What is revision rhinoplasty?

Revision rhinoplasty is a correctional surgery done after a previous rhinoplasty to rectify its mistakes or errors, whether cosmetic (results that aren’t appealing to the patient) or functional (results that in some way inhibit normal breathing).

Revision rhinoplasty tends to be more complicated than primary rhinoplasty and requires the combination of both extensive anatomical knowledge and hands-on skills to make the surgery a success. Revision rhinoplasty is considered by some to be the most challenging of plastic surgery procedures.

Fellowship-trained and board-certified, Dr. Paul Afrooz brings a passion and perfection to each of his patients and each of his surgeries. In addition to prolifically authoring peer-reviewed literature on 4 distinct cosmetic surgeries, he is frequently invited to lecture and educate on cosmetic surgery internationally. Dr. Afrooz trained at the most prestigious cosmetic surgery training programs in the world and has years of experience and thousands of satisfied patients to his credit.

He has yet to see a revision rhinoplasty patient he was unable to treat to total satisfaction.

Am I a candidate for revision rhinoplasty?

If for either cosmetic or physical reasons you find yourself not satisfied with a previous rhinoplasty, you are likely a candidate for revision rhinoplasty. Patients typically consider revision rhinoplasty for these reasons:

The initial rhinoplasty surgery failed to provide the intended results
The procedure overcorrected the problem and led to the development of other cosmetic concerns
After the procedure, the healing process altered the outcome of the surgery
The surgery negatively impacted the use or function of the nose

How long after rhinoplasty can I get a revision?

It is typically advisable that patients wait one year after rhinoplasty before undergoing revision rhinoplasty, as throughout this time swelling is subsiding and tissue is recovering and we do not want to interrupt that. The nasal swelling takes about one year to subside and it takes at least one year for scar tissue to regain its normal soft texture.

Types of revision rhinoplasty

Closed rhinoplasty: Dr. Afrooz uses incisions inside the nose to limit the trauma experienced. Moreover, this technique has the advantage of eliminating visible scars after the procedure and tends to be safer when the patient has scarring left from previous surgery. Patients requiring mild correction can undergo closed rhinoplasty as it comes with minor limitations to accessing the entire nasal structure.

Open rhinoplasty: Entails greater reconstruction to various of the structures of the nose. Though the procedure may be technical, the surgeon gets a clear visual, better access, and understanding of the region that needs correction.

Revision rhinoplasty procedure

Revision rhinoplasty is very much a patient-tailored procedure. Problems and concerns can be either functional or aesthetic or a combination of both and can present in different ways or in different parts of the nose. Thus Dr. Afrooz tailors the procedure depending on the area and condition requiring correction. Revision rhinoplasty may be done under either local anesthesia or general anesthesia in cases of extensive procedures. In most cases, the procedure takes a bit longer than the initial rhinoplasty, up to 4 hours, compared to 2. During the procedure, Dr. Afrooz restores the full aesthetic structure and physical functionality of the nose.

Why Choose Dr. Afrooz?

Afrooz is a state-of-the-art surgical center led by Dr. Paul N. Afrooz, a board-certified and fellowship-trained plastic surgeon with a keen understanding of facial anatomy. He has a perfect track record and a flawless reputation for providing optimal and naturalized results that adhere to the patient’s unique cosmetic goals and expectations. He treats each patient as an individual, curating a treatment plan that addresses their specific goals and concerns to ensure you look flawless while retaining the unique markers of your identity. If you want to revise the results of a previous rhinoplasty, please schedule a consultation with Dr. Afrooz to discuss your cosmetic expectations.

Revision Rhinoplasty FAQ

When is a revision rhinoplasty necessary?

Revision rhinoplasty might be necessary if you don’t like the appearance of the primary rhinoplasty’s results or if you have breathing difficulties after your procedure. The plastic surgeon can reverse the results of the primary rhinoplasty or fix the cosmetic and functional concerns to provide the results you should have had the first time around. Most patients opt for revision rhinoplasty to address a combination of cosmetic and functional concerns.

Why is revision rhinoplasty a more challenging procedure?

Revision rhinoplasty is a more challenging procedure than primary rhinoplasty for several reasons. However, the most common reason for the complexity is that the primary surgery may have removed excessive cartilage bone or nasal lining, and scar tissue may have formed. Consequently, the revision rhinoplasty surgeon has relatively less cartilage to work with. The lack of sufficient cartilage may require donor material from other parts of the body, such as the ears or the ribs.

Why is a revision rhinoplasty more expensive than a primary rhinoplasty?

Revision rhinoplasties are often more expensive than primary rhinoplasty because they necessitate more work than the primary procedure, especially if you need a cartilage or tissue graft from another part of your body. Primary rhinoplasties usually conclude within 3 hours under general anesthesia, but revision rhinoplasties may last for up to 6 hours.

How soon do you recover from the revision rhinoplasty?

You need to take a break of at least two weeks before resuming your normal activities and work. You’ll have a nasal splint or cast around your nose for the first week after the surgery, which might be taken off during your first postoperative visit. You can gently ease into your work and normal schedule during the second week, though you must avoid strenuous exercises and work. And most patients can resume full activities and exercise after 2 weeks.

What can I do to support my recovery?

Avoid aspirin, ibuprofen, supplements, and other such medications for at least two weeks. Your surgeon will help you determine which medications you can or can’t take.
Don’t smoke for at least four weeks after the surgery.
Have a relative or friend help around the house for at least 48 hours after your procedure.
Wear comfortable clothes with buttons that you can remove without pulling the shirt over your head.
Rest up and don’t overexert yourself.
Inform your surgeon if you have any concerns.

Can I get insurance coverage for my revision rhinoplasty?

You might be eligible for insurance coverage if you need revision rhinoplasty to address functional problems, but not for cosmetic concerns. Discuss your insurance coverage options with the staff at our surgical center.

Revision Rhinoplasty Miami