Failed Rhinoplasty can be devastating and can have sever emotional impact Rather than gaining a long-awaited nasal enhancement, the patient is left with a disappointing and unfamiliar facial appearance. The resulting impact upon self-confidence can vary, but for some, embarrassment, lack of self esteem and depression can affect nearly every facet of life.
Although the causes of a failed Rhinoplasty are many, including non-compliance on behalf of the patient, not following post operative instruction or do not come for follow up appointment ..
Use of artificial material like Silicone - the initial operation is simple as it requires just insertion of a implant results can be done in half an hour's time as day surgery ,Immediate results are very good a happy patient but in most cases it leads to sever complications later which can happen months or even years after the operation.
Post operative complications like infection ,haematoma formation and trauma to the operated nose may also cause unsatisfactory results
One of the most devastating causes is technical incompetence- Rhinoplasty is a difficult operation and few people master it ,while otherwise excellent cosmetic surgeon operates all surgeries from Head to toe and also does occasionally Rhinoplasty, do not wish to leave any patient accept these patients and the results can be devastating
Special problem in countries like India where 2 surgeons join hand to do a Rhinoplasty ,specially in cases of a crooked Nose with breathing problem ,where typically one surgeon is called to do septum surgery for functional region and the other surgeon do the aesthetic part. This is a perfect recipe for disaster, as Rhinoplasty surgery is one surgery where aesthetic and function are interlinked and the surgeon should be competent to deal with it independently .
It may not be a good idea to have a Nose Job from the cheapest surgeon – you might end up having to pay a lot more for it later.
Substandard surgery can produce an unnatural and awkward appearance that is decidedly less attractive than the original (birth) nose..
The medical and artistic challenge in a -damaged nose may appear deceptively simple, is considerable — typically far more complex than the initial Rhinoplasty. Remember first chance is the best chance and every revision surgery is a compromise. It's like making a new house and repairing a damaged house .
It require correction of the thin and delicate skeletal components of must be precisely recreated to strengthen or replace shredded, collapsed, twisted (or even absent) skeletal remnants.
While the outer contour must be smooth and attractive, the air passages must also remain large enough to facilitate comfortable nasal airflow.
It requires considerable experience in Revision surgery and you must be careful in your choice of the surgeon.
Several important differences between primary (first-time) Rhinoplasty and revision Rhinoplasty are worth noting. First, revision Rhinoplasty takes far more time.
Because of the obstacles posed by scar tissue and the increase complexity of surgery, revision cases require at least 3-4 hours or more of total operative time.
By the same token, the more difficult dissection, the greater length of surgery, and the presence of pre-existing tissue damage also equate to a much longer period of recovery.
Patients with thin healthy skin may require 6-12 months, whereas patients with thick scar-prone skin may require up to two years for all manifestations of inflammation to resolve.