Traditionally, a year of healing should occur before a revision rhinoplasty happens. A physician may choose to operate sooner than one-year post-surgery, however. To be ready for revision surgery, you must be completely healed from the first nose surgery to make sure all swelling has abated.
What causes a revision rhinoplasty?
A revision rhinoplasty occurs when a first rhinoplasty procedure needs to be corrected. The rhinoplasty procedure corrects the way the nose looks and works. Unfortunately, the rhinoplasty procedure remains one of the most complicated of all cosmetic surgeries. Sometimes, the operation doesn’t yield the expected results. This situation calls for a revision rhinoplasty.
Dr. Philip S. Schoenfeld, M.D., F.A.C.S assists patients who already experienced a rhinoplasty. The original cause for the rhinoplasty may not have been corrected, a new issue may have arisen after the surgery, or the patient may not like the results of their procedure. So a revision rhinoplasty assists those who have had an original rhinoplasty who still can’t breathe well or are unhappy with their results aesthetically. Other situations that may call for revision rhinoplasty include:
- If the initial expectations were unrealistic, the patient might be unhappy with the way his or her nose looks. In this case, a revision still not be what they expected, but may very well look better and fit the rest of the patient’s facial features more appropriately.
- The surgeon may have been in over their heads when doing the rhinoplasty. Rhinoplasties are exact procedures. If your doctor doesn’t have the right education and experience, a rhinoplasty may be overdone and look unnatural.
- The function or look of the nose may change over time, altering the first surgery’s results.
- An injury that undoes the original surgery results.
Who can have a revision rhinoplasty?
The potential revision rhinoplasty candidate must be in good physical health. Also, the patient must have reasonable expectations for the procedure, especially if they are undergoing the rhinoplasty for aesthetic reasons. A patient who doesn’t have realistic physical and emotional concepts about the way the process will change them should not have a revision rhinoplasty. The right prospective patient also should be able to understand and commit to exactly following the doctor’s instructions. The patient needs to commit to observing the proper amount of time to heal, staying off work for the right amount of time, and follow exercise and other physical activity limitations for as much as six weeks.
The Consultation for a Revision Rhinoplasty
People desiring a revision rhinoplasty must first consult with Dr. Schoenfeld. During the consultation, the doctor will find out more about the previous rhinoplasty and take a closer look at how the nose looks and works now. Before and after photos may be made, and computerized imaging will help the candidate observe the results of the nasal surgery. Once the doctor and patient have decided upon the procedure, the costs and payment for the operation will be discussed.
Dr. Schoenfeld performs revision rhinoplasties as an outpatient procedure. Typically speaking, he uses general anesthetic during the procedures he performs. The procedure will proceed from one to three hours. More complicated revisions will take a more extended period to do. The doctor obtains grafts if necessary to make the nose revision stable.
Dr. Schoenfeld uses a tiny transcolumellar incision at the nose’s base, so this procedure is called an open rhinoplasty. This incision allows the doctor to see the nose and its structures to make the right changes for an excellent surgical outcome.
Are there any risks in having a revision rhinoplasty?
All surgeries contain some risk. The risks that may occur during and after a revision rhinoplasty include:
- Infection occurs at the surgical site.
- Delayed healing of the wound.
- Scar formation.
- And the need for further minor revisions.
Recovery from your revision rhinoplasty
The recovery time for a second rhinoplasty takes about two weeks. Please expect swelling, bruising and a little bleeding, most of which will heal in the first eight to 10 days. To prevent additional issues, keep your head elevated and gently apply ice packs to the surgical area. Follow Dr. Schoenfeld’s instructions and take any pain medication as needed to give the best results and keep pain levels to a minimum. You may feel able to go back to school or work after a couple of days. No contact sports should be done until the surgical area is healed. Strenuous physical activity should be discontinued for at least two weeks.
A patient who needs to have a previous rhinoplasty procedure redone should contact Dr. Schoenfeld, who has plenty of experience in rhinoplasty revisions. To speak to the doctor about a nasal procedure revision, contact Dr. Schoenfeld at 301-652-7368 at RENU. He will determine whether you are a good candidate for the revision surgery and help you look and feel better, too.