Rhinoplasty is a procedure performed to alter the size or shape of the nose. Due to the nose’s central location on the face, many people notice their facial harmony is affected by the appearance of their nose. Rhinoplasty is a highly requested cosmetic surgery because it can improve the balance of the facial features by creating a nose that is proportionate to the rest of the face with an attractive shape.
Rhinoplasty is one of the most complex facial surgeries, and it is one of the most requested revision procedures. Many patients unhappy with their original rhinoplasty results can take advantage of revision rhinoplasty to improve many aspects of their nose, including the shape, size, angle, and function.
A good candidate for revision rhinoplasty wants to correct unsatisfactory results from a previous rhinoplasty. The revision procedure may be needed for several reasons and may not necessarily be the original surgeon’s fault; rhinoplasty results partially depend on the patient’s unique anatomy and healing characteristics, and revision may also be needed to correct an injury that occurred after a primary rhinoplasty.
Ideal candidates have waited at least one year from the original procedure to ensure the nose has healed sufficiently and that the outcome from the previous surgery is fully apparent. It is important that the patient is in good health when undergoing surgery and that he or she has realistic expectations.
An incision will be made inside the nose (closed rhinoplasty) or across the columella (open rhinoplasty). The skin is separated from the nasal cartilage and bones so the nasal tissues can be rearranged and repositioned into a more flattering, better-functioning position. In cases where additional cartilage or tissue is needed, Dr. Pontell will take it from a donor site such as the nasal septum or the ear.
Occasionally, revision rhinoplasty recovery may take longer than the recovery from the initial nose surgery. A splint will be put over the nose for one week to help keep it straight. Patients can expect bruising to resolve over the first week and swelling to decrease gradually over the first four to six weeks. It takes about one year for all of the swelling to resolve. Most patients can go back to work in one week and return to normal activities within two weeks. Oral medication will be prescribed to help with any discomfort. The nose will continue to heal for the first year after surgery.
Most patients notice a significant improvement in the size and shape of their nose once the cast is removed.
Once healing is complete, patients can expect to have a nose complementary to the rest of their facial profile that creates more pleasing facial harmony.
If you are interested in revision rhinoplasty, Dr. Pontell has helped many patients correct unsatisfactory nose surgery results. Schedule your consultation today! You can contact our office by calling (610) 688-7100 or by filling out our online contact form.