I had a Rhinoplasty 2 weeks ago, where the tip was trimmed, the nostrils were narrowed, and nose was set back a little. But it's too subtle and I want it done again. However, I don't want to wait until a year later after the procedure. There is hardly any swelling now. I will see my surgeon in 6 weeks. Can I have another Rhinoplasty sooner than a year? How soon after a Rhinoplasty can revision be done?
How Soon After a Rhinoplasty Can Revision Be Done?
Doctor Answers 11
Timing of Revision Rhinoplasty
In general, most rhinoplasty surgeons prefer to wait for one year before performing a revision rhinoplasty because it can take as long as a year for the swelling to subside and for scar tissue to mature.
Often, some problems after rhinoplasty will resolve with time and a revision can be avoided.
Other times, waiting a full year may allow for other problems that are not readily apparent in the early healing phase to become visible and all of the problems can be addressed with a single surgery.
How Soon for Rhinoplasty Revision..."Patience is It's Own Reward"
You do still have swelling and healing going on in your nose only two weeks after your rhinoplasty. You should wait at least 6 months before having a revision surgery.
Certainly your surgeon is the best person to discuss when the best time for revision will be. When you get too impatient, remember these two words....Michael Jackson.
Good luck and be well.
Wait At Least One Year Before Revision Rhinoplasty
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How Early For A Revision Rhinoplasty
Most patients should wait one year before seeking a revision rhinoplasty. In order for a revision surgeon to properly assess the nose, swelling must be reduced. At 2 weeks after a rhinoplasty, it is difficult to assess the final result of the nose.
Early revision nasal surgery
Generally, we advise patients to wait one year before considering revision surgery to address any problems. This is due to the ongoing healing process of the soft tissues and final results can't be determined until that time. If the problem is restricted to the bone (ie persistent deviated nasal bones), then it is reasonable to intervene earlier. For example, if a deviated nasal bone is noted in the early postoperative period, one can attempt to medialize the bones.
Within the first 10 to 14 days, it may even be done in the clinic. Your surgeon may also discuss using sedation in an appropriately credentialed facility. If a problem with the nasal bones is noted after two weeks, one can still intervene sooner than a year but may need to recut the bones in order to solve the problem.
Better to wait 1 year
Do not have any revisional surgery within the first year of the rhinoplasty to make sure that indeed full healing has taken place. Surgery sooner than that may not be required because of the edema that persists for a long time after the rhinoplasty procedure.
Wait until tissues settle and swelling resolves
After Rhinoplasty, it takes about 1 year for the the tissues to completely settle and the swelling to completely resolve. It would not be a good idea to undergo a revision before this time.
Rhinoplasty revision should best wait a year
I know this is not exactly what you would like to hear, and there are some reasons to revise a rhinoplasty procedure sooner. Two reasons to consider an earlier revision are irregularites of the bridge of the nose seen through the skin, or a tip that somehow became over rotated upward and the now appears too short for your tastes. In the first case it is unlikely that the irregularities will go away over time, and in the latter it can be more difficult to bring the tip down and add length if it has set in well.
If there has been no grave mishap however the best time to revise is when the tissue has regained softness and is again pliable enough to allow shaping in the most predictable way. After all, you are less that satisfied with your result and want every chance for success the second time around.
Finally if you haven't done so, request computer simulation with your surgeon as this gives you a good idea of how you look presently, and how future changes may enhance your result. You will then be confident your surgeon knows what you expect.
When the tip of your nose is fully soft its time to proceed.
Best of luck.
Two weeks is too soon to consider another rhinoplasty surgery
Technically, you can do a revision at any time, but it is NOT a good idea to do it so soon after surgery. The reason is that rhinoplasty results can be subtle, and can be completely hidden by edema/swelling.
Although you think that there is "hardly any swelling", the fact that a rhinoplasty was performed will cause swelling, and it should still be noticeable to your surgeon (who will know what size / shape of nose to expect).
Think of it this way: subtle changes were done to your nose, and you are now at the point where there is subtle edema - so you look unchanged from before surgery! If you were to re-operate now and do more of a "reduction", then when a year has passed, you will find that you overshot and are now over-reduced.
Every patient goes through the same period of anxiety. Just wait and give it time. If you need reassurance, visit with another experienced rhinoplasty surgeon so they can re-iterate why waiting is the appropriate course of action. (The first thing you should do is visit with your surgeon and discuss your concerns with them - expect the same discussion.)
It's too early to consider revision rhinoplasty
At two weeks postop, you have a significant amount of soft tissue swelling even if you can't feel it. The body resolves swelling on its own time table which is typically 6-8 weeks after surgery. Even when the swelling is gone the underlying scar will take a minimum of 6 months to mature.
Repeat surgery too early (less than one year after the first surgery) usually results in excessive scar formation and thicker overlying skin. Any finesse that you were hoping to find will more than likely not manifest itself under that situation.
Finally, the vascularity/blood supply to the nasal tissues needs time to heal. If surgery happens too early, you may not have enough blood supply to heal properly and lose portions of your nose.
You have to be patient! A surgeon worth his/her training won't touch you for at least a year. Just go back to your surgeon and work with him/her. Dr. Shah
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.