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First Rhino Surgeon Rushed Surgery (Less Than 1 Hour); Should Revision Be Closed or Open?

I am 1 1/2 years post primary septo-rhino with bad results:crooked nose, bulge on one side (cut too much cartilage), hanging columella, collapsed tip implant, uneven nostrils, deviated septum and a hump.These issues were caused by a rushed surgery that took less than an hour. My own surgeon says revision will be closed and will take about 1 1/2 hours. I have consulted 5 other surgeons who all say they'll do an open rhino that will take 3 hours.I cannot afford another surgeon. What should I do?

Doctor Answers 3

Revision Rhinoplasty with Open or Closed Technique

Based on the multiplicity of deformities you describe, an open approach likely gives better access through which to address them.  More importantly, you want to have a good feeling that the surgeon you choose sees the same things you do, and makes you feel confident that a better result is likely.  If your original surgeon does not inspire such confidence from you, then you are much better off going elsewhere despite the cost.  A second revision surgery is much more difficult and less predictible than the first revision.


Manchester Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

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Revision Using Open or Closed Technique

I'm sorry about your problems following the original rhinoplasty, but pick the surgeon, not the technique. Based on what you describe I would use the open technique. Don't choose your surgeon because of the price; you want this to be your last rhinoplasty.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Revision Rhinoplasty open or closed

It is always dissapointing to hear that any patient is unhappy with their results and very unfortunate circumstance which I am sorry you are having to deal with. The amount of time of a surgery does not denote it's results it is the expertise of the surgeon. Closed Rhinoplasty doesn't need to take three hours either in the hands of a skilled rhinoplasty surgeon. I do the majority of my rhinoplasty surgeries with the open technique and the revision rate is little to none. Since you have had a previous bad rhinoplasty I would suggest going to a skilled and highly recommended rhinoplasty surgeon who is familiar with the open technique and can fix your nose with any further revisions. This is a case when the third time is not a charm! Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 151 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.