Revision Surgery
Revision Surgery – The Greatest Challenge of Nasal Surgery
Revision surgery is the true royal discipline of nasal surgery. After one or more previous surgeries, the anatomical conditions are often significantly altered: scarring, reduced skin perfusion, missing structures, and functional problems make the procedure particularly demanding.
Often, the supporting nasal framework is weakened or partially destroyed, requiring material use in many cases – usually in the form of cartilage grafts from the nasal septum, ear, or rib. Only in this way can stability, function, and a harmonious appearance be restored.
Revision surgeries require extensive surgical experience, structure-oriented techniques, and significantly more time than primary surgeries. Our goal is always to make corrective procedures as gentle as possible while clearly communicating: each additional surgery increases complexity and risk.
Why should further surgeries be avoided?
With each additional surgery, the risk of:
- increased scarring and reduced skin elasticity
- impaired blood circulation, making healing more difficult
- structural instability when supporting elements are missing
- functional impairments (e.g., obstructed nasal breathing)
- complications such as infections, tissue loss, or unpredictable results
Therefore, realistic counseling before any revision is essential. The goal is to achieve the best possible result with only one additional surgery.
Special Features of Revision Surgery
- Increased complexity due to scarring and missing structures
- Often necessary grafts (septal, ear, or rib cartilage)
- Significantly longer operation time (often several hours)
- Increased complication rate compared to the primary surgery
- Requires maximum surgical precision and experience
Frequently Asked Questions about Revision Surgery
How does revision surgery differ from primary surgery?
Revision surgeries are significantly more complex because the natural nasal anatomy is often altered. Scarring, material deficiency, and skin changes make the procedure more demanding.
Is additional cartilage always needed?
In many cases, yes – especially if the original structures have been damaged or removed. Cartilage is usually taken from the nasal septum, ear, or rib.
What is the risk compared to the first surgery?
The risk of complications increases with each additional surgery, as tissue and blood flow are restricted. Therefore, careful planning and choosing an experienced specialist are crucial.
How long does it take to heal?
Swelling may last longer in revisions than in primary surgeries. Initial results are visible after a few weeks, but the final result often becomes apparent only after 12–18 months.
Can the result be guaranteed?
No. Due to the complex starting situation, the possibilities are sometimes limited. The goal is to achieve the best possible, stable, and functional result, but perfection is not always achievable.
Does the health insurance cover the costs?
Only if there is a medical-functional indication (e.g., severe breathing obstruction). Purely aesthetic revisions must be paid for privately.