Can a revision rhinoplasty be quick and easy?

Question

I have had 4 rhinplastys and I'm very prone to scar tissue. I want my columella raised higher, nostrils smaller (because with the columella raise they will look Michael Jackson-ish if they are not smaller) and the tip a bit shorter. Would this cause me to have a long recovery with scar tissue problems again? Or is it a relatively easy and quick procedure? Can my nose collapse due to numerous rhinoplastys and kenalog injections over a 9 year period?

Russell Kridel, MD · Answer

BrittE92,
During rhinoplasty, the skin
and internal lining of the nose is lifted away from the cartilages and bones that provide
the its structural framework. The majority of the work performed in
rhinoplasty is aimed at reshaping this framework to exact changes in
the nasal appearance. When the skin and internal lining are lifted away from
the cartilage and bone, the blood supply to the nose is partially disrupted,
which explains for the prolonged swelling after rhinoplasty surgery.
Additionally, scar tissue builds up under the skin, which further impedes blood
flow and prolongs swelling. For this reason, one can expect each successive
revision rhinoplasty (excluding minor modifications) to have a longer recovery
period than the last. I recommend consulting with
a rhinoplasty surgeon with experience in revision rhinoplasty for an in-person
examination and discussion of your treatment options. Without photographs and
an in-person examination, it is difficult to address your specific questions.

Michael M. Kim, MD · Answer

Hi BrittE92,Although an in-person examination is needed, the answer is typically "no" especially if you have had several previous procedures. Also, in general, recovery is longer with revision procedures due to the nasal scar tissue and skin quality. It is in your best interests to find an experienced revision rhinoplasty surgeon near you to discuss all of your concerns and to discuss your surgical options.Thanks,Michael M. Kim, MD

Chase Lay, MD · Answer

Nothing about your history sounds simple or easy.  Revision rhinoplasty is touch and changing or improving mild to moderate imperfections can be very unpredictable.  Seek only advice from revision rhinoplasty specialists who have evidence of their work.  Also, you get what you pay for.Chase Lay MD

David Alessi, MD - Account Suspended · Answer

You need an in-office exam to determine what can be done.  Generically, someone with several rhinoplasties will have significant scar tissue and skin thickness issues that are difficult to overcome.  Seek out a consultation with a board-certified Facial Plastic surgeon with a significant experience with revisions.  They will be able to guide you as to what is possible.  Best wishes.

Can a revision rhinoplasty be quick and easy?

Answers (4)

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