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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!
Asked 36 months ago by
surfergirl in California
+2
Should You Consider a Revision Rhinoplasty procedure?
These are some general comments about revision Rhinoplasty:
If your are unhappy with results but have realistic expectation and more than a year has passed since the initial procedure, you can be a candidate for revision procedure.
Revision Rhinoplasty is a challenging field.
Choose your surgeon carefully.
To get the best result, you need a surgeon with extensive training and experience in all aspects of nose surgery and rhinoplasty.
If your initial...
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+2
Revision of the nasal tip-timing
Generally, one year is an appropriate time to wait prior to considering revison rhinoplasty. In your situation, one would probably want to wait an additional few months after steroid injection to see what effect this has.
Evaluation by an experienced revision rhinoplasty specialist would be good, after you have communicated with your primary surgeon. He/she may be comfortable taking care of this issue.
This type of irregularity is not uncommon and is not an indication of the skill of...
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Bay Area Facial Plastic Surgeon
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When to do revision surgery...
Experienced rhinoplasty surgeons may need to do a touch up here and there. In experienced hands, the revision rate should be in the less than 5% range.
The first thing to consider with revision surgery are...what are your goals? What do you want?
After you have thought about these things, you need to find a surgeon that is experienced in revision surgery and is willing to undertake your case.
Things I like patients to ask...
1. Are you board-certified?
2
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Need for rhinoplasty revision is not uncommon even for experienced surgeons
The fear of having a "Michael Jackson" nose has become a standard among patients in most facial plastic surgery practices. This is obviously not the result that any of us desire. If you trust your surgeon and they are experienced with nasal surgery, it sounds like a revision surgery might be in order. Rhinoplasty is the most challenging surgery that is performed by Facial Plastic Surgeons. Revisions are not uncommon even among the most experienced surgeons.
Lone Tree Facial Plastic Surgeon
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Small Surgical Revision May Be Considered
It sounds like you have a bit of extra cartilage at what we call the “supratip” region of the nose, and this can be due to either a bit of cartilage was not removed, and/or the nasal tip with healing settled back and reduced tip projection, exposing the cartilage. This is not necessarily an “error” on the part of your surgeon, and it sounds like he is taking the proper steps by giving steroid injections which can work if there is scar tissue in the area. I will...
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Revision rhinoplasty can occur in the best of hands
Most surgeons like to wait one year for a revision procedure. The best person to do a revision is often the initial surgeon since he knows exactly what was done and may have a good idea how to address your concern. I suggest you outline your concerns to the surgeon and see if the surgeon can address your concerns.
Toronto Facial Plastic Surgeon
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Revision rhinoplasty timing
Most likely waiting more than a 1 1/2 year after initial rhinoplasty will make no difference. Likewise, steroid injections into a bump are unlikely to cause the bump to go away at this point. Revision Rhinoplasty is a field for an experienced and talented surgeon. Whether it is a minor fine tuning, or a more advanced correction, do not be shy asking your surgeon how confident he/she is in correction this. If you are unhappy with your nose now, most likely you...
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+1
When to Consider Revision Rhinoplasty Procedure
Revision rhinoplasty is sometimes considered after the original rhinoplasty surgery to further improve the nasal appearance. Deciding on revision rhinoplasty is usually a difficult decision for both patient and surgeon. Some revision procedures are much easier than other rhinoplasty surgeries. If you're not satisfied with the tip, then a revision may be considered. Revision procedures are generally not performed right away, but after sufficient time is allowed from the first...
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After a year, you can consider revision
There are several things to consider.
Do you feel your surgeon will be able to help you? If its a small imperfection, then probably.
Do you need a second opinion? If you have lost confidence, then yes.
Do you want to go through all the recovery again? If its that bothersome, then it will seem worth it.
Will you have to paid your original surgeon? Often his/her fee is waved but the facility and anesthetic isn't.
What will the success rate be? Unfortunately its...
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+1
When to consider a revision rhinoplasty
After a patient has had a rhinoplasty, a small percentage of patients may choose to further modify their nose or correct in area that they feel was not impressed with the first surgery by receiving a revision rhinoplasty. It is important to only consider the surgery once your nose has fully healed from the first procedure. For this reason, we recommend that patients wait at least 10 months after their surgery before considering a revision. This will allow the swelling to go down and will...
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+1
Revision Rhinoplasty timing
If it's been a full year and you are still seeing some asymmetry to the nasal tip then considering revision rhinoplasty is reasonable. You don't lose anything by waiting; sometimes steroid injections can take 3 weeks to 3 months to show an improvement. Either way, if you are unhappy with your nose, considering revision rhinoplasty in the near future is fine.
As far as the surgeon is concerned, there is nothing wrong with getting a second opinion to put your mind...
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Atlanta Facial Plastic Surgeon
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After a year, revision rhinoplasty can be considered
The soft tissue envelope of the nose has the potential for great changes over many years, but the majority of that change is certainly observed in year one. If there is a unsatisfactory sequela from your initial procedure at a year, it is unlikely to get better without an intervention. It is critical to seek the advice of a rhinoplasty surgeon with experience in structural grafting when that time comes so that both the airway and appearance can be improved.
Columbus Facial Plastic Surgeon
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Get a few opinions from experience surgeons
It is wise to be concerned about revision surgery. Many times revision surgery will help and at times they may make the problem worse. Waiting is not bad idea but after 2 years not much changes.
+1
Revision rhinoplasty for small corrections is safe after one year
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 address that area and trim or remove or reshape if necessary without much risk of developing a "michael jackson" type of nose. However, you should address with your surgeon...
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Jacksonville Facial Plastic Surgeon
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Revision Rhinoplasty
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 you are seeig most likely is the finished result. Irregularities of the tip can either be prominent edges of the nasal tip cartilages (and grafts) or excessive scar tissue. Steroid...
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Dallas Facial Plastic Surgeon
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Revision rhinoplasty can be considered at least one year after the original procedure.
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 touch-up procedure can be done under a short general anesthesia.
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Confusion on the timing here
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. At that point, the tissues would have softened, swelling would be gone, and the issues you have would no longer be likely to resolve spontaneously. Please clarify whether your surgery was...
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Might need a revision Rhinoplasty
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!
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Revision Rhinoplasty...Michael is the Exception
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 risking becoming a member of the Jackson 5. Good luck and be well.
Dr. P
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Seek second opinion for Revision Rhinoplasty
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.
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Revision Rhinoplasty is reasonable after a year
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 probably not go away.
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See a revision rhinoplasty specialist
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.
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You may want to seek out second opinion
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 describing sounds a bit different- it's possible that it is scar tissue but if it is hard it usually turns out to be the top of your septal cartilage or part of the tip cartilage. If you...
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Beverly Hills Facial Plastic Surgeon
