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Revision Rhinoplasty. How Long Before I Can Consult Surgeons?

asked 1 year ago by inlimbo in UK
Latest answer by Mike Majmundar, MD
Question viewed 524 times
Tags: age 45-54, nostrils, female, alar, columella, flared, surgeon

I had rhinoplasty 8 weeks ago and my surgeon has acknowledged that a revision is necessary. The columella is now too short and, as well as rigid flared nostrils, one of the alar cartilages is displaced and visible lying at the wrong angle along my nose. Should I wait the full 6 months before even consulting other surgeons for second opinions? Or would it be best to see someone sooner. I'm female, over 50, with thin skin so worried about visible scarring.

13 answers to Revision Rhinoplasty. How Long Before I Can Consult Surgeons?

+2

Secondary rhinoplasty

If you are several months out after your rhinoplasty and your surgeon feels that a revision is required you could certainly consult with another surgeon to get their input. I would stress that a consultation is different than a surgical revision. As far as timing for a revision  it really depends on the specifics as to what will be done. In general the longer one waits the more pliable the tissues and the more predictable the result, however many small "touch ups"... more
Jay M. Pensler, MD

Chicago Plastic Surgeon

www.plasticsurg.org

+1

Timing of Revision Rhinoplasty

If you 8 weeks out from a rhinoplasty, waiting until at least a year is helpful when a revision rhinoplasty is performed as the scar tissue has had time to mature and the results can be a bit more predictable. Minor corrections can sometimes be performed but this would be up to your current rhinoplasty surgeon and whether or not a minor intervention will interfere with healing of the remaining tissue. Follow with your current surgeon for the next 6-9 months before considering... more
Mike Majmundar, MD

Atlanta Facial Plastic Surgeon
+1

Timing of revision

There is nothing wrong with getting a few consultations as early as 6 months post-op but ideally you should wait close to 1 year before doing revision surgery
Sam Naficy, MD

Seattle Facial Plastic Surgeon

seattleface.com

+1

Secondary Rhinoplasty

I would recommend waiting 6 months before consulting other surgeons( recommend at least 2 or 3 Board Certified Plastic Surgeons).  If the consensus is that you need a revision, this should be planned for at least 12 months after the first surgery.  During the consultation, it is a good idea to ask each surgeon about their "Revision Policy". 
Daniel Reichner, MD

Newport Beach Plastic Surgeon
+1

How long to wait for revisions rhinoplasty

I would agree with many of my colleagues here in stating that 1 year is a reasonable time to elapse before considering revision rhinoplasty.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

When to consult surgeons for revision rhinoplasty

It is very important not to undergo revision rhinoplasty for one year; any reputable rhinoplasty surgeon is going to tell you to wait. Continue your follow up care with the original rhinoplasty surgeon until you have fully healed then consult other surgeons about revision rhinoplasty.  
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Time before Revision Rhinoplasty

I suggest you maintain contact with your surgeon over the next 6 months even if you do not plan on having him/her do your revision surgery. At that time I would start to consider options with your surgeon and schedule consultations with revision specialists.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty revision

Really, you shoudl wait at least 6 months to a year before undergoing a revision. The tissues are suually too stiff to manipulate at 6 months let alone 8 weeks.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Revision rhinoplasty

In general, it is best to wait a full year before contemplating a revision rhinoplasty as that is how long it usually takes for swelling to resolve in the nose and a final result to be appreciated.  However, in your case with obvious, visible cartilage displacement and malpositioning, I would encourage you to seek the opinion of a qualified rhinoplasty surgeon now.  Your surgeon may perceive these findings to be indicative of a minor complication that he wishes to treat early... more
Jeffrey Weinzweig, MD

Chicago Plastic Surgeon
+1

Second opinion for a revision rhinoplasty

For peace of mind, some patients find it worth seeing another surgeon even this early from surgery, but only to make sure nothing acute needs to be done. It's highly unlikely that anything should be done so shortly after a rhinoplasty, though. If indeed a revision is indicated, the surgeon(s) one's considering to do the surgery will still need to re-evaluate a patient's nose when more healing has occurred (perhaps 6 months to a year out). Only then can a proper plan of... more
David C. Pearson, MD

Jacksonville Facial Plastic Surgeon
+1

Timing Considerations Before Revision Rhinoplasty

I would recommend waiting even longer than 6 months out from your primary rhinoplasty procedure. Noses can take quite a bit of time (1-2 years in some cases) to evolve following rhinoplasty. If any revision rhinoplasty is being considered, you should wait until most of the healing process has been completed. Intervening before this time can be a recipe for continued problems. Try and be patient while you continue to heal. You can certainly consult with some revision rhinoplasty... more
John M. Hilinski, MD

San Diego Facial Plastic Surgeon

www.drhilinski.com

+1

Revision rhinoplasty timelines

It is best to wait at least one year after a rhinoplasty before contemplating a revision. In addition, with you being only 8 weeks out, a lot of changes both positive and potentially negative will occur during the healing process. If a revision is likely, you may want to wait closer to the six month interval at least before seeking further advice and treatment options. I hope this information helps.
Scott Trimas, MD

Jacksonville Facial Plastic Surgeon
+1

It's best to wait 6-12 months before revision rhinoplasty surgery, but you can start your research now.

Without seeing your photos, it's impossible to tell if you will require revision rhinoplasty. It's unusual, however,  that your surgeon indicated this only 8 weeks after your procedure. Did he encounter any problems during your procedure? Is he a reputable rhinoplasty specialist? If you have a condition that requires another rhinoplasty surgery, you should start researching now. You should see several reputable rhinoplasty specialists with many favorable photos. You... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

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