Sometimes as a result of the surgery itself or sometimes owing to an unexpected event such as a post-operation injury to the nose, the question of a possible revision surgery arises. In such an event there are two issues: when to assess the situation and, if there is a problem that needs to be corrected, when and how will this be done.
The timing of the assessment depends on the type of problem. For example, any injury needs to be evaluated immediately, while any asymmetry resulting from slightly more swelling on one side than the other should be assessed later, in order to give the body the required time to heal.
The timing of a new operation also depends on the type of problem. For example, a problem caused by an injury can often be rectified immediately with a small procedure. In the case of more delicate corrections, it is better to wait so that the assessment will be more accurate.
After surgery with conventional equipment, the waiting time usually used to be 6-12 months because the bones had to be “knit”, whereas with piezo, no delay is necessary and the surgery can be performed as soon as the assessment has been performed. The same is true after major nose injuries, where the operation can be performed with piezo ultrasound on the very same day of the injury, whereas in the past we had to wait several months before proceeding.