Are you unhappy with the recent nose job you received from a surgeon? Does your new nose still look big or not gel with the rest of your face? Did the ethnic rhinoplasty go a bit far? Do you have breathing problems after your first nose job? Or do you just want to refine the nasal tip? If you find yourself in any of the above scenarios, then you are an excellent candidate for a revision rhinoplasty. And don’t worry – you are not alone. Statistics reveal that close to 15 percent of all nose jobs need a revision for one or more reasons.
In most of the cases, the need for revision rhinoplasty surgery has to do with cosmetic issues like a twisted tip or functional issues like problems with breathing and airflow. The problem might not entirely be the fault of the surgeon. The healing is not entirely in the hands of the surgeon, and anatomical variations can cause surgical problems that need to be addressed with a second surgery.
What Does the Procedure Entail?
A revision rhinoplasty is different for every patient. The problems can occur in almost any area of the nose, including the nasal tip, the middle third, or the upper third. The revision surgery is customized to address your particular concerns. The procedure can be performed with sedation and local anesthesia, although some patients prefer general anesthesia. It might take a little longer than the first nose job, and in some cases, it can last for up to a few hours.
The aim of a revision rhinoplasty, or secondary rhinoplasty, is to restore the function and structure of the nose. In some cases, the surgeon will try to recreate symmetry by taking away or adding back cartilage. It is easier to remove cartilage than to add it. To add, the surgeon may take extra cartilage from the patient’s nasal septum, ribs, or ear to create grafts. In most revision rhinoplasty cases, the procedure includes adding cartilage to open up the airway or to make the nose more shapely and proportionate.
The incisions for the procedure are often made on the inside of the patient’s nostrils. This is referred to as closed rhinoplasty. This is less invasive, as the surgeon only uncovers those sections of the nose that need correction. In some cases, the incisions are made on the columella in between the nostrils. This is referred to as an open rhinoplasty and involves a much wider dissection, as well as a more elaborate disconnection and reconnection of the supporting structure. If there is scarring from an earlier surgery, then the closed approach is the safer one.
Your Revision Rhinoplasty Consultation
Since a revision rhinoplasty is highly specialized and one of the most complicated cosmetic surgeries, you’ll need to make sure to choose an expert surgeon for the job. Dr. Paul Nassif is a skilled and experienced surgeon and a rhinoplasty specialist. To arrange your revision rhinoplasty consultation with Dr. Nassif, contact our office today.