Las Vegas Revision Rhinoplasty doctors

Chase Lay, MD Chase Lay, MD
Bay Area Facial Plastic Surgeon
10050 Bubb Road Suite #1, Cupertino
10 answers
Amir M. Karam, MD Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4765 Carmel Mountain Road 201, San Diego
9 answers
Lane Smith, MD Lane Smith, MD
Las Vegas Plastic Surgeon
8685 West Sahara Avenue Suite 180, Las Vegas
1 answer
Michael Sundine, MD Michael Sundine, MD
Orange County Plastic Surgeon
1640 Newport Blvd #450, Costa Mesa
Mark I. Degen, MD Mark I. Degen, MD
Las Vegas Facial Plastic Surgeon
4730 S. Fort Apache Road Suite 390, Las Vegas

Recent Answers

When is It too Early to Seek Consultations on Revision Rhinoplasty?

I am only a few weeks out of a open rhinoplasty. My result is everything I ask my surgeon not to do! At this point I no longer trust him to be objective. Can I start seeking a 2nd opinion from other doctors soon? I know I must wait a full year for a revision but want to be proactive during this time and seek hope that things can be improved. My doctor says the shape of things are what I can expect to see in the future and I am not very swollen at all.Thank you for your time:)

A: When can I get a revision rhinoplasty?

A few weeks is far too early.  The stress and concern you feel is common but trust your surgeon for now.  However, can you be proactive about your result and a potential revision?  Sure.  I would take good, consistent photos of yourself every two weeks and then look at the series after two months.  You'll be surprised how much your nose will change.  It will continue to evolve and change it's look for about 6 to 9 months.  I can be difficult but be patient.  

Chase Lay, MD
Bay Area Facial Plastic Surgeon
Structural Reorientation Vs. Camoflaging In Septorhinoplasty? (photo)

Rhinpolasty/septoplasty in 2002 (closed). Surgeon used the "camoflaging," technique whereby the deviation is not corrected per se, but merely hidden through use of spreader grafts. I'm very upset that this was done because (1) the underlying problem was not addressed and (2) it looks bad in photos because the nose bridge was naturally made wider due to the use of grafts. I want to get a revision surgery to get septum fixed structurally (not smoke and mirrors BS) and bridge narrowed...thoughts

A: Septal reconstruction vs. spreader grafts

It's a shame the spreaders didn't work, often times they do quite well but I see a couple of things in your nose.  I think your nasal bones needed to be shifted to the right slightly by way of osteotomies and the septum reconstructed or spreaders placed.    In any case, this time around make sure the slight slant of the nasal bones is addressed and I'd go ahead with the open septal reconstruction.  I see you're in New York.  There's many excellent rhinoplasty surgeons there but the absolute king of this kind of work to me would be Dean Toriumi in Chicago, IL.  Best of luck.  Chase Lay, MD

 

Chase Lay, MD
Bay Area Facial Plastic Surgeon
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