Revision Rhinoplasty in San Diego

Revision Rhinoplasty San Diego

Revision or secondary rhinoplasty (nose job) is one of the most challenging procedures in plastic and cosmetic surgery. It requires accreted diagnosis, proper timing, extensive experience and surgical skill. Realistic expectations is paramount when performing revision or secondary rhinoplasty.

The Timing of Your Revision Rhinoplasty

A rhinoplasty revision is usually performed one year after the primary procedure. This usually allows for the swelling and the scar tissue to subside. The longer the duration from the primary procedure the less the swelling and scarring. This also allows accurate assessment of the deformity. Rarely revision rhinoplasty is performed within a year of the primary rhinoplasty.

Reasons for Revision Rhinoplasty

Generally speaking, revision rhinoplasty is performed to correct either a functional (breathing) problem or a cosmetic problem. If the revision was done for a cosmetic reason, it is either that the deformity was not addressed in the first surgery, it was under corrected or overcorrected. Revision rhinoplasty is also performed in patients who have nasal dorsal implants if the implant is deviated, infected or extruding through the skin.

Open or Closed Technique for Revision Rhinoplasty

The exposure technique will depend on two factors; the nature of the revision and the surgeons’ preference. In my practice I prefer open technique for most of my cases. Some are performed closed, however.

Patient Case Study

Patient Age: 45, Patient Height: 5.2, Patient Weight: 112

This patient had silicone nasal implant to augment the nose bridge. The procedure was performed in the far east. Initially, she was pleased with the results, but, as the swelling started to subside she noticed deformity of the nose. The implant was shifted to the right side causing widening of the nose and was giving her constant pain. She saw Dr. Jaibaji for a consultation. After complete evaluation of her nose and her goals, she elected to have a nose revision surgery. During surgery, diced cartilage graft was used to replace the silicone implant. The silicone nose implant was removed.