Revision Rhinoplasty Overview Nasal surgeries performed on patients who have had one or more previous nose jobs are called revision rhinoplasty procedures. Also called reconstructive rhinoplasty, the procedure addresses issues caused by a previous surgery. Common reasons for subsequent nose jobs include breathing problems due to impaired airways and cosmetic issues incorrectly treated during prior surgeries. Issues also arise after improper healing following a previous surgery. As with primary rhinoplasty, this procedure is one of the most difficult and delicate surgeries in the cosmetic and reconstructive surgery line. The difficulty increases with the revision, where the patient’s nasal septum has already faced significant alteration. Further complicating matters is the patient’s emotional state, which may be negative after a disappointing previous experience.
- Preparation: Smokers must cease smoking during the two weeks before and the two weeks after their procedure. Patients on blood thinners, including NSAIDs, aspirin, as well as vitamin E and other supplements, must discontinue these two weeks before surgery. Patients who wear glasses may not do so during the first two weeks of healing after the procedure. Anyone over 45 years old requires medical clearance from his or her primary physician. Finally, arrange necessary time off work as well as transportation to and from the facility the day of treatment.
- Anesthesia: This procedure typically requires a general anesthetic. Discuss any anesthesia concerns with Dr. Vallecillos during your consultation.
- Preoperative Consultation: During your consultation, tell Dr. Vallecillos about your desired results, and discuss as any issues specific to prior surgeries. The doctor will discuss treatment options and, after your examination, make recommendations. The doctor will also share your pre- and post-operative instructions at this time. Follow these exactly for the best outcome.
Revision Rhinoplasty Procedure
As with primary nasal surgery, the revision procedure takes approximately one to two hours to complete. You receive anesthesia, and then Dr. Vallecillos makes opening incisions, either inside the nose to reduce visible scarring, or under the tip of the nose. Depending on your treatment needs, the doctor either grafts additional tissue to the nasal structure or removes excess bone and cartilage. The doctor then re-drapes the outer tissue and closes the incisions. Finally, the doctor dresses the area with a splint and absorbent materials, helping the nose keep its shape while healing.
Revision Rhinoplasty FAQs
Who is a candidate for a revision rhinoplasty? Ideally, the patient is healthy, with a normally functioning immune system. Revision surgery requires a minimum period of 12 months since your last nasal surgery. This is because the nose continues changing during this period, so some issues resolve during that time.
What is the recovery time for a revision rhinoplasty? There is no real downtime after a nose job, though patients require transportation to and from the facility due to the general anesthetic. You may experience mild pain, for which Dr. Vallecillos prescribes pain medication. After the first week, Dr. Vallecillos removes the splint. In the first two weeks, you experience swelling and possibly light bruising, both of which diminish greatly during this time. Swelling continues diminishing, becoming indistinguishable within six weeks, though changes continue throughout the first year following your surgery. Avoid strain in the treatment area during the first few weeks following the procedure. These stressors include wearing glasses, swimming, blowing your nose, and any strenuous activity that may raise blood pressure. During your consult with Dr. Vallecillos, the doctor advises when you may resume these activities.
Are there risks or side effects associated with a revision rhinoplasty? Risk accompanies all surgeries, especially those involving general anesthesia. These include bleeding, scarring, and infection. Side effects unique to rhinoplasty include feelings of tightness in the cheeks and nose, causing restricted facial movements.
How long do the results last? Patients following postoperative advice enjoy lifetime results.