We have all heard the phrase “one and done.” Unfortunately, with rhinoplasty that isn’t always the case.
At Eos Rejuvenation, we understand the anxiety involved in requiring a revision to a previous rhinoplasty. After all, you have just gone through the physical discomfort, emotional drain and significant cost of a previous surgery only to be dissatisfied. Scheduling a “rhinoplasty take 2” is almost assuredly not on your bucket list, especially when you’re unsure you will get the results you set out to achieve in the first place.
At Eos Rejuvenation, we understand and we are focused on allaying these concerns with a revision rhinoplasty that is only undertaken after we’re satisfied that your anxieties have been thoroughly addressed. Furthermore, Dr. Nima has developed a particular specialty in fixing the issues with previous rhinoplasties. Thus, to say that the likelihood your happiness and satisfaction with the post-revision results will increase, is an understatement.
Benefits of Revision rhinoplasty
There are generally three categories of revisional rhinoplasty: aesthetic (to improve appearance), functional (to improve breathing, decrease snoring, or otherwise alleviate nasal discomfort), or a combination of both. Each category involves a different approach.
Aesthetic revision rhinoplasty is the more common of the two. For some, an initial rhinoplasty left their nose too pinched or crooked, or a hump may not have been satisfactorily alleviated. In such instances, a revision will focus on building the nose back up. We will replace missing cartilage and give the nose more support.
With functional revision rhinoplasty, our focus is on ensuring that your nose works the way nature intended it to. As one might expect, there are a variety of reasons for problems with proper nasal functionality. Examples include a trauma suffered while healing or a previous surgery (especially reductive procedures performed far in the past), which failed to properly heal.
In these and other instances, during your procedure, cartilage – most likely harvested from inside your own nasal cavity, but sometimes from your ear or ribs – will be utilized to reinforce the nose, to correct asymmetries, or to otherwise alleviate imperfections.
Who is a Candidate for revision Rhinoplasty?
As with all procedures performed in our office, the first step involves meeting with Dr. Nima. Beverly Hills patients visit with Dr. Nima for a complimentary, initial consultation, where he will thoroughly review your issues, goals and options. He will have photos taken of your nose and use state-of-the-art imaging software to demonstrate possible outcomes with various before and after scenarios. Additionally, Dr. Nima will carefully review your medical history and any paperwork you may have related to one or more previous rhinoplasties he will be revising.
The most important thing to Dr. Nima is that you feel completely comfortable before proceeding. And if, for some reason, you still have questions or concerns after this initial meeting, our staff is always available via phone or in person to further address any issues and put you at ease.
Revision Rhinoplasty Recovery
Dr. Nima has eliminated the uncomfortable nasal packing many Beverly Hills patients have come to expect post-rhinoplasty. Instead, he utilizes a cast that rests on the bridge of the nose to protect it during the first week. Overall, revision rhinoplasty initially takes 7 – 14 days to heal.
That said, with many rhinoplasties, after the most visible signs of surgery – such as swelling and bruising – have healed, less visible surgical trauma may take longer to heal. This is primarily due to the presence of scar tissue. As a general rule, this secondary healing period may last up to a year. Every Beverly Hills patient has their own unique issues, and all of them will be addressed before your surgery.
Dr. Nima and our staff are available every step of the way for follow up visits, questions, and/or any other concerns or needs you may have. It is always our goal is to make this process as comfortable as possible for you and ultimately to see you completely satisfied.
Revision Rhinoplasty Frequently Asked Questions
How soon after Rhinoplasty surgery can I undergo Revision Rhinoplasty?
Many plastic surgeons recommend that a patient’s nose be fully healed before revision rhinoplasty, though every case is different depending on the patient’s reason for the revision. Examples of common problems that may require revision rhinoplasty include excessive scarring, nasal airway obstruction, and worsened asymmetry.
Factors that may be considered when deciding how soon patients can undergo revision rhinoplasty include the amount of scar tissue present, number of previous nasal surgeries, and nasal framework. Patients who wish to have revision rhinoplasty can schedule a consultation with Dr. Nima in Beverly Hills to receive an evaluation and determine when they qualify to have revision surgery.
I have uneven nostrils due to a past Rhinoplasty. Can a Revision Rhinoplasty correct my uneven nostrils?
Revision rhinoplasty can correct problems with worsened asymmetry and uneven nostrils that may have resulted from a past rhinoplasty procedure. However, it is normal for some rhinoplasty Beverly Hills patients to have uneven nostrils immediately after surgery due to swelling, nasal splints, and the formation of scar tissue.
Rhinoplasty patients may want to wait at least six months to see if symmetry is restored to their nostrils before deciding to have revision rhinoplasty. After the six-month mark, those who have uneven nostrils due to a past rhinoplasty procedure can meet with a board-certified plastic surgeon to discuss the possibility of revision surgery.
Is it possible to make my nose larger after a failed Rhinoplasty?
In some instances, rhinoplasty can result in a far smaller nose than what the patient desired. Revision rhinoplasty can make the nose larger using grafts from the patient’s body. A plastic surgeon may place spreader grafts in the bridge of the nose to widen the nose or enlarge the nasal tip.
Though making a nose larger is less common with rhinoplasty, this can be done to correct a failed rhinoplasty surgery. Those Beverly Hills patients who want to make their noses larger can consult with an experienced plastic surgeon to discuss whether revision rhinoplasty can be safely performed without causing breathing problems or other unwanted side effects.
Can scar tissue be removed with a Revision Rhinoplasty?
Yes, revision rhinoplasty can remove scar tissue that may have resulted from a previous rhinoplasty procedure. Excessive amounts of scar tissue can sometimes form between the cartilage and skin to affect the final results of the failed rhinoplasty surgery. Scar tissue can be successfully removed by an experienced, board-certified plastic surgeon who can safely perform the procedure without affecting blood supply or worsening the appearance of the nose.
Rhinoplasty patients can reduce their risk of developing excess scar tissue and requiring revision rhinoplasty by wearing nasal tape throughout the healing phase. Patients can also adhere closely to their plastic surgeon’s post-op instructions to avoid developing excess scar tissue.
What causes a shifted or collapsed cartilage after Rhinoplasty?
Weakened cartilage and nasal structure can sometimes shift or collapse after rhinoplasty to change the appearance of the nose—often resulting in the need for revision rhinoplasty. A shift or collapse of cartilage may also happen if too much bone or tissue was removed from the nose during the failed rhinoplasty. These changes occur most frequently after swelling has gone down or after the nose has fully healed following surgery.
Revision rhinoplasty can correct cartilage that has shifted or collapsed and may involve the use of grafts to restructure the nose. Undergoing revision rhinoplasty with an experienced board-certified plastic surgeon in Beverly Hills can reduce the risk for future instances of shifting or collapsing cartilage.
Schedule a consultation with Dr. Nima at his office in Beverly Hills online or by phone at (310) 772-2866.