the costs are between 60000 and 75000 euros.

Please arrange a personal consultation on 03124887775 – 03044887775 if you have any further questions about nose correction without surgery in Munich with hyaluronic acid.


Surgical Rhinoplasty Cost

Surgical Rhinoplasty Cost in Pakistan can be around Rs.100,000 to Rs.200,000. Cosmeticoplasty is providing a very affordable Rhinoplasty Price in Pakistan.


Please Note: These prices cover the additional expenses such as anesthesia fee and medicines used during the surgery.

Meet Your Plastic Surgeon

Dr. Mustehsan Bashir

Dr. Mustehsan Bashir is the founder of Cosmeticoplasty; he is not only
a competent and skillful surgeon but also a compassionate
professor and a dedicated researcher. He is offering the  Best Nose Job in Lahore. He is exceptionally
experienced in surgical and non-surgical procedures, including
rhinoplasty (nose surgery), eyelid surgery, facelift, liposuction, fat
grafting, fillers, and anti-aging procedures for skin rejuvenation. He is also very passionate about creating awareness for burn prevention, and he is leading a campaign to educate school children about burn precautions and first aid.



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