In case a scar tissue correction is not adequate to achieve the required result, then in some cases more extensive surgery, a reoperation, can provide an improvement. This operation can vary from a simple correction to a full re-do of the previous operation.
With the abdominal wall correction the correction often concerns a scar that is placed too high, or asymmetrical, a wide scar after complications with the wound, or a scarred belly button.
A reoperation after a breast reduction can be due to asymmetry, insufficient reduction, nipples that are placed too high or wide scars caused by wound complications.
Reoperations after breast enlargements are due to asymmetry, breast implants that are too small, the phenomenon that is called 'double bubble', capsular contracture, dents, noticeable edges or leakage.
After a nose correction a reoperation is not uncommon. Insufficient reduction of the nasel ridge especially the part just above the tip of the nose, irregularities on the ridge of the nose, skew angles, a nose tip that is too wide or too narrow are examples of reasons to opt for a reoperation.
Insufficient improvement of the angle of the upper part of the ear, or the earlobe, or sharp edges of the cartilage are reasons for patients to request a second ear correction.
Asymmetry after an upper eyelid correction is often related to a slightly lower position of one of the eyebrows. Additional one sided skin removal will not help in that case. A scar that is positioned to high on one or both sides is difficult to correct.
The initial lower eyelid correction, removal of the bags under the eyes, can be insufficient, this is a relatively simple reoperation. A more complex reoperation is required with a pulling eyelid that does not recover from itself.
In case of the forehead lift the reason for a reoperation is in common because of an insufficient lift after the initial surgery. In most cases the same complaint arises with facelift operations that require a re-do. Besides that patients request corrections of the scar tissue and ear lobe.
The decision to do a reoperation will be taken by both you and me after careful consideration. It is important to give you a realistic view on the possibilities and the results that are to be expected.
Dr. Erik J.F. Timmenga