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How Long After Revision Rhinoplasty Can I Have Another Revision?

My first operation was done in 2008 and my last Rhinoplasty revision, which I had done this year, wasn't very major, just removal of scar tissue and re-touching the tip. How long after this surgery can I have another revision?

 

Asked 28 months ago by Freya in Hattiesburg,Mississippi
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+2

Revision Rhinoplasty

I would suggest waiting at least a year prior to any revision surgery on your nose. In situations where the cartilage and/or bone is clearly displaced following rhinoplastic surgery, revision work may proceed sooner that this. The reason for your first revision was for scar tissue. Removal of scar tissue is relatively unpredictable and waiting at least a year will let your nose heal to a more settled point in the overall healing process. You may even like your final result and will not... more
Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon
+2

Revision Rhinoplasty

Hi Freya, Contrary to most views, I believe revision rhinoplasty can be done soon after the initial surgery. I have performed revisions as soon as 2 months after the first surgery with good results. That being said, there are certain cases where is is best to wait 6 months to a year for swelling to resolve. Swelling, especially in the tip area, can take up to a year to resolve. However, if there are issues not related to swelling, then revision can be performed soon after the initial... more
Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon
+1

Wait one year for revision rhinoplasty if tip work was done

 Hello, There will still be swelling after the procedure, and it is best to wait one year to perform any other revision work, especially if tip work was done. Hope this helps answer your question. Dr. Nassif
Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
+1

You may consider consulting a Non-Surgical Rhinoplasty specialist to avoid further nasal surgery.

If your nose is the right size, and not too large, you may not require any further surgery. What are you looking to achieve with another Rhinoplasty? Feel free to email me a full-facial frontal and profile photo, and I'll be happy to share my thoughts with you. I've attached a link to my Non-Surgical Rhinoplasty photos for your perusal. I hope this is helpful to you, and best regards.
Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
+1

Wait one year after revision Rhinoplasty for another revision

I agree with my colleagues above, that the usual recommendation is one year. the nose changes for a least a year after surgery (actually for two to three years). Usually, the nose gets smaller and revision rhinoplasty may not be necessary. There are a few instances where revision surgery can and should be done more quickly than one year, but this is uncommon.
Lane Smith, MD
Las Vegas Plastic Surgeon
+1

Revision rhinoplasty

Revision rhinoplasty should definitely wait at least 1 year after a previous rhinoplasty. The tissues need to soften and the swelling needs to come down. 
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Wait at least 1 year before undergoing another rhinoplasty revision

So soon after your last revision, it's really difficult to know whether you'll need another rhinoplasty revision. Subtle changes in swelling and scar tissue can occur over the span of one year after surgery. Although you describe "re-touching the tip" as fairly minor, the swelling in the tip can take a full year to resolve. Patience is sometimes hard to come by, but it's important to have some before planning another revision. Hope this helps. Best of luck.
Sam Jejurikar, MD
Dallas Plastic Surgeon
+1

How long after revision rhinoplasty can I have another revision?

I TOTALLY agree with Dr. Naderi. Ideally one should have but one rhinoplasty. Unfortunately, a certain percentage of people require a revision rhinoplasty to address issues the original operation did not address well OR correct issues related to the first operation. A minimum 8-12 months need to be spaced between operation to allow swelling to subside and scarring to mature. From you response it is not clear WHY you had your revision NOR why everything was not addressed at that time. Put... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

For most patients I suggest at least a year before revision rhinoplasty

This is the usual amount of time to wait before a revision rhinoplasty. This is for a number of reasons: 1. Scar tissue needs to soften 2. The nose heals for at least a year so you want to make sure most healing has taken place 3. Other areas that may need revision my become evident much later as the swelling goes down, so it can hopefully reduce the number of revisions 4. A the nose heals, areas the may seem too large may reduce in size, asymmetries may be from swelling 5, As the... more
Steven J. Pearlman, MD
New York Facial Plastic Surgeon
+1

Technically there is no time limit

It depends on what needs to be revised. Most things after rhinoplasty settle down with time as the reduction in swelling occurs. Anything subtle that may be bothering a patient I would wait for 6-12 months to ensure that it is not just from swelling. If there is something very obvious that is wrong and is not going to correct itself it can be revised sooner. For example if a patient with a recent rhinoplasty broke their nose again, I would wait at least 2-3 months and then proceed. If you... more
Samson Lee, MD
Seattle Facial Plastic Surgeon
+1

What?

Hi, The bigger question is "why are you already looking for yet another revision?" Revisions shouldnt be done sooner than roughly a year apart but more importantly why was the last revision not adequate to address all your concerns? Take a few steps back and re evaluate your nose and your plans and your goals before you head down the slippery slope of revision after revision. Then make sure you find a skilled Rhinoplasty Specialist to get it all done in one shot.
Shervin Naderi, MD
Washington DC Facial Plastic Surgeon
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