REVISION RHINOPLASTY

I can't speak for what the PA meant, but "mostly cosmetic" usually describes the mix of a surgeon's practice rather than ability. A facial plastic surgeon trained in otolaryngology has been trained in the nasal airway; the more useful question is how often that surgeon repairs breathing problems in a nose that has already been operated on, sometimes more than once. After prior revisions and more than 20 years, the septum may have little usable cartilage left, so ear or rib grafts, internal...

Swelling that keeps returning a year and a half or more after rhinoplasty has several possible explanations, and sorting them out requires an examination. Sometimes it is simply slow-resolving swelling; the tip is the last part of the nose to settle, particularly after revision rhinoplasty, and it can flare with heat, exercise, or salty food. Other possibilities include filler injected at some point that was never fully dissolved or removed, a chronically infected stitch, or an internalized...

Hello and thank you for your question. Here is my best advice when selecting a surgeon: I highly recommend that my patients focus much more on real longterm before and after photographs rather than 3D imaging.   I encounter so many patients in my practice who see me for revision rhinoplasty who previously had surgery elsewhere who feel like they were mislead into surgery by surgeons who relied heavily on 3D imaging without adequate real before and after pictures to back it up. Photoshop i...