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Rhinoplasty and Septoplasty: Is a Revision Always Necessary?

asked 1 year ago by pari in Woking, N7
Latest answer by William Portuese, MD
Question viewed 240 times
Tags: revision, touch up

when you have rhinoplasty and septoplasty do you always need a revision, so what i mean is that can u have the operation once and never have an operation until the rest of your life, and your nose will look the same? or do people most definitely need to go back for a touch up etc?

15 answers to Rhinoplasty and Septoplasty: Is a Revision Always Necessary?

+1

Revision Rhinoplasty

In the hands of experienced surgeons revisions are not common and are usually  minor. The nose will change throughout life due to the aging process, but very few patients choose to have additional surgery.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

10% chance of needing a touchup after rhinoplasty

There is an approximately 10% chance of needing a touchup after rhinoplasty.  90% of patients need no touchups after the first year.  It is important to find a very experienced rhinoplasty surgeon since it usually takes approximately 1000 rhinoplasties before the surgeon feels quite comfortable with all of the nuances of the procedure.  
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Revision Rhinoplasty

Hello, This depends on a few things. It is important to do your homework, and choose a highly skilled surgeon who specializes in rhinoplasty surgery. This will ensure you have the best outcome possible, and will greatly minimize the chances that a revision will be necessary. Everyone heals differently from a rhinoplasty and/or septoplasty, and sometimes minor revision work may be necessary down the road in order to obtain the best result. This may be the case even if a highly skilled... more
Paul S. Nassif, MD

Beverly Hills Facial Plastic Surgeon
+1

Revision Rhinoplasty not common

Of course, the vast majority of Rhinoplasty patients only have 1 Rhinoplasty whether the septum is operated on at the same time or not.  Revision Rhinoplasty rates run about 10% for all reasons across the board IMHO.  I would guess that some surgeons have higher revision rates than others.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty

Many patients are satisfied with their results after a rhinoplasty, but I will say even in the best of hands the revison rate is somewhere between 5-15%.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Tough Up Surgery Following Rhinoplasty

Great question.  Any busy rhinoplasty surgeon will have a revison or touch up rate of between 5 and 10%.  Generally speaking, a touch up procedure is indicated when the surgical outcome has not completely met the patients and/or surgeons expectations.  Fortunately, this usually means taking down a bit more hump or creating a bit more tip definition, for example.  More of a fine tuning than a correction.
Andrew B. Denton, MD

Vancouver Facial Plastic Surgeon
+1

Revision rhinopasty rates vary with the skill of the surgeon.

Most experienced rhinoplasty surgeons have revision rates of less than 5 percent. The remaining 95 percent need no further surgery. Tha revision should be quite minor!
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Revisional Rhinoplasty Rates

Most expert rhinoplasty surgeons will acknowledge a 5-10% revision rate. This implies that a) rhinoplasty is not 100% predictable even in the best hands, and b) you should be realistic about your expectations for surgery. Part of what drives revisions is surgical technique. Techniques that create a loss of structural cartilage support may create a nose that looks good early after surgery, but with time can produce problems related to tip cartilage buckling from scar contraction. Fortunately,... more
Paul Angelchik, MD

Glendale Plastic Surgeon
+1

Revision rate is low

In general rhinoplasty revision rate is low at 10-15%. The results are long lasting. Some people do need touch ups. You need to understand that during the consultation. Also you need to ask your plastic surgeon about the cost if revision is needed.
Moneer Jaibaji, MD

San Diego Plastic Surgeon
+1

Rhinoplasty is ideally done only once.

Rhinoplasty and septoplasty are meant to be one-time operations and usually should not need to be repeated. That said, given its complexity and the variations between one patient and the next, it does have a relatively high revision rate compared with other cosmetic surgeries...about 10% or so. It's important to maximize your chances of having surgery once, so choose your surgeon carefully and review their before and after photos (and don't hesitate to ask if those are really his/her... more
David C. Pearson, MD

Jacksonville Facial Plastic Surgeon
+1

Septoplasty and Rhinoplasty results

Septoplasty with Rhinoplasty should be a one time procedure with results that should last the rest of your life unless you have some kind of injury to the nose after surgery. I have been doing this type of surgery for over 30 years and have revised only one nose early in my carrier.  
Robert T. Buchanan, MD

Highlands Plastic Surgeon
+1

Rhinoplasty results should last a life time

The nose does not age in the way other facial features do, and a single rhinoplasty is all you should expect to need in a life time. Revision is only needed for a few, and computer imaging can assist in understanding the changes planned and how they will fit in with your features. Once will do just fine. Best of luck, peterejohnsonmd
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Revision rates on rhinoplasty and septoplasty

I always educate my patients that rhinoplasty is the most complex procedure in all of cosmetic surgery for reasons of anatomy, experience and skill of the surgeon and unpredictable healing/scarring. The revision rate is 15%, usually for minor touch ups of visible or palpable assymetry or irregularities. Revisions are usually done at cost to the patient or roughly less than half of the total original fees. Healing after rhinoplasty takes years, with swelling lasting up to 2 years. The skin... more
Edmund Fisher, MD

Los Angeles Facial Plastic Surgeon
+1

Rhinoplasty Revision Surgery

Rhinoplasty revisions are common, but they are not the rule. Studies show revision rates between 10 and 20%. Computer imaging before surgery can facilitate visual communication, decrease miscommunication and help reduce the need for revision. One reason rhinoplasty has a high revision rate is that on the nose a millimeter can make a difference. So often revision surgery is being done to fine tune the results rather than starting from scratch and trying again. A small amount of scar, can... more
Joseph Mele, MD

Walnut Creek Plastic Surgeon
+1

Los Angeles Rhinoplasty

Most of the time (about 90%) rhinoplasty and septoplasty is done once and the results are long term.
Armen Vartany, MD

Los Angeles Plastic Surgeon

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