What is a revision rhinoplasty?
A revision rhinoplasty (nose job) can address undesired results or complications from a previous rhinoplasty. It is a surgical operation that becomes more challenging with subsequent surgeries. In general, a revision rhinoplasty should not be performed earlier than 1 year from a previous rhinoplasty in order to allow for adequate healing time.
Can I have additional surgery even if I have already had a revision surgery?
Yes, but remember that each subsequent revision will carry with it new challenges, and potentially new setbacks. Make sure that you and your surgeon are on the same page, and that your goals and expectations are aligned.
What makes revision rhinoplasty challenging?
The already variable normal nasal anatomy is often changed or destroyed by earlier surgery and distorted by scarring. It is often difficult to predict exactly what the anatomy will look like prior to performing the surgery. If grafting is necessary, cartilage from the septum might be limited due to a previous septoplasty. Alternative sources of cartilage must be identified and harvested. Cartilage sources might include any remaining septum, ear cartilage, or rib cartilage (either from the patient or a cadaver).
Why might someone need a revision rhinoplasty?
- Functional: Either there was a problem with breathing prior to initial surgery that was not fixed, or previous surgery left new functional deficits.
- Cosmetic: Sometimes the initial concerns with the look of the nose were never addressed during the surgery. There are also external factors like scarring, skin thickness, and overall healing that can impact the final rhinoplasty result. The initial surgery or surgeries may have fixed one problem but caused others.
Tips when contemplating a revision rhinoplasty?
- If possible, speak with your original rhinoplasty surgeon about your concerns. By understanding the original surgery and the anatomy, they will have the biggest advantage if another surgery is warranted. If they feel strongly that they can improve the nose, and you trust them, then this is probably the best option.
- If surgery by the original surgeon is not possible, then do your research. Make sure you find a surgeon who has a lot of experience performing revision rhinoplasty. Ask to see digital drawings of what your nose would be expected to look like.
- The bottom line is to do it right the first time. Find a doctor that you like and trust. The doctor should be able to create representative images of what the nose would look like. Realistic expectations are key.
If you have previously undergone a rhinoplasty with undesired results, then revision rhinoplasty may be right for you. Dr. Rogal has expertise in rhinoplasty and revision rhinoplasty, and can help you achieve your goals. Please contact the office at 914.761.8667 to schedule a consultation.
