Revision Rhinoplasty & Deep Plane Face Neck Lift, Istanbul

Patient Overview

• Patient: Andrianna

• Age: 50 years old

• Gender: Female

• From: London, UK

• Procedures: Revision Rhinoplasty, Deep Plane Face & Neck Lift

• After photos taken at: 1 month post-surgery

• Location: Istanbul, Turkey

Andrianna's Transformation: Revision Rhinoplasty & Deep Plane Facelift in Istanbul

Andrianna is a 50-year-old patient who came to Dr. Cem Berkay Sinaci in Istanbul, Turkey for a combination of revision rhinoplasty and deep plane face and neck lift. Combining these two procedures in a single surgical session allowed Andrianna to address both her nasal concerns and the signs of facial aging — a jowled lower face, sagging neck skin, and loss of jawline definition — in one operation, with a single recovery.

Istanbul has established itself as a leading global destination for both rhinoplasty and facelift surgery, drawing patients who seek the combination of highly experienced surgeons, internationally accredited facilities, and results that meet European and American standards. Andrianna's case is a compelling example of what a carefully planned combination procedure can achieve.

Revision Rhinoplasty: A More Complex and Demanding Surgery

Revision rhinoplasty — also called secondary rhinoplasty — is the correction or refinement of a nose that has previously been operated on. It is widely regarded as one of the most technically demanding procedures in plastic surgery. After a primary rhinoplasty, the nasal tissues develop scar tissue, cartilage may have been over-resected or inadequately shaped, and the blood supply to the skin is altered. All of these factors make the secondary procedure significantly more complex than the first operation.

Patients seek revision rhinoplasty for a variety of reasons: unsatisfactory aesthetic results, functional problems such as breathing difficulties, or a combination of both. In Andrianna's case, the goal was aesthetic refinement — achieving a more defined, slightly elevated tip, a slimmer nasal dorsum, and the creation of a clean supratip break point that gives the nose its characteristic refined and elegant profile. Choosing an experienced revision rhinoplasty surgeon is critical, as the margin for error is smaller and the anatomical challenges are greater than in primary cases.

The Rhinoplasty Results: Tip Refinement, Slimmer Dorsum, and Supratip Break

Dr. CBS reshaped Andrianna's nose to create the elegant profile she had been seeking. The nasal tip was elevated slightly and refined — reducing the bulbous, poorly defined appearance and replacing it with a more sculpted, feminine tip that suits her facial proportions. The nasal dorsum was slimmed to reduce width and create a smoother, more refined bridge line.

One of the most important aesthetic elements of a beautiful nose is the supratip break — the subtle dip just above the tip of the nose where the dorsum meets the tip. A well-defined supratip break creates depth and elegance, distinguishing a naturally refined nose from a flat or over-resected one. In Andrianna's revision, Dr. CBS carefully sculpted this area to achieve a supratip break that enhances her profile from both the front and the side, while maintaining harmony with her other facial features.

Deep Plane Face and Neck Lift: Correcting Jowls and Sagging Skin at 50

Alongside the rhinoplasty, Andrianna underwent a deep plane face and neck lift to address the jowling and sagging of the lower face and neck that had developed with age. Jowls — the soft tissue that descends below the jawline — are one of the most common and most visible signs of facial aging, caused by the weakening of the facial ligaments, loss of skin elasticity, and descent of the facial fat compartments. At 50, patients are often at an ideal stage for a deep plane facelift: the signs of aging are present and meaningful, yet the skin quality and overall facial structure still support excellent, natural-looking results.

The deep plane facelift is the most advanced and comprehensive facelift technique available. Unlike traditional or mini-facelifts that only address the superficial skin and SMAS layer, the deep plane technique releases the deep facial ligaments and repositions the entire facial soft tissue unit — muscle, fat, and skin — as a composite. This produces a more thorough, natural, and longer-lasting rejuvenation without creating the tight or pulled appearance associated with older methods. Dr. CBS performed the procedure through a carefully concealed retro-tragal incision around the ear, ensuring that visible scarring is minimized while full access to the deep facial structures is maintained.

Neck Lift and Jawline Restoration

The neck lift component of the procedure addressed the sagging neck skin and loss of definition at the jawline and cervical area. By tightening the platysma muscle and removing excess skin through the lateral approach of the deep plane facelift, Dr. CBS restored a clean, defined neck contour and a sharp jawline that clearly separates the lower face from the neck. The lateral neck tightening complements the rejuvenation of the lower face, ensuring that the face and neck look harmonious and balanced rather than treated in isolation.

Combining Rhinoplasty and Facelift in One Surgery: The Benefits

Performing revision rhinoplasty and deep plane facelift simultaneously is a well-established approach when both procedures are planned carefully and the patient is in good health. Combining them in a single session offers several important advantages: only one period of general anaesthesia, one recovery, and a single disruption to daily life and work. The combined result also means that the nose and the rejuvenated face are balanced from day one — there is no asymmetry of healing between the two areas as there would be if the surgeries were staged months apart.

Planning a combined rhinoplasty and facelift requires careful surgical sequencing. In Andrianna's case, Dr. CBS performed the rhinoplasty first, refining the nasal tip and dorsum before proceeding to the deep plane facelift, which involved repositioning the facial soft tissues and tightening the neck. This sequence ensures the nasal work is completed without any tension from the facelift affecting the delicate nasal structures.

Results at 1 Month: What to Expect

These before and after photos were taken just 1 month after surgery. At this early stage, there is still residual swelling — particularly around the nose and midface — and the final result has not yet fully emerged. Despite this, the improvements are already clearly visible: the nose shows a refined, more elegant profile with a defined supratip break and slimmer dorsum; the jowling has been corrected; the jawline is sharper and more defined; and the lower face and neck have been lifted and tightened.

Full rhinoplasty results take 12 months or longer to be completely visible, as nasal swelling — especially at the tip — resolves slowly. Deep plane facelift results at 1 month show significant improvement but will continue to refine and soften over the following 6 to 9 months. Patients should be aware that what they see at 1 month is only the beginning of their final outcome.

Why Istanbul for Revision Rhinoplasty and Facelift Surgery?

Turkey — and Istanbul in particular — has become one of the world's most sought-after destinations for both revision rhinoplasty and facelift surgery. Patients from Europe, the United States, and the Middle East choose Istanbul because of the availability of highly specialized surgeons with extensive case volume, internationally accredited hospitals, and access to procedures at a fraction of the cost of equivalent surgery in Western countries — without any compromise in quality, safety, or outcomes.

Dr. Cem Berkay Sinaci is a European and Turkish board-certified plastic surgeon, Fellow of the European Board of Plastic Reconstructive and Aesthetic Surgery (EBOPRAS), and member of both ISAPS and ASPS. His specialist focus on facial surgery — including deep plane facelift, revision rhinoplasty, blepharoplasty, and facial fat grafting — and his international training background make him a leading choice for patients seeking complex facial procedures in Istanbul. If you are considering revision rhinoplasty, a facelift, or a combination procedure, contact Dr. CBS to schedule a consultation.