Fifth Rhinoplasty: Is It Possible? Experts Discuss Risks and Regenerative Therapies

A recent social media video featuring influencer 'violet 💜' addressed a critical question from a viewer, Miss Evelyn, regarding the safety and feasibility of undergoing a fifth rhinoplasty. Miss Evelyn shared her challenging experience, having faced a botched procedure, two rhinoplasties resulting in serious infections, and a fourth emergency surgery to address infection. In response, 'violet 💜' consulted Dr. Manish Shah, a board-certified rhinoplasty specialist. Dr. Shah confirmed that a fifth rhinoplasty is theoretically possible, but emphasized the necessity of extensive skin preparation to optimize blood supply. This preparation typically involves a series of PRP (Platelet-Rich Plasma) injections and pre- and post-operative hyperbaric oxygen therapy. Dr. Shah highlighted that poor blood supply is a primary concern for revision rhinoplasty patients, as repeated procedures can damage and traumatize tissue, further compromising circulation. Insufficient blood supply can lead to severe complications such as infection and skin necrosis. Both hyperbaric oxygen therapy and PRP are crucial for stimulating new blood vessel growth, known as angiogenesis, and promoting healthy tissue regeneration, which helps reduce scar tissue and prepares the area for subsequent surgical interventions. The video underscores the complex challenges and advanced medical strategies involved in highly revisionary plastic surgery.