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Rhinoplasty Revision Rate?

Is it true that 1 in 5 rhinoplasty patients desire/need a revision? If this statistic is true, are most of those needing/wanting revisions usually patients who did not go to a American Board of Plastic Surgery certified surgeon?

Sort 7 expert answers by:
+3

Revision rate is not that simple

The number quoted in our literature is more like 10%, meaning one in 10 patients ends up getting a revision rhinoplasty. This number is obviously very surgeon dependent. I am wondering why you brought up the American Board of Plastic Surgery? I do a fair number of revision rhinoplasties in my state and they all come from doctors who are board certified Plastic Surgeons. That is because most of the rhinoplasties around here are done by Plastic Surgeons. I happen to be board certified by the... more
Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon
+2

Here are the FACTS about revision rhinoplasty rates and causes:

First of all, going to a surgeon certified by the American Board of Plastic Surgery has absolutely nothing to do with revision rates and is no guarantee at all for success. The three types of Rhinoplasty surgeons are: 1) Plastic Surgeons 2) Facial Plastic Surgeons 3) ENT surgeons All of the above surgeons, theoretically and by training and certification, should be able to do a good Rhinoplasty. However, there are always good and bad surgeons. And there are always surgeons who specialize... more
Shervin Naderi, MD
Washington DC Facial Plastic Surgeon
+1

Revision Rhinoplasty Rates

Experienced surgeons do not have a revision rate even close to 20%. In this group of surgeons, a more accurate estimate is 5% and most of those are minor post- operative changes. Good revision rhinoplasty surgeons may actually have a higher rate because of the added challenge of these operations. The moral of all this discussion is pick your primary surgeon carefully; a surgeon certified by the American Board of Facial Plastic and Reconstructive Surgery or the American Board of Plastic... more
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty revision rate

Traditionally, the rhinoplasty revision rate is between 5 -15%. I think a well qualified facial plastic surgeon ( ENT trained) or a plastic surgeon should be fine to perform the procedure.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Rhinoplasty

First Rhinoplasty is a very difficult surgery, experience is very important, realistic patient expectations is important. All these are factors in the rate of revision. Choose an experienced board certified surgeon, Have realistic expectations, consult more than one surgeon and communicate all your desires and concerns to your surgeon. Hopefully you will not need revision. The results depend on the characteristics of yur nose, the thickness of the skin and your expectations....
Samir Shureih, MD
Baltimore Plastic Surgeon
+1

The rate of revision rhinoplasty quoted in the medical literature is from 5 to 15%

The physicians who publish these rates are actually the doctors who are doing the most surgery, which is why they are publishing on rhinoplasty. Most are usually minor changes and not patients who need entire re-dos. For a quality result you should trust a physician boarded by the American Board of Facial Plastic Surgery or the American Board of Plastic Surgery. However many physicians who are board certified don't do many rhinoplasties. So, board certification isn't the only issue, you... more
Steven J. Pearlman, MD
New York Facial Plastic Surgeon
+1

Revision Rhinoplasty

This has often been quoted as a revision rate procedure and is indicative of patient expectations, surgeon's surgical expertise, inability to change certain anatomic features, healing tendencies,etc. With a board certified surgeon, you are certain to recieve surgery with an individual who's training is supervised and credentialed.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
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