Best Revision Rhinoplasty
Finding the best doctor for your revision rhinoplasty can be a challenge, but choosing a skilled and experienced revision rhinoplasty surgeon is the first step to your successful revision rhinoplasty. Find out what you should look for in a doctor, who might be the best fit for you and your nose, how much revision rhinoplasty cost and where you can find free consultation with doctors at no charge.
In this guide, we review the Best Revision Rhinoplasty, how to find the best revision rhinoplasty surgeon, best doctor for revision rhinoplasty, and Should I get revision rhinoplasty with the same surgeon?
Best Revision Rhinoplasty
When it comes to your appearance, many people are happy with the result of their first nose surgery. However, some patients have decided that they would like a different look than what was achieved in their first surgery. These are known as revision rhinoplasty patients. If you’re thinking about undergoing this type of procedure but aren’t sure if it’s right for you, then keep reading! In this guide we’ll discuss what a revision rhinoplasty entails, how long it takes to recover from one and what can be expected during an initial consultation meeting with Dr. Rizk (among other things).
How do I schedule a consultation with Dr. Rizk?
To schedule a consultation with Dr. Rizk, call our office at (212) 996-7777 or book an appointment online. If you prefer to visit us in person, we are located at 888 7th Avenue in Manhattan and look forward to meeting you!
What is a revision rhinoplasty surgery?
In a nutshell, revision rhinoplasty is performed to correct irregularities and improve upon any previous nose surgeries. It’s a complex procedure that requires a lot of expertise and experience.
Revision rhinoplasty has a high success rate if the surgeon is skilled enough to perform it properly.
What can I expect from the initial consultation?
The initial consultation is a chance for you to get to know Dr. Rizk and for him to get to know you. During this time, we’ll discuss your goals for revision rhinoplasty and the best way of achieving them. You will also be able to ask any questions or concerns that are on your mind, so that we can address them before moving forward with surgery. Your initial consultation is an opportunity for us both: me as a surgeon and you as my patient; it’s an important step in getting things off on the right foot!
How long is the recovery time after a revision rhinoplasty procedure?
The recovery time after a revision rhinoplasty procedure is dependent on the procedure performed and your health. While some people are able to return to work within a few days and others may take up to six weeks, most patients will be able to return to work in one week or less.
The length of your recovery will also depend on how you take care of yourself during this time–if you follow all instructions and do not push yourself too hard, it should be easier for you recover faster than if you did not follow any instructions at all or tried doing too much too soon after surgery.
What are the risks associated with revision rhinoplasty surgery?
The risks associated with revision rhinoplasty surgery are similar to those of the original rhinoplasty, but they can be higher if you have had previous surgery on your nose. If you have had more than one operation on your nose, it’s possible that the previous incisions will not heal properly after a second procedure. This could result in scarring and deformity that could make future revisions even more difficult–or impossible.
If you are considering a revision rhinoplasty performed by an inexperienced surgeon or one who has not performed many such procedures before (such as myself), then this may also increase the risk of complications occurring during or after surgery.
Revision rhinoplasty is performed to correct irregularities and improve upon any previous nose surgeries.
Revision rhinoplasty is performed to correct irregularities and improve upon any previous nose surgeries. Revision rhinoplasty can be done on its own or in conjunction with another procedure, such as a facelift or brow lift, depending on your needs.
Rhinoplasty is a surgical procedure that alters the shape of your nose through either reduction or augmentation (making it larger). The goal of revision rhinoplasty is to improve upon any previous nose surgery you have had done by making sure that the new outcome looks natural and proportional for you as an individual person.
how to find the best revision rhinoplasty surgeon
It’s a shocking statistic, but every year in the U.S., upwards of 30,000 people require revision rhinoplasty to fix a botched nose job.
Primary rhinoplasty, or your first rhinoplasty, is a tricky enough procedure. Revision rhinoplasty, on the other hand, poses an entirely different set of challenges to your surgeon.
In this blog, we explain why revision rhinoplasty is such a complicated procedure. Because of this, it is critical to your rhinoplasty success that you choose your revision rhinoplasty surgeon very carefully.
Here, the team at Plastic Surgery Services of Fredericksburg gives you a step-by-step checklist you should follow when deciding on your revision rhinoplasty surgeon.
First, let us re-cap why revision rhinoplasty requires extensive expertise in facial anatomy and superior surgical skill.
Modified Structure, Scarring, and Tissue Strength
When performing a primary rhinoplasty, surgeons know what to expect because they know the structure of a typical human nose. In revision rhinoplasty surgery, this is no longer the case, as the bone structure, nasal cavities, soft tissues and cartilage of the nose have been modified in the initial rhinoplasty procedure. This could present challenges to rhinoplasty surgeons, who must react quickly and correctly when presented with unforeseen complications arising during a revision rhinoplasty procedure.
The modified structure of a previously rhinoplasty-d nose also means the tissue and bones are weaker, making it more difficult for a surgeon to produce safe, effective results when performing a revision rhinoplasty.
Surgeons will also need to harvest cartilage from other parts of the body during revision rhinoplasty, as the preferred donor site of the septum is used in the initial rhinoplasty procedure.
For these reasons, it takes a highly experienced, confident, and specialized plastic surgeon to take on any revision rhinoplasty jobs successfully. To adequately prepare yourself to have a successful revision rhinoplasty procedure, you should follow the following advice.
Prepare Yourself
Do Your Own Research
By equipping yourself with knowledge about the procedure, you give yourself the best opportunity at finding an excellent surgeon.
It is essential that you understand the complications and difficulties associated with revision rhinoplasty so that you can take choosing your surgeon seriously. Look through our blog, and also look at other credible websites such as The American Society of Plastic Surgeons to fully understand what occurs during your revision rhinoplasty.
Set Realistic Expectations
Identifying the aesthetic you wish for, and aiming for a realistic goal are other important parts of successful revision rhinoplasty. Once you do this, you can approach specialized surgeons and seek their guidance and services in helping you achieve the nose that you want.
Have a List of Questions Ready for Your Consultation
Before you go into any consultation room, you should prepare a list of questions to ask your surgeon. Important questions include;
These four questions are straight forward, and help you directly assess the aptitude of the surgeon you are vetting for your procedure.
Vet the Surgeon
Ultimately, the choice of who does your revision rhinoplasty rests in your hands. As such, you will want to properly screen every surgeon you consult to do your rhinoplasty.
Ensure they are Board Certified
Many practicing surgeons do not meet the high standards required to achieved certification by the American Board of Plastic Surgery. YOU MUST INSIST THAT YOUR REVISION RHINOPLASTY IS CERTIFIED BY THIS BODY.
While this doesn’t guarantee specialized experience, this certification guarantees a high level of proficiency and practicing standards.
Make Sure Revision Rhinoplasty is one of their Top Three Surgeries
When you demand that revision surgery is a top-three of your surgeons’ procedures, it gives you an excellent chance of finding a revision rhinoplasty specialist.
Closely Examines the Surgeon’s Gallery
Perusing photos of the surgeons’ past results can give you an excellent idea of what to expect. You can find patients of your own ethnicity and similar facial structure and get a good idea of how the surgeon works with a canvas such as the one you present.
Choosing a revision rhinoplasty surgeon should not be rushed. You should at least discuss the procedure and look to find a surgeon who instills you with confidence regarding the procedure.
The expert team at Plastic Surgery Services of Fredericksburg encourages you to contact them and ask these exact questions and look at our rhinoplasty gallery. Call 540 371 7730 or fill out our online form to arrange your consultation.
best doctor for revision rhinoplasty
Revision rhinoplasty is one of the most difficult operations to perform and a plastic surgeon must have extensive experience in treating nasal deformities before operating on patients. Over the last two decades, Dr. Thomas Romo III, the best revision rhinoplasty surgeon in NYC, has performed hundreds of successful revision rhinoplasty surgeries on both men and women using a combination of natural and artificial implant materials.
Revision rhinoplasty, also known as a revision nose job, is a second rhinoplasty following a first (or primary) rhinoplasty. The need for a revision rhinoplasty is usually the result of excess cartilage and bone being removed from the nose during a primary rhinoplasty. As the nose heals following surgery, the nasal skin “shrink-wraps” around the remaining nasal architecture. With a weakened nasal structure, the nose often becomes distorted and misshapen with ski-slope bridges, pinched nasal tips, retracted nostrils and compromised nasal breathing capability. During primary rhinoplasty procedures performed by Dr. Romo, these undesirable outcomes are avoided due to his unique rhinoplasty technique called reduction structured rhinoplasty.
Watch Dr. Romo Discuss Revision Rhinoplasty On THE VIEW
What Results Can A Revision Nose Surgery Achieve?
Revision rhinoplasty may be used to:
Depending on a patient’s needs and desired results, Dr. Romo may also recommend another cosmetic surgery in conjunction with a revision rhinoplasty, such as a chin implant, in order to help balance the facial proportions.
Why Choose Dr. Romo For Your Revision Nose Surgery?
Dr. Romo is a pioneer in the field of rhinoplasty, with extensive experience in performing many different forms of this procedure, including revision rhinoplasty and ethnic rhinoplasty. He also provides rhinoplasty for teenagers.
As revision rhinoplasty is one of the most difficult operations to perform, surgical experience and surgery outcomes are essential factors to consider when selecting your plastic surgeon for this type of procedure. Dr. Romo has performed hundreds of successful revision rhinoplasty surgeries over the past two decades, using a combination of natural and artificial implant materials.
Dr. Romo is currently in the process of working with the world-renowned Karl Storz Instruments to develop his own line of endoscopic instruments for revision rhinoplasty that work with greater precision and provide more natural results with less downtime. Dr. Romo has written numerous books and book chapters on his unique rhinoplasty approach and frequently lectures internationally, teaching his techniques to other surgeons.
How soon after my earlier rhinoplasty can I have a revision performed?
Generally, your nose should be fully healed from the previous surgery. This varies with individual healing rates, but a minimum of six months needs to pass and more likely nine months to a year before you could have a secondary procedure. This is because all swelling needs to resolve and your nose needs to fully settle into its final position and shape. There can be exceptions to this if the revisions need to be made only on the bridge, for instance. This may not require quite as long a timeframe. Dr. Romo will discuss what you can expect during your consultation.
The potential risks of Revision Rhinoplasty
The risks are the same as for your original surgery. These include the risks that come with any surgery: excessive bleeding, poor healing, adverse reactions to the anesthesia, and the like. As with any nose surgery, specific risks are nasal septal perforation, difficulty breathing, skin discoloration, enduring swelling, and a lack of satisfaction with the end result.
Revision rhinoplasty is a challenging surgery, so there is a higher risk of the patient not being satisfied with his or her final result. The experience and expertise of your surgeon is critical for these procedures. That’s why Dr. Romo is sought out for these revision procedures, as he is double board certified and works exclusively on the face, nose, eyelids, brows, and the neck.
Revision Rhinoplasty Before And After
This patient had a revision rhinoplasty with Dr. Thomas Romo.
Candidates For A Revision Nose Job
Patients who have suffered from negative physical effects or emotional effects following a primary rhinoplasty may be good candidates for a revision rhinoplasty / nose job.
Reasons for undergoing a revision rhinoplasty may include:
How Is Cartilage Replaced With A Revision Rhinoplasty?
Dr. Romo utilizes standard techniques for revision rhinoplasty surgery, but also offers newer alternatives to provide needed architectural support. In the traditional approach, natural material, such as ear cartilage or rib cartilage, is used during the reconstruction. If the patient chooses not to use these donor sites, then safe, porous implant material may be used to support the new rhinoplasty instead. The latter approach reduces the post-operative healing period because donor site trauma is eliminated.
Is revision rhinoplasty painful?
Many patients report that this second procedure is less painful than their primary nose surgery. Also, revision surgery sometimes has a shorter recovery period and results in less post-treatment bruising and swelling in comparison with the original procedure.
See What Our Patients Are Saying…
“had a rhinoplasty done about 10 years ago and was never pleased with the results. Both the aesthetic and functionality were horrible. After constant discomfort and insecurity my ENT referred me to Dr. Romo for a revision. He was kind, caring, smart and understood exactly what I was looking for. After a few consultations I booked my date and did the surgery! It has been about a week and I can’t believe how amazing the results are. He gave me the exact look I wanted and I can finally properly breath again! It sucks that I went 10 years being unhappy with my nose, but I am so thankful Dr. Romo was able to help re-correct it.”
Revision Rhinoplasty Procedure Overview
Before surgery, Dr. Romo uses advanced computer imaging to illustrate how a patient’s nasal appearance can be improved through revision rhinoplasty. This will allow you to see how your nose will look following surgery.
Here’s an overview of what you can expect during a revision rhinoplasty procedure:
What is recovery like after Revision Rhinoplasty?
Recovery from this procedure is basically the same as with your primary rhinoplasty, so you’ll be familiar with what to expect. If the structure of your nose had to be rebuilt, your recovery will be a little more delicate, and you’ll need to be especially careful to avoid bumping your nose for the first few weeks. You’ll also have a minor secondary recovery from where the graft cartilage was harvested.
Generally, when your surgery is complete, Dr. Romo will place a splint on your nose to protect its new shape. The splint will come off in about one week, but your face will feel puffy and there will be swelling all around your eyes and nose. We’ll provide a cold compress and its diligent use will help with your swelling. For the first few days after your surgery, you’ll need to keep your head elevated and as still as possible. Obviously, blowing your nose is out of the question. It will take from 10 to 14 days for the majority of the swelling and bruising to run its course. If you wear glasses, they will need to be taped to your forehead for up to seven weeks to alleviate any weight on your new nose. Strenuous exercise or heavy lifting will have to wait for at least one month.
Full recovery is typically faster than with primary rhinoplasty procedures.
The kind of results you can expect from revision rhinoplasties
As a double board-certified plastic surgeon, Dr. Romo has performed hundreds of these procedures for patients unsatisfied with a prior nose surgery. His cutting-edge surgical techniques and innovations help to ensure you’ll be satisfied with your revision surgery. Still, these are truly complicated procedures, and the patient needs to have realistic expectations of what can and cannot be achieved. During your consultation with Dr. Romo, he will discuss these with you.
Can a revisional rhinoplasty be combined with other procedures?
Other procedures can be combined with your revision rhinoplasty. In some cases, Dr. Romo may recommend an additional procedure to create better balance in the face.
Patients opt to have eyelid surgery, a brow lift, and various types of facelifts in combination with their nose surgery. Of course, this will make recovery more involved, but you will only have a single recovery instead of two separate recoveries.
If you’re interested in combining procedures, discuss your goals with Dr. Romo during your consultation.
Where Can I Find The Best Revision Rhinoplasty Surgeon In NYC?
Thomas Romo III, MD, FACS is one of the most experienced and respected plastic surgeons for revision rhinoplasty in the world, known for his meticulous minimally invasive surgical techniques and for achieving natural-looking results with a shorter recovery period. As a world-renowned innovator in surgical methods as well as an inventor of new endoscopic instruments for facial surgery, Dr. Romo’s practice draws patients from New York City, across the United States, and internationally for all of their surgical and non-surgical facial cosmetic needs.
Should I get revision rhinoplasty with the same surgeon
According to the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), the number of revision surgeries performed by their board-certified members has nearly doubled since 2017. Why is that?
Sadly, the rise of revision rhinoplasty can be attributed to the increasing number of nose jobs and botched nose jobs being performed by unqualified and uncertified non-medical staff. The migration of non-core physicians (such as ER doctors and general physicians) into the field who have not been trained to provide aesthetic surgical services has resulted in much poorer outcomes for patients.
Rhinoplasty, or any other type of facial plastic surgery for that matter, should only be performed by a specially trained and highly experienced facial plastic surgeon. The purpose of this article is not to scare you – the vast majority of nose jobs are done correctly by qualified surgeons. Our goal is to give you the information you need to make informed decisions about cosmetic procedures.
What is Revision Rhinoplasty?
Revision rhinoplasty, simply put, is the correction of a previous nose job. The surgeon who performed the initial surgery may have been underqualified or inexperienced, resulting in a nose that appears asymmetrical, misshapen, or no longer functions properly.
Revision surgeries are far more complex than the initial nose job, which is why they should only be trusted to a top rhinoplasty surgeon. Due to scar tissue and changes in the bone and cartilage from the first procedure, revision surgery takes longer to perform and the nose remains swollen for a longer period of time.
It’s important to remember that every face and every nose job is different. The healing process will vary from person to person, but you typically won’t see the final result until at least one-year post-op.
Reasons for Revision Rhinoplasty
Several problems can arise from a botched rhinoplasty. They can be:
Often, botched nose jobs create both functional and cosmetic problems. Fixing all of these problems is a challenge, and your facial plastic surgeon will work with you to set realistic goals for revision.
Choosing a Revision Rhinoplasty Surgeon
Not every revision rhinoplasty procedure is as dramatic as an episode of “Botched”. Sometimes, the problem may be very minor and only require a small adjustment.
If you’re on good terms with your primary plastic surgeon and the only issue you have is some slight asymmetry, it’s actually best to have them do the revision instead of seeking out a different doctor. They know your nose best.
Of course, if you feel that your primary surgeon has failed you, it’s time to move on. Before you schedule an appointment with a new surgeon, make sure that you have all of your medical records, photographs of your nose before surgery, and the operative notes from your first procedure. This will make the consultation process go more smoothly and give your new surgeon a better understanding of your situation.
How Long Should You Wait to Get Revision Surgery?
Regardless of the surgeon you choose, you won’t be able to have a revision rhinoplasty done right away. For starters, your nose needs time to heal before it can be safely operated on again. And because it takes a year or more to see the final result of a nose job, you might find that you don’t need revision surgery after all once the swelling has subsided and the tissue has softened.
With that in mind, this is a question best answered by your plastic surgeon. While 12 months after your initial surgery is standard, your surgeon may recommend revision rhinoplasty sooner or later depending on how your nose has healed.
Potential Complications
While most facial plastic surgeons are qualified to perform initial rhinoplasty procedures, revision rhinoplasty requires a much greater depth of knowledge and experience due to the surgery’s more complex nature.
The risk of complications is higher for revision rhinoplasty patients for a variety of reasons. If the structural cartilage in the nasal septum was removed completely during the initial surgery, the revision surgeon will have to take cartilage from the patient’s ear or rib to reconstruct the nose.
Because the procedure is more complex, it also takes longer than a first-time nose job. A typical rhinoplasty takes about 2 hours – a typical revision rhinoplasty can take 3 ½ to 4 hours. It may take even longer depending on how badly the first nose job was botched.
Revision Rhinoplasty: Is It Worth the Risk?
After a bad experience with a plastic surgeon, it’s normal to have some anxiety about seeing another one for revision rhinoplasty. What if they make your nose even worse? How can you trust them?
Here are some steps you can take to ensure the best outcome from your revision rhinoplasty:
Speak with a Dual Board Certified Facial Plastic Surgeon
Revision rhinoplasty is one of the most difficult plastic surgery procedures out there, but it is possible to restore the function and attractiveness of your nose.
If you’d like to learn more about this procedure, speak with Dr. Edward Farrior, a dual board certified facial plastic surgeon in Tampa, FL, with more than 30 years of experience. Of the thousands of rhinoplasties he’s performed over the decades, 37% have been corrections of other surgeons’ work.
Dr. Farrior fully embraces the unique challenge that each revision rhinoplasty patient brings and is dedicated to making them feel confident in their appearance again. To schedule your consultation, call our office at 813-291-3992 or fill out our online contact form.
Schedule a Consultation
Dr. Farrior is so much more than a doctor – he’s an artist. Dr. Farrior has the right medical knowledge and the artistic vision needed to create harmony among his patients’ facial features. He truly listens to his patients and is always open to their concerns.