Revision rhinoplasty is an operation that is performed after an initial rhinoplasty to correct a persistent problem or new problem in nasal appearance or function. While based on solid structural and artistic principles, unfortunately, rhinoplasty is not a perfect science. Typical revision rates run about 5% to 10% depending on how critical the surgeon and the patient are of the result. Changes in one part of the nose can affect another part of the nose, and getting the best possible balance of form and function cannot always be achieved in one operation. Your surgeon cannot always control how all the elements of the nose affected by the surgery will heal. Changes made in cartilage and bones are carefully planned and are dependent on how elements changed by surgery will heal. These changes are made based on your surgeon’s highly educated best estimate. Also, you should know that your nose will continue to change as you age. The objective of a natural looking rhinoplasty, that does not have an “operated” look, involves estimating how your nose will change with age and not doing anything that may lead to an unwanted deformity. For example, while your nose may look a bit wide in the first few years after surgery, it may continue to thin out as you age. It is often best to not try to “guild the lily”.
One of the most common reasons for revision surgery is the removal of too much cartilage at the time of the original surgery. This can lead to uneven elevations of the nasal tip, pinching of the tip (called a bossa), collapse of the nasal valve areas in your tip that control airflow, and asymmetries of the nasal tip and profile. Other common problems are a persistent nasal hump, bony asymmetry, or a poly-beak deformity (an unsightly convexity of the profile just above the tip of the nose). In some operated noses, there may not be enough septal cartilage left for the revision. In such cases, ear cartilage or even rib cartilage may be necessary. The donor sites for either also hide very nicely.
Dr. Bentkover’s accepts many difficult and challenging revision rhinoplasty cases.
Visit our photogallery to see before and after photos of revision rhinoplasty patients.