Do you feel uncomfortable with the appearance of your nose after a rhinoplasty? Given the complicated nature of nasal surgery, there is always the possibility of having unsatisfactory results. Over-aggressive removal of tissues along the nasal bridge or nasal tip can lead to poor structural support, resulting in an unnatural and awkward appearance. Revision rhinoplasty addresses both the aesthetic and functional concerns that patients might be struggling with, such as breathing problems. Even surgeries performed by the best plastic surgeons could sometimes require some follow up procedure. Dr. David Shamouelian, a highly-skilled facial plastic surgeon at Allure Aesthetic Surgery of Beverly Hills, has had extensive training in revision rhinoplasty. His 6 years of surgical training focused on both the internal and external aspects of the nose. His fellowship training focused on the treatment of nasal complications in form and function after previous rhinoplasty.
Revision Rhinoplasty Details
Each revision rhinoplasty is unique. Dr. Shamouelian, an expert in the field, utilizes various techniques to repair, reshape, and optimize a nose that has previously undergone rhinoplasty. Revision rhinoplasty is more complex than primary rhinoplasty due to scar formation, loss of nasal tip support and requirement of grafts to rebuild the nose.
Revision rhinoplasty is performed on an out-patient basis and is done either under general anesthesia or local anesthesia with sedation. The procedure is tailored specifically for each case depending on the deformity that is being addressed.
In order to “rebuild” the nose, cartilage grafts are usually necessary to provide additional support for long lasting aesthetic and functional results. Most patients see improvements once the dressing is removed and the post-operative swelling has subsided. However, it may take up to a year to see the complete result. There are many reasons why a rhinoplasty can fail and the most common reason is error during the surgery. For a successful rhinoplasty, it is important to choose a surgeon with a strong understanding of the dynamic quality of the nose and extensive experience in rhinoplasty.
The Right Candidate for Revision Rhinoplasty
Anyone who is dissatisfied with the outcome of a prior rhinoplasty is a candidate for revision surgery. The timing of revision rhinoplasty is essential for successful outcome and should be done usually no earlier than a year after the primary rhinoplasty. A number complications and deformities which are able to be addressed with revision rhinoplasty are listed below:
- “Pollybeak” deformity
- “Saddle nose” deformity
- “Inverted V” deformity
- Pinching of the Nasal tip
- Bossae formation of the tip
- Alar retraction
- Crooked/twisted nose
- “Open roof” deformity
- Vestibular stenosis/breathing difficulties
- Turned up nostril
- Hanging or retracted columella
- Scooped nasal profile
Recovery from Revision Rhinoplasty
Patients who undergo rhinoplasty may experience pain and bruising during their recovery. To alleviate this, we provide homeopathic medications started prior to surgery which may reduce the amount of post-operative swelling and bruising. Patients typically return to work or school one week after the surgery and once the dressings have been removed. We recommend patients refrain from any strenuous activities for at least two to three weeks and avoid exercising and playing sports for about six to eight weeks to prevent any risk of trauma.
The cost of your revision rhinoplasty varies depending on several factors including the complexity of the deformity being addressed, the extent of surgery required, and the type of graft (septum, auricular, or costal cartilage) needed to rebuild the nose. The total cost of the procedure will be discussed during your initial consultation with Dr. Shamouelian. If you are not satisfied with the overall appearance of your nose or are having persistent breathing problems associated with it, contact Allure Aesthetic Surgery of Beverly Hills today at (888) 265-2335 or fill out our online contact form to schedule your consultation.