Consider Gardner Plastic Surgery if in Need of Revision Rhinoplasty

Rhinoplasty (nose surgery) is considered by plastic surgeons to be one of the most challenging cosmetic procedures. The challenges inherent in rhinoplasty stem from the key position of the nose in the middle of the face. Additionally, the need to preserve optimal nasal function is fundamental.

Statistics suggest that roughly 15 percent of primary nose jobs end up requiring revision. Known as revision rhinoplasty, some patients may need a second, or even third rhinoplasty procedure to achieve the desired result. Revision can be due to limitations with the original rhinoplasty, unforeseen anatomical anomalies, or complications from the healing process.

Some cosmetic and functional issues that necessitate the need or desire for revision rhinoplasty are:

• Nasal valve collapse
• Cartilage or bone collapse
• Nasal airway obstruction
• Nasal septum deviation
• Excessive internal or external scarring
• Over reduction or not enough reduction
• Too much narrowing of the nasal tip
• Compromised asymmetry

What to Know About Revision Rhinoplasty

An important thing to know about revision rhinoplasty is that it is typically more complicated than the original rhinoplasty. The degree of complexity is often dictated by the results from the original procedure, and subsequent healing.

Revision rhinoplasty often carries the need for cartilage to bolster the structural support for the tip and bridge of the nose, or to otherwise enhance symmetry. This extra cartilage may be needed to be taken from other parts of your body, such as an ear or from the ribs. Less common (and likely with less chance of complication), a revision rhinoplasty may require that more cartilage be removed from your nose.

In some cases, soft tissue irregularities may require fascia tissue to be used as a natural filler and cover material. Surgeons usually rely on temporalis fascia, which is retrieved from the head with a small incision in the hairline. Additionally, issues with scarring in the nasal passages may require the need for skin grafting to reopen a narrowed nasal airway.

All in all, every revision rhinoplasty is different, and a variety of procedures may be needed during the surgery to successfully restore the nose to its desired look and function.

Take Time Before Seeking Revision Rhinoplasty

With all of the above in mind, know also that—despite a surgeon’s particular surgical expertise and experience—revision rhinoplasty has a higher revision rate than original rhinoplasties.

It takes time for the aesthetic and functional effects from the original rhinoplasty to settle in. For example, while most nasal swelling subsides soon after the surgery, it can take up to a year or longer for all of the swelling to subside. Likewise, it takes at least a year for the scar tissue to fully form and then soften. For these reasons, patients should wait at least a year before considering whether to undergo revision rhinoplasty.

Seek Out a Highly Qualified and Experienced Plastic Surgeon

If you’re considering revision rhinoplasty make sure that you seek out a highly qualified plastic surgeon with plenty of experience with rhinoplasty surgery. You’ve already gone through the surgery once, so you want to get it done right.

Learn More Through a Consultation at Gardner Plastic Surgery

If you would like to learn more about revision rhinoplasty and how Gardner Plastic Surgery may be able to help you correct the deficiencies of your original rhinoplasty, both Dr. Paul Gardner and Dr. Leo Baccaro would be happy to speak to you in a one-on-one consultation. With extensive experience and training under some of the most renowned leaders in the field of plastic and reconstructive surgery of the face, contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.