Revision rhinoplasty is a procedure that aims to improve upon, correct or reverse changes made during a previous rhinoplasty. Most individuals seeking this procedure are dissatisfied with the aesthetic results of their prior procedure. This dissatisfaction can vary from one specific part of the nose to the overall appearance. I’ve helped many of my Orange County patients correct their previous rhinoplasties.
Why Revision Rhinoplasty is a Challenging Procedure
Reoperating on a nose that has already been worked on makes revision rhinoplasty a particularly complicated procedure. This is a more complicated surgery than the original procedure for a number of reasons, including:
- Scar formation
- Loss of skin elasticity from prior surgery(surgeries)
- Missing or lack of nasal cartilage necessary to reshape the nose or restore a functional airway.
This procedure varies depending on the correction(s) sought and the results of the initial procedure. However, revision rhinoplasty often requires additional cartilage in order to reshape the nose and/or restore a functional airway. This essential ‘building material’ is often lacking or missing in a secondary rhinoplasty, as it is often used or removed during the first procedure. Depending where on the nose the cartilage is needed, additional cartilage may be obtained by using ear or rib cartilage. The tissue found deep in the hair bearing scalp of the temples is another useful grafting material to help camouflage or soften irregularities.
Other Cases When This Procedure is Necessary
Difficulty breathing through one’s nose is another common complaint that revision rhinoplasty patients seek to address. This can be due to a number of factors, including loss of structural integrity from over-aggressive removal of nasal cartilage, or not recognizing and correcting a functional problem at the original procedure.
Candidates for Revision Rhinoplasty
Candidates for revision rhinoplasty should be generally healthy and be at least one year away from their initial rhinoplasty procedure. This allows sufficient time for healing to take place and swelling to subside, providing ideal conditions for accurate assessment and planning.
If you have had a prior rhinoplasty and are unhappy with its appearance or have difficulty breathing through your nose, please contact my Irvine office and schedule a consultation. Feel free to ask any questions you have. I’d love to answer them and determine if revision rhinoplasty is an option for you.