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Reseptoplasty (repeated operations)

Reseptoplasty is a revision surgery on the nasal septum. It is performed when primary rhinoplasty did not give the desired result. Reseptoplasty is aimed at correcting and improving deformities from previous surgery. The patient receives a more harmonious appearance of the nose and complete restoration of its functions.
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When is revision surgery on the nasal septum necessary?

Sometimes the first operation on the nasal septum (septoplasty) does not bring positive changes: the curvature of the nose remains, and breathing is still difficult. The success of treatment depends on many factors: clinic, equipment, qualifications and experience of the doctor. Sometimes problems arise due to improper care after the intervention or repeated injuries to the nose, postoperative complications.

If after septoplasty the deformation of the nasal septum remains and the patient is bothered by frequent headaches, chronic runny nose or allergic reactions, he is prescribed a repeat operation. In case of bleeding disorders, reseptoplasty is performed after stabilization of the condition.

When is revision surgery on the nasal septum necessary?
General information about the procedure

How to prepare for surgery

Before surgery, the patient undergoes an examination. It includes:

  • General and biochemical blood and urine tests
  • Coagulogram
  • Blood test for hidden infections
  • Determination of blood group and Rh factor
  • CT scan of the sinuses and ECG to check the heart

In addition, it is necessary to undergo an examination by an otolaryngologist and therapist. If there are no contraindications, they will issue a conclusion on admission to the operation. If there is a history of chronic diseases, consultation with other specialists may be necessary.

How is surgery performed on the nasal septum

Before repeated surgery on the septum, the doctor treats the nasal cavity with an antiseptic and numbs the pain. Then an endoscope is inserted into the nasal sinuses - a special tube with a camera that transmits information to a monitor. This allows the surgeon to examine the operated area in detail and work with deformities without affecting healthy tissue.

Next, a small incision is made on the mucous membrane and the necessary microsurgical instruments are inserted through it. The doctor carefully adjusts or removes parts of the cartilage and bone that are causing the curvature. After correcting the defect, the mucous membrane is returned to its place, and the incision is sutured. To maintain the new shape, the nasal cavity is packed.

Recovery after surgery

After receptoplasty, the patient spends the first 24 hours under the supervision of a doctor. At this time, temporary breathing difficulties arise due to swelling of the nose, which is considered normal. The discomfort usually goes away within a week.

Important! The doctor regularly checks the patient's condition. If necessary, prescribes painkillers. If swelling and breathing difficulties persist, corticosteroids, antihistamines, and decongestants are indicated.

For recovery to be successful, it is important to follow a number of recommendations during the first 4-6 weeks:

  1. Sleep lying on your back, keeping your head higher, using a high pillow
  2. Refrain from wearing glasses to avoid putting pressure on your nose
  3. Avoid exercise
  4. Avoid tanning
  5. Avoid both too hot and too cold weather
  6. Do not visit the bathhouse, sauna or swimming pool

1-1.5 months after the operation, the patient will have a second consultation with the doctor. He clarifies how the recovery went, whether there are any complaints, and also gives recommendations for further nose care.

Results of repeated operation

The final results of the second nose job are visible 6-12 months after the procedure. The operation is considered successful if:

  • The nose looks beautiful, even and harmonious with the rest of the facial features
  • All breathing problems have been corrected
  • The correct proportions of the nose have been restored

The effectiveness of primary septoplasty ranges from 43% to 85%. About 10-15% of patients seek reoperation.

Postoperative complications

Let's look at the most common consequences that patients face after rhinoplasty:

  • Injuries to the skin and cartilage of the nose, damage to bone tissue. An incompetent doctor’s mistake requires additional intervention
  • Seam separation. Improper postoperative care and injuries are accompanied by suture dehiscence, which can result in scar formation
  • Hematomas. Bruising and bruising are considered common after surgery because they reflect the body's response to injury
  • Numbness. Temporary loss of sensitivity in the nasal area occurs due to damage to the nerve endings and disappears on its own
  • Swelling and difficulty breathing. May be the result of a long and intensive operation. An experienced surgeon selects medications to relieve these symptoms
  • Infection. Failure to maintain sterility during surgery leads to infection in the wound. In this case, antibacterial drugs are used

Very rare complications include tissue necrosis due to impaired blood supply. Then the doctor prescribes repeated surgery.

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