Revision rhinoplasty is a surgical procedure performed to correct or improve the results of a previous rhinoplasty (nose job). It’s usually more complex than the initial surgery due to scar tissue, altered anatomy, or dissatisfaction with the first outcome.
A revision rhinoplasty also may address functional issues (like breathing difficulties) and/or aesthetic concerns (like asymmetry or irregularities) that persist after the initial surgery or arise as a result of it.
Choosing a qualified and experienced surgeon for revision rhinoplasty is crucial because it requires a deep understanding of nasal anatomy, surgical techniques, and the complexities of correcting previous surgeries. A skilled surgeon can minimize risks, achieve optimal results, and ensure both functional and aesthetic improvements. Without proper expertise, the risks of complications and unsatisfactory outcomes increase significantly.
EXPERIENCE MATTERS
Dr. George Bitar has over 20 years of experience performing primary and secondary (revision) rhinoplasties. He has written numerous articles on the intricacies of performing revision rhinoplasties, as well as given talks on them around the world. Dr. Bitar welcomes patients from all over Northern Virginia, including Fairfax, Vienna, Alexandria, and beyond. He also sees many patients from Washington, D.C., and Maryland.
Revision rhinoplasty is often sought for a variety of reasons, including functional concerns, aesthetic improvements, and dissatisfaction with previous results. Functional concerns may arise from issues such as breathing difficulties due to nasal obstruction, septal deviation, or nasal valve collapse. Aesthetic improvements would address asymmetry, dorsal humps, or unsatisfactory tip shape.
Revision rhinoplasties are more difficult to perform than primary rhinoplasties for a number of reasons. Scar tissue from the initial surgery can obscure the surgeon’s view and limit available tissue for reconstruction. Altered anatomy, including changes in cartilage and bone, makes achieving desired outcomes more complex.
Additionally, managing psychological factors and expectations becomes crucial due to previous dissatisfaction or complications. Successful revision rhinoplasty requires meticulous planning, advanced surgical skills, and a comprehensive understanding of both functional and aesthetic aspects of nasal anatomy.
BENEFITS OF REVISION RHINOPLASTY
Improved breathing function
Enhanced facial aesthetics and harmony
Increased confidence and self-esteem
Revision rhinoplasty offers numerous benefits, addressing both functional and aesthetic concerns. Improved breathing is one significant advantage, as issues like nasal obstruction or septal deviation can be corrected. It can also enhance facial aesthetics and harmony by addressing asymmetries, residual bumps, or disproportionate features that may persist after the initial surgery.
Beyond physical changes, increased confidence and self-esteem is a huge plus from the surgery. By providing both functional and aesthetic enhancements, revision rhinoplasty can greatly improve quality of life and overall well-being.
SIGNS YOU MAY NEED REVISION RHINOPLASTY
Below are some typical problems people experience that indicate they may need a second surgery. Use these questions to help you determine whether or not you need a revision:
Breathing Difficulties:
Do you experience frequent nasal congestion?
Do you have difficulty breathing through one or both nostrils?
Is there a whistling sound when you breathe?
Scarring:
Do you have visible scars on the outside of your nose?
Have you noticed any irregularities or bumps under the skin?
Do you feel any internal scarring causing obstruction or discomfort?
Asymmetry:
Are your nostrils noticeably uneven?
Is your nasal bridge crooked or asymmetrical?
Do you notice any irregularities in the tip of your nose?
Residual Bumps:
Is there still a noticeable bump on the bridge of your nose?
Do you feel any irregularities or bumps when you run your finger along the bridge?
Does the profile of your nose look uneven or bumpy?
Functional Concerns:
Do you have difficulty breathing through your nose?
Have you experienced increased snoring or sleep apnea since your rhinoplasty?
Do you feel pressure or discomfort in your nasal passages?
Overall Satisfaction:
Are you satisfied with the appearance of your nose?
Are there specific aspects of your nose that you’re unhappy with?
Do you feel self-conscious about your nose in social situations?
If you answered yes to multiple questions, especially in various categories it may mean you need a revision rhinoplasty. However, consult with a board certified plastic surgeon who specializes in revision rhinoplasties to determine if one is needed or if there are other options for you.
Advanced training and knowledge of complex nasal anatomy
Artistic skills and an eye for natural-looking results
Positive patient reviews and testimonials
ABOUT THE PROCEDURE
Revision rhinoplasty is a complex surgical procedure aimed at correcting issues from a previous rhinoplasty or addressing new concerns. Various surgical techniques may be employed depending on the individual’s needs. These can include cartilage grafting to restore structure and support, osteotomies to reshape the nasal bones, and septoplasty to correct breathing problems. Advanced technology and techniques, such as 3D imaging and computer-assisted planning, are increasingly used to enhance precision and predictability in surgery.
This technology allows surgeons to visualize the patient’s anatomy in detail, plan the surgical approach more accurately, and communicate potential outcomes effectively. Additionally, the use of minimally invasive techniques and advanced anesthesia protocols ensures patient safety and comfort throughout the procedure. By combining expertise with advanced technology, revision rhinoplasty can achieve improved outcomes while prioritizing patient safety and comfort.
PREPARING FOR SURGERY
You’d prepare for a revision rhinoplasty the same way you’d prepare for a primary rhinoplasty. Firstly, follow our pre-operative instructions carefully, which include avoiding certain medications, supplements, and smoking. You’ll need to arrange for someone to drive you home after surgery and assist you during the initial recovery period. Prepare your home for a comfortable recovery by stocking up on necessary supplies, such as gauze pads, ice packs, and soft foods. Plan your recovery time by taking time off work or other obligations, as you’ll need to rest and avoid strenuous activities for a few weeks. Finally, mentally prepare for the surgery by discussing any concerns with us.
RECOVERY
After revision rhinoplasty, the typical recovery timeline involves several stages. Initially, you may experience swelling, bruising, and mild discomfort, which usually peak within the first few days and gradually improve over the following weeks. It’s common to have nasal congestion and difficulty breathing through the nose during this time.
Again, be sure to follow post-operative instructions carefully, which includes wearing a splint or nasal packing for a few days to support your healing nose. To manage swelling, apply cold compresses to the nose regularly during the first few days and keep your head elevated while resting. Avoid strenuous activities and heavy lifting for several weeks to prevent complications. We will schedule follow-up appointments to monitor your progress and provide any necessary adjustments or additional care.
Rest assured that our practice is dedicated to supporting you throughout your recovery journey, with a team ready to address any concerns and ensure your comfort and satisfaction with the results.
WHAT TO EXPECT DURING THE CONSULTATION
During the consultation process for revision rhinoplasty, we take several key steps to ensure the best possible outcome. Firstly, Dr. Bitar will discuss concerns and goals in detail, addressing what aspects of the previous surgery were unsatisfactory and what improvements are desired. Next, a thorough physical examination of your nose is conducted, evaluating the current anatomy, any existing issues, and the effects of the previous surgery. We also review medical history to identify any preexisting conditions or factors that may affect the surgery or recovery.
Following this, Dr. Bitar reviews options and potential outcomes with you, explaining the techniques that he may use and the expected results. It’s essential that you have a clear understanding of what can realistically be achieved with a revision rhinoplasty. This consultation process ensures that the surgical plan is personalized to your needs and that you are well-informed about your options and potential outcomes.
If you are considering rhinoplasty plastic surgery, schedule a consultation today. Call 703-206-0506 or book an appointment online.
FREQUENTLY ASKED QUESTIONS
How do I choose a revision rhinoplasty surgeon?
Choosing your surgeon is one of the first steps in this journey. Look for a surgeon who is board-certified, with extensive experience and specialized training in rhinoplasty, particularly revision cases. Review before-and-after photos of their work, paying attention to results similar to what you desire. Lastly, prioritize a surgeon who communicates well, listens to your concerns, and provides a clear plan tailored to your needs. It’s also essential to ensure they operate in a certified surgical facility with an emphasis on patient safety and comfort.
What is the average price of revision for rhinoplasty?
The cost of a revision rhinoplasty depends on the experience of the surgeon, the severity of your case, and whether or not you will be going to the same surgeon that did your primary rhinoplasty.
Will insurance cover a revision rhinoplasty?
We do not accept insurance at our practice. Typically, a rule of thumb for whether or not insurance may cover a procedure is if it is deemed to be elective or medically necessary. If your revision rhinoplasty is purely for cosmetic reasons, it is unlikely insurance will cover it.
Should you go to the same surgeon for revision?
It depends on your individual case. If you initially went to a plastic surgeon who is not board certified, and your rhinoplasty resulted in impaired functionality of your nose with aesthetic concerns, you likely shouldn’t go back to the same surgeon. If you went to a skilled, board certified plastic surgeon, and your rhinoplasty is functionally sound, but you want to make a few aesthetic tweaks to your nose. If you trust that surgeon and his ability to achieve the results you desire, you could stick with the same surgeon since he has already done work on you.
Medically Reviewed
This page was reviewed by Dr. George Bitar, who is board certified by the American Board of Plastic Surgery. He practices medicine at his office in Fairfax, VA. The content written reflects current accurate information and is consistent with ethical positioning of the ASPS. (American Society of Plastic Surgeons). Learn more about Dr. Bitar, his medical training, and credentials.
Content on this website is for information only and should not be used to diagnose or treat your plastic surgery or cosmetic surgery problems. Please contact your plastic surgeon with all questions and concerns.
