Revision and primary rhinoplasty are two of the procedures that Dr. Weber focuses on. Revision rhinoplasty can be especially challenging as the procedure involves replacing critical nasal structure and refining shape and contour deformities resulting from previous surgery. Each time that a person’s nose is operated on any subsequent surgery becomes more complicated and the healing process more unpredictable. For this reason, if you require revision rhinoplasty, you should consult with a surgeon who focuses on cosmetic and reconstructive surgery of the nose. Dr. Weber is considered a “Top Rhinoplasty Doctor” by RealSelf.com.
I am very impressed with Dr. Weber and his staff. Every person I have met within his office is very nice, and they act as if you are the only patient they are concerned about at that moment.
I used realself a lot to help inform myself about rhinoplasty, particularly the recovery process and results. Ever since I was about 12 years old I have disliked my nose. I have the typical larger German nose and I have a "dorsal bump" that I refer to as my ski slope. One of my best friends is getting married this summer and since I am a bridesmaid, I really wanted to get rid of the bump before the wedding. I wanted to love looking at the pictures and not grimace every time I saw myself in one. I've chatted with friends and family about getting the surgery and most said that they didn't see anything wrong with my nose but said I should do what I want to. I graduated last December and have a good job, so with the financials in place I began to start researching surgeons and reading rhinoplasty blogs. I decided on a surgeon in Denver, Dr. Weber. After two consultations, we set a date for surgery. I went through mixed emotions of excitement and anxiety, but I was committed to the procedure the entire time. I am still healing, so I cannot say that it was worth it, but so far it has been a great decision for me. I get the splint off in two days and will be able to see the results more clearly. Here is my journey so far:
Day of Surgery:
I was very very nervous. I have never had surgery before, so I was kind of freaking out about electively putting myself through it. I was the most anxious about the anesthesia, which is very common. I did a lot of research about it before committing to the operation. After signing a pile of paperwork at the surgery center, I was taken back into pre-operative care. There was a desk of nurses to my right, a row of beds and curtains in front of me, and a small room to my left. I was taken into the small room where I got undressed and put on the very fashionable surgery robe and crawled onto the bed. A very sweet nurse came in who set up my IV and gave me a nice heated blanket. I was a little freaked out from all of the medical equipment and monitors that were hooked up to me. The anesthesiologist came in next and calmed my nerves. He explained how the anesthesia works, and the process they use during surgery. He was also very nice and reassuring. My surgeon came in next and we talked about the procedure and my expectations again. I think that all of the staff could tell I was so scared that I was shaking because they were all so incredibly kind and calming. Next, two more nurses came into my room and gave me something like valium. It called me nerves, a lot. So much to the point that as they were carting me to the OR, I asked if we could race the beds through the hallways. I don't remember much after this. I didn't see anything after they started pushing me, and the last thing I remember hearing is a nurse telling me to think of a family vacation and then I was waking up in recovery.
Dr. Weber’s goal with revision rhinoplasty is to achieve the results that you sought with the initial surgery. However, in some cases of revision rhinoplasty, the goal becomes improvement in the appearance of the nose and refinement of the initial surgical result. For this reason, a detailed in-person examination and consultation are critical to the surgical process. It is very important to determine your goals for surgery and to define expectations in terms of what is and is not possible for revision rhinoplasty. Video imaging can be very helpful in these situations to demonstrate typical revision rhinoplasty results and to discuss whether these results will meet or exceed a person’s expectations for their surgical result.
There is an incision inside each nostril and, in some instances, a small incision between the nostrils. “Dissolving” sutures are used to carefully close these incisions and do not require removal. “Packing” is never placed inside the nose. Delicate tape and a flexible nasal splint are used to minimize swelling and hold your new nose in place while you heal. This splint is removed by Dr. Weber 5 – 7 days following surgery. Swelling, congestion and bruising peak during the first three days after surgery and then steadily resolve.
Frequent revision rhinoplasty requests include:
- Reducing a bump on the nasal bridge
- Refining the bulbous or large nasal tip
- Improvement in the pinched or over-operated nasal tip
- Refinement of post-surgical scarring
- Narrowing or straightening the nasal bridge
- Rotating the droopy tip or eliminating the tip droop when smiling
- Additional reduction of the size of the nose
- Improvement in wide or flared nostrils
- Improvement in nasal breathing, snoring and “sinus congestion”