Revision rhinoplasty is a plastic surgery procedure which rebuilds and reshapes deformities of the nose that have resulted from a previous rhinoplasty surgery. It may also be referred to as secondary or tertiary rhinoplasty. Revision rhinoplasty is a highly customized and individualized surgery. Good candidates include healthy men and women who are unhappy with the current appearance of their nose following a previous rhinoplasty surgery and are seeking an improvement.
Dr. Schwartz performs revision rhinoplasty in an outpatient surgical center. IV sedation or general anesthesia may be used and the surgery takes about three hours to complete. Incisions are typically made on the inside of the nose. While the exact nature of the surgery will depend upon the particular individual and the problem, the desired shape may be achieved by repositioning cartilage or replacing missing structures. In some cases, grafts may be required from another area of the body, such as the cartilage of the ear.
Recovery after revision rhinoplasty takes about one week. There tends to be less bruising, swelling, and pain than after primary rhinoplasty procedures. The stitches are removed in about five to seven days. Patients can usually return to work in about a week, though more strenuous activities should be avoided for about two weeks.
What is revision rhinoplasty?
Revision rhinoplasty, also referred to as secondary and tertiary rhinoplasty, is a plastic surgery procedure which corrects deformities of the nose resulting from a prior rhinoplasty surgery.
Who is a good candidate for revision rhinoplasty?
Healthy men and women who are looking to improve the appearance and/or function of the nose after a prior rhinoplasty surgery may be good candidates for revision rhinoplasty.
What happens at a consultation for revision rhinoplasty?
During the consultation with Dr. Schwartz you will discuss what you dislike about your nose and what you want to achieve through surgery. Your nose will be examined, a thorough medical history taken, and your options discussed. All details of the procedure will be explained and any questions or concerns that you may have will be addressed. Because revision rhinoplasty is a highly customized and individualized surgery, the consultation is very important.
Where does the revision rhinoplasty procedure take place?
Dr. Schwartz performs revision rhinoplasty at an outpatient surgery center.
Learn more about procedures.
Dr. Schwartz’ recommendations for Revision Rhinoplasty patients:
Choosing the right rhinoplasty surgeon is extremely important. If you fall into the wrong hands, you increase your chances of botched results or complications that can compromise your health or your life. Finding a bargain is not the way to go with surgery-just because you may save on your initial surgery doesn’t mean that you’ll be happy with your results, and corrective surgery may be costly. The same goes for seeking treatment outside of the country.
While most revision cases are performed by the doctor who did the initial surgery, “not every surgeon is experienced in revision surgery,” says Dr. Schwartz. “If you have a good relationship with the surgeon who treated you, see him or her first to discuss a revision,” he adds. Should you select a new doctor, make sure they are well versed in revision procedures, especially with the part of the nose that you’re looking to have corrected.
Steps to Ensure Good Results:
Make sure your expectations are realistic. Revision surgery may not give you a picture-perfect nose but it may make you feel better about how you currently look.
Ask to see revision images. Before committing to any type of revision procedure, ask your surgeon to see his or hers before-and-after images from revision procedures (not primary procedures). This way you’ll get an idea of what problems they’ve corrected in the past and if you like the work they’ve done. You also want to make sure that the images that you review were performed by the same doctor who will be operating on you.
Know that you may need additional procedures. One revision surgery may not correct the problem completely and additional procedures may be needed to get the results you desire, especially if there are major complications or disfigurement. This is not a ”failure” of the revision procedure but part of the process in challenging noses.
Don’t look for a bargain. Revision surgery is expensive and may be as costly, if not more, than your original procedure.
Follow doctor’s orders. Surgery is only part of the process—how you care for yourself pre- and post-procedure affects the final outcome too. Make sure that your doctor provides you with a list of what you should and shouldn’t do after your surgery. These instructions may be different than what you received the first time around.