Revision Rhinoplasty

Getting a nose job can be an exciting opportunity to bring out the best in your facial appearance. Not everyone, however, is always happy with their outcome. Whether you’re hoping to resolve persistent cosmetic concerns or correct any nasal obstruction that may have occurred after your previous procedure, revision rhinoplasty may be an option for you to achieve your ideal results.

At our office near Boston Common, revision rhinoplasty patients can get a custom surgical plan to achieve the look they originally envisioned. Dr. Waleed Ezzat is the lead surgeon at the Boston Center for Facial Plastics. He is double board-certified in facial plastic and reconstructive surgery and otolaryngology/head and neck surgery and a nationally recognized expert in rhinoplasty and nasal reconstructive surgery. His customized approach to each procedure helps ensure that every individual has a positive experience from start to finish.

When to Consider Revision Rhinoplasty

The most common reasons men and women consider getting nose surgery include:

• A previous nose surgery left you with persistent deformities or irregularities in the nasal structure
• Breathing problems were not corrected or have arisen since the previous nose surgery
• The size or shape resulting from the previous rhinoplasty are undesirable

The best candidates for revision rhinoplasty have realistic expectations for their results and are in good overall physical and mental health. Studies have shown that results from a revision procedure tend to have lower success rates than an initial procedure. Choosing the right surgeon who is well-versed in all forms of grafting techniques is key to ensuring the best result possible.

Before Your Rhinoplasty Revision Surgery

Before getting revision rhinoplasty, you’ll have a private consultation with Dr. Ezzat. During your consultation, you can talk with Dr. Ezzat about your reasons for wanting nose surgery revision and your ideal outcome of the procedure. Dr. Ezzat will answer any questions you may have and explain what the procedure can do in greater detail.

Dr. Ezzat will also evaluate the results of your previous nose surgery to determine the best surgical approach for your needs. He may recommend alternative or additional treatments for the best results. Sometimes, a temporary dermal filler to enhance the shape of the nose or fill in depressions as a “nonsurgical nose job” Is enough. Other times, grafting of tissue and cartilage may be necessary.

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Your Revision Rhinoplasty Procedure

Nose surgery revision is an outpatient procedure usually performed with general anesthesia, though in some cases, local anesthesia may be used. Your exact incision placement will depend on your previous nose surgery results. Most commonly, incisions for revision rhinoplasty are placed either between the nostrils on the underside of the nose or inside the nostrils.

Dr. Ezzat will develop a customized procedural approach for your specific concerns. Usually, the underlying nasal structure will be adjusted in some way and tissue may be reallocated. Dr. Ezzat may reshape the nostrils or the tip of the nose, or adjust the shape of the nose profile. Finally, the skin is smoothed over the final shape of the nose for a more natural look.

Your Nose Revision Recovery

Recovering from your revision rhinoplasty can take longer than your original nose job recovery. This prolonged healing phase means that swelling may last slightly longer than before. Using ice packs and keeping your head elevated for the first 24 hours can help speed along the recovery process. Be sure to keep your incisions clean and dry. Over-the-counter pain medications can be used to manage soreness.

Most people take about 2 weeks away from work and their normal routines. Refrain from vigorous activities for the first month after getting surgery. The body usually takes 1 year to form a mature scar. So, your results may continue to develop over the following 12 to 18 months.

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Your New Look

After getting revision rhinoplasty and giving your final results adequate time to develop, you should notice a more pleasing shape and size to the nose that more closely resembles your original goals. Your results should also appear subtle and natural-looking.

Revision Rhinoplasty FAQ

How much does revision rhinoplasty cost?
A revision nose surgery typically costs more than the initial nose surgery, as it is a highly-specialized and intricate surgical procedure. Talk with Dr. Ezzat so he can evaluate your facial anatomy and your surgical goals before arriving at a cost estimate.

Is revision rhinoplasty covered by insurance?
Revision rhinoplasty may be partly covered by insurance if you are experiencing medical issues such as trouble breathing due to the results of your initial nose job. However, cosmetic components of your revision nose surgery will not be covered by insurance.  

Contact your insurance company directly to see if your revision rhinoplasty could be covered by your policy. 

How do I find a revision rhinoplasty plastic surgeon near me?
Choose a highly experienced rhinoplasty plastic surgeon in your area who focuses on facial plastic surgery procedures. View before and after photos on the practice’s website to gauge the experience level and quality of results that this facial plastic surgeon has achieved. 

Narrow your search based on online reviews, recommendations from friends and family and excellent credentials. Schedule a consultation to meet your plastic surgeon, ask questions and decide if they are a good fit for you. 

Is revision rhinoplasty the best option for me?
Revision rhinoplasty could be right for you if you are unhappy with the cosmetic results of a previous nose job or are experiencing breathing or other medical problems as a result of your previous nose surgery. Keep in mind that revision nose surgery is a very complex procedure and several revision procedures are not recommended. Thus, it is important to choose an experienced, reputable facial plastic surgeon for your revision rhinoplasty. 

How soon can a revision rhinoplasty be done?
Dr. Ezzat recommends that you wait at least 12 months after your initial nose surgery to get a revision procedure. This ensures that the tissue has fully healed before beginning a second surgery. This also ensures that you have seen your final result from your initial nose job, which can take several months to fully develop. 

Is revision rhinoplasty painful?
You should not feel any pain or discomfort during your revision rhinoplasty since this procedure is performed under general anesthesia. However, expect to experience tenderness, mild discomfort, swelling and bruising during the initial stage of recovery following revision nose surgery. 

How long does it take to recover from revision rhinoplasty?
Plan to take around two weeks off work and social activities to recover from your revision rhinoplasty, giving swelling and bruising time to gradually diminish. You may notice that the recovery process from your revision nose surgery takes longer than after your initial procedure. This is a common occurrence, as scar tissue from your previous surgery can take more time to heal, and swelling may last longer. 

When will I see my results?
You should see the results of your revision rhinoplasty begin to develop shortly after your procedure, continuing to become more noticeable as swelling and bruising diminish. However, it can take up to two years for your body to fully heal, revealing your final result.