Fortunately, when problems do arise following an initial rhinoplasty procedure, they can most often be improved upon with revision rhinoplasty. Revision rhinoplasty is a secondary procedure designed to improve aesthetic and/or functional problems of the nose following a previous rhinoplasty surgery. Patients may seek revision rhinoplasty for a number of reasons. They may feel that their nose has been under-corrected, for instance a persistent hump may remain on the nose that they want further adjustment. Other times they may feel that the nose has been over-corrected, in which case cartilage grafts are often needed to augment the nose. Septoplasty may also be needed to address breathing problems related to a deviated septum.
While rhinoplasty is an intricate and technical procedure, revision rhinoplasty is even more so. With each surgery, scar tissue forms which makes the secondary procedure more challenging. Dr. Buckingham has extensive experience in nasal surgery, including both primary rhinoplasty and revision rhinoplasty. During consultation, Dr. Buckingham will carefully examine your nose and discuss all details of his recommended procedures. He often uses digital imaging software to help communicate the desired improvements.
Revision Rhinoplasty Q&A
Find answers to revision rhinoplasty questions here.
Dr. Buckingham feels that successful facial plastic surgery results from the development and maintenance of good rapport between the patient, the surgeon, and his staff during the consultation and future appointments.The consultation will include a complete facial analysis to determine the best procedure to bring about the desired results and all questions relating to the patients specific concerns will be addressed.
Prospective patients are encouraged to call the office to schedule an appointment at their earliest convenience.
Frequently Asked Revision Rhinoplasty Questions
Q – What is revision rhinoplasty?
Revision rhinoplasty is a secondary procedure designed to repair complications of an aesthetic or functional nature following a primary rhinoplasty procedure.
Q – How soon after my first surgery can I have a revision done?
Patients are generally advised to wait one year after their initial procedure before undergoing a revision as the nose may continue to heal during this time.
Q – Where is the revision rhinoplasty procedure performed?
Revision rhinoplasty is often performed in an outpatient surgery center.
Q – What type of anesthesia is used for revision rhinoplasty?
Either local anesthesia with sedation or general anesthesia may be used for the revision rhinoplasty surgery.
Q – How is the revision rhinoplasty procedure performed?
The exact nature of the surgery will depend on the individual patient and what is needed. In general, incisions are made to separate the skin of the nose from the underlying bone and cartilage. The desired shape is then achieved by repositioning cartilage or replacing missing structures, typically with cartilage grafts. Cartilage may be taken from the septum for use as a graft or, if there isn’t sufficient cartilage in the septum, from the ear or a donor rib. When the surgery is complete, the incisions are closed.
Q – Where are the incisions made for revision rhinoplasty?
Revision rhinoplasty may be performed as either an open or closed procedure. With the open technique, a small incision is made on the underside of the nose on the column of skin between the nostrils. With the open technique, all incisions are confined to the inside of the nose.
Q – Are there scars from revision rhinoplasty?
Closed revision rhinoplasty procedures produce no visible scarring as incisions are confined to the inside of the nose. With the open technique, patients will be left with a very small scar that is well concealed as it is on the underside of the nose.
Q – Is revision rhinoplasty painful?
Many patients report that there is less pain and discomfort after revision rhinoplasty compared to the primary rhinoplasty procedure.
Q – What is the recovery like after revision rhinoplasty?
The recovery after revision rhinoplasty tends to be a bit easier than after primary rhinoplasty. There is often less bruising and swelling and patients often find that they can return to work within about one week.