What is the percentage that 3rd rhinoplasty can have good aesthetic result with an experienced revision rhinoplasty specialist?

Question

what are the main risks that are involved with third revisions?

William Portuese, MD · Answer

There are too many variables to give any prediction on success rate for a  third revision rhinoplasty.  Some of the factors that play into success include a very experienced  revision rhinoplasty surgeon, scar tissue and contracture, healing process, thickness of the skin, previous surgical alterations with and without grafting techniques. It is best to obtain the old records so your new surgeon can review the operative reports to find out what was accomplished in the previous 2 rhinoplasty procedures her

Michael T. Somenek, MD · Answer

There is no good answer to guarantee a good result the third time around. However, what I can tell you, is that if you are considering a revision, make sure that you seek out a revision rhinoplasty specialist. It is always important during the consultation to clarify what it is about your nose that bothers you and see if these issues can be adequately addressed so you and the surgeon are on the same page. Best of luck.

Andrew Kornstein, MD, FACS · Answer

It really depends on what has been done to your nose and what needs to be done as well as the availability of sources of reconstructive material, such as septal cartilage, etcIt may require revision of aesthetic and/or functional issues; it may be an easier or more extensive revision.Photos would be a good start but you will require an accurate history of your issues and operations as well as a thorough examBest of luck

Cory Torgerson, MD, PhD, FRCSC - Account Suspended · Answer

Revision rhinoplasty is one of the most challenging of all
cosmetic surgeries, and each time a rhinoplasty is done, it becomes
increasingly complex. It is possible to have a good outcome the third time, but as there are many factors involved, it depends on what was done in the first two surgeries and what needs to be done the third time. There is no guarantee that
your nose will turn out exactly the way you want it the third time either. If you do
decide to have another rhinoplasty done, it is essential to look for an experienced revision
rhinoplasty specialist who has a strong aesthetic sense and the talent and
experience to refine the nose as needed. And get a second or third opinion.

Michael Elam, MD (retired) · Answer

The process of determining if a patient is a candidate for a revision rhinoplasty is dependent on what the patient hopes to achieve with the revision surgery, and what has been performed to the nose in the past procedures. These two factors are more important then the amount of surgeries performed and will determine the likelihood of success. If I do not think a consulting patient will have a good aesthetic result with a revision procedure I would not offer to perform the procedure.  Best regards, Michael V. Elam, M.D.

Richard W. Fleming, MD (retired) · Answer

The expectation of success with a 3rd rhinoplasty will depend on what was previously done and what needs to be done at this time. That is more important than the number of procedures. I need to at least see pictures and previous operative reports.

What is the percentage that 3rd rhinoplasty can have good aesthetic result with an experienced revision rhinoplasty specialist?

Answers (6)

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