
Dr. Jonathan Pontell, MD, FACS, is a thoroughly educated Philadelphia plastic surgeon who has dedicated his career to performing facial cosmetic and reconstructive procedures. Dr. Pontell's goal is to enhance his patients' appearance and self-confidence through advanced facial plastic surgery treatments. Over the years, he has performed thousands of facial procedures and perfected his aesthetic judgment and surgical skill. Dr. Pontell's extensive surgical background allows him to confidently offer some of the more sophisticated facial enhancement procedures, such as revision rhinoplasty in Philadelphia.
Revision rhinoplasty (secondary rhinoplasty) is a nose surgery pursued by patients who are not happy with the results of their primary nose surgery. Some of the reasons why patients seek revision surgery include over-correction and under-correction, breathing problems and nasal asymmetry. As one of the leading Pennsylvania / South New Jersey rhinoplasty surgeons, Dr. Jonathan Pontell often treats nose surgery patients who have undergone unsatisfactory surgery elsewhere.
However, Dr. Pontell reminds his patients that rhinoplasty is one of the more complex facial cosmetic surgery procedures, and sometimes an unsatisfactory result is not the fault of the surgeon. Instead, the patient's unique anatomy, healing characteristics, illness or injury might be the cause of the less-than-perfect result. In addition, the final results of rhinoplasty often are not apparent until 12 months have passed since the original surgery. This is why Dr. Pontell recommends that his Philadelphia revision rhinoplasty patients wait at least a year before seeking a revision.
As all surgical procedures, revision rhinoplasty requires thorough patient preparation. In fact, revision rhinoplasty requires more preparation than many other procedures because Dr. Pontell and the patient must ensure that they share the same aesthetic vision and goals. In addition, Dr. Pontell carefully evaluates the nose, determines the cause of the aesthetic or functional problem, and develops a very precise treatment plan. Depending on the reshaping needed and the preferences of the Philadelphia revision rhinoplasty patient, he might perform either open or closed rhinoplasty. Dr. Pontell feels the advantages of open rhinoplasty yield much superior results.
Revision rhinoplasty usually requires a longer time to complete than the initial nose surgery. This is because the pre-existing scar tissue and incision lines often require additional surgical manipulations. After creating an incision inside the nose (for closed rhinoplasty) or across the columella (for open rhinoplasty), Dr. Pontell rearranges the nasal tissues, adds or removes cartilage, and positions the skin into its new position. If additional cartilage is needed, Dr. Pontell might obtain it from a donor site, such as the ear or the rib. Before the procedure, Dr. Pontell will explain exactly what will happen during it so that the patient will be completely prepared.
Recovery after revision rhinoplasty will proceed similarly to your recovery after the primary nose surgery. Dr. Pontell will apply a splint to the area. The nose will be swollen, and the eyes might appear black and blue. The initial swelling and bruising will subside in about10 days, at which time most patients can resume social activities and work after 1-2 weeks. The nose will continue to heal, and the final results might not be apparent for several months. During the recovery period, Dr. Pontell carefully monitors all his patients to help ensure that they achieve their desired results.
If you are not satisfied with the results of your primary nose surgery, schedule a revision rhinoplasty appointment with Dr. Jonathan Pontell by calling his offices at (610) 405-6303. As a top Philadelphia rhinoplasty surgeon, he will perform a thorough evaluation and recommend the best course of action. In addition, he will answer your questions about other procedures you might be interested in, such as Botox, Ultherapy, eyelid surgery or face lift in Pennsylvania / Delaware.
