Rhinoplasty is considered one of the more challenging cosmetic surgeries to perfect. That is why it is important to find a skilled and experienced plastic surgeon when considering rhinoplasty. While most patients are happy with their outcomes, not all surgical cases have positive results. Some Sarasota individuals may need or desire to have a secondary rhinoplasty surgery, known as revision rhinoplasty. Sometimes, this surgery may be a small correction such as minor shaving or reshaping of the nasal bone, however, in cases where there is surgical error beyond a minor procedure, nose reconstruction may be needed. This may include the additional manipulation of cartilage and bone to attain the right aesthetic look, as well as proper function. Our cosmetic surgeons have the skill, experience, and training to not only correct a problem from a prior rhinoplasty procedure, but the artistic eye to create a natural, beautiful result.
"Face Lift - I don’t think I can explain it. I was just much more comfortable with the entire procedure than I expected. Everyone was really nice and helpful to me."- Anonymous / RealPatientRatings / Feb 07, 2019
"Laser Resurfacing - Dr. Engel and Sarasota Plastic Surgery are the epitome of professionalism, customer service and knowledge. The facility is modern, spotlessly clean and welcoming. As soon as you walk through the door you are made to feel welcome, questions about scheduling etc. are handled diligently by the front office. The nurses and patient coordinators are incredible and encourage you to call if you have further questions after you leave the office. Dr. Engel, I believe, may have been a magician in a former life. His precision and attention to detail, do not go unnoticed. He is both kind, honest, realistic and professional. The prices for the procedures are competitive with other practices in the area, however, I would remain with Dr. Engel even if his prices were twice as high. He strives for perfection and his results are breathtaking. I would highly recommend Dr. Engel and Sarasota Plastic Surgery to my family and friends."- Anonymous / RealPatientRatings / Feb 07, 2019
"Face Lift - Dr. Mobley was highly professional but also warm and friendly. He dealt with all my questions very satisfactorily and all the staff seem professional and work as a team. I left with complete confidence that they could meet my needs."- Anonymous / RealPatientRatings / Feb 07, 2019
"My Face Now Matches How Young I Feel !! - I am extremely happy with the results of my face lift and for choosing Dr. Derby as my plastic surgeon. When you meet Dr. Derby you can tell he enjoys being a plastic surgeon and I am an example he is good at it. He’s a knowledgeable, attentive, reassuring physician. He listened to my concerns and the specific outcome I was looking for, then explained what he felt would be the best plan o..."- J. / RealSelf / Jan 24, 2019
"Mommy Makeover - Dr. Engel was very polite thorough and told me exactly what he would do and what he suggested. I do wish I had been shown before and after pictures. I have scheduled my surgery for April 10th."- Anonymous / RealPatientRatings / Feb 07, 2019
Full Rhinoplasty Revision
When the initial rhinoplasty results in unsightly features, it can be difficult for the plastic surgeon to revise the initial surgery. Open rhinoplasty is the ideal technique because it allows the doctor access to the nose’s supporting framework, and corrects the internal structure of the nose as originally intended. It may involve re-cutting and reattaching the cartilage or bone. It may even need skin, tissue or fat grafting to make sure the aesthetic intent is achieved. The peeled skin will be draped back, and a nose splint or packets may be provided to aid with healing.
Similarly, secondary rhinoplasty may be necessary to adjust minor issues from the initial surgery. It may be a case of slight unevenness or misshapen contours. In these cases, the first surgeon is often the one who will perform the touch up as the procedure is less complex and typically involves minor techniques, such as slight shaving of the bone, augmentation or reduction for volume issues. The results from minor revision rhinoplasty are mostly satisfying.
Depending on the condition, revision rhinoplasty may be performed with either a local anesthesia (for smaller areas) or general anesthesia (for major alterations). It is often an outpatient procedure. Just as the initial surgery, there will be bruising and swelling around the face. It is normal to feel anxious about the results of a revision surgery after the results of the original surgery. But if the surgeon is reputable and has many years of experience with rhinoplasty, the results are usually better and more natural looking.
Plan Your Procedure
- Recovery Time
- 4-6 Weeks
- Average Procedure Time
- 2-4 Hours
- Procedure Recovery Location
Revision Rhinoplasty FAQs
Better or Worse?
Revision procedures can be really complex since there is always the possibility of a worse outcome. It is extremely important to find a revision specialist who has years of experience with this particular treatment. It is critical for the surgeon to understand what went wrong with the initial surgery to be able to shape it into the intended surgical plan. This involves manipulating the internal structures of the nose and resetting the wrongly placed elements.
In cases when there is loss of cartilage or bone, it will be harvested from other parts of the body – the ribs for example. The grafted bone or cartilage will make up for the reconstruction of the internal framework of the nose. However, this is only likely in severe botched cases, which accounts for a small rate of rhinoplasty procedures.
Is This Normal?
Revision rhinoplasty is a common occurrence when it comes to cosmetic surgeries; especially minor touch-up procedures, which account for an average of 10% of all rhinoplasty cases. It is normal for some patients to find themselves wanting touch-up rhinoplasty in order to make necessary tweaks that can produce even greater results. Major revisions are less common because they are often a result of choosing an inexperienced plastic surgeon.