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Revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery. A full set of photographs are required of the nose to determine what may or may not be required. A revision rhinoplasty might take a shorter or longer amount of time, depending upon the what has to be performed during the procedure. Some revision rhinoplasty procedures are rather simple like shaving down a small residual hump, while others are very extensive requiring multiple cartilage grafts which will take much longer. In our practice, a revision rhinoplasty could take anywhere from 1-3 hours depending upon what is needed to be performed, and patient's are placed under general anesthesia by anesthesiologist for that period of time
Thank you for your question and revision rhinoplasty should rarely take over three hours even if cartilage from a rib needs to be harvested.Dr. Corbin
Hi, I have performed and taught Rhinoplasty for 30 years. The local (Liodcaine) used to inject the soft tissues, of the nose during a Rhinoplasty, wears off in about 1 and 1/2 hours. This includes the effects of the epinephrine within the local solution that controls bleeding during the Rhinoplasty. There are ways to inject portions of the tissues to extend the Rhinoplasty to 2 hours but IMHO, that's about the limit. It tales me about 1 hour for a Closed Rhinoplasty and about 2 hours to perform an open Rhinoplasty. Revisions add some time but remain within these time limits. A 7 hour Rhinoplasty would have tremendous amounts of bleeding which equates to much more post op bruising and swelling. Meticulous pre-op planning and experience are required to keep within the strict time limits mentioned above. Theses are some of the reasons for selecting a very experienced, well trained Rhinoplasty Surgeon. Hope this helps.
There is no one good answer. But if I heard 5 or 7 hours of surgery was needed, I would take a walk.
The length of a nose (distance between radix and tip, this is the dorsum) is conditioned by the nasal structures, from top to bottom: nasal bones (hard nasal wall) >>> upper lateral cartilages (soft nasal wall) >>> the tip tripod: lateral cruras, medial cruras and septum; may one or more of the...
Dear viking92, A septal graft is my most preferred graft. In my thirty years of practice I have found a septal graft to be the most consistent in its stability. Speak with your surgeon to discuss your concerns so you have a full understanding of the procedure. Best regards, Michael V....
Placing a cartilage graft along the bridge line does not make the nose stronger or more resilient to a fracture. It simply builds up the existing bridge line. Cartilage grafts do feel natural and they integrate in with the existing cartilage and bone. The grafts are always custom carved...