Project Description

Revision Rhinoplasty

What is Revision Rhinoplasty?

Revision Rhinoplasty means that a person has had rhinoplasty before but afterward they don’t have the result they had wished for. They may have problems such as breathing with difficulty, olfactory disorder, deformity of the nose, etc.

Going back to the surgeon, the surgeon will decide after performing the necessary evaluations, for another surgery. Failure to achieve the desired result after the first rhinoplasty can be pretty frustrating for the person. As mentioned, usually people who are not satisfied with the first rhinoplasty resort to Revision Rhinoplasty.

Who is a Good Candidate?

You are a suitable candidate for Revision Rhinoplasty if: 

  • • You do not have another physical problem.
  • • You have realistic expectations, not some fantasies, sometimes a second surgery would not suffice, and you have to do it three or four times.
  • • One year has passed since the previous operation, and the desired nose shape has not been obtained.
  • • Respiratory problems were not resolved or caused by the first surgery.
  • • Excessive arch in the nose bridge.
  • • Too much shortness and upward rotation of the tip of the nose.
  • • Asymmetric nostrils.
  • • A bump on the nose bridge.

The Procedure

Secondary nose surgery can be performed in both open and closed procedures.

Open Revision

In open Revision Rhinoplasty, the surgeon must make the incisions needed in the columella area (the middle skin of the nasal cavities). In this surgery, the surgeon can perform different kinds of changes to the nose.

 

Closed Revision

When a surgeon performs closed nose surgery, he or she makes incisions in the inner structure of the nose and does not make an incision in the outer surface of the nasal skin.

The advantages of closed nasal surgery include a short duration of surgery, rapid recovery period, slight swelling, bruising, scarring, and so on. 

Revision Rhinoplasty is more complicated than the first rhinoplasty because of loss of nasal cartilage, weakening of blood supply to the nose, nasal adhesions, nasal fibrosis, deformity of the nose, and nose stiffness the patient, etc.

Recovery

Postoperative care is similar to the first surgery. Nasal tampons reduce swelling and bleeding after surgery, but the patient cannot breathe through the nose until the tampon is removed. The surgeon prescribes painkillers to minimize post-surgery pain. The nose may bleed for a few days. Putting a cold compress on the forehead reduces swelling. It is also best if you don’t look down a lot in the first week after the operation and be careful not to strike or harm the nose for several weeks. It is also forbidden to hold the nose for two to three weeks after any nose surgery. The patient is asked to go to the clinic three to seven days later to remove the surgical sutures and plaster.

Possible Complications

Some rare risks of this procedure include:

  • • Loss of sense of smell
  • • Prolonged swelling
  • • Capillary rupture
  • • Loss of skin

Price & Cost

Price range: $10,000-$15,000. Our surgeon can give you an exact estimate of the cost after examination & talking with you. The Consult session is free.

Performing Surgeon

Dr. Stephanie Byun MD, FRCSC (Plastic Surgeon)

Dr. Serge Goekjian MD, FRCSC (Plastic Surgeon)

Dr. Nabil Al-Zaher MD, FRCS(C), FACS (Otolaryngologist Practicing Aesthetic Face Surgery)

Click on the names to read more about them and their background.

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