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Revision Rhinoplasty San Francisco

The nose is a delicate and detailed part of the body; nose surgery, or rhinoplasty, requires an expert knowledge of its shape and functions. And even with this knowledge, it can be difficult to predict how a single person’s body will respond to rhinoplasty. Everyone heals differently, and the nose takes up to two years to fully settle into its new shape after surgery. This combination of factors means that it is not uncommon for rhinoplasty clients to realize after recovery that their initial results need to be revised.

Revision rhinoplasty may be recommended for a few different reasons. If your original rhinoplasty did not achieve what you hoped for, you may want to seek a revision to perfect your results. In some cases, revision rhinoplasty is right for correcting 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 clients 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.

Revision Rhinoplasty at The Maas Clinic

Out of all the nose surgeries Dr. Maas performs at The Maas Clinic each year, approximately half are revision rhinoplasties. Dr. Maas is an internationally-recognized expert in facial plastic surgery, so many clients come to The Maas Clinic to ensure that their revision is done with extra care and precision. It is not unusual for a revision 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.

Before you undergo a revision rhinoplasty at The Maas Clinic, you will come in for a consultation visit where Dr. Maas can evaluate your nose, learn more about why you are interested in a revision and make a plan for how to correct your concerns. During your 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. Many studies show it can take some clients up to two years before your new nose completely stops changing. For this reason, Dr. Maas usually advises patients to wait at least one full year after the initial procedure to schedule a revision surgery. At this point, you will be able to see most of your results except for small changes to your skin or minor adjustments in sensation or swelling. In general, if you are unhappy with your initial rhinoplasty at the one-year mark, you can begin to consider a revision rhinoplasty and visit a plastic surgeon to discuss your options.

There are exceptions to this general rule, however. For example, if the initial rhinoplasty left a substantial cosmetic concern or you are experiencing breathing difficulties, 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. In cases like these, you should seek the advice of a board-certified plastic surgeon as soon as possible — they can help you determine whether the extent of your concern warrants an early revision.

Whenever you are unhappy with the results of your first procedure, you can always schedule a consultation with Dr. Maas. Even if you might need some more time to allow your results to settle, his professional evaluation and opinion can help you determine the optimal time to schedule your surgery. A consultation can also help you better understand if your concerns will change naturally or if you are a good candidate for revision rhinoplasty.

What to Expect from the Procedure

Revision rhinoplasty is in essence the same surgery as normal rhinoplasty, with a few possible differences. In some situations, for example, there may be 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 — like the ribs or the ear — in order to complete the rhinoplasty properly. If this is necessary, it is a minimally-invasive procedure that will leave a very small scar and have only a minor impact the recovery time after the procedure. A revision rhinoplasty may also focus more on certain aspects of the nose that an initial cosmetic rhinoplasty did not address, such as a deviated septum or other internal concerns.

Revision Rhinoplasty Recovery

Your recovery time will be similar to your first rhinoplasty. Dr. Maas recommends taking at least one week away from work and other day-to-day responsibilities, followed by another week of light activity with as much continued rest as possible. At the two-week mark, you should be able to return to normal daily activities except for exercise or heavy lifting. Most clients need to wait about four weeks before returning to a workout routine. If you play sports or swim, you will need to wait a bit longer to avoid risking damage to your new nose. Dr. Maas will clear you for these activities during a follow-up appointment when he deems it appropriate.

It can be difficult for patients to wait for the final results of revision rhinoplasty to develop. Even after you return to normal activity levels, it can be a few months before all noticeable swelling has subsided and you can clearly see the shape of your revised nose. Unfortunately, no shortcuts exist in the healing process; the nose simply once again needs ample time to fully recover and for the bruising and swelling to subside completely. Once those results are apparent, they will be permanent, and, in most cases, much more satisfying.

Contact The Maas Clinic

Revision rhinoplasty can help you overcome issues left or not addressed by your initial procedure and leave you with results that you truly love. At The Maas Clinic, we want all of our clients to feel good about the results of their procedures, including nose surgery; your satisfaction and self-confidence are our priority. If you are interested in a revision rhinoplasty in the San Francisco area, then a consultation with Dr. Maas might be just what you need to start the process of achieving your ideal nose. To get more information about revision rhinoplasty with us, contact The Maas Clinic at 415-567-7000.

It is never too late, To be what you might have been.- George Eliot