What Is Revision Rhinoplasty?
Revision rhinoplasty1, also known as secondary rhinoplasty, is a complex surgical procedure that involves reshaping the nose to improve its appearance or function. It is often more challenging than primary rhinoplasty due to scarring and other changes that may have occurred after the initial surgery.
During the secondary nose job2, Dr. Rizk may need to adjust underlying cartilage or bone structures, remove excess tissue and graft new material into the nasal framework to achieve the desired aesthetic and functional results. Given the complexities of a second nose job, it is highly important you choose a surgeon with experience. Dr. Rizk has long been New York’s trusted revision rhinoplasty expert.
Revision Rhinoplasty Before and After
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Quick Guide to Revision Rhinoplasty
Preparing for Revision Rhinoplasty
Since you’ve already experienced nose surgery, you should have an idea of what to expect although Dr. Rizk will explain each step of the procedure during your consultation. To ensure your desired results are achieved, you must follow his pre-, and post-surgery guidelines. These may include:
- Stopping any medications as directed by Dr. Rizk.
- No smoking or alcohol consumption
- Expect pre-surgery testing such as blood tests and X-rays
- Creating a recovery space in your home
- Arranging for someone to drive you home after your surgery
- No strenuous activities for several weeks and at least one-week downtime
- Follow-up appointments for splint and tube removal
- Have realistic expectations and understand that it can take up to 12 months for your new nose to heal completely
You will be sedated throughout your procedure to ensure your comfort and safety. Dr. Rizk will discuss your unique treatment plan with you in great detail. He will use the best revision rhinoplasty technique to address both aesthetic and functional concerns.
Second Nose Job Recovery
Typically, revision rhinoplasty NYC with Dr. Rizk is not as painful as a primary nose job3, since patients often feel very little discomfort during the healing process. To ensure that any pain is managed effectively and to reduce the risk of infection, Dr. Rizk will prescribe both pain medications and antibiotics.
You can expect to experience less bruising and swelling than you may have experienced with your primary nose job. It is important to follow Dr. Rizk’s personalized rhinoplasty recovery guidelines and instructions to ensure minimal discomfort during your recovery. You will need to take at least one week off and may resume your usual activities two weeks post-surgery.
As with your first nose job, it can take up to twelve months for your nose to completely recover and heal from the procedure. Contact Dr. Rizk’s office if you have any concerns or questions during your recovery period.
Am I a Candidate for Secondary Rhinoplasty?
Unfortunately, not everyone is a suitable candidate and some deformities can’t be corrected. Your suitability depends on the objective of your initial nose job surgery and the outcome.
Important factors that Dr. Rizk considers include:
- The integrity of the skin
- How much cartilage was removed in the original procedure
- How much scar tissue there is
- The extent of the deformity and whether you need grafting
It is important to have realistic expectations and consult with a rhinoplasty specialist who is experienced in revision rhinoplasty procedures4 to ensure the best possible outcome.
Associated Risks and Complications
All surgical procedures present possible risks5 and complications. Dr. Rizk is a double board-certified surgeon with many years of experience. His skills, experience and knowledge greatly reduce associated risks, including:
- Allergic reactions
It is important to have realistic expectations and consult with a rhinoplasty specialist who is experienced in revision rhinoplasty procedures to ensure the best possible outcome.
Why Consult Dr. Rizk for Revision Rhinoplasty New York?
Dr. Rizk has decades of experience, a deep understanding of artistic principles, and an exceptional commitment to detail when performing revision rhinoplasty. His precision and expertise enable him to deliver desired outcomes that perfectly meet his patient’s desired expectations.
Dr. Rizk is a highly sought-after facial plastic surgery specialist who has developed an impressive reputation in rhinoplasty surgery due to his commitment to cutting-edge techniques.
Contact his New York office at 212-4523362 and schedule your appointment today!
Types of Deformities Addressed in Revision Rhinoplasty
Below are explanations of some of the most common deformities addressed in revision procedures.
What is it?
This type of nasal deformity is characterized by an inverted V-shaped shadow in the area of the middle vault of the nose.
How it occurs
Overresection of the upper lateral cartilage, the cartilage that forms the sides of the nose’s bridge. It often occurs when the surgeon who performed the original procedure made a mistake during the removal of a nasal bump and during the fracturing of the nasal bones (this destabilizes the upper lateral cartilage).
How to correct it
Dr. Rizk prefers surgery to fillers because fillers do not fix the deformity permanently. The volume gained through hyaluronic acid-based fillers, for instance, lasts for about six months. Fillers are also less precise than surgery and can make the nose look larger. Moreover, they can cause inflammation and scar tissue, which makes a later surgery more difficult to perform. Finally, fillers can move around inside the nose. Therefore, he favors surgery to fillers when correcting an inverted V deformity. The surgery often involves the placement of dorsal cartilage above the nasal bridge to narrow the nose and widen the middle nasal vault.
Frequently Asked Questions
How much does revision rhinoplasty cost?
The exact cost of a revision rhinoplasty will vary depending on how complex the surgery is and the individual patient’s needs. Generally, secondary rhinoplasty will be more expensive than primary rhinoplasty due to its complexity and the amount of reconstructive work that may be necessary.
Is revision rhinoplasty dangerous?
Secondary rhinoplasty is a much more complex procedure than primary rhinoplasty, and as with any kind of surgery, there are risks. However, these risks are minimized when you work with an experienced board-certified plastic surgeon.
What can secondary rhinoplasty fix?
Secondary rhinoplasty can help improve facial symmetry by refining the nasal tip shape or size, changing the bridge’s projection, and reducing alar flaring or narrowing wide nostrils. It can straighten a crooked nose or create smoother curves across the surface. Importantly, revision nose jobs often address what wasn’t fixed during the initial surgery.
How soon after my primary nose job can I have secondary rhinoplasty?
Typically you should wait 6-12 months after initial surgery for soft tissues and cartilage to heal properly before undergoing additional work on the nose.
Written Patient Testimonials
Dr. Rizk and his staff were absolutely incredible! They made me feel so comfortable throughout this entire process and I am so grateful for everyone (especially Dr. Rizk) for helping me look the best version of myself. My nose looks natural and perfect and I am in love with the results!!! If you are on the fence, I definitely encourage you to come to this office because Dr. Rizk gave me the confidence and grace to present myself to the world!
Words cannot express how tremendously grateful and impressed I am for his services. The process was painless and he produced beautiful results that I’m so happy with. Dr. Rizk is extremely precise, patient and detail orientated. He narrowed my nose 1mm at a time! I’m already looking forward to my next small tweek with him.
Fixed my nose that was extremely crooked from a car accident. Also did my brother’s nose which case out beautifully
1 Facial Plastic and Reconstructive Surgery. Revision Rhinoplasty. Available: https://med.stanford.edu/drmost/aesthetic-services/procedures/revision-rhinoplasty.html.
2 Rhinoplasty Society. Revision Rhinoplasty | Secondary Rhinoplasty. Available: https://rhinoplastysociety.org/procedures/surgical-rhinoplasty/secondary-rhinoplasty-international.
3 Stefan Hacker, Jonathan Pollock, Wolfgang Gubisch, Sebastian Haack. Differences between Primary and Revision Rhinoplasty: Indications, Techniques, Grafts, and Outcomes. Available: https://pubmed.ncbi.nlm.nih.gov/34270514/.
4 American Society of Plastic Surgeons. Understanding revision rhinoplasty and why patients seek out this procedure. Available: https://www.plasticsurgery.org/news/blog/understanding-revision-rhinoplasty-and-why-patients-seek-out-this-procedure.
5 American Society of Plastic Surgeons. Rhinoplasty. What are the risks of rhinoplasty? Available: https://www.plasticsurgery.org/cosmetic-procedures/rhinoplasty/safety.
By Dr. Sam S. Rizk, M.D., FACS.
Dr. Rizk is a double board-certified facial plastic surgeon who specializes in rhinoplasty surgery and a recognized expert on the latest advances in facial plastic surgery techniques. He performs a range of facial plastic surgeries at his New York practice.