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, it is imperative that you choose a facial plastic surgeon who is highly skilled and has considerable experience in secondary rhinoplasty.
Indications For Revision Rhinoplasty
The goal of a revision rhinoplasty is to improve upon the results of a previous nose surgery. This may involve refining the appearance of the nasal structure, repairing damage or poor wound healing, or some combination of objectives. If you are dissatisfied with the outcome of your initial rhinoplasty, you may consider a corrective procedure if:
- The results of your primary rhinoplasty did not resolve your initial concerns
- You are unhappy with the size, shape, or overall cosmetic outcome
- Your previous nose surgery failed to address—or exacerbated—breathing issues
- You have experienced a nasal injury, or trauma to the nose, that altered the results of a previous rhinoplasty
- You nose did not heal as planned
Our experienced facial plastic surgeon, Scott Shadfar, MD, will perform a thorough evaluation of your concerns during a consultation to help you determine whether the changes you seek can be achieved with a secondary rhinoplasty. Dr. Shadfar generally recommends that patients interested in pursuing a revisionary procedure wait at least 9 to 12 months before doing so in order to allow swelling from the initial rhinoplasty to completely settle.
Revision Rhinoplasty Technique
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 a 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.
Revision Rhinoplasty Recovery
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 seven days after surgery. Some degree of swelling and congestion can be expected during the first post-operative 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 one to two weeks. We ask that patients who traveled from out of town to undergo surgery remain nearby during this time for routine checkups.
How To Choose The Best Revision Rhinoplasty Surgeon For You
Selecting a surgeon who is extensively experienced performing the revision rhinoplasty procedure is critical to achieving the results you originally desired while preventing the need for future surgery. Although many surgeons are trained in secondary rhinoplasty, the best way to ensure you are receiving the highest standards of safety, expertise, skill, and overall care for your surgery is to choose a board-certified facial plastic surgeon who specializes exclusively in reconstructive procedures of the head and neck. More often than not, physicians who have had such specified otolaryngological training are more experienced working with the delicate structures of the nasal framework after a prior operation for an exceptional and harmonious result. This comprehensive expertise can increase the likelihood of achieving a well-functioning and aesthetically pleasing final outcome more attuned to your original desires.
In searching for the most-qualified revision rhinoplasty surgeon for your unique needs, the following tips can help you navigate who to entrust with your care:
- Ensure you are selecting a board-certified facial plastic surgeon.
- Explore your prospective surgeon’s rhinoplasty before-and-after photos.
- Ask your surgeon how often they perform revision rhinoplasty.
- Choose a surgeon who is attentive, listens to your concerns thoroughly, and makes you feel comfortable.
To learn more about the revision rhinoplasty procedure, or to schedule a consultation, please contact Dr. Scott Shadfar today.