Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)
CPT4 code
Name of the Procedure:
Rhinoplasty, Secondary; Major Revision (Nasal Tip Work and Osteotomies)
Summary
Rhinoplasty, commonly known as a nose job, is a surgical procedure to alter and reconstruct the nose. A secondary, major revision rhinoplasty involves correcting issues from a previous rhinoplasty, focusing on the nasal tip and bone structure.
Purpose
Secondary rhinoplasty aims to address functional and cosmetic issues that persist or arise after an initial rhinoplasty. The procedure seeks to improve nasal breathing, correct irregularities, and enhance the nose’s appearance.
Indications
- Unsatisfactory result from an initial rhinoplasty
- Nasal obstruction or difficulty breathing
- Visible deformities or asymmetry
- Structural issues impacting nasal function
Preparation
- Follow pre-operative fasting instructions
- Adjust or stop certain medications as directed by the surgeon
- Undergo pre-operative assessments like blood tests and imaging studies
Procedure Description
- Anesthesia: General anesthesia or sedation is administered.
- Incisions: Made either inside the nostrils (closed rhinoplasty) or across the columella (open rhinoplasty).
- Correction: The surgeon reshapes the nasal tip, refines the cartilage, and performs osteotomies to realign the nasal bones.
- Closure: Incisions are sutured, and the nose may be splinted for support.
Duration
Typically, the procedure takes 2 to 4 hours.
Setting
Performed in a hospital or accredited surgical center.
Personnel
- Board-certified plastic surgeon or ENT specialist
- Surgical nurses
- Anesthesiologist
Risks and Complications
- Common: Swelling, bruising, pain, and temporary breathing difficulties.
- Rare: Infection, bleeding, scarring, adverse anesthesia reactions, need for further revision surgery.
Benefits
- Improved nasal function and breathing
- Enhanced nasal appearance and symmetry
- Increased confidence and satisfaction
Recovery
- Initial recovery: 1 to 2 weeks for swelling and bruising to subside
- Full recovery: Up to 1 year for final results
- Instructions: Avoid strenuous activities, follow medication regimen, attend follow-up appointments
Alternatives
- Non-surgical options: Dermal fillers for minor cosmetic adjustments
- Pros and cons: Non-surgical methods are less invasive but cannot address structural issues or functional problems.
Patient Experience
- During: Asleep under general anesthesia, no pain during surgery.
- After: Discomfort managed with pain medications, possible stuffiness and swelling, gradual appearance improvement.
Remember to consult with your healthcare provider for personalized instructions and information based on your specific medical condition and history.