Revision rhinoplasty, or a second nose job, is performed for a variety of reasons. Some patients are dissatisfied with the original results, requesting changes to size, form, or specific traits like nose humps or asymmetry. Others encounter changes in facial harmony as they age. Functionally, revision nose job surgery can resolve breathing issues caused by scar tissue or septal deviation, or from injuries that impair both form and function. Remember that because of the scar tissue, the treatment can be more intricate and should be performed by a board-certified plastic surgeon who has extensive experience with revisions, like Dr. Azouz in Dallas. Board-certified plastic surgeon Dr. Azouz offers a solution to refine and perfect previous rhinoplasty outcomes for optimal satisfaction and confidence.

Why revision nose job?

Rhinoplasty Revision Surgery, also known as secondary rhinoplasty or corrective nose surgery, is a specialized procedure performed to address unsatisfactory outcomes or complications from a previous rhinoplasty. Whether due to inadequate surgical technique, healing issues, or changes in aesthetic preferences, revision rhinoplasty aims to correct and improve upon the results of the initial surgery. Indications might raise concerns such as:

• Unnatural appearance: The nose may appear disproportionate to the face, with traits such as a disproportionately pinched tip, a scooped bridge (looking too low), or asymmetrical or broad nostrils.
• Visible scars: Scarring from surgery is normal, but excessive or poorly healed scars may indicate concerns.
• Persistent swelling: Swelling is typical following rhinoplasty, but if it lasts for several months or is accompanied by other symptoms, there may be an underlying problem.
• Difficulty breathing is a significant symptom caused by internal scarring, septal deviation, hypertrophic turbinates or other issues.
• Nasal discharge: Persistent drainage, particularly if bloody or foul-smelling, may suggest an infection.
• Numbness: While temporary numbness around the nose is normal, prolonged numbness may suggest nerve injury.
• Nasal collapse is a dangerous complication that can develop if too much tissue is removed during surgery.

It’s crucial to note that this isn’t a complete list and any uncommon symptoms following rhinoplasty should be discussed with an expert board-certified plastic surgeon like Dr. Azouz. Early treatment and care can assist in reducing the severity of problems.

Candidates for a Secondary Rhinoplasty

Ideal candidates for revision rhinoplasty surgery are individuals who:

• Have undergone a previous rhinoplasty and are dissatisfied with the results
• Experience persistent aesthetic concerns such as asymmetry, irregularities, or an unnatural appearance
• Suffer from functional issues such as nasal obstruction, breathing difficulties, or septal deviation
• Have realistic expectations about the outcome of the revision surgery
• Are in good overall health and do not have underlying medical conditions that may increase surgical risks

Benefits of a Revision Rhinoplasty

Revision nose job surgery offers a range of benefits, including:

• Improved aesthetic outcomes from previous rhinoplasty procedures
• Improvement in nasal function and airflow
• Restoration of facial harmony and balance
• Enhanced self-confidence and satisfaction with one’s appearance

How is a revision nose job performed?

Dallas plastic surgeon Dr. Azouz uses advanced surgical techniques and meticulous planning to achieve optimal results tailored to each patient’s unique needs.

1. Consultation: Board-certified plastic surgeon Dr. Azouz conducts a comprehensive evaluation and discusses the patient’s previous rhinoplasty experience, concerns, and goals for revision surgery.
2. Diagnostic Imaging: Imaging studies such as X-rays or CT scans may be performed to assess the nasal anatomy and identify areas for improvement.
3. Surgical Planning: A personalized treatment plan is developed to address the specific concerns and goals of each patient, taking into account the previous surgical approach and outcomes.
4. Surgery: Dallas board-certified plastic surgeon Dr. Azouz carefully addresses areas of concern, such as nasal asymmetry, tip irregularities, or breathing issues, using precise surgical techniques to achieve optimal results.
5. Closing Incisions: Incisions, if any, are closed with sutures, and external splints or dressings may be applied to support the nasal framework during healing.
6. Recovery: Dr. Azouz carefully monitors healing after surgery and provides personalized recommendations to ensure optimal results.

Can a revision rhinoplasty be a closed rhinoplasty?

A revision rhinoplasty can be performed using either a closed or open method, regardless of how the original surgery was performed. An open rhinoplasty involves making a minor incision across the columella (the skin strip between the nostrils). It improves the surgeon’s visibility and surgical access, however, can result in more scarring. Board-certified plastic surgeon Dr. Azouz performs a closed rhinoplasty for both primary and revision nose jobs in both men and women, where all incisions are made within the nostrils, resulting in no external scars.

Anesthesia for a Revision Rhinoplasty

Board-certified plastic surgeon Dr. Azouz works closely with experienced anesthesiologists to ensure patient safety and comfort during the procedure. Rhinoplasty revision surgery can be performed under local anesthesia with sedation to minimize the risks and side effects associated with general anesthesia.

Risks of a Revision Rhinoplasty

Some risks of a second nose job include bleeding, infection, and poor wound healing. Before your procedure, board-certified plastic surgeon Dr. Azouz will review all risks and discuss appropriate measures to minimize them.

Recovery from a Second Nose Job

Immediately after surgery, it is normal to experience swelling and bruising. As you heal, this subsides over the following weeks. Dr. Azouz will prescribe medications to help with any discomfort following the procedure. It is recommended to avoid strenuous activities and contact sports for a few weeks to allow proper healing. During your routine follow-up appointments, Dr. Azouz will monitor your recovery and make personalized recommendations for optimal natural results.

Surgeries that can be combined with a Revision Rhinoplasty

In some cases, it is advisable to combine procedures with a revision rhinoplasty to ensure facial harmony based on your goals. During your consultation, Dr. Azouz will create a treatment plan and may recommend procedures including:

• Septoplasty to correct a deviated septum and improve nasal function
• Turbinate reduction to alleviate nasal congestion and improve airflow
• Face lift surgery to enhance overall facial balance and symmetry
• Eyelid Surgery to improve the contour of the eyes
• Neck lift to tighten sagging skin and improve overall facial contour

How much does a revision nose job cost?

The cost of revision rhinoplasty surgery varies depending on factors such as the complexity of the revision, surgical techniques used, facility fees, and anesthesia fees. During your consultation, board-certified plastic surgeon Dr. Azouz will discuss payment and financing options with a customized quote.

Revision Rhinoplasty Surgery in Dallas

FAQs

How soon after a previous rhinoplasty can Rhinoplasty Revision Surgery be performed?

Rhinoplasty Revision Surgery is typically recommended once the nose fully recovers from the previous surgery, usually after at least one year.

Will Rhinoplasty Revision Surgery completely correct the issues from my previous rhinoplasty?

While Rhinoplasty Revision Surgery aims to improve upon the results of the initial surgery, complete correction may not always be possible. Dr. Azouz works closely with patients to set realistic expectations and achieve the best possible outcome.

Is Rhinoplasty Revision Surgery more complex than primary rhinoplasty?

Rhinoplasty Revision Surgery can be more challenging due to alterations in the nasal anatomy from the previous surgery. However, with Dr. Azouz's expertise and experience, optimal results can still be achieved.

Are there any non-surgical nose job alternatives to revision rhinoplasty surgery?

In some cases, non-surgical nose surgery options such as dermal fillers or injectables may be considered to address minor aesthetic concerns. However, for significant revisions or functional issues, surgery is usually necessary.