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Complications from Second Rhinoplasty to Thin the Nose?

asked 2 years ago by Jessica58 in minnesota
Latest answer by Richard W. Fleming, MD
Question viewed 592 times
Tags: nose, bulbous, complication, thin

I had a closed rhinoplasty in 2008 to remove the hump. Now, I think my nose looks too bulbous and wide. I'm considering having a second rhinoplasty to thin it. However I am worried about it having complications due to it being a second surgery. I would like for it to look as natural as possible, so if it is something that has a high probability of going wrong, I'd rather leave it be. I don't want it to be too thin or to collapse. How would I find a surgeon that's well qualified in complicated procedures such as mine?

15 answers to Complications from Second Rhinoplasty to Thin the Nose?

Complications from rhinoplasty are very rare.

In more than 30 years of doing revision rhinoplasty, the results may be more difficult to obtain perfection--but these noses can be vastly improved. Before having the nose revised seek out an experienced revision rhinoplasty surgeon and look at their before/after photos. We have our patients meet with previous revision rhinoplasty patients since these patients have a great deal of anxiety with a bad experience from the first rhinoplasty.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Preventing complications in revision rhinoplasty

It sounds as if you had certain issues with your nose in 2008 that were addressed but, other issues that were not addressed at the time of your original rhinoplasty that now bother you. Although revision rhinoplasty is often times more complicated than a first time rhinoplasty, the fact that you only had your hump lowered and no other changes were performed on your nose during your prior surgery, may make for a less complicated revision rhinoplasty. I would have the operative note... more

Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon

Risks of Revision Rhinoplasty

Revision rhinolasty is usually a much more difficult procedure than the original operation. Therefore, find a surgeon experienced in revision surgery, be specific about your concerns, and establish reasonable goals.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Seek out rhinoplasty specialist for revision surgery

Secondary rhinoplasty is more difficult than the primary rhinoplasty. It is important to seek out a rhinoplasty surgeon who has performed thousands of rhinoplasties and revision rhinoplasties. Critically look at before and after photos of the surgeon, he/she should be well qualified, board certified in ear, nose, and throat and facial plastic reconstructive surgery. In addition, make sure the surgery center is accredited and the anesthesiologist is board certified. Get at least three... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Second Rhinoplasty

It would be best for you to find an experienced, competent aesthetically oriented nasal surgeon who has substantial experience performing revision rhinoplasty. In good hands, you should not experience significant complications. The most important questions are: Would a revision procedure be worthwhile? Would it improve the contour of your nose? Would it make you happy? These are the questions that need to be answered during your consultation.

Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon

Second Rhinoplasty

Secondary rhinoplasty is more complex than primary rhinoplasty . The results depend very much on what you find when you open the nose and look at the cartillage. Depends also on what was done in the first surgery. But it is very much achievable and carry minimal risks with a Board certified plastic Surgeon with experience

Samir Shureih, MD
Baltimore Plastic Surgeon

Correction of wide nose after hump reduction

There are a few reasons why a nose may appear wider after reduction of a nasal hump. 1. your tip was not treated / altered during the first operation. This can leave you with an imbalance in the appearance of the nose that makes your tip appear to be more bulbous. A simple tip rhinoplasty (assuming that your bridge is aesthetically acceptable) may be all that is necessary to correct this issue. 2. there may be an open-roof deformity. This occurs when the hump reduction is preformed... more

Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon

Complications from second Rhinoplasty to thin the nose

The easiest way to get a good rhinoplasty surgeon is to interview 3 boarded surgeons. Than yiu can compare. If these 3 are not enough than continue until you are happy.

Darryl J. Blinski, MD
Miami Plastic Surgeon

For revision rhinoplasty, you must seek out an expert

Complications can occur with primary as well as revision rhinoplasty. However, the likelihood of getting a good result goes up if the surgeon you choose is experienced in both procedures. There is an old saying "performing a rhinoplasty is easy...getting consistently good results is difficult." Revision specialists are versed in what might have gone wrong in the first place and be better prepared to fix it. For example, depending on the evaluation of your nose, tips can get more bulbou more

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Secondary rhinoplasty

Secondary rhinoplasty is techinically more difficult because there tends to be a fair amount of scar tissue. This means that the surgery itself is more demanding, and that you are more likely to be swollen longer after surgery. It's hard to give you an estimate of the chance of a complication without examining you, so I'd recommend that you see an experienced rhinoplasty surgeon in your area. When you call for an appointment, ask specifically about the doctor's experience with revision... more

Nina S. Naidu, MD
New York Plastic Surgeon

Secondary rhinoplasty

It is impossible to give you the "odds" of a complication. I would advise you that you shoud consider going with an experienced rhinoplasty surgeon, and consider an open rhinoplasty.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Rhinoplasty Surgery may address your tip that is too bulbous and wide.

If you didn't have any tip work during your previous Rhinoplasty Surgery , then a Revision Rhinoplasty with mostly tip alteration should not be complicated for an experienced Rhinoplasty Surgeon. Most of my patients that are seeking improvement in the appearance of their nose will require both bridge work and tip work for an optimal result. If your tip and septum were never touched during your first surgery, a tip-plasty for refinement and narrowing is relatively low risk. Your surgeon's... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Bulbous "thick" nose and secondary or revision rhinoplasty (nose job)

There are several reasons why a nose can look bulbous. If it is due to prominent cartilages that were not treated at your first surgery, then a tip rhinoplasty could provide you with a satisfactory outcome. If, however, it is due to sebaceous or thick skin, surgery may not be as good an option.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Complications of Revision Rhinoplasty

For a good result, it goes without saying that you SHOULD seek out a rhinoplasty surgeon who is experienced in re-do or revision Rhinoplasty. BUT - more importantly, you should ONLY proceed if you accept the low but always present likelihood of a bad outcome. With the exception of noses who had undergone multiple revisions, and everyone realizes are teetering on the verge of collapse and preposterous results, there is no way to accurately quantitative the likelihood of "unnatural"... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Start with your original surgeon

You can start by asking your original doctor to evaluate you. He may have suggestion about the look you are interested. You also can ask him for referral if he does not want to operate on you. A frontal and lateral picture would be helpful