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
"Dr. William Gorman is phenomenal surgeon. He has always been honest and upfront with me about everything especially regarding the procedure that I was interested in including the negatives, but encouraging at the same time. Dr. Gorman's confidence gave me confidence so I moved forward with my surgery. My surgery went more than well. My recovery was such a smooth transition and that was because of Margaret, whom is the office manager and also nurse for Dr. Gorman. Margaret understood what I was feeling and experiencing, physically and emotionally. Overall, my experience with Dr. Gorman, Margaret, his staff and most importantly the procedure was perfect."- N.S. / Google / May 06, 2017
"Wow! I had amazing results from Lauren at ASPI Skin Care Clinic, who did Botox and a couple of different fillers Lauren has an exceptional ability to assess what I needed and she understood exactly what I told her I was looking to achieve. At first I was a bit concerned that I wouldn't be able to communicate what I wanted, but I was extremely happy with how well Lauren understood and I ended up with exactly what I wanted. She is skilled with precision and has a very gentle approach. I would highly recommend Lauren."- S.C. / Yelp / Apr 25, 2017
"Dr. Haydon does great work. Very happy with results still now 5 years out."- J. / Google / Mar 29, 2017
"Dr. Wilder is awesome. He fixed my capsular contracture in left breast from a previous Dr. and his whole team is a solid and upbeat unit. I really appreciated his bedside manner. After a lot of consultations you realize there are a lot of doctors who A. Tell you what you want to hear and promise you the moon B. Automatically tell you the most expensive option is the best idea or C. Tell you you would look TERRIBLE a certain size (yes this happened with a Dr. T. here in Austin.) Anyways, I felt Dr. Wilder was very transparent and realistic with me and my expectations and gave his honest opinion. He definitely took the time to answer my million questions he probably gets daily like it was his first time hearing it. If you're searching, at least do yourself a favor and consult with him. His Nurse Tricia is also a sweetheart and super attentive and it was the best anesthesia experience I've ever had. Mitzi, who helped me with scheduling and paperwork is also sweet as pie. Thanks Dr. Wilder!"- E.F. / Yelp / Mar 02, 2017
Full Rhinoplasty Revision@headingTag>
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.
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- Average Cost
- From $6,200
- Procedure Recovery Location
Revision Rhinoplasty FAQs@headingTag>
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.