San Francisco Revision Rhinoplasty
Since rhinoplasty is a complicated and difficult surgery, even the most gifted plastic surgeons don’t always get it right the first time. Revision rhinoplasty is commonly performed on those patients who are unhappy with their prior results or whose nose has changed over time resulting in a loss of tip projection or rotation, visible deformities, or a collapse of the nasal bridge. Revision rhinoplasty surgery is a more technically demanding surgery than primary rhinoplasty so it’s paramount that you see a surgeon with extensive expertise in this procedure. Dr. David Sieber has completed advanced training in revision rhinoplasty under some of the most renown rhinoplasty surgeons in the world. It’s also one of his passions as it requires both technical skill and experience as well as an artistic eye.
Revision rhinoplasty can help improve:*
- Nasal symmetry
- Straightening of the nasal dorsum
- Collapse of the dorsum
- Proper nasal tip projection and rotation
- Smooth aesthetic nasal contours
- Narrowing of nostril width
- Length: 3-4 hours
- Anesthesia: General
- Inpt/Outpt: Outpatient
- Side effects: swelling, bruising, stuffy nose
- Recovery: 1-2 weeks
Revision Rhinoplasty Technique
Since revision rhinoplasty is a much more technically demanding surgery than your primary rhinoplasty, Dr. Sieber will need to assess how much cartilage remains in your septum from your prior surgeries. If sufficient septal cartilage is no longer available, then he may need to use cartilage from behind your ear or from a portion of your rib to properly rebuild your nose. This will all be discussed with you in detail during your initial consultation.
Surgery is performed as an outpatient procedure. A small incision is made at the base of your nose and inside of your nostrils through which Dr. Sieber is able to modify and support your nasal bridge and tip, restoring your natural anatomy.
Preparing for Revision Rhinoplasty Surgery
As with any major surgery, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior to surgery. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.
Recovery from Revision Rhinoplasty Surgery
After surgery, you will have a cast as well as some pieces of tape on your nose. These will be removed along with the plastic splints inside your nose at your first follow-up appointment after surgery. If your nasal bones needed to be moved during the surgery, you may have black eyes afterwards, but these will gradually resolve during the next 1-2 weeks. Although you will be able to breathe through your nose right after surgery, your nasal passage will become blocked due to swelling so don’t be alarmed.* This will resolve gradually within the next 1-2 weeks.*
Nasal swelling is very normal following a revision rhinoplasty, and lasts for a long time so be patient. The swelling is the most prominent for the first 3 months after surgery, but it can continue for up to a year. The nasal tip typically has the most noticeable swelling, and is the last area to heal. As the swelling goes down, it does not always do so symmetrically. You may notice the sides of your nose swelling at different rates and to different degrees. This is a normal part of the healing process and should not be a cause for concern.
Q: I can’t breathe since after my first rhinoplasty surgery. Will that improve with revision rhinoplasty surgery?
A: During your consultation, Dr. Sieber will assess your breathing. During your revision rhinoplasty surgery, he will then address those factors which contribute to nasal airway obstruction, helping you to breathe easier after surgery.
Q: How do I know that the issues I’m having now won’t happen again?
A: Dr. Sieber believes in restoring your normal anatomy. Some patients aren’t born with normal anatomy while others lose this anatomy through prior surgery. Using your own cartilage, Dr. Sieber can reconstruct your nasal framework during your revision rhinoplasty to help ensure that you have a lasting result.*
Q: Will the recovery be like my first surgery?
A: Revision rhinoplasty tends to be more involved and more complicated than primary surgery. However, most patients find that their recovery after revision rhinoplasty surgery is very like their first operation. Some patients will experience prolonged swelling, but this will improve with time.*
*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.