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.
"Dr Graham is a Superb Surgeon - Dr Graham’s reputation as a superb surgeon is well deserved. From the first consultation to the final post-op check-up, Dr Graham’s surgical skills, his dedication to his patients and the care and attention he and his staff give to each individual is nothing short of remarkable. I am very pleased with with the results of my neck and lower facelift. I feel like I was given 25 years back. And..."- D.M. / RealSelf / Feb 14, 2019
"Wonderful Doctor - I had a very serious issue and Dr. Derby took over from two other doctors who referred me to him and completely helped me through this. Every time I saw him (and I also had surgery with him) he was positive, caring and loving. I felt as though I was the most important patient he had. Since I was alone as a new widow, I can definitely say that Dr. Derby because the most important man in my life for the time I was under his care. I would not hesitate to recommend him at any time."- B. / RealSelf / Mar 19, 2020
"Great Staff, especially Michelle Porter, she is awesome!"- R.C. / Facebook / Mar 13, 2020
"Best staff, amazing work, love them!"- C.C. / Facebook / Mar 06, 2020
"My oncologist saved my life and Dr Derby GAVE ME MY LIFE BACK. In the summer of 2017 I was diagnosed with an aggressive form of breast cancer. I went through all of the recommended treatments as I wanted my best shot at living-for a long time. I have a brilliant oncologist who I owe my life to. Meantime, I am the poster child for “all the bad stories you heard about chemo and especially the radiation effects-I got it!” That was a long and winding road. I felt very hopeless for the 2 years post radiation as I had Severe swelling and pain in my right breast and rib cage that most people said I would have to live with forever. Enter Dr Derby. He gave me hope when I felt hopeless. I have never looked or felt better than I do now and I’m 2 months post op and feel beyond happy again! Not only is he the most skilled and amazing surgeon I’ve ever known but he is a damn nice guy who truly cares about his patients. He is the BEST and I am totally grateful To him. He changed my life."- Anonymous / Healthgrades / Mar 03, 2020
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.