Revision Rhinoplasty

image rhinorevised Revision RhinoplastyIf you’ve had a rhinoplasty procedure before but are unhappy with the new appearance or may have difficulty breathing as a result of the prior surgery, there is hope. Dr. David Alessi is a highly skilled facial plastic surgeon who specializes in the repair and correction of unsatisfying rhinoplasty results. The procedure is designed to repair either the form or function of the previous rhinoplasty outcome. Our practice serves Beverly Hills revision rhinoplasty patients as well as men and women who travel from across the country to benefit from Dr. Alessi’s surgical expertise.

Primary rhinoplasty is a very challenging facial plastic surgery procedure, and revision rhinoplasty is one of the the most complicated & difficult procedures a facial plastic surgeon will perform. This is due to scar tissue that has developed, and in many cases the initial surgery has weakened or compromised nasal structures. In order to avoid further damage and disappointing results, it is critical to choose a qualified surgeon with extensive experience in revision procedures. About half of all rhinoplasty procedures Dr. Alessi performs are to correct unsatisfying results obtained elsewhere, and he is known nationally for his revision work.

Please contact us now online or call us today at 310-657-2253 for more information about revision rhinoplasty and a personal evaluation of your concerns.

Candidates for Revision Rhinoplasty in Beverly Hills
If you’ve had nose surgery from another doctor and are not satisfied with how your nose looks now or have breathing problems, you may be a candidate for this procedure. Some complications that may require surgical correction include:

  • Deformities of the nose such as crookedness or asymmetry
  • Incomplete correction of the original cosmetic concern
  • Narrowing or collapse of the nasal cavity resulting in breathing problems
  • Failure to correct a deviated septum in the original procedure
  • Excessive scarring (for instance, formation of hypertrophic scars)

It is important not to rush into the decision to have another surgery. You have to be emotionally ready to deal with an additional procedure and recovery period. As is the case with primary rhinoplasty, you must have realistic expectations about what the surgery may or may not be able to provide. Dr. Alessi will review your case in detail during your consultation and provide his professional opinion about the limitations that may exist and the results that are possible.

Surgery Overview
The specific methods used during your revision rhinoplasty will depend on many factors. Dr. Alessi will need to work through scar tissue and in many cases undo the results of the initial surgery before performing the correct technique. He may use the closed rhinoplasty technique where incisions are mostly made inside the nose, or may find it necessary to perform open rhinoplasty with an additional small incision made just under the tip of the nose.

In most revision surgery cases skeletal support for the nose has been weakened from excessive removal of cartilage and bone. This means that in addition to improving the appearance of your nose, Dr. Alessi must carefully maintain or often improve your ability to breathe after the secondary surgery.

Revision rhinoplasty is a very difficult and time-consuming process, but many patients experience less bruising and pain than with the initial rhinoplasty procedure. Because of the complexity of this surgery and the slow healing of scar tissue, Beverly Hills rhinoplasty revision patients should prepare for a recovery period that may take slightly longer than the initial procedure.

Our revision rhinoplasty patients are often up and about within two days and are able to return to work in about a week after surgery (though bruising and swelling will remain, so people with jobs in the public eye may want to take additional time off). The supportive splint placed on the nose following surgery is usually removed within 5-7 days, along with stitches. You should avoid strenuous activity for about 2-3 weeks, avoid any injury or bumping of the nose. Much of the bruising should subside within 2 weeks, but full healing can take up to one year. As with the initial procedure, subtle changes to the nose shape will continue in the months following surgery.

Related Procedures
While most people considering revision rhinoplasty are only concerned with correcting the appearance or function of their nose, the procedure can be combined with other surgical and nonsurgical approaches.

  • Facial Implant Procedures: Chin enhancement or cheek augmentation can create a more defined profile and provide better facial symmetry after surgery.
  • Dermal Fillers : These injectables also may be used for facial contouring in conjunction with a revision rhinoplasty procedure.