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Fixing A Bad Nose Job: The Science Of Revision Rhinoplasty

Rhinoplasty has made huge advances in recent years. Better technology, as well as more effective surgical techniques, have left an increasingly large proportion of patients feeling thrilled with their results. That being said, things sometimes do go wrong—most often due to sloppy methods, inexperienced surgeons, or business models whereby the quantity of patients is prioritized over quality of service.

Fortunately, even if you’ve been on the suffering end of a bad nose job, there might be a solution. In this post we’ll take a closer look at revision rhinoplasty, what it involves, and what you can do to ensure you’re happier with your results the second time around!

Why Do Rhinoplasties Go Wrong?

Perhaps the most common reason for inadequate nose jobs is that not all plastic surgeons have the experience or degree of specialization necessary to ensure great results. Many surgeons are generalists who offer a wide variety of services, from breast augmentation to liposuction. As a result, they become jacks-of-all-trades—but they may never gain the expertise that comes from performing hundreds of rhinoplasties every year.

The second cause for poor outcomes in rhinoplasties is an unfortunately common occurrence. Some plastic surgeons, instead of dedicating themselves to high-quality service, try to perform as many surgeries as possible each week. Their fees are often lower than average, because they can make up the difference by sheer numbers. But a procedure as subtle as a nose job should never be rushed; doing so will greatly increase the chances of misunderstandings or poor results.

What Is Revision Rhinoplasty?

Revision rhinoplasty is even more complicated than a regular rhinoplasty, because the surgeon doesn’t have a blank slate to work with. The original rhinoplasty operation replaces some of the natural tissue of your nose with scar tissue, which is more difficult to operate on. The normal anatomical landmarks have been previously altered—meaning that performing the revision surgery is a bit like reading a map that has been scribbled on.

Depending on what went wrong with your original surgery, the revision may involve just a minor tweak, or it may require a more comprehensive correction. Often the original surgeon, clinging to antiquated techniques, has removed too much cartilage from the nose. This can interfere with breathing, and result in a pinched or asymmetrical look. A good revision essentially rebuilds the nose, fixing both the structural and the aesthetic issues at the same time.

Recovery times for revision rhinoplasty can be as short as 5–7 days. Patients often note that Dr. Siegel’s technique keeps pain to a minimum, and results in less bruising than their original surgery.

How Do I Know It’ll Work Out This Time?

Surgery is never 100% predictable, so no surgeon should ever guarantee results. You can greatly increase the chance of a fantastic outcome, however, by seeking out a facial plastic surgeon who specializes in rhinoplasty. Dr. Siegel is Houston’s rhinoplasty specialist, and combines an approachable and attentive manner with many years of relevant experience. For more information about revision rhinoplasty, contact his office today!


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May 1, 2020 Update:

Our office has reopened as of Monday, April 27th and we are following the recommended guidelines for maximum safety.

  • To make this transition as safe as possible, and to comply with physical distancing, we will be limiting the number of people in the waiting room to only one person.
  • To prevent having multiple people in the waiting room, we will space out appointments.
  • To minimize personal contact please be punctual for your appointment.
  • Please be on time for your appointment. If you are early, please wait in your car. If you are running late please call the office at 832-900-4818, so we can make proper arrangements.
  • For new patients, please fill out all your new intake forms at home. We will send you a link for registration when you make an appointment.
  • Patients must wear a mask that covers the nose and mouth when in the waiting room or walking back to the exam room.
  • If you are wearing gloves, please remove them when you arrive, we will provide you with hand sanitizer.

Please contact our office with any questions you have!

-Dr. Siegel & Staff

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