Frequently Asked Questions About Revision Rhinoplasty
Revision rhinoplasty is a surgical procedure designed to repair problems of form and function of the nose that have resulted from previous rhinoplasty procedures.
Men and women who are physically healthy, realistic in their expectations and looking to improve the results of a previous rhinoplasty procedure may be good candidates for revision rhinoplasty.
Rhinoplasty is best postponed on young patients until the nose has completed its growth. In general, this tends to occur around the age of fourteen or fifteen for girls and a bit later for boys.
During consultation, there will be in-depth discussion with the patient about their desires and previous procedure(s). There will also be a pre-operative evaluation of the nose and the overall facial balance. Computer imaging may also be used.
Revision rhinoplasty often takes place in a free-standing ambulatory surgery center or a surgeon’s office-based facility. Some cases may be performed in a hospital.
Revision rhinoplasty is usually performed with either general anesthesia or a combination of local anesthesia and sedation.
Once the anesthesia is administered, the incisions are made and this skin of the nose is separated from the underlying bone and cartilage. Depending upon the particular case, cartilage may be repositioned or missing structures may be replaced. When the desired shape is achieved, the skin is pulled back down and the incisions are closed.
Primary rhinoplasty tends to take between one and two hours to perform and revision rhinoplasty typically takes longer.
For revision rhinoplasty, the incisions may be confined solely to the inside of the nose or an additional small incision may be made under the tip of the nose. When the incisions are confined to the inside of the nose the procedure is referred to as ‘closed rhinoplasty’, whereas procedures involving an incision under the tip of the nose are referred to as ‘open rhinoplasty’.
With closed rhinoplasty procedures, in which the incisions are confined to the inside of the nose, there will be no visible scarring. With open rhinoplasty, in which an additional small incision is made under the tip of the nose, a small, fine-line scar will result though it is well-concealed and will fade with time.
Revision rhinoplasty tends to involve less pain, as well as less bruising, than primary rhinoplasty procedures. Patients can be prescribed pain medication to help alleviate any discomfort that they may feel.
You will need to have a family member or friend drive you home.
It’s often a good idea to have a family member or friend accompany you to surgery and to your home or your place of recovery for the evening.
Revision rhinoplasty is usually a less painful procedure than primary rhinoplasty and often involves less bruising as well. Most of the bruising that patients experience will have faded by about the tenth day. Swelling is also common and this can takes months to fully fade. The splint and stitches will be removed within about six to seven days. Patients are typically able to return to work within about a week, though strenuous activities will need to be postponed for about two to three weeks. Patients should also avoid bumping or jarring the nose or getting a sunburn for eight weeks.
Patients are typically able to return to work within about a week after their revision rhinoplasty procedure.
Exercise and more strenuous activities can usually be resumed within about two to three weeks, though any activities which may bump or jar the nose or risk sunburn to the nose should be avoided for eight weeks.
The stitches are usually removed within about six to seven days after revision rhinoplasty.
Some of the potential complications associated with revision rhinoplasty may include adverse anesthesia reactions, excessive scarring, prolonged swelling, pulling of the nose to one side, small burst blood vessels, and the need for additional surgery.
Procedures which are performed to repair functions of the nose, such as breathing, may be covered to some degree. However, procedures which are solely cosmetic are typically not covered by insurance.
Many plastic surgery procedures are eligible for financing.
As with any surgery, there are certain medications, vitamins and herbs that should be avoided beforehand as they can cause you to bleed more than normal. These should generally be stopped two weeks prior to surgery and you doctor should provide you with a list of these medications.