Revision Rhinoplasty Q&A
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Rhinoplasty Revision. Should I Use the Same Doctor or Not? How Difficult is This Revision?
asked 9 months ago by KMDatl in Atlanta, GA
Latest answer by Houtan Chaboki, MD
Question viewed 204 times
Tags: 4 months post-op, choosing a surgeon, dents, unhappy
I had rhinoplasty 5/10 and I’m scheduled to have revision surgery in 2 weeks. I’m apprehensive as I am going back to the same doctor. How often do plastic surgeons have to do revision surgery? Obviously, my concern is if the doctor didn’t do the surgery right the first time should I trust a second. There is a dent on the front right nostril and it looks like I have a beak. The middle part of nose is too pointy and with the appearance of lots of overhang. Is this a difficult revision? Thank you.
8 answers to Rhinoplasty Revision. Should I Use the Same Doctor or Not? How Difficult is This Revision?
+2
Rhinoplasty Revision Plastic Surgeon
Hi KDMatl ,
Thank you for your question.
Rhinoplasty is generally considered a challenging procedure by plastic surgeons, due to the large variety of nose types, numerous surgical techniques, and unpredictably of healing. Despite the surgeon's and patient's best efforts, a rhinoplasty procedure may need to be revised.
Generally the revision rate may vary, starting from approximately 5%, and goes higher. History of prior nasal trauma or rhinoplasty are just some...
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+2
Revision Rhinoplasty
Hi,
I would suggest you get a second and/or a third opinion. You can still use the same surgeon if you feel confident with him/her, but a second opinion is a good idea. It appears the your tip cartiages are over - projected and you have collumelar show. Also it seems that a piece of your tip cartilage is missing creatng a divit. Hope this helps.
Best,
Dr.S.
+2
Revision rhinoplasty
I agree with Dr. Emerson that this appears to be a difficult revision and that your primary surgeon has the best chance of fixing things. If your surgeon understands your concerns and can confidently explain the next approach you are probably better off staying with him/her than trying to get someone else involved. If, however, you have lost confidence in your surgeon or have developed an unpleasnat relationship then another opinion is needed.
+2
Revision rhinoplasty
Rhinoplasty revisions occur in anywhere from about 5-15%, and some quote even higher. If you feel comfortable with your surgeon, then it may be the best thing to do since that surgeon knows exaclty what was done in the first operation. But, sometimes patients after revision surgery wish that they did not go ahead with it afterwards.
+2
Revision rhinoplasty
All revisions are challenging and should only be undertaken by surgeons comfortable with doing them and with a variety of of operative techniques. No one knows the true revision rate since many patients do not return to their first surgeon. Most surgeons are aware of how often they redo their own patients who return to them and I have seen rates quoted fro 5-30 % even by acknowledged experts. Having been disappointed by your first surgery it is natural for you to feel hesitant about going...
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+2
Answer to RealSelf.com Rhinoplasty revision question
The need for revision after rhinoplasty is noted in the literature to vary from about 7% to 18%. This includes even the most experienced rhinoplasty surgeons. Most rhinoplasty revisions would be considered difficult procedures, and I feel that your revision would fit into this category. Healing can be unpredictable and the apparent retraction of your alar rims can be quite challenging to overcome.
Your previous surgeon has the advantage of knowing exactly what...
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Eric T. Emerson, MD
Charlotte Plastic Surgeon
Charlotte Plastic Surgeon
+2
Your revision rhionoplasty surgery will be difficult.
Greetings. I reviewed your concerns and your photos.
You appear to have an exaggerated curvature of your lobule-columella and nostril asymmetry. Your tip looks as though a shield graft may have shifted, but I could not be sure of this without examining you or reviewing your operative report.
If your surgeon explains the reason why your tip looks as it does, and offers you a reasonable approach to fix it, then you may considering going with revision surgery as planned. If you're...
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+2
Revision Rhinoplasty
Other than minor revisions, I feel all revision rhinolasty si difficult and should be done by a surgeon experienced in this work. I think your revision will be difficult - your surgeon may be very experienced and has the advantage of knowing what was done during the primary. If there is any doubt, get a second opinion before your surgery.
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