I went to a plastic surgeon in Norwalk, CT and after the second surgery, I am still unhappy with one side of my nose which dips in. Do you think it is smart to go to an ENT for clinical opinion on what to do next with my nose?
Should I Go to an ENT Doctor for Rhinoplasty Revision Advice?
Doctor Answers 7
It might be a place to start
ENT doctors or otolaryngologists are usually well trained in nasal anatomy, and cosmetic and functional nasal surgery. They might be better in your case than general plastic surgeons who usually concentrate on cosmetic surgery of the body. However, since you had a couple of surgeries already, and each time it is usually more difficult to achieve the desired result, I would recommend you consult with a facial plastic surgeon. Facial plastic surgeons are ENT doctors who undergo additional training in aesthetic and reconstructive surgery of the face. You should find one with an extensive experience in revision rhinoplasty.
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Revision Rhinoplasty With An ENT
When seeking a revision rhinoplasty, a surgeon with experience in revision rhinoplasty is the best choice. Both facial plastic surgeons and general plastic surgeons may be qualified to perform this operation depending on their experience, pedigree, and consistency in results.
Choosing the Best Rhinoplasty Surgeon
Rhinoplasty is said to be the most difficult operation in cosmetic surgery. Whether your potential surgeon is ENT-trained or Plastic Surgery-trained is less important than the physcian's experience.
Choose an surgeon who specializes in nasal surgery. Not all ENTs or Plastic Surgeons routinely perform rhinoplasty. It is important to find one who does. Rhinoplasty takes considerable experience to get predictable results. Revision rhinoplasty requires even more experience and expertise.
Finally, look for a qualified surgeon who is Board Certified in either Otolaryngology (ENT) or Plastic & Reconstructive Surgery and who has experience in correcting both the functional and the cosmetic aspects of rhinoplasty.
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You want a rhinoplasty expert
As mentioned by the other doctors, you need a doctor now who is a rhinoplasty expert, not just someone who does an occasional rhinoplasty. Revisionary rhinoplasty is more difficult than the first time around so you need someone, even if you need to travel to another city, who qualifies as an expert. There are Plastic Surgeons and Facial Plastic Surgeons (ENT) who fit the bill. So don't choose based on basic training, choose on expertise and experience.
You need to see a physician experienced in doing rhinoplasties.
It sounds as if you are not satisfied after two rhinoplasties. You need to see a physician who is experienced in doing these difficult procedures. Also, you must allow total healing after the second surgery , which can be as long as two years. The speciality of the surgeon is less important that their experience. If an ENT guy does not do nose jobs then they are worthless, it's the same as going to see a plastic surgeon who only does breasts. Search out an experienced Rhinoplastic surgeon and talk to them. But to get the best answers, have photos of yourself before both surgeries and a copy of the operative reports.
After two rhinoplasty procedures you should seek an expert in revision rhinoplasty. Whether the surgeon is an ENT, Facial Plastic, or General Plastic surgeon, the surgeon you choose should have experience with revision surgery. There are excellent nasal surgeons in all three specialties.
You will likely benefit from an external approach (open) rhinoplasty where cartilage grafts are used to balance the asymmetry. Good luck and be well.