Does revision rhinoplasty require operation room? (Photo)

Very unusual to have the nose drop that much. I wonder what happened during surgery. The good news is that, in expert hands, elevating that tip and getting the profile line of the bridge in a better position is one of the more predictable changes to make in a rhinoplasty, even a revision. Yes, you really do need to wait until it's been close to a year after the first operation, but by the time 6-9 months have passed, the nose will almost certainly be healed enough to be able to make surgical plans about what to do. Unfortunately, nasal tips don't elevate as the swelling reduces very often, so you most likely will be faced with a revision. The operation can't be done under local (I use IV sedation, not general), but it's not hard or lengthy to recover from. I don't know what your recovery appearance and timeline were like after the first operation, so it's hard to compare.


How *much* to elevate the tip, or make other changes? Once more swelling has gone down , we figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

Hello! Thank you for your question. As far as I can see from your photos 1 month will be not enough for any kind of evaluation because your nose is really swollen all over your face. It is safe to do evaluation at least after 6 months. Best Regards!

Hello, although it requires an operating room, it can be done under local without general anesthesia. Also consider that there is swelling and the pollybeak might be from inflammation. Definitely discuss with your surgeon as they might want to try some steroid injections. Good luck

Each surgeon will have their own preference for where and how to do rhinoplasty surgery. It’s definitely possible to do a full rhinoplasty with Out significant pain if the surgeon is willing to take their time. Many surgeons perform these procedures with patients under general anesthesia so they can focus on their work and not have to worry about the patientmoving speaking or being in discomfort while they’re doing very difficult complex procedure.
Operating rooms are also equipped with the best equipment proper lighting, and many other attributes dead surgeons may find to be necessary in order to master their craft. Whether it can be done in the office and should be done in the office or two very different questions. The most important variable is always provider selection. I suggest you focus your efforts on finding the best provider then follow their suggestions or recommendations. Rhinoplasty surgery is not easy or straightforward and revision. Surgery is much more complex and far more difficult than primary procedures. Anybody seeking secondary rhinoplasty surgery should be very careful about provider selection.
If a plastic surgeon has delivered, poor results during the primary procedure than that provider is probably not the right person to do revision work.
I suggest patients have multiple in person, consultations with board-certified plastic surgeons, who have proven long-standing track record specializing in rhinoplasty surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have similar Facial or nasal characteristics to your own. And experienced plastic surgeon should have no difficulty showing you before and after pictures of at least 50 previous patients. Highly experienced surgeons should have access to 100 or preferably thousands of before and after pictures.
Continue having consultations until you feel very confident you found the right provider. The facility and form of anesthesia should be dictated by the wishes of the provider.
Best,
Matt Hagstrom, MD