Weber Facial Plastic Surgery proudly offers the best in revision rhinoplasty (also known as secondary rhinoplasty) for patients in the Denver, Colorado area. Dr. Weber, a board certified Facial Plastic Surgeon, is an expert in all areas of cosmetic surgery including both rhinoplasty (also known as a nose job) and revision rhinoplasty.
Revision rhinoplasty is a secondary procedure that is performed to repair (revise) the form and function of the nose after complications from a previous rhinoplasty surgery. Tens of thousands of patients each year undergo rhinoplasty (nose jobs). While most are pleased with the outcome, a few patients are not. In some cases, patients had complications such as trouble breathing freely through their nose following surgery. Others are simply not satisfied with the results because they feel that either too much or not enough was done in the process of changing the shape and appearance of their nose.
Correcting Deformities with Revision Rhinoplasty
Sometimes, a patient’s initial rhinoplasty procedure may have resulted in a deformity such as a twisted or turned up nose, a protruding nose, pinched tip, a crease in the nose, a scooped out profile, or a hanging columella (also known as a plunging columella), which reveals too much of the tissue that separates the right and left nasal passages. Any one of these issues can make the nose less aesthetically pleasing. No matter what the issue, all rhinoplasty revision procedures are carefully planned and customized to focus on the specific issues of each patient.
In other cases, the first surgery was actually a complete success. Later, the patient experienced some form of accident or injury, such as a broken nose, which was unrelated to the procedure. In rare cases, a patient may have experienced a rejection of an implant which may have had to be removed.
It should be noted that revision rhinoplasty procedures are notoriously complex. Rhinoplasty revisions require an immense amount of expertise, because once a nose has been operated on, it is more susceptible to complications and healing may be less predictable. The surgeon must also deal with scar tissue within the nose, as well as addressing any damage to the form and function of the nose, all within a confined space.
Revision Rhinoplasty Treatment to Achieve Your Goals
The main goal of a revision rhinoplasty is to achieve the original results you were seeking in the initial procedure. Sometimes the surgeon may not be able to achieve that same look. If that is the case, they will have to focus instead on improving the overall form, function, and appearance of your nose by refining the results from the prior surgery. To achieve your best possible outcome, your nose and medical history need to be carefully evaluated to determine the best course of action for your specific needs.
Good Candidates for Revision Rhinoplasty
If you have undergone a rhinoplasty but are unhappy with the results and feel that your facial features are out of balance, your nose is still too big, you are unhappy with your profile, you have issues breathing, or you feel the procedure did not in some way correct an issue, a rhinoplasty revision might be right for you.
Timing is critical in rhinoplasty revision surgeries, as it can take up to a year for healing to occur after the initial surgery. If your previous surgery was less than a year ago, you may be advised to postpone rhinoplasty revision. This is because swelling can still be present months after the initial procedure. The scar tissue formed from the previous rhinoplasty will also need time to soften before another procedure can be performed.
Patients who have ongoing infections, are not otherwise healthy, or have unrealistic expectations may not be good candidates for a rhinoplasty revision procedure. Dr. Weber will carefully evaluate your nose and help you understand what expectations are realistic and obtainable. He will also review your case and determine if you are healthy enough for another surgery.
Areas of the Nose That Can Be Addressed by Rhinoplasty Revision Surgery
A rhinoplasty revision procedure can address any area of the nose which may have been affected by the original procedure. In some cases, an issue may have occurred in the tip, upper or middle third of the nose. Some patients experience only minor issues which resulted from a prior surgery; others suffer from serious deficiencies because the original surgeon was too aggressive in removing tissues, inexperienced, or there were other complications during the healing process which may have significantly increased the amount of scar tissue the doctor has to work through.
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.
Additionally, correcting the original surgery may require adding implants or cartilage grafts to restore fullness or improve the underlying nasal structures. Dr. Weber may also remove tissues or shape the existing structure to create a more symmetrical nose. The incisions may be made on the outside or the inside of your nose, depending on your specific needs. He may expand the nasal air passages to ease breathing and reconnect or disconnect nasal structures as required.
What to Expect Following Revision Rhinoplasty
Bear in mind that the healing process for a revision procedure is less predictable following a previous nasal surgery, which can mean that your recovery may be more difficult than the original surgery. You may experience more swelling and/ or bruising than the first time.
Dr. Weber will explain what you should expect, and provide directions concerning your recovery time, including when you can resume normal activities. He will also provide guidance about sleeping, wearing glasses, bathing, bandaging and what signs and symptoms to be on the lookout for. Revision rhinoplasty often results in a feeling of stuffiness, and it may take several weeks for some of the swelling to go down.
Frequently Asked Questions about Revision Rhinoplasty Surgery
Where are revision rhinoplasty procedures performed?
The rhinoplasty revision procedure may be performed in an office surgical suite, or in an outpatient surgical center. Anesthesia may be local with oral sedation, or general anesthesia may be required.
Why does revision rhinoplasty recovery take so long?
The revision procedure generally requires more healing time than the initial surgery because it is often more complex to overcome issues caused by the prior procedure. In addition, the nose already contains existing scar tissue which can make healing proceed more slowly.
Can revision rhinoplasty correct nasal deformities?
Dr. Weber will address any structural deformity, clear away previous scar tissue and reshape the nose as close as possible to what you had originally planned, while avoiding any potential complications.
Can the doctor use the original incision sites?
In some cases, Dr. Weber can follow the original incision patterns to reduce the chances of additional scarring, unless there is a reason he needs to approach it differently.
Is there a way I can see what my nose is likely to look life after revision rhinoplasty?
Yes. Dr. Weber uses a sophisticated imaging system which can give you a preview of what to expect. It is important to note that his is not a guarantee of results but a communication tool that allows you and Dr. Weber to agree on the goal result for your procedure.
What are the risks of revision rhinoplasty treatment?
While rhinoplasty revision procedures are overall very safe, there is always some risk associated with surgery. Rhinoplasty revision risks may include:
- Complications from anesthesia
- Infections at the site or within the sinus areas
- Skin or tissue loss
- Contour or skin irregularities
- Difficulty healing and or unwanted scarring
- Dissatisfaction with the results
- Difficulty breathing or nasal drainage and others
Dr. Weber is a Revision Rhinoplasty Expert
At Weber Facial Plastic Surgery, we understand that having to undergo a corrective procedure can be emotionally and financially challenging. If you are having issues with breathing or feel unsatisfied with your previous results, we can help.
Dr. Weber routinely performs revision rhinoplasty procedures to correct deformities and other imperfections caused by a previous rhinoplasty procedure. This requires thoughtful refinement of both the shape and contour of the nose to address any underlying structural issues.
Dr. Weber is fellowship trained and double board certified in Facial Plastic Surgery. He is routinely sought out to perform complex rhinoplasty revisions because he has the advanced training and experience required to handle even difficult rhinoplasty-revisions. He has been recognized as a “Top Rhinoplasty Doctor” by RealSelf.com.
If you or a loved one is in need of exceptional rhinoplasty revision care, and you live or work in the Denver, Lone Tree, Highlands Ranch, Englewood, Centennial, Fort Collins, Aurora, Colorado Springs, and Boulder, or Colorado areas, and would like to know more about rhinoplasty revision, please call 303-792-2224 or use our convenient contact form. We are here to help you achieve your best possible results when you are ready to move forward and permanently fix your nose.
* Each patient is unique and individual results may vary.