Nose Procedures

Revision Rhinoplasty

Revision rhinoplasty is a procedure designed to amend unsatisfactory results from a previous nose job. Also known as secondary rhinoplasty, this reconstructive procedure involves cosmetic or functional adjustments that address nasal asymmetries and deformities that were not properly treated (or possibly even worsened) by prior surgeries.

Revision surgeries are often more complicated than the initial procedure, but with advanced reconstructive techniques, a revision rhinoplasty can yield an enhanced nose that contributes to improved facial symmetry and aesthetic quality. It can also promote better breathing and restore normal nasal functions that may have been affected during the initial rhinoplasty.

Reasons to undergo this procedure

Revision rhinoplasty is mainly for patients who are unsatisfied with their previous nose job results, but it can also be ideal for those with persistent nasal issues, or for those who simply want additional changes.

A botched nose job can have a profoundly negative effect on the aesthetic appearance and functional capacity of the nose. These effects include the following:

  1. Unnatural or “overdone” nose enhancements
  2. Excessive or insufficient bridge, nostril, or tip reduction
  3. Collapse of inner nasal structure
  4. Increased asymmetry
  5. Inadequate reshaping
  6. Excessive visible scarring
  7. Healing complications from previous surgery

What are the benefits?

Revision rhinoplasty helps patients achieve the nasal symmetry and functionality they were hoping to achieve from their previous surgeries. In the hands of a highly skilled reconstructive plastic surgeon, it can yield optimum results that will no longer require additional revisions.

With over a decade of experience in cosmetic and reconstructive facial plastic surgery, Dr. Jacob Sedgh has developed extensive experience in performing the most advanced revision rhinoplasty techniques for a wide variety of aesthetic and structural nasal issues. He uses a fully tailored approach for each case and employs controlled precision and artistry to sculpt excellent, natural-looking results that effectively meet the patient’s surgery goals.

Under his care, you can expect the following benefits from your revision rhinoplasty:

  1. Straighter, more proportionate nose
  2. Improved nasal function
  3. Enhanced or restored structural integrity
  4. Increased facial symmetry
  5. Reduced visible scarring

The

Initial Consultation

The initial consultation is a crucial step for a successful revision rhinoplasty. In order for Dr. Sedgh to design the best treatment for your needs, he will need to evaluate the present condition of your nose, determine the adjustments that were performed, and understand your specific surgery goals for your revision procedure.

During your first consultation, Dr. Sedgh will conduct the following:

  1. Complete physical examination
  2. Interview on medical history and relevant lifestyle factors
  3. Evaluation of previous rhinoplasty results
  4. Explanation of the most appropriate revision techniques for your case
  5. Discussion on proposed surgical revision plan

Dr. Sedgh also offers consultations via video conferencing for those based out of state or overseas. For added convenience, his office also offers medical tourism services to assist patients with the necessary travel arrangements they need to make for the day of their surgery, which can help ensure a more comfortable, hassle-free trip.

REVISION RHINOPLASTY PROCEDURE

Due to the highly intricate and nuanced nature of a revision rhinoplasty procedure, it can require many different techniques to attain optimum surgical success. Each revision case involves a unique set of cosmetic or functional issues, or a combination of both, which means that every procedure must be customized in order to meet the patient’s individual needs and ensure graceful, aesthetically-pleasing results.

Rhinoplasty can be performed using either the open or the closed approach. Both can be used for revision nose surgeries, but it will depend on the specific adjustments involved, as well as the extent of the overall revision.

Closed Approach (Endonasal Rhinoplasty)

With this approach, the surgical incisions are created inside the nostrils to access the internal nasal structures. Due to the limited visibility, it is generally reserved for less complex cases.

Open Approach (External Rhinoplasty)

The open approach makes use of incisions along the columella, or the bridge of skin between the nostrils. This allows the skin to be lifted, which will expose the underlying nasal framework and provide better exposure of the structures involved, thus facilitating optimum execution of more extensive techniques and maneuvers.

While both primary and secondary nose jobs use the same approaches and techniques, one distinction between the two is that the latter can often be more challenging due to the lack of usable cartilage or skin that remains. In most cases, the previous rhinoplasty surgery will have significantly depleted the available nasal cartilage, leaving your next surgeon with little to work with.

Since most revision procedures require reconstruction of the nasal structure, Dr. Sedgh may use medical-grade implants or cartilage grafts harvested from the rib, ear, or septum to use as structural or shaping material for the nose. If there are visible imperfections on the nasal bridge or tip, fascial grafts may also be used to reshape the area.

RECOVERY

A revision rhinoplasty, which is typically an outpatient procedure, has a longer recovery period than most primary nose surgeries. However, patients can expect the same side effects that they experienced from their initial rhinoplasty, including localized swelling, bruising, and mild pain or discomfort.

As with any surgical procedure, you will be prescribed medications and aftercare instructions to help make the healing process more comfortable.

The post-surgery phase is critical in achieving the most optimum end result, which is why Dr. Sedgh makes it a point to personally monitor and evaluate his revision rhinoplasty patients from day one. As part of his commitment to providing superlative care, he will diligently follow your progress through a series of regular follow-up appointments throughout the entirety of your recovery, which is usually one year to 18 months.

Patient Reviews

I don’t think it is an overstatement to say that Dr. Sedgh was a godsend to me for his willingness to do surgery on my nose when several notable surgeons refused to take on the task of correcting the damage that three previous surgeries had done. Dr. Sedgh clearly has an artistic eye as well as a very professional ability at nose surgery. He has earned my trust and respect.

Randy, R.

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