SECONDARY RHINOPLASTY USING HYALURONIC ACID

What is secondary medical rhinoplasty?

La medical rhinoplasty is a non-surgical procedure that involves injecting fillers, such as hyaluronic acid, to correct slight imperfections in the nose. Unlike surgical rhinoplasty, this method requires no incision, recovery period or general anaesthetic.
Medical rhinoplasty using hyaluronic acid injections is particularly interesting for patients who have already undergone surgical rhinoplasty but who wish to refine or improve the results of their first operation. The medical rhinoplasty on a previously operated nose enables contours to be adjusted, imperfections to be corrected and volumes to be rebalanced gently and without social eviction.

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Highlights

Secondary medical rhinoplasty in Geneva 

La Secondary rhinoplasty using hyaluronic acid is an ideal solution for correcting or improving the results of an initial surgical rhinoplasty. This non-invasive technique makes it possible to touch up residual imperfections, restore symmetry or reshape certain areas of the nose without the need for further surgery.

Thanks to the properties of hyaluronic acid, it is possible to achieve harmonious, natural results quickly, with an adjustable treatment and no social eviction. The secondary rhinoplasty without surgery can refine the profile and correct details for a perfectly balanced nose.

A botched rhinoplasty? The causes

Imperfect results from primary rhinoplasty can be due to a number of factors, such as poor healing, inadequate surgical technique or unrealistic expectations. Sometimes scar tissue forms unpredictably, resulting in asymmetries or irregularities. In addition, the healing process can cause the internal structures of the nose to shift over time.
Results may deteriorate over time due to ageing, trauma or changes in skin quality.

Why is secondary medical rhinoplasty more complex than primary rhinoplasty?

Secondary rhinoplasty is generally more complex than primary rhinoplasty due to the presence of scar tissue and anatomical changes resulting from the first operation. The skin and internal structures of the nose may have been significantly altered, making it more difficult to reshape or correct imperfections. In addition, the loss of certain tissues, particularly cartilage, may require more delicate and complex adjustments. The main challenge lies in managing internal scarring, which limits tissue flexibility and increases the risk of complications.

image treatments beautiful skin after pregnancy

Why have a medical rhinoplasty on a previously operated nose?

After a surgical rhinoplastyHowever, some imperfections may remain or appear over time. Whether due to subtle asymmetry, sagging of the nasal structure or a slight shape defect, some patients are not entirely satisfied with the final result.
- Imperfect surgical results: even after surgery performed by an experienced surgeon, the final result may sometimes have minor imperfections. Patients may notice: slight asymmetries, persistent hollows or bumps, sagging cartilage, a nose tip that is too high or too low. These minor flaws may not require a second operation, but they may be bothersome enough for the patient to seek correction.
- Non-invasive correction: to avoid having to undergo another operation, medical rhinoplasty is an ideal alternative to a secondary surgical rhinoplasty. It allows the results of a previous rhinoplasty to be improved without the risks associated with a new operation, such as post-operative complications, anaesthesia or the recovery period.
- Reversibility and adjustment of results: the advantage of hyaluronic acid lies in its reversibility. If you are dissatisfied with the result, you can inject hyaluronidase, an enzyme that dissolves hyaluronic acid. This gives patients great flexibility in adjusting the result to their expectations.
- Gradual improvement and maintenance of results: another reason for choosing medical rhinoplasty after surgery is the possibility of gradually modifying the results. Unlike surgery, where the result is permanent, hyaluronic acid injections allow you to adjust volumes and shapes over the course of sessions if necessary.

photo amplification of the G-spot

Areas of the nose that can be corrected after rhinoplasty surgery

La secondary medical rhinoplasty allows specific areas of the nose to be corrected in just a few minutes, with immediate, natural results.

Removing a bump on the nose

In some cases, a slight hump may persist after surgery or be incorrectly corrected. With hyaluronic acid, it is possible to camouflage this hump by injecting the product on either side of it to smooth the nasal profile.

Rhinoplasty of the tip of the nose

The tip of the nose is a delicate area that can sometimes appear too high or, conversely, too low after rhinoplasty.
In this situation, the feasibility of medical rhinoplasty needs to be analysed on a case-by-case basis.
It is not possible to lower the tip of the nose using hyaluronic acid injections. It is possible to inject hyaluronic acid into the bridge of the nose to give a false impression of a lower tip, but this is not possible for all patients.
It is often impossible to raise the tip of the nose because of post-surgical fibrosis. It is important to stress that tip lift is always moderate with medical techniques.

How do you straighten a nose bridge that's too flat?

After rhinoplasty surgery, the bridge of the nose may appear slightly irregular or hollow. Hyaluronic acid injections can fill in these areas for a smoother, more symmetrical result, improving the nasal profile.

Correcting an asymmetric nose with medical rhinoplasty

Minor asymmetries may exist after surgical rhinoplasty. These minor differences can be corrected non-invasively with medical rhinoplasty, by filling in hollows and balancing volumes on either side of the nose.

Products used for secondary rhinoplasty

La medical rhinoplasty is based on the use of injectable productsThese are mainly hyaluronic acid, but also tensor threads, depending on the case.

Injection of hyaluronic acid nose


L'hyaluronic acid is the product most commonly used for medical rhinoplasty. It is a substance naturally present in the skin, known for its ability to retain water and increase tissue volume. In medical rhinoplasty, hyaluronic acid is used to subtly sculpt the contours of the nose, adjust volume and smooth out irregularities.
Results are visible immediately after the injection, and corrections can be made according to the patient's needs.
Results generally last between 9 and 12 months, depending on the type of product used and the area injected.

Tensor threads on the nose: rhinoplasty using tensor threads


In some cases, the tensor threads can be used to straighten the tip of the nose or firm up certain areas. This technique is often combined with hyaluronic acid injections to achieve optimal, long-lasting results without surgery.

photo hyaluronic acid nose

Course of the secondary medical rhinoplasty session

A medical rhinoplasty is a quick and relatively simple procedure.
Before the operation, an initial consultation with Dr Romano enables the results of the first rhinoplasty to be assessed, the feasibility of the procedure to be determined and the areas to be treated.
It is important to understand the patient's expectations and to determine whether medical rhinoplasty is suited to his or her needs. The doctor will examine the structure of the nose, discuss the patient's expectations and plan the necessary corrections.
The doctor injects hyaluronic acid into precise areas. The injections are carried out exclusively with a cannula (a needle with a round tip) with precision to correct imperfections without altering the natural features of the nose.
After the injections, the doctor gently massages the area to distribute the product evenly and achieve the desired result.
The session generally lasts between 5 and 10 minutes.
Immediately after the session, there may be some slight redness or swelling, but these disappear quickly. Results are visible immediately and improve further in the week that follows.

Precautions to take before secondary medical rhinoplasty

Before undergoing a medical rhinoplasty, certain precautions must be taken:
- Avoid alcohol and certain medicines: it is advisable to avoid alcohol and anti-inflammatory medicines (such as aspirin or ibuprofen) for at least 24 hours before treatment to minimise the risk of bruising. Dr Romano does not perform medical rhinoplasty on patients taking anti-platelet agents (aspirin) or anticoagulants.
- Stop smoking: smoking can increase the risk of complications. It is preferable to stop smoking a few days before the operation.

Precautions to take after secondary medical rhinoplasty

After medical rhinoplasty, a number of precautions must be taken to avoid complications or abnormal results.
- Avoid applying pressure to the treated area: you can touch, wash and apply creams to the nose, but it is advisable not to apply strong pressure to the skin.
- Avoid wearing glasses (if treating the bridge of the nose) for one week.
- Do not apply ice: contrary to popular belief, applying ice is harmful and can cause the product to harden. If the swelling is bothersome, which is rare, bromelain can be taken.
- Avoid exposure to intense heat for a week.
- Avoid strenuous exercise for the first 48 hours, as this could increase blood flow to the treated area.

Results of medical rhinoplasty on a previously operated nose

The results of a medical rhinoplasty are visible immediately after the session, with a reshaped nose and corrected aesthetic imperfections. The final result is obtained 7 to 15 days later, once the oedema has been completely reabsorbed, and generally lasts between 9 and 12 months. Annual maintenance sessions are necessary to maintain the result.

How much does secondary medical rhinoplasty cost?

 

The cost of a secondary medical rhinoplasty is slightly higher because of the technical complexity of the procedure.

Type of consultation General rates
Hyaluronic acid
CHF 750 per syringe. One syringe is all you need.

Patients' opinions on secondary medical rhinoplasty

Patients who have undergone medical rhinoplasty after surgery are generally very satisfied with the results. Many appreciate the simplicity and speed of the procedure and the fact that there is no need to avoid social contact.
They also appreciate the fact that the treatment allows the imperfections left by the first rhinoplasty to be corrected without having to undergo further surgery.
Annual maintenance injections allow the result to be adjusted according to the evolution of the face and the patient's aesthetic preferences, which may change over time.

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