Best Revision Rhinoplasty Surgeon in the USA?

You cannot go wrong with Dean Toriumi (Chicago), J. Regan Thomas (Chicago), Rick Davis (Florida East Coast), Jack Gunter (Texas), Peter Adamson (Toronto), Toby Mayer (Beverly Hills), and Rod Rohrich (Texas).  All have a wealth of experience and specialize in revision Rhinoplasty.

Hello and thank you for your question. You should select your surgeon with a careful consideration of their overall body of work on their before and after gallery. You should be able to see hundreds of pictures there with noses similar to yours. Based on your photograph, you may benefit from tip derotation with extended spreader grafts and release of scar tissue. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

From what I can ascertain from the side view you have provided, and without having the opportunity to examine you in person, you appear to present with a short, blunt, bulbous-tipped nose, with poor tip projection. I see this commonly in patients requiring secondary and tertiary rhinoplasty who come to me after having had an unsatisfactory experience elsewhere. Your dorsal line looks fine. To improve your nasal profile, you would need tip work with suturing techniques, as well as graft material harvested from your own septum, in an effort to produce a handsome, more detailed and projected nasal tip.  All results should have a keen eye towards looking natural, and fitting your specific facial anatomy.

There is no such thing as the “best “ but there are a lot of good choices David Kim in California is excellent , dean Toriumi in Chicago is also good , many patients also travel internationally for revision surgery and you should consider both the UK and Australia as many of us have huge revisional Rhinoplasty practices 

There are many surgeons with a great focus on rhinoplasty and revision rhinoplasty in USA. First you should check their credentials and make sure they have a good number of before/after photos so you can judge their work and compatibility of their sense of aesthetics with yours. Rhinoplasty should be the main surgery that they perform, not breast, body or even other facial surgeries as nasal surgery in modern age has become almost a sub- subspecialty. At last, it is your rapport, personal connection and sense of care that you feel with your doctor that could be different for different patients with different doctors. If you are interested to know just from an academic standpoint, Dr. Dean Toriumi in Chicago has probably contributed the most in advancing the field in recent decades.

Kazim
Good candidates for revision rhinoplasty have realistic expectations regarding the potential improvements. Some patients may want their breathing improved, asymmetries improved, nasal tip refinement or changes to their nasal bones. Every revision rhinoplasty is different. In some cases small subtle changes are all that is needed. Other cases may be more extensive requiring grafting of cartilage from the ear or rib. Previous operative notes, photos from prior to the initial procedure and a physical exam are used to determine the extent of work needed and possible improvements. Providing the operative note and photos prior to the consultation can be helpful to determine if you are an appropriate revision rhinoplasty candidate.
Best of luck,
Dr. Kaniff