Northern Virginia & Washington DC
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 may also 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.
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 and has given talks on the subject 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.
Pain Level After Surgery
Moderate to Severe
Anesthesia
General
Duration of Surgery
2-6 hours
Scars
Minimal scar at the bottom of the nose
Final Results
12-18 Months
Return to Regular Work
2-4 weeks
Resume Exercise
4-6 Weeks
Price Range
Schedule a Consultation
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 nasal obstruction, septal deviation, or collapse of the nasal valve. Aesthetic improvements address asymmetry, dorsal humps, or unsatisfactory tip shapes.
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.
Revision rhinoplasty in the greater Washington, D.C. area provides the following key benefits:
Revision rhinoplasty offers numerous benefits, addressing both functional and aesthetic concerns. Improved breathing is a significant advantage, as issues such as 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 are significant benefits of the surgery. By providing both functional and aesthetic enhancements, revision rhinoplasty can greatly improve quality of life and overall well-being.
Below are some typical problems that patients in Fairfax experience, indicating they may need a second surgery. Use these questions to help you determine whether or not you need a revision:
Do you experience frequent nasal congestion?
Do you have visible scars on the outside of your nose?
Have you noticed any irregularities or bumps under the skin?
Do you experience any internal scarring that causes obstruction or discomfort?
Are your nostrils noticeably uneven?
Is your nasal bridge crooked or asymmetrical?
Do you notice any irregularities in the tip of your nose?
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?
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?
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 necessary or if alternative options are available for you.
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 the aspects of the previous surgery that were unsatisfactory and the desired improvements. 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 tailored to your specific needs and that you are well-informed about your options and potential outcomes.
Once your treatment date is booked, you will prepare for 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.
Revision rhinoplasty is a complex surgical procedure designed to correct issues from a previous rhinoplasty or address 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 enables surgeons to visualize the patient’s anatomy in detail, plan the surgical approach more accurately, and effectively communicate potential outcomes. 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.
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 include 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 minimize the risk of 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.
At our practice, we’re proud to be one of the few in the area offering Elixir MD, a cutting-edge LED-based device specifically designed to accelerate healing after cosmetic surgery. Elixir MD stimulates cellular repair, reduces inflammation, and enhances circulation, dramatically shortening recovery time and improving surgical outcomes. This advanced technology sets our practice apart, offering patients a faster, more comfortable healing experience with visibly better results.
Qualifications To Look For In A Plastic Surgeon
Dr. George Bitar, MD, FACS, is an award-winning, fellowship-educated plastic surgeon who has completed over 20,000 cosmetic procedures to date. He is the founder and Medical Director of the Bitar Cosmetic Surgery Institute in Fairfax, VA (Merrifield area) and has been named a top cosmetic expert in the Washington Metropolitan Area.
In terms of his elite training background, Dr. Bitar completed a cosmetic and breast surgery fellowship in the United States and trained with several prominent cosmetic surgeons, learning the techniques of Dr. Ivo Pitanguy in Rio de Janeiro, Dr. Marchac in Paris, Dr. Mendelson in Melbourne, Dr. Widgerow in Johannesburg, and Dr. Ellenbogen in Beverly Hills.
The cost of revision rhinoplasty in Fairfax, VA, and the greater Washington, D.C. area depends on the experience of the surgeon, the severity of your case, and whether or not you will be going to the same surgeon who did your primary rhinoplasty. Dr. Bitar will provide a detailed quote after your private consultation is completed.
We do not accept insurance at our practice. Typically, a rule of thumb for determining whether insurance may cover a procedure is whether it is deemed elective or medically necessary. If your revision rhinoplasty is purely for cosmetic reasons, it is unlikely insurance will cover it.
If you are eager to learn more about how revision rhinoplasty in the greater Washington, D.C. area can restore your appearance, comfort, and peace of mind, please contact us today in Fairfax, VA, to book your private consultation with Dr. Bitar, an award-winning, board-certified plastic surgeon and rhinoplasty specialist.
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“Natural beauty but doing a little somethin’ somethin’ to make beautiful features pop is what the Model Lift™ accomplishes.”
–
Dr. George Bitar
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