Revision rhinoplasty is a cosmetic surgical procedure designed to correct any issues caused by a previous rhinoplasty. Commonly known as a “nose job,” rhinoplasty is meant to alter the aesthetic of the nose, thereby balancing out the rest of the facial features. It involves sculpting and contouring, and it often includes a reduction in size or the removal of cartilage and perhaps bone. Surgeons have been performing this operation for decades. There are as many different techniques as there are providers capable of utilizing them. But the procedure is extraordinarily complex, and sometimes mistakes are made. When this happens, patients may have no other choice but to seek out a revision. There are many reasons why they may choose to do so. They may not like the aesthetic of their new nose. They could have something blocking their airway. They may need their tip or their bridge rebuilt, or they could require a graft to repair a collapsed nasal valve. All of these changes should be made by a reputable, highly skilled provider–someone who goes above and beyond the requirements of the average surgeon. It’s not uncommon for patients to travel or reserve a coveted place with a famous doctor in order to ensure that they receive the best care money can buy.
Once a suitable provider has been found to perform the procedure, the patient will undergo imaging and examinations to determine the source of their problem. This information will be used to build a customized treatment plan that fits the patient’s medical concerns and specific aesthetic goals. The techniques used in revision rhinoplasty are just as diverse as those used in primary rhinoplasty. There are as many different types of operations as there are patients. But there are commonalities between them, usually based on the complications that often arise as a result of the original procedure. Patients often require cartilage to support the tip or bridge of the nose. That may be taken from elsewhere on the body. Sometimes irregularities form on the soft tissue in the tip of the nose. This will require a tissue graft. Skin grafts may be necessary to open an obstructed nasal airway. If the nose needs to be reshaped, the surgeon may remove cartilage or bone. They may also correct the shape of the septum. Nearly all of this is done under the sedation of general anesthesia. It’s important to note that the success of a revision rhinoplasty is never guaranteed. After receiving the procedure, many patients end up having to get more work done.