Should I consider Revision Rhinoplasty?

I am a 22 year old female and in December 2008, I had a Rhinoplasty and a Septoplasty. I went back to see my doctor a week ago because I have a hard bump at the tip of my nose that hasn't gone away. He injected some type of steroid but I haven't noticed a difference.

I was advised that it may take some time to see if the steroid injection will actually work, I was told I should wait at least three months. He told me this bump is common and may just be extra cartilage and if I really want I can consider having surgery again to correct it. I would be okay with surgery because right now my nose doesn't look even. However, I am worried that this may have been caused because he may not be a good surgeon and I don't want to come out looking like Michael Jackson.

Please give me advice. I don't know what to do. Should I wait considering it's been only about a year and a half? Thank you!

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10 answers to “Should I consider Revision Rhinoplasty?”

A: Revision rhinoplasty for small corrections is safe after one year

Scott Trimas, MD

Revision rhinoplasty for small corrections is safe after one year. Sometimes even after an initial good result a small nodule of cartilage or soft tissue can appear during the healing process. It may or may not respond to a steroid injection. At one year or so from your previous rhinoplasty, your surgeon can... more

A: Revision Rhinoplasty

C. Spencer Cochran, MD

The general consensus among rhinoplasty specialists is that a patient wait for 12 months before proceeding with any revision. The reason for this is that it can take 12 months (or longer) for the majority of the post-operative swelling to subside and for scar tissue to mature. After 18 months, the result that... more

A: Revision rhinoplasty can be considered at least one year after the original procedure.

William Portuese, MD

Revision rhinoplasty can be considered at least one year after the original procedure. Small, irregular bumps on the nose, both cartilage and bone, can be easily touched up from the original surgeon if they do not resolve with cortisone injections. They occur very commonly in the field of rhinoplasty. This... more

A: Confusion on the timing here

Richard P. Rand, MD

As you can see from these answers, timing is critical in considering revision rhinoplasty.  Ther farther out you are from your original surgery the better.  Only under rather exceptional circumstances would most surgeons consider re-operating on you in less than 1 to 2 years after the first operation... more

A: Might need a revision Rhinoplasty

Hisham Seify, MD, PhD

Revision rhinoplasty if needed should be done after 12 month from the first procedure to allow complete resolution of the swelling. It seems like your bump could be fixed with a simpler revision. Either continue to follow with your doc, or find a board certified plastic surgeon for a second opinion. Good Luck!

A: Revision Rhinoplasty...Michael is the Exception

Michael A. Persky, MD

Hi Surfergirl, Consult with your surgeon.  If you lack confidence in the surgeon's abilities then seek other opinions.  Many excellent rhinoplasty surgeons now offer complimentary consultations.  In the hands of an experienced rhinoplasty surgeon, your tip bump should safely be addressed without... more

A: Seek second opinion for Revision Rhinoplasty

Steven Wallach, MD

If you are unhappy with the result of your Rhinoplasty and you feel that your doctor isn't giving you the answers that you think are right, then go get a second opinion.

A: Revision Rhinoplasty is reasonable after a year

Marcus L. Peterson, MD

If your surgery was December 2008 then you should wait to have any revision surgery on your nose.  It will take about one year for the tip to be completely healed. If your surgery was "about a year and half" then you should consider having a revision because the irregular cartilage bump will... more

A: See a revision rhinoplasty specialist

Toby G. Mayer, MD

I'm confused. You said Dec. 08 and then you said one and a half years. If it has been more than a year, the result will probably not change. Therefore, if your tip doesn't look satisfactory to you, you should see a rhinoplasty revision expert and you should get a good result.

A: You may want to seek out second opinion

Peyman Solieman, MD

Dear Surfergirl, It sounds like surgery was done just a few months ago (dec '08), so it is usually too early to make any decisions regarding revision at this point. Steroid injections in the supratip can often help if there is residual swelling or small amount of scar tissue forming. However, what you are... more

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