Trust Richmond’s Top Surgeon for Revision Rhinoplasty

Only a surgeon with the utmost expertise in nasal surgery, such as Richmond area facial plastic surgeon and revision rhinoplasty expert Matthew Bridges, MD, FACS, should undertake this type of surgery. The most common issue from prior rhinoplasty is the over-resection of cartilage and bone. This can cause the cartilage to collapse due to weakening exacerbated by scar contracture, so one of Dr. Bridges' main goals in revision rhinoplasty is to restore the underlying structure of the nose. 

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Surgical Technique

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 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. 

Touch-Up Rhinoplasty

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.

Revision Rhinoplasty Before & After

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Revision Rhinoplasty Reviews

Super friendly staff. Dr Bridges did the impossible. I had gone to several consultations with plastic surgeons in the Richmond area to fix a surgery I had on my nose about 20 years ago that didn’t go well. Well, actually 2 surgeries that didn’t go well. Each surgeon (5 to be exact) wavered on if thi...

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J.D.
I am in my mid 50s and happier with my nose than I’ve ever been in my life - Very long story short, between ages 15 and 50, I broke my nose twice and had two surgeries, and then in 2019, filler on the bridge of my nose. That did not go well, as after three months it started to migrate into a ball on...

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B.
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...

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C.
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.

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C.R.
Time for a Refresh for this 50 y.o. - lower facelift & revision rhinoplasty - I had my revision rhino. and facelift 3 days ago - not a lot of pain just nausea and headaches. The surgery lasted 9 hours from what I was told. So, needless to say, I've been really out of it since Wed. The 14,000 was for...

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H.
Time for a Refresh for this 50 y.o. - lower facelift & revision rhinoplasty - After much research and interviewing doctors, some in Manhattan and Florida, I chose Dr. Bridges. His kindness and professionalism were apparent at the first meeting. I knew he would take my case very seriously and do his ...

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H.
Absolutely wonderful. Dr. Bridges & staff have been outstanding throughout procedure and follow up. Highly recommend this practice.

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S.L.
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 a...

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Woman smiling into mirror

During/After Surgery

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. The results are often very good if an experienced surgeon performs the procedure. 

Revision Rhinoplasty FAQ

Can revision surgery lead to better results?

When is cartilage grafting necessary in rhinoplasty?

How common is revision rhinoplasty?

Can revision surgery lead to better results?

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. When looking for a revision specialist, it is extremely important to do your research. Dr. Bridges brings decades of experience to help revision rhinoplasty patients in Richmond, VA, achieve the look they desire.

When is cartilage grafting necessary in rhinoplasty?

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.

How common is revision rhinoplasty?

Revision rhinoplasty is actually somewhat common. It varies by practice and by rhinoplasty surgeon, but some experts put minor revision rates between 5% and 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.

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