Revision Rhinoplasty: Repairing a Bad Nose Job

Revision rhinoplasty is different and often more difficult than the original or primary rhinoplasty. It is a surgical procedure done to correct undesirable results from a previous operation. A common reason for revision plastic surgery on the nose is that patients feel their doctor ‘took too much off’ in the original operation. To return to a more natural look, many consider the option of further surgery to enhance their appearance. Others may feel that not enough was done and desire to have more taken off.

Patients that are unhappy with the results of their original nose surgery, either for aesthetic reasons or because of breathing problems caused by the surgery may be candidates for revision rhinoplasty. It can take months for the nose to completely settle into its new shape and form following plastic surgery. Swelling will conceal the final results, and may not completely subside for up to twelve months.

In cases of over resection when too much has been taken off during surgery, a revision rhinoplasty most often will require grafting. Grafting is done to rebuild structures in the nose. Cartilage may be taken from the ear, inside the nose or, less frequently, from a rib and grafted into the nose to replace what had been surgically removed. Synthetic materials may also be used for grafting.

Revision rhinoplasty should be done only by doctors with specialized training and experience in secondary rhinoplasty. It is a far more complicated procedure than primary rhinoplasty and requires expertise as well as an aesthetic sense. This surgery is often performed on an outpatient basis in a surgery center. On average, a revision rhinoplasty will last three to four hours. A general anesthesia may be used, or the surgery may be done with a local anesthetic and sedatives. Most patients are able to return to work within one week.

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