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.
"Seeing Doctor Wilder was the best plastic surgery experience i have ever had... His staff and everyone in his office are super professional and extremly nice... Dr. Wilder is the best plastic surgeon ever, he does everything in perspective to fit your body and never goes over... I would highly recommend Dr. Wilder for any plastic surgery that you would want to have..."- C.H. / Google / Mar 15, 2019
"Dr. Gorman is such an awesome surgeon and person. An artist as a surgeon, and so personable and sweet."- F.E. / Google / Mar 18, 2020
"I have had two treatments at APSI and have been super pleased with both. Ashley is wonderful -- I have already returned to her for a second treatment. A friend of mine recommended her with high praise, and it's deserved!"- R.K. / Google / Mar 13, 2020
"Dr. Gorman and his staff rock! I did my research and had consultations with 4 local plastic surgeons. Dr. Gorman hands down made me feel most comfortable and he understood what I was wanting. I could not be happier with my results and looking to get more stuff done soon :-)"- A.J. / Google / Mar 12, 2020
"Loved my hydrafacial! From the first moment to the last, everyone made me feel welcome and comfortable. Definitely recommend them and can't wait to go back!"- K.K. / Yelp / Mar 09, 2020
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.
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