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 have gone to Dr. Wilder for elective plastic surgery since 1988. I'll admit I'm a little vain! I went to him for breast augmentation & a tummy tuck.. 29 yrs later, I'm still thrilled with the results of those operations. I had liposuction of my thighs about 10 years ago, & have been very happy. Recently I asked him about a face lift and he suggested I wait a few years. I go to the skin care clinic in his office and Patty has been great to suggest less invasive things. Highly recommend this doc"- Anonymous / Healthgrades / Nov 10, 2017
"Dr. Wilder is the best of the best...he has a wonderful staff who are kind and very knowledgeable."- K.S. / Yelp / Nov 02, 2017
"This review only contains a rating"- M.R. / Facebook / Oct 31, 2017
"I had my first hydrafacial and it was electric. Got a nice massage from Helen (who was a very kind/nice lady) as the process was coming to close, which was an unexpected addition but very much appreciated. The office was super clean. Also, my face was glowing when I got done. I would recommend this to any guy out there and would suggest anyone give APSI a try."- J.B. / Google / Oct 23, 2017
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.