Revision rhinoplasty, or secondary rhinoplasty, is a treatment designed to recontour and/or resize the nose following a previous rhinoplasty that produced an unsatisfactory outcome, whether from the final aesthetic and/or from a functional (breathing) standpoint. This procedure can be utilized to correct cosmetic and/or breathing issues that may have resulted from a primary rhinoplasty, as well as help you attain results that more closely align with what you originally hoped to achieve. Regardless of why you are seeking revision rhinoplasty surgery, it is imperative that you choose a facial plastic surgeon who is highly skilled and has considerable experience in secondary rhinoplasty.
Revision rhinoplasty is performed in an operating room under general anesthesia or sedation. Like primary rhinoplasty, this is usually an outpatient procedure, so patients can often return home under the care and supervision of friend or family member later the same day. To limit potential scarring, incisions are typically made in the same area as the original surgery, either hidden within the nose (scarless, closed) or concealed on the undersurface of the nose (external, open). For some patients, cartilage and/or bone grafts taken from the rib or ear may be needed to reshape the nose for an ideal result.
The recovery process for secondary rhinoplasty is similar to that of primary rhinoplasty. The morning following surgery, our Oklahoma City facial plastic surgeon—Dr. Scott Shadfar—will provide patients with instructions for how to properly care for their nose as it heals, including how to keep the incisions clean. Sutures used on the inside of the nose will dissolve on their own, but if an open technique is employed, external sutures will need to be removed 4 days after surgery. Some degree of swelling and congestion can be expected during the first postoperative week, and patients are required to wear a splint and tape on the outside of the nose during this time. Bruising may also occur around the top of the nose and beneath the eyes, though this symptom usually resolves by the time the splint and tape are removed.
In general, most individuals are able to resume work and non-strenuous activities after about 1-2 weeks. We ask that patients who traveled from out of town to undergo surgery remain nearby during this time for routine checkups.