A revision rhinoplasty procedure is performed to correct any concerns arising from a previous surgery of the nose. While in some cases, only a minor touch-up may be needed to correct the situation, others may need a more involved reconstruction to correct a previous poor result, which may involve cartilage harvesting from the ear or rib.
It is also possible that after the initial procedure, the nose may continue to change. This usually occurs if excessive cartilage or bone was removed during the first procedure.
A primary rhinoplasty may generate poor results for any of the following reasons.
- Too much cartilage and bone from the nasal bridge were removed, causing a saddle nose deformity.
- A collapse of the sidewalls of the nose.
- Too much nasal tip cartilage was removed.
- It involved an improperly placed incision.
In such cases, insufficient support can cause the structure of the nose to collapse, resulting in aesthetic and functional problems.
During revision rhinoplasty, the nasal structure is recreated using cartilage grafts from the septum (from the nose), ear, or rib. Reconstruction of this type needs a high degree of expertise, precision, and skill to ensure that the appearance of the nose is attractive and in balance with the patient’s facial features.
Additionally, it is important to ensure the reconstruction does not impede the function of the nose. Dr. Greco understands the struggle patients face after a failed rhinoplasty. Especially when they feel that the post-surgery result is worse in appearance than their original nose.
Dr. Greco uses sterile-processed allograft rib cartilage to perform revision rhinoplasty. This is a complex procedure since the extracted cartilage must be precisely carved into functional and aesthetic grafts for nasal reconstruction.
Dr. Greco’s background in otolaryngology (ENT) and facial plastic surgery combine to give him the structural knowledge and artistic ability to correct challenging deformities that many rhinoplasty surgeons may not attempt to correct.
Revision rhinoplasty is an intricate, complex surgical procedure with risks similar to primary rhinoplasty. Complications may include, bleeding, infection, septal perforation, and persistent nasal deformity. Due to Dr. Greco's unique and experience, he is seasoned to avoid these complications as best as possible.
Patients undergoing revision rhinoplasty should know that the goal of this procedure is the improvement of nasal shape, profile, and improved breathing. It is not a quest for perfection.
Dr. Greco advises patients to wait about one year between the primary and revision rhinoplasty surgeries. This allows for any after-effects, such as swelling or inflammation, from the first surgery to subside before the next procedure.
Before your procedure appointment, you will have a consultation with Dr. Greco during which he will explain your options as well as address any concerns you may have.
Dr. Greco will also conduct a physical examination during this consultation. He will:
- Check your nasal septum for any deformities.
- Check the nasal bridge and both sides of the nose for asymmetries.
- Examine the internal and external nasal valves for signs of collapse.
- Examine the tip of the nose for any asymmetry.
- Examine potential donor sites, which include the ear, for suitability.
Information gathered during this consultation informs the doctor on how to design your treatment plan to meet your aesthetic goals.
Dr. Timothy Greco is Philadelphia’s leading facial plastic surgeon, skilled at all types of rhinoplasty procedures that help patients improve facial harmony. He is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and the American Board of Otolaryngology/Head & Neck Surgery (ABOto).
Dr. Greco focuses solely on plastic and reconstructive surgery of the face, head, and neck at his in-office, state-certified aesthetic surgical center. If you’ve had a previous poor experience with rhinoplasty, Dr. Greco can help you find aesthetic balance for your appearance again.
Get in touch today to schedule a consultation with Philadelphia’s leading facial plastic surgeon. For appointments, call (610) 664-8830 or check the doctor’s schedule online.