Overview: Rhinoplasty Revision

Individuals who have had rhinoplasty in the past and are looking to repair problems from the previous surgery, may consider revision rhinoplasty. Seattle facial surgeon, Dr. Craig Jonov, performs revision rhinoplasty to help patients regain their confidence by repairing the look and function of the nose following a surgery that didn’t produce good results. Depending on what is needed to bring the nose into balance, the bone and cartilage may be reduced, augmented or refined. Cartilage may be grafted from other areas of the body, such as the ear or septum, if necessary.

Surgical Technique

Full Rhinoplasty Revision
Secondary rhinoplasty can be challenging as the surgeon works to correct or fix a problem stemming from the first surgery. During this procedure, the majority of surgeons will use an open approach. This entails separating the skin from the support framework of cartilage and bone, which offers the surgeon full access to the structures within the nose. The surgeon will re-sculpt the nose to a more desired shape depending on the problem being addressed. If additional tissue is needed, an autologous approach is typically taken, which uses cartilage and bone from the patient.

Touch-Up Rhinoplasty
Some patients may be happy with the look and feel of their nose following surgery, but need a slight touch-up. This may include a visible bump or edge on the tip of the nose. The imperfection is usually found and discussed during a post-operative appointment and it is common for the original surgeon to address the issue. This surgery is less complex than the original surgery and may only involve slight shaving of the bone. It usually produces results both the patient and surgeon are content with.

Before

Before

After

After

Questions about Rhinoplasty Revision

Better Results
An experienced nose surgeon who is trained and skilled in revision surgery will understand the dynamics behind what went wrong during the first operation and how to correct the problems with a secondary procedure. While the procedure itself can be quite complex, the results are often pleasing for the patient. It is extremely important to do your research when looking for a revision specialist.

Cartilage Grafting
In some cases, cartilage grafting will be needed in order to produce the desired results. This can be done by taking cartilage and bone from another part of the body, such as the ribs, and using it to correct a certain nasal structure. Cartilage and bone grafting are usually only needed in more severe cases, including framework reconstruction.

How Common?
Revision rhinoplasty is actually somewhat common. It varies by practice and by rhinoplasty surgeon, but some experts put minor revision rates between 5-15%. A large majority of these patients desire only tweaking and minor adjustments. True reconstruction and major revision cases are on the lower end of the spectrum.

During/After Rhinoplasty Revision Surgery

Secondary rhinoplasty is performed under general anesthesia in an accredited surgical facility. The duration of this surgery depends on whether the nose is being fully reconstructed or a minor alteration is being made. After surgery, patients will wear a nose splint and will experience bruising and swelling. For patients undergoing revision surgery, the process can be somewhat unnerving. The goal is for the nose to return to a natural, non-surgical appearance. If an experienced surgeon is performing the procedure, the results are often very good.

Average Cost

$2,500 – $4,200

Recovery Time

2-4 Weeks

Average Procedure Time

1-2 Hours

Location

Lynnwood, Kirkland & Bellevue, WA

I met with Dr. Jonov and his team to talk about having my nose reshaped. Immediately I was made to feel welcome and comfortable, no pressure to make any decisions that day (although I knew right away that this was the team for me). Throughout the process I met with my nurse who went over every detail regarding the day of and what to expect during my recovery, I met with my anesthesiologist who answered all of my questions in great detail. The surgery went well, my recovery was what surprised me – I didn’t even bruise! It was an amazing experience and I am so happy with my new nose.

WandaI recommend Dr. Jonov to anyone looking for cosmetic surgery enhancements.

Contact Us

To schedule a complimentary consultation with Dr. Jonov or with questions about Revision Rhinoplasty at The Gallery of Cosmetic Surgery serving Kirkland, Bellevue & Lynnwood, WA.

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