How long should a typical Rhinoplasty Revision take? I'm seeing on here some people are under for up to 7 hours? (photos)

Question

Is 5-7 hours typical for a revision rhinoplasty? How dangerous is it to be under general anesthesia for that long?

William Portuese, MD · Answer

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

Frederic H. Corbin, MD (license restricted) · Answer

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

Francis R. Palmer, III, MD (retired) · Answer

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.

Dennis Barek, MD (retired) · Answer

There is no one good answer. But if I heard 5 or 7 hours of surgery was needed, I would take a walk.

How long should a typical Rhinoplasty Revision take? I'm seeing on here some people are under for up to 7 hours? (photos)

Answers (4)

Answer: How long should a typical Rhinoplasty Revision take? I'm seeing on here some people are under for up to 7 hours?

Answer: How long should a typical Rhinoplasty Revision take? I'm seeing on here some people are under for up to 7 hours?

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Everything you need to know about Revision Rhinoplasty

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How long should a typical Rhinoplasty Revision take? I'm seeing on here some people are under for up to 7 hours? (photos)

Answers (4)

Answer: How long should a typical Rhinoplasty Revision take? I'm seeing on here some people are under for up to 7 hours?

Answer: How long should a typical Rhinoplasty Revision take? I'm seeing on here some people are under for up to 7 hours?

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.