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.
"This Specific Doctor! - I view the choice for a plastic surgeon in 3 areas. Reputation; manner; results. I was walking in with a face that had been treated with Botox in such a way that, to me, I looked grotesque. I could smile on one side and the other side of my mouth was paralyzed by the fact that Botox took effect on one side but not on the other. The Botox had been administered by another doctor in another state. To say I was nervous about doing anything else at all was an understatement. I remember Dr. Graham saying to me, when I was considering a lower-priced dermatologist to address my face, "Think about it; it's your face." Good words. I did think about it and I did proceed with Dr. Graham. I had known numerous people who had seen him for successful surgeries, and many of them could afford to go to any doctor in the world. They chose Dr. Graham. He took the time with me, explained, reassured and scheduled me in a time frame for which I could be in town. He was very well recommended and has an unusually admirable reputation. That is what initially got me there. His manner was kind and sweet yet also had a touch of confidence and conviction that he could help me that sort of made me pay special attention to the level of expertise and care I was about to receive.That brings us to the results. No one but a few close friends know I had this surgery. Yet everyone says how great I look, that life must be treating me well, that I seem so happy and content these days. Dr. Graham created the perfect look with a gentle touch, with not too much but very much enough for significant improvement and for rolling back the clock. I am 64. Most people guess that I'm in my early to mid-40's. Maybe that's just being polite but the fact that these compliments come from such diverse individuals and on the heels of this surgery must be more than coincidental.I must compliment, too, the staff at Sarasota Plastic Surgery Center. Helpful, polite, kind, caring, reassuring....they are extremely supportive and no question seems to mundane or silly for them to answer. They are prompt at returning a phone call and bend over backwards to make scheduling work. The office feels good. It is comfortable, tasteful, clean, nurturing, peaceful.I would go to Dr. Braun Graham again. Plastic surgery is not inexpensive but we don't get another body to live in. Not only would I recommend his work to others, I would return to his care myself knowing I was in the best hands possible. I say this, too, because I have had previous procedures and while I have interacted with some very good physicians and surgeons, I believe Dr. Graham is at the very top of the list in the qualities I value."- F. / RealSelf / Nov 16, 2016
"DR. Derby is a wonderful Dr. Did surgery on my eye lid that was pulling down. Did a great job. I would recommend him to anyone. Had a wonderful staff everyone was really nice. If I have to have anymore surgery he will be the one to do it."- G. . / Healthgrades / May 12, 2017
"Takes very good care of me! - Sarasota, FL - Dr. Derby is very down to earth, frank and easy to talk to. I've had several Botox treatments with him and am extremely satisfied with my results. Would definitely work with him on any other treatment"- D. / RealSelf / May 12, 2017
"Dr. Mobley took his time with me and I never felt like he was rushing me. He answered all of the questions I brought along and I left feeling like my face would be in good hands with him as the surgeon. I love that he has lots of experience, but yet is still not an old man! I also like that he calmed my nerves by calling the face lift a medium level surgery" and that he said he thought my face would have good results because of my bone structure. Finally, the idea of returning the day after surgery through the back door and getting my hair washed was a nice bonus." "
"Highly Recommend Dr. Brian Derby - Dr. Derby was an amazing surgeon. I went to him for a breast lift and augmentation and could not be happier with my results. He is caring, professional and conveyed his desire to achieve the best possible results through his work and bedside manner. I would highly recommend Dr. Derby and will utilize him in the future should I decide to have any additional cosmetic surgical or nonsurgical..."- T. / RealSelf / May 05, 2017
Full Rhinoplasty Revision@headingTag>
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@headingTag>
Better or Worse?@headingTag>
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?@headingTag>
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.