Revision Rhinoplasty

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Revision Rhinoplasty is a specialty of Dr. Siegel’s. It is one of the most complicated corrective cosmetic surgeries. The natural tissues existing in un-operated noses have been replaced by scar tissue, which makes the surgery technically more difficult. Furthermore, normal anatomical landmarks have been obliterated, requiring an intricate understanding of nasal anatomy, coupled with vast experience in nasal surgery, to tackle these cases.

Dr. Siegel’s expertise, experience and long track record of successful rhinoplasty results are some of the reasons he is one of the top revision rhinoplasty surgeons in Houston. With any surgical procedure, no surgeon should guarantee results, as medicine is not a 100% predictable science. Even in the best and most experienced of hands, a small percentage of patients may develop an unwanted result. However, a properly executed procedure in expert hands should carry a very small chance of a negative outcome.

The majority of Revision rhinoplasty surgeries performed by Dr. Siegel are attributed to surgeries that were performed with outdated techniques based on false concepts, and/or by Surgeons with lack of enough experience in rhinoplasty. (Years of experience do not equate with Rhinoplasty experience/expertise if only a handful of rhinoplasty surgeries are performed each year!)

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Not all revision rhinoplasty sugeries carry the same level of complexity. Some cases may need a minor tweak, while others may require a more comprehensive approach. Every case is different, and will require a unique approach. However, after having performed a large number of successful revision rhinoplasty surgeries, some basic patterns are common. Understanding these will help map out a plan of treatment to maximize the chances of a successful outcome.

During the initial surgery(s), in the majority of cases, too much supporting cartilage has been removed from various regions of the nose. This was usually done because of the false assumption of outdated techniques, that sculpting of the nose is best achieved by tissue removal. It is not.

As healing subsides, and tissues contract as part of the normal healing process, the resulting weak nasal support underneath the skin can result in pinched, caved in, and asymmetric noses. The breathing mechanism is also altered, as the breathing function and the cosmetic appearance of the nose go hand in hand. Besides the obvious cosmetic deformities, nasal obstruction ensues.  This happens gradually and may take months or even years to develop.

Most revision rhinoplasty surgeries are a combination of re-establishing the breathing function of the nose, and returning its cosmetic shape to a natural appearance. Almost every functional deformity has an accompanying cosmetic one. Successful results can only be achieved by treating both issues.

 


Cost Of Revision Rhinoplasty

In the section under rhinoplasty, we discussed the average price for rhinoplasty. If you have not read that section I encourage you to read it first to better understand the process.

Revision rhinoplasty will be more expensive than a regular rhinoplasty. Essentially, what was done on the first surgery must be reversed, tissues and structures need to be replaced, and/or reconstructed, into a more desirable anatomical configuration. Breathing function of the nose must be re-established, and all this must be done while creating a more cosmetically pleasing result. All these changes need to be carried out with tissues that have scarred and make surgery more challenging to execute. Due to this complexity, revision rhinoplasty may be two to three times more expensive than a first time rhinoplasty.


Recovery Time with Revision Rhinoplasty

While revision surgery is more technically challenging for Dr. Siegel’s part, the immediate recovery is usually much easier for patients. Most of Dr. Siegel’s patients state that the lack of internal packing after surgery, and the way the surgery was performed eliminated the majority of the pain, and that bruising was kept to a minimum. Most patients will wear an external splint, which is removed around day 5-7 after surgery, at which time most patients return to work with minimal bruising.

One of the most important issues in revision rhinoplasty is communication and expectations. Each case is unique and it has its own level of complexity.  A comprehensive consultation with Dr. Siegel to discuss what is, and what is not achievable, as well as what to expect before, during and after the procedure, will help you and guide you through this process. From our former  patients’ reviews, you will quickly realize that Dr Siegel is considered a top revision rhinoplasty surgeon in Houston, not only because of his technical excellence, but also for his compassion and approachability.

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