Phoenix Revision Rhinoplasty doctors

Shepherd G. Pryor, MD Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon
8952 E Desert Cove Ave Suite 205, Scottsdale
22 answers
Amir M. Karam, MD Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4765 Carmel Mountain Road 201, San Diego
9 answers
Paul K. Holden, MD Paul K. Holden, MD
Phoenix Facial Plastic Surgeon
9522 E. San Salvador Dr. Suite 301, Scottsdale
3 answers
Remus Repta, MD Remus Repta, MD
Phoenix Plastic Surgeon
9250 N 3rd Street Suite 1003, Phoenix
1 answer
Daniel Shapiro, MD Daniel Shapiro, MD
Scottsdale Plastic Surgeon
5410 N. Scottsdale Road Suite F100, Scottsdale
1 answer

Recent Answers

Do I Have to Pay for Revision Rhinoplasty?

I had rhinoplasty a year ago. My nostrils are significantly uneven and I am not happy with the overall result. My surgeon removed more skin from the left side. It's uneven to the point that other people notice looking straight at my face. My surgeon said he can do a revision however, he is charging me more than the first time since I now have scar tissue. Is that the norm? I think he made an error when he did the surgery and he should waive the surgeon's fee.

A: Trust is a must.

I think some of my colleagues here have hinted that there is a problem in all of this - your relationship with your surgeon is damaged.  Clearly, you are not happy with what they did for you and your surgeon feels that he/she should be compensated to fix what they did.  You are probably not happy with any of this since you already paid for what you consider to be an inadequate result.  In this situation, I urge you to seek more opinions. 

Take note that primary rhinoplasty is almost always easier than a revision, so if your surgeon was not able to reach your goals with the primary, the likelihood that this will happen with revision is lower.  Someone else even said that the fact that your surgeon wants to charge you so much may be their way of trying to make you go elsewhere without having to tell you they can't or don't want to help you.

I wish you all the best...be very selective before you decide to undergo more surgery.

 

Paul K. Holden, MD
Phoenix Facial Plastic Surgeon
After Hump Was Removed In Primary Surger, My Nose is Flatter and Wider. Can I Get It Back To Where It Was?

I had a small bump removed that used to lay directly where my bridge started. Now, with it gone, my nose looks much wider and flatter. It has been six months since my primary - is there any way to make my nose less wide and flat? Is it possible to have the bump put back?

A: Repairing a wide nose after hump removal

The answer is absolutely.  Essentially when taking down a dorsal hump deformity, if too much is removed, you create what is called an "open roof deformity."  The nose goes from a triangular shape to a rectangular one.  If recognized appropriately at the time of surgery, or is planned for, then lateral osteotomies will renarrow the dorsum and recreate a triangular shape.  At this stage now, what you may benefit from is both augmentation of your dorsum to give you more height and better shape as well as osteotomies.  Visit with your original surgeon to discuss these issues and see if improvement can be made or seek a second opinion from a specialist who has a high degree of success with revisional surgeries.

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon
Can the Labii Superioris Be Reconnected to the Lower Lateral Cartilages During Revision ?

During primary rhinoplasty the doctor removed a large portion of the Lower Lateral Cartilages and I believe disconnected the connection it had with the labii superioris muscle. When I pull my lip forward and contract the muscle by snarling I only get a very very weak pull and the upper lip hardly moves. Is it possible to correct this?

A: Can the Labii Superioris Be Reconnected to the Lower Lateral Cartilages During Revision ?

This is a great question and a first for me and I perform a high rate of revisional surgeries for other surgeons.  This would be a highly unique situation and necesitate a consultation and detailed exam before any specific answer can be provided.  Seek out a board certified facial plastic surgeon in your area to discuss this issue with.

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon
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