What is Revision Nose Surgery?
Revision Nose Surgery is a common procedure used to alter the shape or size of the nose on someone that has had a previous rhinoplasty. The best method to avoid the need for revision nose surgery is to pick a surgeon that specializes in rhinoplasty. Surgeons trained in ear, nose, and throat surgery as well as plastic surgery are often good choices for revision rhinoplasty surgeries.
Despite selecting a well trained experienced surgeon, some patients may not be satisfied with the results of their procedure. An estimated 10 -15% of people who have rhinoplasty surgery may need to have a revision procedure. However, many patients do not realize that some non-surgical rhinoplasty techniques, such as filler injections, can be used to correct small deviations or depressions in the nose. If patients find themselves in the situation where revision surgery is necessary, it is very important to choose someone with experience in difficult nasal surgical cases. Dr. Malhotra is dedicated to listening to each and every one of his patients, ensuring that your revision nose surgery achieves the goal that you desire.
Who can benefit from this type of surgery?
It is important to know what can and cannot be achieved with rhinoplasty. A revision rhinoplasty is a more challenging procedure than a primary rhinoplasty (the first nose surgery). If your previous procedure did not produce your desired results, Dr. Malhotra can evaluate you for revision nose surgery.
There are a variety of reasons people seek rhinoplasty surgery including a nose that appears:
A nasal bridge that has hump or tip that is too large
A nose that does not project from their face adequately
Nasal bones that are too wide or nasal bridge that is too wide
An overdone nose that has a “done” look
A nose that is too upturned
For some patients, the issues may not be cosmetic, but rather with the function of the nose. Revision nose surgery is often used to correct breathing problems, such as those caused by a deviated septum or a surgical procedure where the nose or nostrils have been made too small.
*Each patient is unique and individual results may vary.
This patient had a rhinoplasty performed using older closed techniques twenty-five years ago. She was concerned about the “beak-like” appearance of her nose. She underwent a revision rhinoplasty with Dr. Pramit Malhotra. In her nose, a synthetic material was used to build up the bridge of her nose. Dr. Malhotra removed this material and replaced it with the patients’ own cartilage from her septum. Dr. Malhotra uses only the natural tissue from a patient’s own body. She was very pleased with the results and felt more self-confident.
How does the procedure work?
During the evaluation process, Dr. Malhotra meets with each patient to perform an examination and understand the patient’s goals. Dr. Malhotra will make an assessment of each part of the patient’s nose and advises the patient on the best way to correct the problems with the previous procedure.
The surgery is performed with the open structure rhinoplasty approach. Dr. Malhotra gently raises the nose tissue after making a small incision inside the nose. He begins to reshape the nose’s underlying structure, correcting any issues you had with your previous procedure. After closing the initial incisions, more incisions may be made in the nostrils’ natural creases to adjust their size. Like other nasal reshaping procedures, revision rhinoplasty usually takes between two and three hours.
Typical rhinoplasty recovery takes between three and nine days, with more extensive procedures requiring more time to recover. In addition to a cast on your nose, you may be advised to use ice, pain medication, and elevation to reduce swelling and promote a faster recovery.
Typically patients take between six days to two weeks off from work. It can take two weeks before you are able to perform any strenuous physical activity. After a revision rhinoplasty procedure, the swelling will take longer to subside from your nose.
Why patients choose Dr. Malhotra for Revision Nose Surgery
Dr. Malhotra is board-certified as both an ear, nose, and throat specialist and a plastic surgeon. Following his “beauty revealed” motto, he designs each procedure with the individual patient’s underlying structure in mind. He has received several awards, including being named a top doctor by Realself.com, a leading consumer information website. In addition to his medical expertise, it is Dr. Malhotra’s communication skills that really stand out. Many people seek revision nasal reshaping as a result of poor communication between patient and doctor; it is reassuring to know that Dr. Malhotra is a plastic surgeon known for listening to his patients.