Revision Rhinoplasty Overview
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
"Michelle Porter is the most amazing, kind and talented professional ever.I’ve traveled the world and got Botox and fillers from the most prestigious doctors from Europe to Dubai and nobody can deliver better results then her.I’m so absolutely lucky to have found such a gem."- K.A. / Yelp / Jun 20, 2020
"Great customer service. Both Dr Engle, and Michelle Porter are such great clinicians! I so appreciate their expertise and I love my results! I have gotten Botox and fillers, and it has given me so much confidence! Highly recommend"- P.L. / Google / Jun 18, 2020
"Michelle Porter is the best!! She is so personable, makes me so at home. Her technique is impeccable. I have gotten both Botox and filler, and I am sooooo happy with my results! HIGHLY recommend her."- P.L. / Yelp / Jun 18, 2020
"Best surgeon ever, I am so glad that I trusted Dr. Derby and his staff - It is hard to put into words in just one small paragraph just how I feel about my experiences with Dr. Derby! I’ve now had multiple procedures, from minor things like lipoma removal to major surgery like breast lift with fat transfer and brachioplasty. I considered several plastic surgeons across the country and the moment I met Dr. Derby I knew I would be able to trust him with my life, essentially! You can tell that he 100% genuinely wants to exceed your expectations. You immediately feel like you’re the most important patient he’s ever had, or a family member that he’s really looking out for. He listens extremely carefully, you are in no way rushed, and really feel like he’s listening to exactly what your goals are. He is also very honest and in no way tries to upsell you on procedures. His entire staff has also been absolutely amazing. Especially during a very trying time of this pandemic, everything was handled impeccably. From the moment I stepped in the office, to the after care and follow up. I will be continuing my journey with Dr. Derby as I’ve had massive weight loss and need more skin surgeries which I’m actually now excited for. One of the things I was most impressed of about is his incision work. Like a master artist, beautifully stitched together! I am so glad that I trusted Dr. Derby and his staff with one of the most important decisions I’ve made thus far, as it truly has been life-changing."- R. / RealSelf / Jun 04, 2020
Revision Rhinoplasty Surgical Technique
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.
Revision Rhinoplasty During/After Surgery
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.