Revision Rhinoplasty
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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.

What is Revision Rhinoplasty - hero image (male model)

Revision Rhinoplasty Before and After

Woman's face, before and after Revision Rhinoplasty treatment, front view
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After
Woman's face, before and after Revision Rhinoplasty treatment, l-side view
Before
After
Man's face, before and after Revision Rhinoplasty treatment, l-Front view
Before
After
Man's face, before and after Revision Rhinoplasty treatment, l-side view
Before
After

*Results may vary.

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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:

  • Swelling
  • Infection
  • Bleeding
  • 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!

Dr Rizk In The Media

Tatler Magazine

Connolly Best Doctor

US Weekly Magazine

Dr. Rizk featured in Town & Country Magazine as one of the masters of the subtle lift and tweak that will turn back time

Voted by peers to New York Magazine's 2013 Top Doctors

Voted by peers to New York Magazine’s 2013 Top Doctors

Latest Advances in Facelift/Necklift Surgery in Plastic Surgery Practice Magazine (Dec'08)

New Advances in Facelifting Techniques by Dr. Sam Rizk

Frequently Asked Questions

What are the types of deformities that can be addressed in revision rhinoplasty?

Types of Deformities Addressed in Revision Rhinoplasty

Below are explanations of some of the most common deformities addressed in revision procedures.

Deformity What is it? How it occurs How to correct it
Inverted V Deformity This type of nasal deformity is characterized by an inverted V-shaped shadow in the area of the middle vault of the nose. 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). 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.
Hanging Columella The columella is the strip of skin between the nostrils. A hanging columella, or “alar-columellar disproportion,” is one that is visible from the profile and hangs lower than desired, typically about 4mm or more. There are many potential causes of hanging columellae. Some people are born with it, in which case it is often the result of either a long septum and/or the columella cartilages pushing down on the columella. Other people end up with deformities due to a mistake made during their primary procedure. This depends on the cause of the deformity. Excess tissue may be removed after making an incision, and a portion of the septum may be removed. Other cartilage may be removed or shaved. In rare cases, the nasal spine may be reduced.
Saddle Nose Deformity A saddle-like formation in the area of the septum. This type of deformity is sometimes referred to as a “scooped nose.” Typically, some type of trauma to the nose, like a blow to the face, causes the septum to lower. The septum can be raised or a cartilage graft can be added to the depression, to fill it in.
External Nasal Valve Collapse External nasal valve collapse is caused by weakness or narrowness in the nasal valve, the thinnest portion of the nasal airway. Trauma to the nose or mistakes made during the original procedure. In some cases, it is possible to treat by lifting the cheek tissue on the side of the nose that is blocked. In other cases, surgery may be needed. There are several different surgical approaches that may be employed. For example, alar batten grafts may be grafted as appropriate if the collapse was caused by weakness in the nasal sidewall. The surgeon performing the revision procedure will need to assess the cause prior to choosing which approach to adopt.
Pinched Tip A nasal tip that appears too narrow, or “pinched.” Some patients are born with a pinched tip, but this type of deformity is often the result of over-resection of the tip cartilages during the original procedure. Usually, a “tip-plasty” is performed to reshape the tip with ear or other cartilage.
Pointy Nasal Tip A nasal tip that appears pointy essentially means that the alar cartilages are too prominent and appear too pointy, or stick out too much. Many patients are born with pointy nasal tips. This deformity is more common in individuals with thin skin. It depends on the patient’s unique anatomy. The endonasal (internal incisions) approach is used on some patients, while an open approach is used on others. The cartilage may be shaved or trimmed. In thin-skinned patients, a soft tissue graft or fascia may be placed over the tip cartilage. Repairing a pointy nasal tip, or another deformity of the tip, is one of the most challenging of all rhinoplasty procedure
Open Roof Deformity A space is formed when the nasal bones do not come together near the top of the nose. An open roof deformity makes the nose appear excessively wide. Typically, the nasal skin grows or droops, and vertical lines or depressions start to appear It depends on how low or high the nasal bones are positioned. Osteotomies (fractures) may be necessary, and on-lay grafts may be used to close the gap between the nasal bones.
Cleft Lip Nose Deformity Cleft lip nose deformity is a common birth defect that can severely impact a person’s appearance. In the United States, nearly all cleft lip nose deformities are corrected in infanthood, as failure to correct this deformity can result in developmental impairment, infection, and even death. Cleft lip nose patients commonly require additional surgery later in life to fully correct the deformity. Cleft lip nose occurs when the upper lip does not form completely in utero, leaving a separation or “cleft” in the lip. About half of all children born with a cleft lip will also suffer from a cleft palate, which is a separation on the roof of the mouth and the most serious manifestation of the disorder. Cleft lip causes the lip and nose to develop asymmetrically, resulting in obvious deformities that can cause feeding issues, breathing difficulty, and speech problems, all of which contribute to developmental delays in the child. As such, early surgical intervention is almost always recommended. Most often, the surgery will be performed to correct obvious asymmetries in the upper lip and nose. The surgery must be performed by a doctor who has received specific training in correcting cleft lip nose deformity. Cheiloplasty, the surgery performed to correct cleft lip nose, typically produces positive results and allows the child to enjoy a normal childhood after surgery. In most cases, the child will not remember the surgery or the difficulties they experienced as a result of the condition.

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.

Awards & Certifications

Written Patient Testimonials

Written Patient Testimonials: Google reviews

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!

-Leah Abramson

Written Patient Testimonials: Realself reviews

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.

-Allison S

Written Patient Testimonials: Yelp reviews

Fixed my nose that was extremely crooked from a car accident. Also did my brother’s nose which case out beautifully

-Katie M

References

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.

Sam Rizk, MD

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.

Learn more about Dr. Rizk | Dr. Rizk's Google Scholar

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