Revision rhinoplasties are for candidates who have had previous rhinoplasty procedures with poor functional or cosmetic outcomes that wish to proceed with further surgery to correct the deficits. A revision rhinoplasty should always be done with an open approach to more accurately view and assess the nasal structures.
- avg. recovery
About the Procedure
Revision rhinoplasties are performed to further refine, redefine, or redo either aesthetic or functional outcomes from a previous surgery. Revision rhinoplasties may be done years later after a youth/teen rhinoplasty patient has outgrown their nose, an ethnic rhinoplasty patient perhaps requires further adjustments, or if a previously performed nose job using a closed approach simply didn't give adequate exposure for the surgeon to thoroughly shape the patient's nose. Revision rhinoplasties will always use an open approach. This is because there will likely be scar tissue and to be able to provide patients with the best outcome possible, full exposure is needed for complete visualization. An incision will be made at the columella, just beneath the tip of the nose. The nose will then be retracted backwards, dissecting the nose cartilage with care being taken to not incise the medial crura, the cartilage that separates the nostrils. The flap will be raised off of the nose for maximum exposure and work can now be done to reshape the nasal tip, bridge, nostrils, or septum repair. Once completed, the flap will be redraped over the bone framework and external contouring and shaping is completed. The incision will be closed with sutures and an external splint or cast will be placed over the nose.
The goal of a revision rhinoplasty is to achieve facial harmony by changing the shape, size or angle of the nose after a previous rhinoplasty has not achieved the desired results.
What to Expect
Revision rhinoplasties are for candidates who have had previous rhinoplasty procedures with poor functional or cosmetic outcomes. A revision rhinoplasty should always be done with an open approach. Here is a quick guide for what to expect before, during, and after a revision rhinoplasty.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 2 weeks before and after surgery
- Limit sun exposure for 2 weeks
- Do not eat or drink anything 6 hours prior
- Purchase all recovery items beforehand
- General or local anesthesia with sedation
- Incision made beneath the tip of the nose
- Nose is retracted backwards, dissecting the nose cartilage
- Flap is raised off of the nose for maximum exposure
- Nose is reshaped and refined
- Sutures to close incisions
- External splint or cast will be placed over the nose
After surgery, a splint is typically applied to provide support to the newly structured nasal framework for approximately 1 week. It is common to experience deep bruising and swelling around the eyes, lips, and cheeks. Some patients will have teeth numbness which usually resolves within 1-2 weeks. Nasal swelling will continue to resolve over the next month however the nose itself will continue to heal over the next 1-1.5 years. Makeup may be worn as soon as the cast is removed.
Revision rhinoplasties are for candidates who have had previous rhinoplasty procedures with poor functional and/or cosmetic outcomes that wish to proceed with further surgery to correct the deficits.
Not Recommended For
Revision rhinoplasty is not recommended for candidates under the age of 18 unless correction is due to injury, however, need for surgery must be evaluated on a case-by-case basis because children mature physically and emotionally at varying rates.
Side effects from a revision rhinoplasty may include loss of dorsal support, unstable nasal bones, perforation of the septum, airway obstruction, numbness, nosebleeds, scarring, swelling, bursting of small blood vessels on the surface of the skin, and permanent nerve damage.