Revision Rhinoplasty: Q&A

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Are 6 Revision Rhinoplasty Surgeries Too Many?

i have had five surgeries now as the first 4 were a complete disaster and the last surgeon had to totally reconstruct my nose with cartilage and fascia grafts. my nose is looking pretty good, slight asymmetry is evident however. is having a 6th operation risky in terms of tissue death? my dr implied that this had to be my last operation as i have had too many. i am wondering if tissue death is common?

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6 Doctor Answers | Asked by ausgal

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Multiple rhinoplasty revisions

The limitations are related to skin quality. Too much scarring and skin that is too thin can be a set up for complications. After 6 revisions there are two things to consider: 1) are my expectations realistic? 2) have I become too invested in this and too wrapped up in repairing what was an unsatisfactory initial result? Once you start down the road of revisions there is the potential to hyper-focus, causing you to be more critical now than you might have been... more

6 th revision

There is no absolute maximum number of rhinoplasties that you can get as long as the skin is healthy. If you are still unhappy after multiple rhinoplasties you must consider whether your goals are realistic

Sam Naficy, MD

84 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Revision rhinoplasty and how many are too many?

Most patients have absolutely no idea of how complex and technically difficult a major revision rhinoplasty can be; most surgeons avoid taking on the challenge of trying to fix another surgeon's work because they know that the results they can obtain will be less than perfect in most cases and because the skill set necessary to obtain a good result will be demanding. For a minor revision, which only requires a small correction for a little irregularity here or there, the job... more

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6 revision Rhinoplasty surgeries is quite a lot

IMHO, 6 Rhinoplasties are a lot. Skin slough from compromised blood supply to the nasal skin is very rare after Rhinoplasty but if it did occur, it would deform the nose. Listen to the last Rhinoplasty surgeon and find some other part of your face and body to make more attractive. Time to leave your nose alone.

Six rhinoplasties

You have had a lot of surgery. Besides the risk of tissue death each time you operate you induce a new round of scar tissue which may alter the result. The chances of "hitting it just right" so the last little asymmetry that bothers you will be gone versus the chance of new problems keep getting worse for you. It's also possible that there are things you aren't noticing but after you have something else adjusted it becomes apparent to you. Ask yourself if your goals are... more

Michael L. Schwartz, MD

3 reviews

Fort Lauderdale Facial Plastic Surgeon

www.palmbeachface.com

Too Many Nasal Revisions

Six surgeries is significant and as you continue to push toward perfection the chances of a disastrous complication continue to rise. Even you mentioned a "slight" asymmetry, and this unto itself (if accurate) shouldn't warrant another intervention. Your nose will NEVER be perfect and at some point you have to stop. If you continue to look, someone will operate on you, but make this decision carefully. Best of luck. Vincent Marin, MD, FACS San Diego Plastic Surgeon more

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