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
"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
"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 both surgeries by the way not just the one. I"ll post pictures later and I have been documenting the good, the bag and the ugly."- H. / RealSelf / Mar 28, 2017
"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
"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 absolute best work. My surgeries took several hours but I got a great result and will definitely go back when (if) I need any touch ups."- H. / RealSelf / Aug 05, 2016
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.