It is a shared idea among surgeons that rhinoplasty, as a cosmetic surgery, is sometimes challenging to get right. While most rhinoplasties provide great success, some will fail to produce the right results. Revision rhinoplasty at Austin Plastic Surgery Institute is a procedure that addresses a specific problem resulting from an original nose surgery. In some cases, if the initial approach was too aggressive, the result can be a significant loss of cartilage and bone, which explicitly affects the nasal contour and function. When considering a revision procedure, a board-certified plastic surgeon’s experience and skill, like our Austin PSI surgeons, is truly important for best results.
"Dr. Gorman and his staff are absolutely amazing! They are genuinely nice people and go above and beyond to answer all your questions and make you feel comfortable with getting your surgery. I have never been at a doctor's office that is so warm and inviting. I am so glad I found Dr. Gorman and highly recommend him. I would also like to recommend Lauren for your Botox needs. She is absolutely amazing and so sweet and gentle. I love her so much! Thank you Dr. Gorman and staff! Y'all are the best!"- M.W. / Facebook / Feb 06, 2017
"I’ve been a patient of Dr. Gorman since 2009 and have no regrets. He takes time with me answering any questions or concerns, nice, friendly and attentive. The staff in the office are awesome and always greet you with a warm smile which helps to make the whole Office visit a pleasant experience. I would highly recommend Dr. Gorman and his staff to anyone. Wish I could give 6 stars ?? - Debbie W. - Austin, Texas"- D.W. / Google / Apr 18, 2018
"Lauren is amazing!!! I love her honesty and the fact that she is not pushy at all?"- H.A. / Facebook / Apr 17, 2018
"Dr. Haydon was the perfect choice for my surgery. it seemed that his goal for my face and eye lift was to do as much as he could to enhance my appearance and still keep it looking natural. That is exactly what I wanted. I was also very impressed with his knowledge and experience. He took great care to go into detail of what he would be doing for me and exactly how he would work with my facial structure. The office staff is also very pleasant and really put me at ease. I highly recommend Dr. Haydon."- S.S. / Facebook / Apr 10, 2018
"Dr. Fred Wilder is hands down one of the best plastic surgeons around. I am not one to regularly write reviews online, however my experience with Dr. Wilder and his team -- from beginning to end -- was beyond professional and enjoyable that I had to share. I broke my nose about 4 years ago and was never satisfied with how it healed. I was looking to get a rhinoplasty to fix the imperfections while keeping my nose looking as natural as possible. After the first consultation with Dr. Wilder I was confident in his abilities to do just that and I booked my surgery immediately! Both him and his staff are extremely thorough; they ensure that you have every question answered (even the ones you didn't know to ask), understand every step of the process from pre-op to a year post-op, and that you are comfortable and excited about investing in yourself. On top of that, they are all so kind -- I honestly felt happier every time I left an appointment. The facilities from his office to his surgical center (attached to his office) are inviting, comfortable, clean and truly make you feel that you are in a safe place. Although I knew I made the right decision choosing Dr. Wilder, my feelings were validated when 2 weeks post-surgery NO ONE could tell that I got anything done! When I would tell people about the surgery they were shocked by how natural it looked (I still look like me - just better!!) and how minimal swelling was. As time went on, the swelling continued to decrease and I've only become more pleased with my results...it just keeps getting better and better with time! If I ever decide to pursue other types of plastic surgery, I'm not going anywhere else but to Dr. Wilder. Even my grandma, who lives in NYC, (she helped me with my recovery) after her brief interaction and experience with Dr. Wilder, scheduled an appointment for a face lift! I truly recommend him and his team without hesitation."- R.H. / Google / Apr 06, 2018
Full Rhinoplasty Revision
Secondary rhinoplasty can be challenging as the surgeon works to correct or fix a problem stemming from the first surgery. During this procedure, the majority of surgeons will use an open approach. This entails separating the skin from the support framework of cartilage and bone, which offers the surgeon full access to the structures within the nose. The surgeon will re-sculpt the nose to a more desired shape depending on the problem being addressed. If additional tissue is needed, an autologous approach is typically taken, which uses cartilage and bone from the patient.
Some patients may be happy with the look and feel of their nose following surgery, but need a slight touch-up. This may include a visible bump or edge on the tip of the nose. The imperfection is usually found and discussed during a post-operative appointment and it is common for the original surgeon to address the issue. This surgery is less complex than the original surgery and may only involve slight shaving of the bone. It usually produces results both the patient and surgeon are content with.
Secondary rhinoplasty is performed under general anesthesia in an accredited surgical facility. The duration of this surgery depends on whether the nose is being fully reconstructed or a minor alteration is being made. After surgery, patients will wear a nose splint and will experience bruising and swelling. For patients undergoing revision surgery, the process can be somewhat unnerving. The goal is for the nose to return to a natural, non-surgical appearance. If an experienced surgeon is performing the procedure, the results are often very good.
Plan Your Procedure
- Average Cost
- From $6,200
- Recovery Time
- 1-2 weeks
- Post-op Follow-up
- 3-4 weeks
- Procedure Recovery Location
Revision Rhinoplasty FAQs
An experienced nose surgeon who is trained and skilled in revision surgery will understand the dynamics behind what went wrong during the first operation and how to correct the problems with a secondary procedure. While the procedure itself can be quite complex, the results are often pleasing for the patient. It is extremely important to do your research when looking for a revision specialist.
In some cases, cartilage grafting will be needed in order to produce the desired results. This can be done by taking cartilage and bone from another part of the body, such as the ribs, and using it to correct a certain nasal structure. Cartilage and bone grafting are usually only needed in more severe cases, including framework reconstruction.
Revision rhinoplasty is actually somewhat common. It varies by practice and by rhinoplasty surgeon, but some experts put minor revision rates between 5-15%. A large majority of these patients desire only tweaking and minor adjustments. True reconstruction and major revision cases are on the lower end of the spectrum.