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Safe to Have Revision Two Months After Primary Rhinoplasty?

asked 1 year ago by mel1087 in Washington, DC
Latest answer by Sam Naficy, MD
Question viewed 580 times
Tags: bridge, bump, safety, timing

Soon after my cast came off I noticed a small bump on the left side of my bridge. It's very hard and feels like bone. After meeting with my doctor he said I would need a small revision. He told me he would rasp down the bump under local anesthesia, and the impression I received was that it is a fairly simple procedure. My concern is that I notice on this site many doctors saying revisions should not be done for 6 months to 1 year. Is it safe to have rasping done this soon?

21 answers to Safe to Have Revision Two Months After Primary Rhinoplasty?

Rhinoplasty, Beverly Hills Rhinoplasty, Nasal Refinement, Nose Job,Beverly Hills Rhinoplasty, Los Angeles Rhinoplasty

Having done Rhinoplasty and Revision Rhinoplasty for over 20 years, I think you should consider waiting for the following reasons: Elevating the tissues off of the nasal structures below at intervals less than 6 months apart can cause cobble stone like appearance to the skin. This should be avoided at all cost IMHO as it can't be reversed. It's not impossible that the bump will decrease over the normal post Rhinoplasty healing time which is 6-9 months... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Timing of Revision Rhinoplasty

Hi mel1087 - Waiting 6-12 months is usually best, so that you and the surgeon can see how things healed. Having said this your surgeon knows the particulars of your case and surgical procedure. Ask your surgeon this question, as well as the pros and cons of waiting. Sincerely, Tom Kaniff

Thomas E. Kaniff, MD
Sacramento Facial Plastic Surgeon

www.facialcosmeticsurg.com

Minor bone revision

Although with most revisions it is advisable to wait 10-12 months, what you are describing seems reasonable to do as an early revision

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Waiting is Wise!

In general, it is best not to re-operatefor for one year after a failed rhinoplasty since the tissues are still inflamed and less likely to heal favorably. The reason for this is because re-operating on acutely inflamed tissue is far less precise and much less predictable. For the best results, most patients are advised to postpone revision surgery at least until the acute swelling and inflammation have resolved, which varies considerably from patient to patient. Each case is... more

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon

Revision Rhinoplasty

Hello, A bump on the bridge can be removed as early as 6 months following the initial surgery. Thank you, and I hope this helps answer your question. Dr. Nassif

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon

Timing for revision rhinoplasty

I agree with the comments it is best to wait at least six months. Even though you may have residual bone, the tissue surrounding the area will require time to soften, so that the revision can be done safely and with less chance of complication/revision.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Revision Rhinoplasty at 2 Months? No..No..No

The term "little revision" in Rhinoplasty brings to mind the concept of being a "little pregnant". In Rhinoplasty surgery, every action has an equal and opposite reaction; sometimes doing "just one little thing" leads to more of a mess than an improvement. The fact is that you are going to see changes for a year and even longer after Rhinoplasty. If you want to be happy with your ultimate result, I would advise you to wait a minimum of 6-9... more

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Eary Revision Rhinoplasty

If the prominence is really a piece of bone, then I would agree with your doctor that it can be done sooner than later. The 12 month recommendation to wait that you see regarding revision rhinoplasty is one to allow all the swelling, scar changes, and skin contraction to finish before making a decision whether and what needs to be done. Your surgeon is in the perfect situation to give you the best advice.

Randy J. Buckspan, MD
Austin Plastic Surgeon

Two months post-op is too soon to consider Revision Rhinoplasty Surgery.

I read your concern. When it comes to Revision Rhinoplasty Surgery, there is no such thing as a "small revision". In my opinion, you should consider waiting for at least 6 months from the time of your surgery before considering further surgical intervention. I have seen "small bumps" up by the nasal bones completely disappear as post-surgical swelling resolves. Also, if the bump is filed down, this may cause the appearance of your nose to widen and require osteotomies... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Sometimes revision rhinoplasty is indicated earlier than 6 to 12 months

I agree that most patients should not undergo revision rhinoplasty surgery for quite some time after their procedure. Many of the slight imperfections that patients notice in the first few months after a rhinoplasty resolve once the swelling is gone and the nose if fully healed. However, some imperfections may not resolve with time and a small bump on the bridge of the nose can be one of them. I would defer to your surgeon's judgement on this.

Jonathan Sonne, MD
Naples Facial Plastic Surgeon

Revision 2 Months after Primary Rhinoplasty

There are no rules about the timing of revision rhinoplasty, but I generally advise waiting at least 6-9 months even for a minor revision. What was done during the original surgery does influence my recommendations. I question the need for immediate correction - patience is always safer.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Early revision rhinoplasty

It depends on how subtle the deformity is. You may want to ask your friends or loved ones if they can notice a problem as much as you can. If they are telling you that they do not see it as much, you should wait as long as you can, preferably more than 1 year. This is because you are probably paying much closer attention to the way your new nose looks. The opinion of others, and not just your surgeon, becomes somewhat important at this time. If a... more

Joseph Shvidler, MD
Tacoma Facial Plastic Surgeon

When to have minor revision rhinoplasty

I generally recommend waiting at least a year before performing revision or refinement rhinoplasty. There are several benefits to this: This gives your nose time to heal more fully. Sometimes the initial thing you were concerned about resolves. Also, sometimes other areas of concern may become evident that you'll also want addressed at the same time. Repeat surgery too early is more difficult as the tissue planes are still healing. After a year the tissue has... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

Revision rhinoplasty 2 months after surgery

Some revisions can be done sooner than 6-9 months and this is one of those. If you can wait another month or so, it may be best. But, a rasping can be done through a small incision without any consequence. You will have unilateral swelling for a while before it evens out.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Timing of revision rhinoplasty

It is typically best to wait close to one year for several reasons. First of all, often times with conservative therapy the problem will resolve and there would be no need for additional surgery. Secondly, it is technically difficult to go in to an area that has been operated on until the tissues soften and return to their natural state. Surgery too soon can also disrupt the healing of the other tissues and compromise the overall result. Some surgeons do operate sooner with satisfactory... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Rhinoplasty revision

Usually it is best to wait about 6 months to a year to perform revisions for rhinoplasty. This is due to he fact that the soft tissues are still quite firm.

Steven Wallach, MD
Manhattan Plastic Surgeon

Minor Revision Rhinoplasty

There are few absolutes in rhinoplasty surgery, but waiting at least one year for revision is very good advice - especially for tip cartilage and soft tissue healing to finalize. However, if the abnormality is bone, as it sounds like yours is, then I agree with your surgeon's recommendation that there is no need to wait because it is unlikely to change much after the first couple months.

James Bartels, MD
Manchester Facial Plastic Surgeon

Revision Rhinoplasty

Hi, If there is a gross abnormality, then there is no reason to wait. Also it depends on the extent of your first rhinoplasty. According to what you wrote, it seems reasonable to wait 2 to 3 months. If you still have the hump, a minor revision is reasonable. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

Safe to Have Revision Two Months After Primary Rhinoplasty?

In my opinion you should wait. Even if there is a bony bump, its size will change as the swelling decreases. The problem with rasping this area too early is that too much bone may be taken down, and after the swelling resolves you will end up with a depression. Michel Siegel, MD

Michel Siegel, MD
Houston Facial Plastic Surgeon

houstonfaces.com

Revision Rhinoplasty after Two Months

Your primary surgeon is the best to make the ultimate decision regarding revision rhinoplasty since he or she knows exactly what was done during your initial procedure. If your surgeon feels that it is bone and not soft tissue swelling causing the bump then proceeding with rasping down of this area is perfectly fine. Oftentimes, patients are concerned with soft tissue swelling in the first 6 months to one year after surgery. The soft tissue swelling continues to resolve... more

Kristin Egan, MD
Manhattan Beach Facial Plastic Surgeon

Definitely wait!

No revision should be done for at least a year. I have seen patients in the DC area who had multiple surgeries just a few months apart and with each surgery things got worse and worse. Just wait. Let things heal. If you need a minor rasping then it can be done after a year once much of the healing is stabilized but remember that rhinoplasty results change for many years to come. The reason you wait a year is for the revision to be less bloody and the scar tissue... more