At Home with Chris Jessen 2018 - 236
WHEN NOSE SURGERY
When surgery goes wrong, you need to find someone
highly skilled that you can trust to repair the damage
evision surgery is certainly
the most complex, risky and
unforgiving field within cosmetic
surgery. But it's something that
cosmetic surgeon Stefano Cotrufo
specialises in. 'Revision cases are the
ones that bring unique light on the
reasons behind any surgical failure; this
essential understanding allows us to
bring the anatomy back together again
and restore a more natural and
harmonic shape,' he says. 'Revision
surgery requires the most essential
skills of a reconstructive surgeon: tissue
engineer, architect and artist. The
accuracy of the technical plan before
surgery is of paramount importance
and I see patients three or four times
before operating on them.'
When surgery goes wrong, it's crucial to
find a specialist with the experience and
skills required, such as Dr Stefano Cotrufo.
Rhinoplasty or nose reshaping can make
a huge impact on how you feel about
your appearance, whether you're
seeking a subtle alteration or a dramatic
change. The nose helps to give your
face character and defines your profile.
That's why rhinoplasty, septoplasty and
nose reshaping are among the most
common cosmetic surgery procedures
carried out. The ultimate goal is to
create facial balance that helps you
feel more confident and content.
However, this isn't always the result
achieved. Rhinoplasty that hasn't gone
to plan can leave the patient distraught.
This is where Dr Stefano Cortufo comes
into his own. 'The nose as we know it,
is composed of many and very minute
structures: six bones and five cartilages.
This is why the nose is difficult to
manipulate in cosmetic surgery.
'Revision nose surgery is the most
challenging for both patient and
surgeon,' says Dr Cotrufo. 'It is
microsurgery, and for a solid repair we
will almost always require cartilage
grafts from the the ears or the rib cage.'
The case study (see pics, above, top),
is a model who had surgery two years
earlier. It left her with a slimmer nose but
also with an over-prominent bridge and
a damaged tip, which was collapsing.
Dr Cotrufo says: 'We used cartilages
from the ear, which were essential to
restore a more balanced nose and a
beautiful profile: she is modelling again.'
In another case (see pics, above,
bottom), this young mother had a
"closed" rhinoplasty one year before,
which left her with an obvious
unbalance between nasal bridge and tip.
Dr Cotrufo says: 'this revision procedure
required an "open" approach with
dissection of each single cartilage
component of the tip and grafts from
the nasal septum. The outcome is
excellent with restoration of balanced