Revision Rhinoplasty in Ireland

One of the eminent European Rhinoplasty surgeons confided during an informal conversation, in Chicago 2011,  that he would revise nearly half his cases. This, not to rectify mistakes of technique or vagaries of healing, but to make little tweaks and changes to enhance the results further. Now, I quite like his results and his aesthetic sense and I have thought about our little conversation several times over the last eighteen months.

The issues to consider in Revision Rhinoplasty Surgery are:
1. Cost implications of Revision surgery. Who covers the cost ?
2. Is another “down time” acceptable ?
3. Is a second Anaesthetic required ?
4. Is the Revision rate an indication of surgical skills and expertise of the surgeon. How ?

I would be concerned if a high proportion of Revision Rhinoplasty cases were choosing a different surgeon for revision surgery. Does a high revision rate indicate a higher proportion of dissatisfaction amongst patients? The answer perhaps lies in the proportion of revision cases that are going back to the same surgeon. This to me is a very good indicator that suggests that a high proportion are going for an improvement in an otherwise improved nose operated by the surgeon they trust.
I am quite sure that a vast majority of the patients of the eminent surgeon above are already happy after the primary rhinoplasty and the trust and the doctor-patient relationship is healthy.
In my experience, several patients who insisted on a very conservative surgery during consultations for a Primary Rhinoplasty … after achieving satisfactory results … realise that the successful nasal surgery has a low morbidity … and consider further changes, albeit carefully as is their nature.

The ultimate objective is to execute a safe and predictable procedure with minimal complications. Should this be planned in one stage or are further smaller tweaks acceptable to the patient and the surgeon?

I have started sharing these issues and observations with my patients during my Rhinoplasty consultation protocol.

10% Revision Rate is a generally accepted figure in global Rhinoplasty literature.
Our rate of revision at present is below 5%.
Looking at our own revision cases over the last five years it became apparent that most of these revisions are for further improvements and about a third of the revisions were necessitated by asymmetrical healing or irregularities.
Revision Rhinoplasty in Ireland Revision Rhinoplasty in Ireland

The Nose Clinic : Waterford Location

https://maps.google.ie/maps?ie=UTF8&cid=17160617311270027045&q=The+Nose+Clinic&iwloc=A&gl=IE&hl=en_uk

Location of The Nose Clinic in Waterford.
Part of Mr Shandilya’s ENT Clinic in The Whitfield Clinic
Suite 9
051319859
1800 85 50 85
[email protected]

DRIVING DIRECTIONS FROM DUBLIN CITY CENTRE

https://maps.google.ie/maps?saddr=Dublin+City&daddr=The+Nose+Clinic,+Suite+9,+Whitfield+Clinic,+Waterford,+Waterford,+Co.+Waterford&hl=en_uk&ll=52.769539,-7.630005&spn=2.226839,5.696411&sll=52.241256,-7.174072&sspn=2.253758,5.696411&geocode=FUMMLgMdjnqg_ykvrCfqgA5nSDGgcTGXqccACg%3BFWAeHQMdpo2S_yElP6sUhsIm7ildLXqkiMRCSDElP6sUhsIm7g&oq=Dublin&t=h&gl=IE&mra=ls&z=8

The Nose Clinic : Waterford Location The Nose Clinic : Waterford Location

Rhinoplasty in Ireland: Children and Young adults

Although 16 is an age where a person can give consent for examination and treatment in Ireland, in our practice we encourage patients of all ages to attend our clinics accompanied by a family member or a friend when they are seeking information on Rhinoplasty Surgery.

This allows members of your support group to be involved and educated about this surgery right from the beginning and be helpful in your peri-operative period.

Some useful links:

http://www.dataprotection.ie/docs/Age_of_Consent/212.htm

http://www.medicalprotection.org/ireland/booklets/consent

http://www.medicalprotection.org/ireland/booklets/consent/children-and-young-people

 

Rhinoplasty in Ireland: Children and Young adults Rhinoplasty in Ireland: Children and Young adults

Nose Surgery in Ireland

Munster Otolaryngology Meeting 2012

Presented our Functional and Cosmetic Nose Surgery experience to the Otolaryngology Head Neck & Reconstructive Surgery (ENT) Colleagues from Munster yesterday. Consultants and trainees from Waterford, Cork, Limerick and Kerry attended along with Professor M Walsh from Dublin.

This opportunity allowed us to review our results from the last decade and invite critical comment and scientific scrutiny from our learned colleagues. Ireland has a proud tradition of training the Otolaryngology Consultants to a very high standard and it is a privilege to be part of this fraternity and gain from its experience and expertise as we strive to provide the highest professional standards in our practice.

The Meeting was held at the Faithlegg House, Waterford, Ireland.

 

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Nose Surgery in Ireland Nose Surgery in Ireland