Revision Rhinoplasty San Francisco
Revision Rhinoplasty Specialist Dr Corey Maas
Revision rhinoplasty may be recommended when the initial rhinoplasty when the results are not what the patient hoped for. In some cases, revision rhinoplasty is done to correct a cosmetic issue that either wasn’t properly addressed in the first surgery or was created during the initial procedure in the process of trying to treat other concerns. Other patients may seek revision rhinoplasty because the changes during the first procedure affected the function of the nose, making breathing more difficult or creating other complications.
Approximately half of all the nose surgeries Dr. Maas performs at The Maas Clinic are revision rhinoplasties. It is not unusual for this subsequent procedure to be much more complex than the first, due to changes in the nose, the formation of scar tissue and less bone and cartilage to work with the second time around. Dr. Maas is highly experienced in revision rhinoplasty and can manage these challenges to enhance the appearance and improve the function of the nose.
When a patient comes in for a revision rhinoplasty consultation, there are a number of factors Dr. Maas will consider as he prepares for the surgery, including the anatomic features of the nose, the facial proportions and the lip-to-projection ratio. For the nose itself, Dr. Maas looks at the curvature of the nose, nostril placement and the shape and size of the tip. With many factors to consider, it is no wonder why it is essential to select an experienced plastic surgeon that has performed numerous revision surgeries and has a broad understanding of how to approach this procedure based on all of the different factors.
Timing of Revision Surgery
The timing of revision surgery is one of the biggest variables that will determine the success of the procedure. Recovery from rhinoplasty can take time, with residual swelling often lasting for many months before the full results of the procedure can be seen. For this reason, Dr. Maas usually advises patients to wait at least one full year after the initial procedure to pursue revision surgery.
There are exceptions to this general rule, however. For example, if the initial rhinoplasty left a substantial deformity, you may prefer to undergo revision surgery sooner, rather than later. You might also pursue revision surgery more promptly if some sort of trauma to the nose occurred during the recovery process from your initial procedure, leaving you with an obvious irregularity or displacement of one of the nasal bones.
When you are unhappy with the results of your first procedure, you can always schedule a consultation with Dr. Maas to determine when would be the optimal time to schedule your revision rhinoplasty.
What to Expect from the Procedure
Revision rhinoplasty is generally performed in a similar fashion to the original surgery. One possible difference between the two would be in a situation where there is insufficient cartilage left in the nose to make the necessary corrections. In this case, Dr. Maas would also need to obtain cartilage from a donor site in order to complete the rhinoplasty properly. In many cases, this donor cartilage is take from a rib or the ear during a minimally-invasive procedure that will leave a very small scar and not impact the recovery time after the procedure by much.
It can be difficult for patients to wait for the results of revision rhinoplasty to develop. Unfortunately, no short cuts exist in the healing process as the nose needs ample time once again to fully recovery and for the bruising and swelling to subside completely. Once those results are apparent, usually a few months after the procedure, they will be permanent and in most cases, much more satisfying for the patient.
Revision rhinoplasty can help you overcome issues left by your initial procedure and leave you with more satisfying results overall. To get more information on revision rhinoplasty, contact The Maas Clinic at 415-567-7000.