Revision Rhinoplasty Scottsdale


Revision rhinoplasty, or secondary rhinoplasty, is a surgical procedure used to correct unsatisfactory results of a previous rhinoplasty surgery. It may be necessary if a patient is unhappy with the aesthetic outcome of their surgery or if they develop functional problems that impede their breathing.

Revision rhinoplasty is a complicated surgical procedure that’s artistically as well as medically challenging. It’s far more complex than an initial rhinoplasty, which is already the most complicated plastic surgery procedure to perform.

A successful revision rhinoplasty requires a substantial level of expertise. A skilled practitioner such as Dr. David Hecht, a double board-certified facial plastic surgeon and otolaryngologist, has the skill and experience to deliver the best results possible.

Reasons for a Revision Rhinoplasty

revision rhinoplastyThe two primary reasons patients seek a revision rhinoplasty are cosmetic considerations and airway obstruction.

Some patients simply want a minor “tweaking” after their surgery. They are pleased with the overall appearance of their nose and request only a small revision. The follow-up procedure is usually straightforward, and in most cases is performed by the original surgeon, as patient/doctor trust has not been broken.

Other times, a revision rhinoplasty is requested when the initial surgery has resulted in largely unsatisfactory results. This can be a very traumatic experience for the patient. Most people put a lot of thought into having a rhinoplasty before actually undergoing the procedure, and if it goes awry, it can be devastating.

It’s normal to feel extremely disappointed, let down, and even depressed if your initial surgery didn’t go as planned. Dr Hecht is sympathetic to these feelings and is committed to helping his patients have a positive experience in the end.

Since rhinoplasty is one of the most complex cosmetic surgical procedures, the most common reason that second surgeries are required is technical error (the other is patient non-compliance with their doctor’s instructions.) Miscalculations such as poorly placed incisions or overzealous removal of cartilage can cause poor structural support, leading to an unnatural appearance.

Consultation

Dr. Hecht will begin by asking you what your specific concerns are about your nose. His assessment will include factors such as your age, ethnicity and skin type, as all affect the outcome of your treatment. Next, Dr. Hecht will conduct a complete physical evaluation of your nose, both internally and externally. Your septum will be checked for any abnormalities and the presence of cartilage.

If cartilage is needed to rebuild the structural foundation of your nose, if possible it is preferable to harvest it from the septum. However, if a patient is undergoing a revision rhinoplasty surgery, there’s a chance the septal cartilage has already been removed. Grafts can then be fashioned from ear cartilage; rib cartilage can also be used, but it tends to warp and change shape, so it’s not the ideal choice. Yet in the hands of a skilled facial plastic surgeon, the odds of such an occurrence are relatively low.

Procedure

revision rhinoplastyMuch of the work involved in a revision rhinoplasty is careful pre-planning. The game plan drawn out with you during your consultation is refined. The status of your septal cartilage, nasal bones, the bridge, and the nasal tip cartilages is already duly noted, so there are no surprises.

This procedure usually requires open rhinoplasty or opening up the nose to work from the inside. While more invasive than closed rhinoplasty (working from inside the nostrils), it’s also necessary for most repeat rhinoplasty procedures due to swelling and scar tissue from previous operations.

Why choose Dr. David Hecht?

Your nose is the epicenter of your face. It needs to be balanced with the forehead, eyebrows, cheeks, lips, and chin, or your countenance seems out-of-whack and jarring. Your nose itself needs to be in proportion with the bridge, nostrils and tip. If your nose lacks symmetry, it’s distracting and draws attention away from your eyes.

To correct these problems, it takes more than the hands of a surgeon. It also requires the eye of an artist who has a firm understanding of the form and function of the nose. Dr. Hecht is a double-board certified facial plastic surgeon and otolaryngologist with extensive experience in performing primary rhinoplasty and secondary rhinoplasty procedures. When you choose a revision rhinoplasty specialist for your primary rhinoplasty, your chances of needing a secondary rhinoplasty are diminished considerably. This is why many seeking a primary or secondary rhinoplasty in Scottsdale often choose Dr. Hecht; many are even referred to our practice by other plastic surgeons in Scottsdale and the greater Phoenix area.

Revision Rhinoplasty Questions/FAQ

Who is a candidate?

The perfect candidate for a revision rhinoplasty is a person in good health who is not satisfied with the results of their rhinoplasty procedure. If a patient is still self-conscious about the appearance of their nose, the decision to undergo further treatment is understandable and advisable.

A person seeking revision rhinoplasty should be fully grown (at least 15-16 years of age), but if a person’s breathing is impaired this consideration is often overlooked.

Having realistic expectations is important. Almost all rhinoplasty surgeries can be improved upon by a skilled revision rhinoplasty specialist, but perfection is not a reasonable goal. Also, a single surgery is not always the best approach to correct a severely damaged nose for fear of damaging already stressed tissue.

Ideally, it’s best to wait a year between your first surgical procedure and your revision rhinoplasty, and in between any other surgeries. This is to allow adequate time for any swelling to subside, making a successful correction more likely. It’s hard to be patient in a situation like this, but well worth it in the end.

Is it painful?

Since patients undergoing the procedure receive general anesthesia, you feel no pain at all during a revision rhinoplasty. Patients will experience some post-operative discomfort, but pain medication can be prescribed after your surgery to help you feel as comfortable as possible.

What kind of anesthesia is used?

Dr. Hecht uses general anesthesia during all facial plastic surgery procedures. This choice has several advantages. The patient feels no pain whatsoever, being “asleep” for the procedure.. This allows Dr. Hecht to focus completely on the work at hand while his patient is safely monitored by the anesthesiologist.

How long does the procedure take?

A secondary rhinoplasty almost always takes longer than the original surgery. The duration of a revision rhinoplasty depends on many factors, including the reason for the surgery and whether grafts were needed, and where they were taken from. In general, the procedure can take from 2-5 hours.

When will I see results?

The final results from a revision rhinoplasty can take 1-2 years to become fully apparent depending on the complexity of the procedure and the condition of your skin. Many other factors can also affect your particular situation. Every patient has their own unique outcome. Dr. Hecht will explain what you can personally expect during your pre-procedure consultation.

How much downtime is there?

Full rest is advised for at least one week after a revision rhinoplasty. This ensures a faster recovery and lessens the occurrence of bruising and swelling, which can lead to poor results. Those with sedentary jobs can return to work at that time, but those with more physical occupations need to hold off another 2-3 weeks. Revision rhinoplasty recovery is complete a month after surgery, and patients may then return to their normal activities.

How much does revision rhinoplasty cost?

The cost of a revision rhinoplasty can vary greatly depending on a number of factors. A minor touch-up like a simple tip refinement is less costly than a procedure involving cartilage grafts. Your insurance may cover surgery performed for the correction of a breathing dysfunction. Any elective procedure for purely cosmetic purposes must be paid out-of-pocket.

Financing is available. Please call our office for more information.

Who shouldn’t get this treatment?

Secondary rhinoplasty is not an option for anyone with a medical condition that would make surgery or anesthesia contraindicated. If a patient is prescribed blood thinners, they are also are not a candidate for revision rhinoplasty. However, most healthy adults who want to correct the results of a poor rhinoplasty can benefit from this procedure.

What are the potential revision rhinoplasty complications?

A revision rhinoplasty carries the same risks as any surgery including bleeding, infection and adverse reactions to anesthesia. But nasal surgery is a very safe procedure with a low risk of serious complications for patients in good health.

Where can I find revision rhinoplasty before and after photos?

Revision rhinoplasty is an art as much as a science. To observe some of the remarkable results from this life-altering surgery, visit our revision rhinoplasty before and after photo gallery.

Where can I get more information?

If you have any revision rhinoplasty questions, Dr. Hecht and his expert staff will be happy to address any concerns you may have. The decision to have surgery is a major undertaking, and we’ll help you gather all the information you need to make an informed choice.

Give us a call and schedule a consultation today. You’ll see why Dr. Hecht is the clear choice for your revision rhinoplasty in Scottsdale.

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