Secondary rhinoplasty is a term used for cases of patients who have already undergone a previous nose surgery and for some reason will undergo another rhinoplasty. The causes that lead to a secondary rhinoplasty can be many, but the most common is dissatisfaction with the result of the first surgery, as irregularities of cartilage or nasal bones, nasal pyramid deviation, excessive resection (removal) of bone and cartilage of the nose, nasal valve collapse leading to respiratory problems, among others.
Although there are several surgical techniques for rhinoplasty, a nose that is often operated presents scar tissue (fibrosis), which may hinder the realization of the second surgery, as well as achieving the desired results.
The secondary rhinoplasty purpose is to repair any damage caused by the first surgery or refine the results in order to achieve better harmony according to the individuality of each patient.
Depending on each case cartilage grafts can be used in order to restructure both cosmetic and functional aspects of the nose. The associated risks to the procedure should be discussed with your surgeon, as well as expectations regarding the outcome. It is extremely important in these cases the alignment between what the surgeon can actually do and what the patient should expect from the surgery.