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
"Dr. Engel is the best. Amazing Results - Dr. Engel is the best. He is a perfectionist. He listened to what I wanted and when what we thought would be the right profile didn't look right in the OR he had the experience, confidence, and conviction to change it out for a different one. My results are AMAZING! No crazy complications or scarring. I love it at 3 months post op and I know I will love it even more at 6 months post op. He also did my Botox and lip filler (first time for me so I was nervous) at one of my follow ups. I already have full lips but getting lines on my upper lip and it's a little asymmetrical. He did not overdo it! Results we perfectly subtle. When I came back a month later for another PO follow up I asked if I should get more Botox or filler in his opinion or of he felt the results were optimal and he agreed nothing more was needed. I feel safe and secure and confident in his expertise, opinion, and judgement."- D. / RealSelf / Dec 17, 2019
"Wonderful Experience! - Dr Derby was actually one of the most caring and best doctors I have been to in a long time. He made my eye surgery experience so easy and non stressful, especially since I went under just local anesthesia. Truly a very talented and empathetic surgeon who cares really what the client wants and does not try and add additional services. Wonderful experience! Will be referring him to my family and friends."- L. / RealSelf / Dec 10, 2019
"Dr Derby is Exquisite, Compassionate, Professional, and Extremely Talented to Name Just a Few! - Dr. Brian Derby is truly such a compassionate, thoughtful, professional, attentive, extremely talented and brilliant surgeon. I was extremely nervous even speaking with him about my concerns, however from the moment I met him, I felt myself completely letting go. He was authentic and I knew he wouldn't recommend a procedure that wasn't right for me or that would give me false hopes. After dancing my entire life 6-7 days a week, and having trouble areas and insecurities since I was a teen, I knew this was going to be the best decision I had ever made for myself, I felt I was ready, and honestly now, I wish I would have done it years ago. I've NEVER felt so confident in my own skin, and my experience and results with Dr. Derby are beyond incredible! He is a true artist and contoured my body in ways I NEVER thought were even possible. The entire staff at Sarasota Plastic Surgery provided a first class experience and I couldn't be happier. If you're contemplating your decision, I promise you... You will wish you had done it sooner. If you're contemplating choosing the right surgeon, I promise you... no need to look further. You've found yours. :)"- O. / RealSelf / Dec 10, 2019
"Dr Derby was excellent. He was caring and very professional. I did appreciate how he didn't try to persuade me to do additional surgeries unless I felt comfortable. I did local anesthetic for my eye surgery and Dr Derby made the whole experience awesome and non stressful! So recommending him to all my friends and family."- Anonymous / Healthgrades / Dec 10, 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.