Rhinoplasty is a surgical procedure used to correct both the aesthetic and functional problems of the nose. Unfortunately, not every procedure will provide the intended results. Rhinoplasty is considered to be the most complicated of all cosmetic procedures. As a result, nose job also has a high incidence of the need for a revision rhinoplasty.
In some cases, the original problem may not be completely corrected, or a new issue may arise following surgery. No matter the reason, disappointing results from a primary rhinoplasty can lead to frustration, fear, discomfort, and even anger.
Revision rhinoplasty by Dr. Schoenfeld is designed to assist patients who have already gone through an initial nasal procedure. The corrective surgery can address the aesthetic issues that are concerning to the individual seeking revision and if necessary can also restore proper breathing and nasal airflow to an already operated on nose.
Why would a revision rhinoplasty be necessary?
The anatomy of the nose is delicate, making rhinoplasty a difficult procedure. Even in the hands of a skilled surgeon minor revisions may need to be performed. Other reasons for a revision rhinoplasty can include but are certainly not limited to the following issues:
- The patient’s initial expectations were unrealistic in which case revision rhinoplasty may not completely satisfy the desire of the patient.
- The surgeon may not routinely perform rhinoplasty surgery and the complexity of the nose was more than they were able to treat appropriately.
- The physician’s corrections were overly aggressive leading to a “done” looking nose.
- The natural healing process of the nose over time alters the original surgical result of the nose.
- An injury occurs, undoing the surgical results.
The Ideal Candidate for a Revision Rhinoplasty
The revision rhinoplasty may be a viable option for anyone who is unhappy with the look or function of the nose, following a primary rhinoplasty procedure. The revision rhinoplasty is a delicate corrective procedure. The procedure requires your surgeon to have a unique skill set and a great deal of experience in rhinoplasty surgery. The surgery requires certain physical and emotional commitments, thus it may not be a suitable option for everyone.
The ideal revision rhinoplasty candidate will be in good health, understand the procedure, and hold realistic expectations for the final results. Patients should be committed to the recommended recovery time, as well. This includes time off from work, proper care of the nose, no strenuous exercise for four weeks, and no contact sports for up to six weeks.
The Revision Rhinoplasty Consultation
To determine if a revision rhinoplasty can achieve the desired results, a consultation appointment will be scheduled with Dr. Schoenfeld. During this time, he will discuss the previous rhinoplasty results, perform a brief physical exam of the nose, and review current medications. The techniques for revision rhinoplasty will then be explained, including any additional options for correction. Before/After photos and computer imaging will be used, helping patients visualize potential results. Should the revision rhinoplasty prove to be the right procedure, a personalized surgical plan will be created. At this time, the patient coordinator will also discuss the exact cost of the revision rhinoplasty.
The Revision Rhinoplasty Procedure
Dr. Schoenfeld’s revision rhinoplasty is performed as an outpatient procedure, taking between one and three hours to complete depending upon the complexity of the procedure and the need to obtain grafts to reconstruct and stabilize the nose from other areas other than the nose.
Dr. Schoenfeld is extremely experienced in revision rhinoplasty and in extreme cases will utilize grafts from the scalp, ear, and rib. General anesthesia is Dr. Schoenfeld’s preferred choice of anesthesia as airway protection is his first priority, however, in cases where only minor revision is necessary local anesthesia with or without IV sedation may suffice.
Dr. Schoenfeld also prefers to perform secondary rhinoplasty surgery utilizing the “open” technique. An open rhinoplasty starts with a small transcolumellar incision at the base of the nose, between the nostrils. This will allow Dr. Schoenfeld to pull back the tissue of the nose and clearly evaluate the nasal structures. This technique allows him to fully assess the altered anatomy of the nose and provides him with the best exposure to the nasal anatomy giving him the opportunity to make the appropriate changes to the nasal structure which ultimately results in the best possible surgical outcome.
Understanding the Risks of a Revision Rhinoplasty
The revision rhinoplasty can provide patients with a dramatic improvement in the look and function of their nose. While Dr. Schoenfeld utilizes the safest and most effective revision rhinoplasty techniques, it is still an invasive procedure that holds several risks. The most common complications include infection, delayed wound healing, excessive bleeding, scar tissue formation, and even the need for minor revisions.
Patients should choose a highly trained, experienced cosmetic plastic surgeon to perform their revision rhinoplasty. Although Dr. Schoenfeld performs several facial plastic surgical procedures, he is also board certified in Otolaryngology and his most frequently performed procedures are rhinoplasty and revision rhinoplasty surgery. A leader in the cosmetic surgery field, Dr. Schoenfeld always provides patients with superior results, in the safest possible environment.
Recovering From a Revision Rhinoplasty
The recovery period after a secondary rhinoplasty will take about two weeks. During this period, swelling, bruising, and mild bleeding are normal. The majority of these will dissipate over the first 8-10 days. Keeping the head elevated and applying an intermittent icepack will help to control the swelling. Mild to moderate discomfort may initially occur and Dr. Schoenfeld will prescribe appropriate pain medications and his detailed instructions will be covered to insure a smooth recovery.
Thank you so much for not only beautifully repairing my nose, but for rearranging your schedule and going out of your way to help me in my time of need. Your friendly and distinctive assistance is appreciated more than you know.
In six to seven days, a follow up appointment will be scheduled with Dr. Schoenfeld. At this time, Dr. Schoenfeld will check the progression of healing, and remove splints/sutures. Patients are generally feeling well enough to return to work or school within a few days, although they should hold off on exercise and strenuous activities for another two weeks. Contact sports should also be postponed until the nose is fully healed.
FAQs about Revision Rhinoplasty
What is a revision rhinoplasty?
Revision rhinoplasty is a surgical procedure designed to correct the appearance or function of the nose, following a primary rhinoplasty procedure.
Am I a good candidate for a secondary rhinoplasty?
You may be a candidate for a secondary rhinoplasty procedure if you are unhappy with the look or function of your nose and it has been at least 12 months since your initial surgery. Patients should be in generally good health and have realistic expectations for their final results.
What kind of anesthesia is used during a secondary rhinoplasty?
Secondary rhinoplasty is normally performed under general anaesthesia.
How long is a secondary rhinoplasty procedure?
Dr. Schoenfeld’s secondary rhinoplasty will take between one and three hours to perform.
What can I expect during my revision rhinoplasty recovery period?
Recovery from a secondary rhinoplasty will take between one and two weeks. Swelling and bruising are common. The majority of these will resolve over the following 10 to 14 days, although some less noticeable swelling may take several months to dissipate. Mild discomfort and a congested feeling may be noticed following the revision rhinoplasty, but will generally resolve over the first few days.
When can I return to work after my secondary rhinoplasty?
Most patients are feeling well enough to return to work five to seven days after their revision rhinoplasty.
For more information on the revision rhinoplasty procedure at RENU by Dr. Schoenfeld
If you are interested in more information on a revision rhinoplasty, contact RENU by Dr. Schoenfeld at 301-652-7368 to schedule a consultation. Dr. Schoenfeld will discuss all of your corrective options and help you determine if revision rhinoplasty can meet your goals.