SECONDARY RHINOPLASTY WITH HYALURONIC ACID

What is non-surgical secondary rhinoplasty ?

Medical rhinoplasty is a minimally invasive procedure that involves injecting dermal fillers, such as hyaluronic acid, to correct minor nasal imperfections. Unlike surgical rhinoplasty, this method requires no incisions, no general anesthesia, and no recovery time.
Hyaluronic acid injections are particularly beneficial for patients who have already undergone surgical rhinoplasty but wish to refine or enhance the results of their initial procedure. Non-surgical rhinoplasty on a previously operated nose allows for subtle contour adjustments, correction of minor imperfections, and volume rebalancing, all in a gentle and non-invasive way, with no social downtime.

Contents

Key Points

Secondary medical rhinoplasty in Geneva 

Secondary rhinoplasty with hyaluronic acid is an ideal solution for correcting or enhancing the results of a previous surgical rhinoplasty. This non-invasive technique allows for the refinement of residual imperfections, restoration of symmetry, and reshaping of specific areas of the nose without requiring another surgery.

Thanks to the unique properties of hyaluronic acid, it is possible to achieve harmonious and natural-looking results quickly, with an adjustable treatment and no social downtime. Non-surgical secondary rhinoplasty can refine the profile and correct minor details to create a perfectly balanced nose.

A failed rhinoplasty ? Possible causes

Imperfect results following primary rhinoplasty can be caused by several factors, including poor healing, inadequate surgical technique, or unrealistic expectations. In some cases, scar tissue develops unpredictably, leading to asymmetries or irregularities. Additionally, the healing process itself can gradually cause internal nasal structures to shift over time.
The deterioration of surgical results can also occur due to aging, trauma, or changes in skin quality, affecting the nose’s long-term appearance.

Why is secondary medical rhinoplasty more complex than primary rhinoplasty ?

Secondary rhinoplasty is generally more complex than a primary procedure due to the presence of scar tissue and anatomical modifications resulting from the initial surgery. The skin and internal nasal structures may have undergone significant changes, making reshaping or correcting imperfections more challenging. Additionally, the loss of certain tissues, particularly cartilage, may require more delicate and intricate adjustments. The primary challenge lies in managing internal scarring, which can reduce tissue flexibility and increase the risk of complications.

image treatments beautiful skin after pregnancy

Why have a medical rhinoplasty on a previously operated nose ?

After surgical rhinoplasty, certain imperfections may persist or develop over time. Whether due to subtle asymmetry, nasal structure collapse, or minor shape irregularities, some patients may not be entirely satisfied with the final outcome.
• Imperfect surgical results : even after a procedure performed by an experienced surgeon, minor imperfections can remain. Patients may notice slight asymmetries, persistent dips or bumps, cartilage collapse, or a nasal tip that is too elevated or too droopy. While these imperfections may not warrant a second surgical procedure, they can be bothersome enough for the patient to seek correction.
• Non-invasive correction : to avoid undergoing another surgical operation, non-surgical rhinoplasty serves as an ideal alternative to revision rhinoplasty. It enhances the results of a previous surgery without the risks associated with a new operation, such as postoperative complications, anesthesia, or a lengthy recovery period.
• Reversibility and adjustable results : one of the key advantages of hyaluronic acid fillers is their reversibility. If the patient is dissatisfied with the outcome, hyaluronidase—an enzyme that dissolves hyaluronic acid—can be injected. This flexibility allows patients to adjust their results according to their expectations.
• Gradual enhancement and maintenance of results : another reason to choose non-surgical rhinoplasty after surgery is the ability to make progressive modifications. Unlike a surgical procedure, where the outcome is permanent, hyaluronic acid injections allow for volume and shape adjustments over multiple sessions if needed.

photo amplification of the G-spot

Areas of the nose that can be corrected after surgical rhinoplasty

Medical secondary rhinoplasty allows for the correction of specific areas of the nose in just a few minutes, with immediate and natural results.

Removing a nasal hump

n some cases, a slight hump may persist after surgery or may not have been properly corrected. Hyaluronic acid injections can be used to camouflage the hump by injecting the product on either side of it, smoothing the nasal profile.

Tip rhinoplasty

The nasal tip is a delicate area that may sometimes appear overly elevated or, conversely, too droopy after rhinoplasty. In such cases, the feasibility of medical rhinoplasty must be assessed individually.
It is not possible to lower the nasal tip using hyaluronic acid injections. However, injecting hyaluronic acid into the nasal bridge can create the optical illusion of a lower tip, but this technique is not suitable for all patients.
Raising the nasal tip is often impossible due to post-surgical fibrosis. It is important to note that tip elevation achieved through medical techniques is always moderate.

How to straighten a nose bridge that appears too flat ?

After surgical rhinoplasty, the nasal bridge may sometimes appear slightly uneven or hollow. Hyaluronic acid injections can fill these areas, creating a smoother and more symmetrical appearance while enhancing the nasal profile.

Correcting nasal asymmetry with medical rhinoplasty

Minor asymmetries may persist after surgical rhinoplasty. These small irregularities can be corrected non-invasively through medical rhinoplasty by filling in depressions and balancing the volume on each side of the nose.

Products used for secondary rhinoplasty

Medical rhinoplasty relies on the use of injectable products, primarily hyaluronic acid, but also thread lifts, depending on the case.

Hyaluronic acid injections for the nose

Hyaluronic acid is the most commonly used product in medical rhinoplasty. It is a naturally occurring substance in the skin, known for its ability to retain moisture and increase tissue volume. In the context of medical rhinoplasty, hyaluronic acid helps subtly sculpt the nasal contours, adjust volumes, and smooth out irregularities.
Results are visible immediately after injection, and adjustments can be made as needed. The effects typically last between 9 to 12 months, depending on the type of product used and the injection site.

Nose thread lift : rhinoplasty with threads

In some cases, thread lifts can be used to straighten the nasal tip or firm up certain areas. Rhinoplasty with threads is often combined with hyaluronic acid injections to achieve optimal and long-lasting results without surgery.

photo hyaluronic acid nose

Procedure

Medical rhinoplasty is a quick and relatively simple procedure.
Before the procedure, an initial consultation with Dr. Romano is conducted to evaluate the results of the first rhinoplasty, determine the feasibility of the treatment, and identify the areas to be corrected.
It is essential to understand the patient’s expectations and assess whether medical rhinoplasty is suitable for their needs. During this consultation, the doctor examines the nasal structure, discusses the patient’s goals, and plans the necessary corrections. The doctor injects hyaluronic acid into specific areas with precision.
The injections are performed exclusively using a cannula (a rounded-tip needle) to correct imperfections while maintaining the nose’s natural features. After the injections, the doctor gently massages the area to evenly distribute the product and achieve the desired result. Duration and Post-Treatment Effects The session lasts approximately 5 to 10 minutes.
Immediately after the procedure, mild redness or slight swelling may appear but quickly subside. The results are visible immediately and continue to improve over the following week.

Precautions before and after medical secondary rhinoplasty

Certain precautions should be taken before the procedure :
• Avoid alcohol and certain medications : it is recommended to avoid consuming alcohol and anti-inflammatory medications (such as aspirin or ibuprofen) at least 24 hours before the treatment to minimize the risk of bruising. Dr. Romano does not perform medical rhinoplasty on patients taking antiplatelet agents (aspirin) or anticoagulants.
• Stop smoking : smoking can increase the risk of complications. It is preferable to quit smoking a few days before the procedure.

Precautions after secondary medical rhinoplasty

After the procedure, it is important to follow these post-treatment guidelines to prevent complications and ensure optimal results:
• Avoid applying pressure to the treated area : you can touch, wash, and apply creams to the nose, but strong pressure on the skin should be avoided.
• Avoid wearing glasses (if the nasal bridge was treated) for one week to prevent unwanted pressure.
• Do not apply ice : contrary to popular belief, applying ice can harden the product, which is not advisable. In rare cases of significant swelling, bromelain supplements may help reduce discomfort.
• Avoid exposure to intense heat (e.g., saunas, hot baths, direct sunlight) for one week.
• Avoid intense physical activity for the first 48 hours, as it may increase blood flow to the treated area.

Results of medical rhinoplasty on a previously operated nose

The results of medical rhinoplasty are immediately visible after the session, with a reshaped nose and corrected aesthetic imperfections. The final result is achieved within 7 to 15 days, once the swelling has completely subsided, and typically lasts between 9 to 12 months. To maintain the outcome, annual maintenance sessions are recommended.

How much does a secondary medical rhinoplasty cost ?

 

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

Type of consultation Generally practiced rates
Hyaluronic acid for
CHF 750 per syringe

Patient reviews 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 as well as the absence of social downtime.
They also value the fact that the treatment allows for the correction of imperfections left by the first rhinoplasty without having to undergo another surgical procedure.
Annual maintenance injections help adjust the result according to the evolution of the face and the patient’s aesthetic preferences, which may change over time.

Pourquoi envisager une rhinoplastie médicale après une rhinoplastie chirurgicale ?

Une rhinoplastie médicale peut corriger des imperfections mineures ou des asymétries résiduelles après une chirurgie, évitant ainsi une nouvelle intervention chirurgicale.

Oui, des injections d’acide hyaluronique peuvent corriger des asymétries mineures post-chirurgicales.

Oui, l’acide hyaluronique peut être utilisé pour améliorer la définition de la pointe du nez. Néanmoins, après une chirurgie, le risque de nécrose est trop élevé, cet acte est donc déconseillé.

Oui, des injections peuvent être utilisées pour lisser une bosse résiduelle, améliorant ainsi le profil nasal.

Oui, pour des corrections mineures, les injections d’acide hyaluronique sont une alternative non chirurgicale efficace.

Other areas to be treated

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