Revision Rhinoplasty

THE TYPICAL PATIENT

• History of one or more previous rhinoplasty procedures.
• Not satisfied or happy with the present look or function (ability to breath) of your nose.
• Focusing on a size, crookedness, unevenness, bumps, dents or other features of your nose.
• A nose that is too large, long or wide in comparison to the rest of the face.
• The presence of difficulty in breathing, or continued sinus drainage.
• Desire for a softened, delicate, and balanced nasal appearance.

THE PROCEDURE

• Anesthesia can be local but is usually general and the surgery takes two to five hours.
• Usually use your previous incisions or ones that are very well concealed inside the nostrils, and occasionally across the lower midsection (columella).
• Excess bone and cartilage is removed, reshaped, or redistributed. Extra cartilage is often added from the septum or the ears or the ribs. Synthetic material such as Medpore may be added for support if needed. The skin needs to either stretch out or molds down around this rearranged framework to arrive at the final cosmetic appearance.
• The septal cartilage in the middle of the nose may need to be removed or molded to allow for better breathing.
• Packing is often required.
• A splint is applied over the nose for a week to hold the tissues in place and decrease swelling.
• A chin implant often compliments this procedure and improves the profile.
• This can be combined with other surgeries.

THE RECOVERY

• You can go home after several hours.
• You can shower on the second day after surgery.
• Minimal pain that is mostly gone by the second or third day and easily controlled by medications.
• Some congestion and nasal drip for two to three days.
• Swelling which is moderate to severe and peaks at two to three days then disappears rapidly over the next three weeks. Then there is insignificant swelling that slowly resolves over the next six to twelve months.
• Minimal bruising between the eyes and onto cheeks which is most at two days then disappears rapidly by three to five days.
• Resume many activities within the first week, and most by at least three weeks.
• No stitches to remove. They are all dissolvable.
• Off of work for three to seven days.

THE RESULT

• Very natural result, not scooped out or bobbed up too much.
• A softened and beautiful balance to compliment your other facial features and proportions.
• Lasts the rest of your life and always looks better than if you didn't do it.
• Natural and presentable appearance after the first week that just gets better over the next three to six months.

For before and after images of this procedure click here

Please call or contact the office for any further information or to schedule an appointment.