Know Before You Fix Your Nose! Why Do You Need a Revision? How Much Does It Cost? Get Ready for a New Nose Job

Having problems with your nose? Where is the best place for a nose revision? If you’ve recently had a rhinoplasty and are now experiencing issues such as the risk of silicone extrusion, thinning nasal tip, crooked nose, inflammation, or an undesired shape—or even congenital nasal issues—choosing the right place for a nose revision and understanding the basics before proceeding is crucial. This article by Medmetic will cover everything you need to know about nose revision, including fixing wide noses, bulbous noses, large noses, alar correction, and the cost of nose revision, to help you make an informed decision and prepare for your new nose job. Let’s dive in together!

Nose Revision

Where to get an affordable nose revision?

Nose revision review: Before & After with a soft tissue graft by MEDMETIC

Looking for an expert nose revision surgeon? Nose revision is a common issue after rhinoplasty ^[a]. Whether you are dissatisfied with the results or experiencing complications such as infections and extrusion risks, many revision cases arise due to a surgeon’s lack of experience or expertise. Additionally, poor post-operative care can contribute to various problems, including a thinning nasal tip, infections, and asymmetry. Here are some common causes of nasal issues:

Using an improperly sized silicone implant, such as one that is too long or placed in a patient with thin nasal skin.

Know Before You Fix! Why Correct a Nose Job? How Much Does It Cost? Prepare Before Getting a New Nose

Having nasal issues? Where is the best place for corrective rhinoplasty? If your recent nose job is causing problems such as a risk of silicone extrusion, thinning nasal tip, asymmetry, infection, or an undesired shape, or if you have congenital nasal issues, choosing the right clinic and understanding the basics of corrective rhinoplasty are essential. This article by Medmetic will cover everything you need to know before fixing your nose, including solutions for wide noses, bulbous tips, large noses, and nostril correction, as well as the cost of revision rhinoplasty. Let’s explore together!

Corrective Rhinoplasty

Where to get an affordable nose correction?

Before-and-after nose correction review with caudal septal extension graft by MEDMETIC

Where is the best place for corrective rhinoplasty with a skilled surgeon? Nose revision is a common issue after rhinoplasty, whether due to dissatisfaction with the results or complications such as infections and extrusion risks. Many cases stem from inexperienced surgeons or inadequate post-operative care, leading to problems like thinning tips, infections, or asymmetry. Here are some common causes of nasal issues:

Using an improperly sized silicone implant, such as one that is too long or placed in a patient with thin nasal skin.
Not placing the silicone under the periosteum, making it unstable and leading to what is called a “floating silicone.”
Using a pre-made silicone implant instead of customizing it to fit the patient’s nasal structure, potentially resulting in an unsatisfactory shape.
Failing to correct a pre-existing crooked nasal base, which can cause post-surgical asymmetry.

Currently, the preferred technique for both primary and revision rhinoplasty is open rhinoplasty. This method provides better structural adjustments, creating the desired shape while minimizing visible scars.

For a detailed guide on open rhinoplasty, visit: Open Rhinoplasty ^[b]

Nasal Conditions That Require Correction

Silicone Extrusion / Thinning Nasal Tip

A thinning nasal tip is an early sign of impending silicone extrusion. Many ask, “Can a perforated nose be fixed?” Medmetic recommends consulting a doctor immediately to assess the severity of inflammation. If there is no significant infection, revision surgery can be planned. However, the final decision depends on the surgeon’s evaluation.

Symptoms: Signs of silicone extrusion include a shiny, overly reflective nasal tip, discoloration (dark red, pale white, or blackened areas), tingling sensations when touched, and the formation of grooves or depressions on the tip.
Causes: Common causes include improperly sized implants (too long, too thick, or too pointed), especially in patients with thin nasal skin. Other factors include post-surgical infections and inflammation.
Correction Technique: If the tip is already red and inflamed, the surgeon may first remove the implant and allow a healing period of 3–6 months before performing a revision surgery. The new implant may be shorter and combined with ear cartilage or septal grafts to reinforce the tip and reduce extrusion risks.

Nasal Infection

Infections are potential complications after any surgery, including both closed and open rhinoplasty. If you notice unusual symptoms or abnormalities, seek medical attention immediately for revision surgery.

Symptoms: Early signs include intermittent swelling. As the infection progresses, symptoms may include pus or blood discharge, severe pain, redness, and darkened skin. In extreme cases, the silicone can erode the nasal tissue, leading to necrosis and extrusion.
Causes: Infections can result from poor post-surgical hygiene, contaminated food, frequent touching of the wound, trauma, or in rare cases, an allergic reaction to substandard silicone implants.
Correction Technique: Infected implants should be removed, and a healing period of 3–6 months is recommended before re-implantation.

Crooked / Asymmetrical Nose

Implant deviation is a common issue that can occur due to various reasons. The best way to correct a crooked nose is to consult an experienced surgeon for a comprehensive facial and nasal analysis.

Symptoms: Visible tilting or shifting of the implant, deviating from the midline when measured from the eyebrows, inner eye corners, and nasal tip.
Causes: Pre-existing nasal asymmetry, oversized implants, or improper placement can lead to crooked noses. In severe cases, this may also cause extrusion.
Correction Technique: Open rhinoplasty is recommended for significant asymmetry. This involves structural correction, such as hump reduction, nasal straightening, or lengthening. The old implant and scar tissue are removed before placing a new customized implant.

Deformed Nose Due to Liquid Silicone or Filler Injections

Injecting non-medical-grade fillers, liquid silicone, or other substances may initially provide a natural look, but over time, these materials tend to migrate and accumulate unevenly, leading to nasal deformities.

Symptoms: When a foreign substance is injected into the nose, the skin will become hard, form scar tissue, become swollen, misshapen, inflamed, and infected.
Causes: It comes from the skin in the body or the nose reacting against foreign substances injected, such as silicone, liquid substances, fake fillers, olive oil, some vegetable oils, etc.
Correction techniques: The doctor must assess the severity first to determine how much substance was injected. Then, surgery is performed to scrape out the liquid substance. This step requires a high level of expertise to avoid damaging blood vessels or nerves and to ensure the tissue inside the skin around the nose is not destroyed.

Floating Silicone

The floating silicone issue can occur after rhinoplasty. If the silicone is not protruding out and only floating, it may not need immediate correction. However, most patients feel insecure and wish to revise their nose.

Symptoms: The silicone is not attached to the nose, and the patient can feel the silicone moving or shifting when touching the nose with a finger.
Causes: Floating silicone can occur due to two main factors: it can float because of the patient’s own actions, such as aggressive nose pinching or an accident, or it can float due to surgical factors, such as incorrect placement of the silicone or the surgeon not placing it beneath the bone membrane, or improper shaping of the silicone.
Correction techniques: The cause needs to be identified first so that the doctor can address it specifically. For example, if the silicone was placed incorrectly, surgery will be performed to remove the old silicone and place a new silicone under the nasal membrane to prevent shifting. If a high hump is causing the floating silicone, the correction involves rasping and resetting the nose base to make it easier to add silicone.

Misshaped Nostril

Misshaped nostrils are a common problem for those who want to correct their nose. The best way to correct a misshaped nostril is by consulting a doctor first to analyze the facial structure and address the issue effectively.

Symptoms: The nostrils or nasal passages are uneven in size or crooked to one side. Misshaped nostrils may also cause breathing problems, such as sinus issues or pus accumulation in the nasal cavity.
Causes: Several causes include congenital crooked noses, improper silicone placement by the surgeon, or accidents.
Correction techniques: It can be corrected with an open technique to reshape the nostrils for a more natural appearance.

Nose Not in Desired Shape

Those with structural problems, such as a deviated septum, a high hump, a bent tip, a thick tip, or a short tip, can use open rhinoplasty techniques to directly address these issues, including making the tip smaller, correcting the “tomato-shaped” nose, or fixing a crooked nose.

What is Open Rhinoplasty?

Open rhinoplasty, or open nose surgery, involves directly accessing and correcting the internal structure of the nose, including resetting the base, stretching the septum, and performing interdomal suturing to reduce the tip size. This method allows the surgeon to clearly see the nasal structure and address various issues, as well as clean the internal nasal structure, such as removing scar tissue, removing threads from previous thread lifts, and scraping out filler materials from the nose.

This technique often uses cartilage from other parts of the body to reshape the nose, such as cartilage from behind the ear, nasal septum cartilage, and rib cartilage. These grafts help prevent perforation and also extend the nasal tip to make it more pronounced and aesthetically pleasing.

Where to have rhinoplasty? For cases where ear cartilage has been used to augment the nose and the patient wishes to revise the nose, Medmetic doctors do not recommend removing the ear cartilage unless there are issues with it. If the cartilage has fused with the nasal tissue, the surgery will focus on adjusting the silicone. However, if there is a problem with the ear cartilage, the doctor will plan the surgery individually. Before undergoing rhinoplasty, patients should have a consultation with the doctor to ensure the best outcome!

Things You Should Know Before Deciding to Correct Your Nose

Correcting the nose after initial rhinoplasty is often more complicated than the first procedure. To avoid complications, let’s review some important things to consider before deciding to revise your nose.

Rhinoplasty revision requires careful planning with the doctor to ensure the desired outcome without needing multiple rounds of surgery.
Choose a highly skilled surgeon to reduce the risk of recurring issues and avoid new problems. If you choose a surgeon without the right expertise, the results may worsen.
Before rhinoplasty, any infections or inflammations should be fully treated. This involves removing the silicone and taking antibiotics, followed by 3-6 months of rest before a new rhinoplasty or silicone enhancement can be done.
Rhinoplasty revision is usually more expensive than the first rhinoplasty due to the more complex steps, such as removing old silicone tissue and cleaning the nasal passages to prepare for the new silicone placement.
Don’t forget to plan for recovery! After rhinoplasty, patients typically need 2-3 days of rest, and swelling may last for up to 2 weeks. Make sure to plan your recovery time accordingly!

How Much Does Rhinoplasty Cost?

How much does rhinoplasty cost? The price varies across clinics, with the following details:

Item	Starting Price (THB)
Standard Silicone Rhinoplasty	29,900
Silicone Removal	15,000
Silicone Scraping	20,000
Filler Scraping	20,000

Click to read the article on rhinoplasty prices: Rhinoplasty Price

Preparation Before Rhinoplasty

Preparation before rhinoplasty is crucial as it ensures smooth surgery. Follow the doctor’s advice closely. Here are the steps to prepare for rhinoplasty:

Inform the doctor about any chronic conditions, allergies, and medications you are taking before the surgery.
Discontinue aspirin, NSAIDs like Ibuprofen, Diclofenac, Ponstan, as well as any regular vitamins or supplements for at least one week before surgery, as they may interfere with blood clotting.
Avoid smoking and alcohol consumption for at least one week before surgery, as they can cause scarring or keloid formation.
Wear comfortable clothes on the day of surgery and refrain from wearing makeup or nail polish.
Do not eat or drink for at least 6-8 hours before surgery to prevent choking during the procedure.

Steps of Rhinoplasty

Rhinoplasty Procedure

The rhinoplasty procedure details are as follows:

The doctor will begin by administering anesthesia, sedatives, or a combination of anesthesia and tranquilizers. This will be determined based on the complexity or technique used in the rhinoplasty surgery.
The surgery will take about 2-4 hours, depending on the issues to be addressed and the technique chosen by the doctor, such as nasal base repositioning, septum extension, or correcting a crooked nose. The surgery time may take a little longer.
Afterward, the doctor will stitch the incision from the rhinoplasty. Once the surgery is completed, the patient may feel drowsy and should not go home alone. Someone should accompany them.
The doctor will schedule a follow-up appointment about 1 week after the surgery to monitor the patient’s condition.

Post-Rhinoplasty Care

Post-rhinoplasty care is just as important as preparation. By strictly following the doctor’s advice, you can reduce the risks associated with the procedure, such as infection, swelling, and bruising.

During the first 24-48 hours after the rhinoplasty, apply a cold compress on the cheeks and forehead to reduce swelling using a cold wet cloth or gel pad.
Avoid sleeping face down for the first 2 weeks after the rhinoplasty. Sleep with your head elevated at about a 30-degree angle. Do not sleep on your side or face down.
Clean the incision regularly with a cotton ball soaked in clean water or saline, gently wiping the area. Avoid getting the wound wet, and refrain from wearing makeup, as this could risk infection.
Take medications and follow the doctor’s instructions strictly.
Avoid spicy food and alcohol for at least 2 weeks after the rhinoplasty.
Avoid exercise or activities that could cause facial and body jolts for about a month.
Follow up with the doctor regularly after the rhinoplasty.

Where to Get Rhinoplasty?

Before-After rhinoplasty review with tissue tail reinforcement + hump trimming + nostril reshaping + nasal base repositioning.

by MEDMETIC

Where should you get rhinoplasty? When choosing a place for rhinoplasty, whether for women or men, it is important to choose wisely. The clinic should be legally registered, accredited by the Medical Council, have a team of experienced surgeons, standardized operating rooms, and qualified anesthesiologists.

If you’re looking for an affordable and reputable rhinoplasty clinic, Medmetic by Meko is an internationally recognized clinic led by one of Thailand’s top cosmetic surgeons, Dr. Manus Chaiyavijitsilp. They use American-made Medical Grade Silicone for rhinoplasty, which is durable and can last a lifetime. They also have a special technique for natural-looking rhinoplasty developed by Dr. Manus Chaiyavijitsilp:

Medmetic uses special instruments for tissue dissection and filler scraping, developed by Dr. Manus Chaiyavijitsilp, which helps reduce swelling and bruising.
The surgeon will customize the silicone based on the patient’s facial features and personality (not using pre-made silicone), with special carving techniques that reduce pressure on the nasal tip and lower the risk of silicone extrusion.
Medmetic’s technique places silicone into the correct tissue layer to reduce the risk of tilting and shifting of the silicone.
They specialize in all idol nose shapes, including the slope tip nose, droplet-shaped nose, and Barbie-style nose.

Rhinoplasty Reviews by Medmetic

Large Nose Correction

Before-After rhinoplasty review with tissue tail reinforcement by MEDMETIC

For affordable rhinoplasty, Medmetic offers real customer reviews with Korean-style rhinoplasty techniques by Dr. Manus Chaiyavijitsilp. From these reviews, you can see how the nose shape becomes more defined after rhinoplasty with Medmetic, resulting in improved results.

Frequently Asked Questions

What should I avoid eating after rhinoplasty or nose enhancement?

After rhinoplasty or nose enhancement, avoid certain foods for at least 1 month, such as alcohol, spicy foods, fermented foods, and raw foods. These may slow the healing process or cause excessive swelling and bruising.

Why is rhinoplasty more expensive?

Rhinoplasty is more expensive due to its complexity. The surgeon may need to remove old tissue scarring, scrape out fillers or liquid materials from the nose, or remove threads from previous nose threading. This process requires extra care to remove foreign objects and clean the internal structure of the nose before inserting the new silicone. These steps contribute to the higher cost of the procedure.

Is rhinoplasty painful?

If performed using the open rhinoplasty technique, patients will not experience pain, as anesthesia and sedatives are used during surgery. However, in cases where the nose is inflamed or infected, the silicone may need to be removed and the nose rested for 3-6 months before a new procedure can be performed.

Summary

Rhinoplasty is a complex procedure compared to initial nose enhancement surgery. Therefore, when choosing a clinic for open rhinoplasty, it is essential to carefully research the location and consult with the surgeon to ensure a satisfactory result and avoid unnecessary pain, costs, and time.

If you have any further questions or would like to inquire about rhinoplasty, Medmetic is happy to provide consultation. You can contact us through the following channels:

Phone: +66 (0) 2-114-3000
Line: @medmetic
Facebook: Medmetic by Meko

reference

Rhinoplasty. (2021, March 02). Mayo Clinic. https://www.mayoclinic.org/tests-procedures/rhinoplasty/about/pac-20384532