Revision Rhinoplasty Q&A
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Can I Get a 3rd Revisional Rhinoplasty?

asked 1 year ago by Christine1983 in Los Angeles
Latest answer by Sam Naficy, MD
Question viewed 431 times
Tags: nose, nostrils

I don't think its impossible to achieve the nose I'd like but my last 2 surgeries have not improved it's appearance. All I want is less cartilidge in my nasal tip! After the 1st time I loved it 'til 5yrs later & my tip became even more bulbous. The 2nd surgery was open instead of closed & I guess my right nostril was almost completely blocked by a majorly deviated septum. That was corrected (now I have outdoor allergies that I never had before). Its more narrow but still not happy w/the tip.

6 answers to Can I Get a 3rd Revisional Rhinoplasty?

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Revision rhinoplasty

Revision rhinoplasty is a difficult operation for many reasons.  1) You as the patient may have lost trust or confidence in the surgical process and are exasperated or frustrated with your result.  Finding an experienced revision rhinoplasty surgeon and obtaining a good evaluation is your first step.  2) You must have reasonable expectations when pursuing revision rhinoplasty.  As stated in the previous post, the more revisions, the harder the surgery. ... more
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How many revisions?

There is no absolute maximum number of rhinoplasties that you can get as an individual. If you are still unhappy after multiple rhinoplasties you must consider a couple of possibilities: 1. Are your goals realistic 2. Are you choosing the best possible surgeon for your procedures
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3rd Revision Rhinoplasty

In general, a 3rd revision is usually possible. As others have said, with each revision the surgery is more difficult and the risk of complications increases.  The most important variable will be your selection of an experienced surgeon who specializes in revision surgery.
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3rd revision rhinoplasty

I think that after a while you get diminishing returns from revisions. Also, the tissues are more difficult to deal with as the vascularity changes and the tissues become less malleable.
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Each revision rhinoplasty gets more and more difficult to get great results

Revision rhinoplasty is often a very complex procedure. Most patients get favorable results. However, each time you have surgery the success rate and amount a nose can be improved goes down. I have found that even on the third or more time around noses can be improved, but that really depends on an accurate analysis. I suggest you seek out a revision specialist who spends most of their practice performing primary and revision Rhinoplasty for an evaluation and definitive opinion. more
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Secondary rhinoplasty

First you need to choose a good Board Certified PS. Communicate your concerns and discuss ALL the options and what you want corrected the cosmetic and the functional aspects. The secondary rhinoplasty is more diffcult than primary rhinoplasty. Take the previous operative notes to the new consult, to see what was done. The treatment of allergies is medical and not surgical, However the external and internal valves of the nose need to be evaluated and correct the problem if... more

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