Revision Rhinoplasty

Revision Rhinoplasty NYC, Revision Nose Jobs NYC, performed to correct rhinoplasty surgery. Dr. Kassir specializes in Revision Rhinoplasty NYC. Located in Park Ave, NYC.

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What is Revision Rhinoplasty?

Revision rhinoplasty is necessary in certain situations, where it has been determined that after the primary procedure anatomical abnormalities remained and/or when the patient is not satisfied with the appearance of their nose following a earlier rhinoplasty or nose job, after the recovery period is over and the nose completely heals. Often the first procedure over-corrected a problem or was overly aggressive. This can lead to a number of problems such as breathing deficits, areas of collapse and problems with the cartilage.

The Revision Rhinoplasty Process

Revision rhinoplasty is done to correct problems with earlier rhinoplasty that includes:

  • a tip remains wide and lacks definition,
  • a nasal hump being left behind,a tip is still droopy,
  • or the nostrils are too wide.

However, the problems are different for each patient, so the revision rhinoplasty surgery needs to be customized to each individual's unique problems. It may be as simple as removing some more cartilage or bone, or reshaping the cartilages of the nose. Or the nose needs to be restructured by adding cartilage support and grafts. 

Dr. Kassir specializes in revision rhinoplasty in NYC. And he uses your own body's cartilage and bone for restructuring the nose instead of synthetic implants like Gore-tex , Medpor, or silicone. To restructure the nose in revision rhinoplasty surgery, Dr. Kassir prefers to use your body's natural cartilage instead of implants (such as silicone, Gore-Tex or Medpore) as foreign substances have a tendency to become infected or are pushed out of the nose (extruded). This can happen as early as the first few months after surgery, other times implants become infected years following surgery.

Structural cartilage grafts are often required due to collapse of the nasal tip and twisting of the nose from overly aggressive or poorly executed rhinoplasty surgery. Revision rhinoplasty is often performed with cartilage from the nasal septum. When it is not available due to prior surgery, cartilage from the ears or ribs can be used. In the most severe cases calvarial bone from the skull can be harvested and used to re-structure a completely collapsed nose called a "saddle nose."  Dr. Kassir, a revision rhinoplasty expert in NYC, also likes to camoflage any subtle defects in the contour of the nose with either the patients own tissue (temporalis fascia) or Alloderm.

Revision Rhinoplasty Recovery

The recovery after revision rhinoplasty is usually shorter and less extensive than after primary rhinoplasty surgery. The splint, which will be applied to the nose after surgery, will be removed within about one week. At this time, stitches may be removed as well. Patients can generally expect to experience less pain as well as less bruising and swelling. Most of the bruising will fade within about ten days, though the swelling may take several months to fully dissipate. Most revision rhinoplasty patients find that they are well enough to return to work after one week, though you will be advised to refrain from rigorous activities and sun exposure for several weeks or longer.

Frequently Asked Questions About Revision Rhinoplasty:

How Many Revision Rhinoplasty Surgeries or Nose jobs is Too Many?

There are many factors that determine whether or not patients are good candidates for secondary (revision) rhinoplasty. The number of prior surgeries is less important than:

  • the quality and characteristics of the nasal skin after rhinoplasty,
  • the amount of scar tissue present from the previous rhinoplasty
  • the framework of the rhinoplasty

Other factors include:

  • the extent of the deformities from the rhinoplasty,
  • the risk:benefit ratio of correcting problems without causing addtional ones with a new rhinoplasty,
  • and also the patient's psychological stability for revision rhinoplasty.

These are all factors that must be addressed on an individual basis in a one-on-one setting. Careful analysis of the patients photographs and the expectations for surgery need to be addressed. Finally, revision rhinoplasty should usually be performed by a rhinoplasty surgeon who specializes in revision surgery.

Does revision rhinoplasty take longer to heal?

Recovery after a revision rhinoplasty can take longer than the first surgery. Generally, the nose will be more swollen and the swelling will persist longer. It is not uncommon for patients to have slight discoloration of their skin after a secondary (revision) surgery because the skin has been traumatized by the multiple surgeries. Fortunately, with time these problems should resolve. Dr. Kassir visits with you so he or she can reassure you that what you are experiencing is normal for this phase in the recovery period.

Who is a good candidate for revision rhinoplasty?

People who are unhappy with the appearance or function of the nose after rhinoplasty surgery may be good candidates for revision rhinoplasty. The best candidates for revision rhinoplasty are individuals who are seeking improvement rather than perfection.

How do I choose a surgeon to perform revision rhinoplasty?

Do your research. Choose a surgeon who specializes in revision rhinoplasty. Ask the surgeon to see before and after photos of other revision rhinoplasty patients. If you choose Dr. Kassir, he can put you in touch with other revision rhinoplasty patients who can discuss the surgery and their experience. Choosing a skilled facial plastic surgeon with expertise in revision rhinoplasty usually goes a long way toward assuring your satisfaction with the results, and minimizing your risk of complications after your secondary rhinoplasty.

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Revision Rhinoplasty Before & After Gallery


Revision Rhinoplasty Questions & Answers

What is revision rhinoplasty?

A revision rhinoplasty refers to a rhinoplasty procedure which is used to correct the results of a previous rhinoplasty which had a negative impact on the patient, functionally and cosmetically. Unfortunately, given the high degree of difficulty inherent in a rhinoplasty procedure, it tends to have a relatively high rate of revision (8-10% of cases require revision). As a result, patients should be careful in choosing their surgeon and make sure they have all the proper qualifications and experience to do the surgery.