Revision rhinoplasty is a rhinoplasty performed on a nose that has been operated on before, sometimes more than once. Revision rhinoplasty presents unique challenges that make it a highly specialized and complicated surgery. Only a surgeon with the utmost expertise in nasal surgery, such as Richmond area facial plastic surgeon and revision rhinoplasty expert, Dr. Matthew Bridges M.D. FACS, should undertake this type of surgery. The most common issue from prior rhinoplasty is over-resection of cartilage and bone. This can cause collapse of cartilage due to weakening exacerbated by scar contracture, so one of Dr. Bridges' main goals of revision rhinoplasty is to restore the underlying structure of the nose.
Revision Rhinoplasty Reviews
"Revision Rhinoplasty - Midlothian, VA - In 2012 I had a primary rhinoplasty by a very well-known local plastic surgeon. Following the surgery, it was apparent that too much cartilage had been removed from the tip of my nose leaving me with a pinched appearance. Dr. Bridges was recommended to me by another plastic surgeon. When I met Dr. Bridges I was so impressed with his ease, his assessment and his recommendation of what he could do to address the issues with my nose. As a registered nurse, his assurance that he takes his time during the surgery and is complete in his work was very important to me. In June 2014, Dr. Bridges revised my previous rhinoplasty and I have been delighted with the outcome. Dr. Bridges is an extremely skilled surgeon, an expert in advanced and current techniques and has provided excellent post-operative follow-up evaluations. I am so grateful that someone with his skill at revision/reconstruction is in the Richmond area and that I was referred to him. I highly recommend him and my only regret is that he didn't perform my primary rhinoplasty. LSC"- A. / RealSelf / Apr 01, 2015
"Revision Rhinoplasty - Midlothian, VA - Dr Bridges did an excellent job. I had a rhinoplasty a couple years ago to shave down dorsal hump. With time, when I smiled, the nose collapsed a bit and would have an unsighlty droop. I didn't quite understand that mechanics of why it was happening but was hoping it could be fixed. Upon my consultion, Dr. Bridges suggested small implant to support and prevent collapsing which was exactly what it needed. It also helped filled out the gap between the tip of the nose and my lips. He also used cartilage from my ear to bring down flare. Really wish I was in VA for my first rhino so didn't have to do again, but am thankful for his expertise. I am happy with the result. Attached is contact info"- C. / RealSelf / Mar 31, 2015
"Absolutely wonderful. Dr. Bridges & staff have been outstanding throughout procedure and follow up. Highly recommend this practice."- SL / Office Visit / Jun 01, 2015
"I had 2 previous rhinoplasties with a different surgeon. Dr. Matt Bridges fixed the problems from the previous surgeries and gave me EXACTLY the nose I wanted."- C.R. / Google / Feb 02, 2020
"He Performed my Third Nose Job and Basically Saved Me - I had a bad nose job in 2018 that left me unable to breath AND with a very fake looking nose. Another doctor tried to fix it and made it even worse. I came to Dr. Bridges with a scooped/sunken bridge, unable to breath still, and a nose tip that was very scarred and with a purplish undertone because of blood flow issues. Given all those problems, he was still able to fix me. And amazingly, he did it all with a CLOSED approach. I am five months post-op and while my breathing isn’t as good as it was prior to all the surgeries, it is waaaay better and I can function in life. The appearance of my nose is equally impressive. He had so little healthy skin to work with -but using cartilage from my ear, skin from behind my ear, and cadaver rib, he rebuilt my bridge and my tip. See the photos . He’s amazing and caring and straightforward. Just a genuine guy and an amazingly skilled surgeon. You don’t need to go to Beverly Hills or New York to experience miraculous plastic surgery. This guy has got you covered."- C. / RealSelf / Aug 31, 2021
Full Rhinoplasty Revision
Revision rhinoplasty can be challenging as the surgeon works to correct or fix a problem stemming from the first surgery. During this procedure, the majority of surgeons will use an open approach. This entails separating the skin from the support framework of cartilage and bone, which offers the surgeon full access to the structures within the nose. The surgeon will re-sculpt the nose to a more desired shape depending on the problem being addressed. If additional tissue is needed, an autologous approach is typically taken, which uses cartilage and bone from the patient.
Some patients may be happy with the look and feel of their nose following surgery, but need a slight touch-up. This may include a visible bump or edge on the tip of the nose. The imperfection is usually found and discussed during a post-operative appointment and it is common for the original surgeon to address the issue. This surgery is less complex than the original surgery and may only involve slight shaving of the bone. It usually produces results both the patient and surgeon are content with.
Secondary rhinoplasty is performed under general anesthesia in an accredited surgical facility. The duration of this surgery depends on whether the nose is being fully reconstructed or a minor alteration is being made. After surgery, patients will wear a nose splint and will experience bruising and swelling. For patients undergoing revision surgery, the process can be somewhat unnerving. The goal is for the nose to return to a natural, non-surgical appearance. If an experienced surgeon is performing the procedure, the results are often very good.
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Revision Rhinoplasty FAQs
An experienced nose surgeon who is trained and skilled in revision surgery will understand the dynamics behind what went wrong during the first operation and how to correct the problems with a secondary procedure. While the procedure itself can be quite complex, the results are often pleasing for the patient. It is extremely important to do your research when looking for a revision specialist.
In some cases, cartilage grafting will be needed in order to produce the desired results. This can be done by taking cartilage and bone from another part of the body, such as the ribs, and using it to correct a certain nasal structure. Cartilage and bone grafting are usually only needed in more severe cases, including framework reconstruction.
Revision rhinoplasty is actually somewhat common. It varies by practice and by rhinoplasty surgeon, but some experts put minor revision rates between 5-15%. A large majority of these patients desire only tweaking and minor adjustments. True reconstruction and major revision cases are on the lower end of the spectrum.