Revision Rhinoplasty Chicago
A revision rhinoplasty is a surgery that is performed of the nose after an initial rhinoplasty or primary rhinoplasty procedure has been performed. It is a broad term to describe a situation where the aesthetic goals of the first rhinoplasty surgery may not have been met. All primary rhinoplasty procedures have the potential to ultimately require a revision rhinoplasty, however, the goal for any rhinoplasty surgery is to get it right the first time. Rhinoplasty surgery is one of the most challenging procedures in plastic surgery due to the delicate and intricate anatomy of the nose. We recommend you find a plastic surgeon board certified by the American Board of Plastic Surgery for both primary and revision rhinoplasty surgery. The Plastic Surgery Clinic of Chicago understands that there is no catch-all approach to rhinoplasty; every nose is unique, which is why each patient at our practice receives personalized care, an individualized course of treatment tailored to each patient’s needs.
Revision rhinoplasty can be useful to treat:- Persistent asymmetries of the nose
- Persistent deviation of the nose
- Original aesthetic goals were not met
- Perforated septum
Am I a Candidate for Revision Rhinoplasty?
Every time you have a surgery of the nose, the surgery and recovery become more difficult. Therefore, the decision to undergo a revision rhinoplasty should not be taken lightly. If you have moderate to major nasal asymmetries or major aspects of the aesthetic goals of the primary rhinoplasty were not met, then you may be a candidate for a revision rhinoplasty.
Patients who smoke or are otherwise not in good physical health, or who do not have realistic expectations are typically not ideal candidates for a revision rhinoplasty.
What to Expect from a Consultation
Any medical center or practice you choose should be willing to sit down with you and take the time to explain all aspects of the procedure beforehand, including expectations of the surgery and associated risks and recovery. At the Plastic Surgery Clinic of Chicago, we thoroughly review your medical history, speak with you about your expectations, and provide you with an extensive overview of both functional and aesthetic details of revision rhinoplasty surgery. Having realistic expectations is essential in having a good experience and outcome with revision rhinoplasty.
How Revision Rhinoplasty is Performed
First, patients are placed under general anesthesia in order to ensure safety and comfort during the procedure. Next, incisions are made to allow the surgeon access to the nose.
Revision Rhinoplasty is most commonly performed through an open technique for adequate exposure and access of the nasal anatomy. In an open procedure, an incision is made along the columella, the thin bridge of tissue that connects the nostrils.
Surgical maneuvers are then made, which may involve removing cartilage, using sutures to reshape cartilage, bone contouring, or placement of cartilage grafts. In many cases, cartilage grafts have to be used from the rib or ear to rebuild and restore the anatomy of the nose.
Lastly, once the necessary corrections are made, sutures are placed to close the incisions and the nose is bandaged appropriately.
Recovery after Revision Rhinoplasty
Although revision rhinoplasty is an outpatient procedure, patients are required to remain at the surgical facility until anesthesia wears off. It is also necessary to have another adult bring you home after a rhinoplasty procedure.
Recovery on the day of surgery should involve lying in a comfortable position, a lot of rest, liquids, soft foods, and prescribed medications. Immediately after surgery, the nose and the area under the eyes will typically be swollen and bruised. The swelling will go down within a few weeks, however, swelling will last longer than a primary rhinoplasty. Patients should avoid any strenuous physical activity right after surgery, as it can increase the risk of bleeding.
It is very important to follow all instructions issued by the plastic surgeon and to attend follow-up appointments so that your surgeon can check your healing progress and let you know when it is safe to return to regular activity and a normal work schedule.
The results of successful revision rhinoplasty are usually visible around two weeks after surgery; however, since the nose will not be completely healed, the full effects of the procedure will not be visible for several months, until the nose takes its new shape. Swelling of the nose can last up to 2 years after surgery, therefore, patience is needed during the recovery period.
Potential Risks of Revision Rhinoplasty
Patients should be aware that revision rhinoplasty, as with any medical procedure, come with potential risks. Each individual should consider both the benefits and known risks before making the decision to have a revision rhinoplasty. Such risks may include:
- Skin discoloration
- Bleeding
- Infection
- Scarring
- Persistent asymmetries
- Breathing obstructions
Always make sure that the surgeon performing the procedure is board-certified by the American Board of Plastic Surgery, and that the surgery is being carried out in an accredited surgical facility.
What Does Revision Rhinoplasty Cost?
The cost of this type of procedure is going to fluctuate based on location, surgeon, center, and the individual patient’s needs. According to the American Society of Plastic Surgeons, the average cost of rhinoplasty in the U.S. is around $5,000, though it can range up to $15,000.
The Plastic Surgery Clinic of Chicago always provides a detailed breakdown of costs after an initial consultation.
SCHEDULE A CONSULTATION
The Plastic Surgery Clinic of Chicago welcomes any questions from both potential patients and returning patients regarding any of the procedures that we offer. We are committed not only to excellent patient care, but thorough patient education; our professional staff will answer any questions you have and ensure that you understand every step of the process. If you are interested in looking and feeling like the best version of yourself, call us today for a consultation.
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Happy for this patient and her 6 week post-operative result from a breast augmentation. We placed a 400 cc gel implant, in a sub-muscular plane, and through a periareolar incision. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #gelimplants #mastopexy #gummybear #chicago #chicagoplasticsurgery
Happy for this patient and her transformation. This patient is transfemale who underwent facial feminization. Can you tell what surgeries were performed? Still have to perform the tracheal shave. Posted with permission.
#plasticsurgery #plasticsurgeon #craniofacialsurgery #FFS #facialfeminization #chicago #chicagoplasticsurgery
6 month follow-up on a mastopexy augmentation case. The patient’s goals were to have her breasts lifted and the volume restored after pregnancy. No patient has perfectly symmetric breasts, which is normal. This case was challenging because of the asymmetries of the nipples; trying to lift, augment, and level the nipples all at the same time is difficult. Many variables to control but the post-operative photos demonstrate improved symmetry with all of the patient’s goals achieved. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #mastopexy #breastlift #gummybear #chicago #chicagoplasticsurgery
6 month follow-up on a challenging revision rhinoplasty case. The patient had 3 prior rhinoplasty surgeries by another surgeon and was not happy with the aesthetics of the dorsum or tip. In the pre-operative profile views, you can see a dorsal hump, under-projected tip, and abnormal alar-columellar relationship. On frontal view, there are asymmetries of the dorsal aesthetic lines and C-shape deviation of the nose. The goal of the surgery was to make the nose straighter, improve the dorsum and tip proportions, increase tip projection, and improve the alar-columellar relationship. Look closely at the post-operative profile views and how the tip, nostril and columella appear. Posted with permission.
#plasticsugery #plasticsurgeon #cosmeticsurgery #rhinoplasty #revisionrhinoplasty #chicago #chicagoplasticsurgery
Many ways to do a breast augmentation but the periareolar incision is a great option because the scar becomes imperceptible as the scar matures. This patient is 6 months out from a breast augmentation and the access incision we made was at the bottom border of the nipple areolar complex. It’s hard to see the scar at this point and the scar gets even better at the 12-18 month mark. Also, nipple sensation is unaffected after surgery. The other incisions that plastic surgeons use include an incision underneath the breast, at the breast fold, or the armpit. Each incision has their pros and cons but the periareolar is my preferred approach.
#plasticsurgeon #plasticsurgery #breastaugmentation #gummybearimplants #breastimplants #chicago #chicagoplasticsurgery #cosmeticsurgery
Challenging #gynecomastia case where the patient had grade 2/3 gynecomastia or male breasts with excess skin and significant asymmetries. The challenging part of this case relates to how to manage the excess skin and achieve a symmetric result. Do you remove the excess skin which will leave scars or try to contract the skin with minimally invasive techniques? In this case I performed liposuction, removed the breast tissue through a nipple incision, and performed #Renuvion to facilitate contraction of the skin. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #gynecomastia #liposuction #Renuvion #chicago #chicagoplasticsurgery
Nasal reconstruction for a patient who had a full thickness defect or hole of the left nostril after Mohs surgery to remove a basal cell carcinoma. The patient was missing all three layers of the nose and if you look closely, you can see into the nose and visualize the septum. We re-built the nose using tissue from his forehead or a #forehead flap. In the post-operative photos, you can see a nice reconstruction of the nostril with restored form and function. Additionally, the reconstructed side is symmetric with the unaffected side. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #nasalreconstruction #chicago #chicagoplasticsurgery
3 month follow-up on this patient who wanted improvement in the projection of her chin and definition of the jawline. The patient has retrogenia or a small chin and underwent #chinaugmentation with a #genioplasty. In the pre-operative photos, you can see the chin is short and recessed and therefore I moved the chin forward and down. In the post-operative photos you can see improvement in the projection of the chin, a more defined jawline and neck, and a more balanced lower 1/3 of the face. This case highlights the advantages of a genioplasty versus a chin implant, a chin implant cannot lengthen and advance the chin to the same extent that a genioplasty can. Posted with permission.
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Gym or surgery? This patient underwent hi-def liposuction or abdominal etching to improve the contour of the abdomen and to define the abdominal muscles. In the post-operative photos, the patient has natural washboard abs. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #abdominaletching #hidefliposuction #liposculpture #liposuction #chicago #chicagoplasticsurgery
Long term follow-up on a revision mastopexy augmentation case. The patient had a previous augmentation with gel implants and wanted the implants removed, breasts lifted, and re-augmented with fat but downsized. The patient underwent explantation of the implants, a capsulectomy, a breast lift, and fat transfer to augment the breasts. In the post-operative photos, you can see the breast/nipples are lifted to a more aesthetic position and we were able to maintain volume, although smaller, with fat transfer alone. This patient has a very natural result using only fat from her abdomen to restore volume. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #breastlift #breastaugmentation #mommymakeover #fattransfer #chicago #chicagoplasticsurgery
1 year follow-up on a primary rhinoplasty. This patient’s goals were a straighter profile, smaller and more refined tip, and a nose that was not drastically different. In the post-operative photos you can see the dorsal hump was removed and the nasal bones narrowed, the tip was refined, rotated, and projected more. Overall, still her nose but more refined and aesthetic. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #nosejob #chicago #chicagoplasticsurgery
Early follow-up on a #facialmasculinization surgery for a trans male who wanted to improve the contour of the lower 1/3 of the face and neck. The patient underwent a sliding #genioplasty, custom #mandibularimplants, and #neckliposuction to achieve his goals. We used computer software to design the cuts in the bone and #3Dprinting to make the custom mandibular implants. Can you see the improved contour of the chin, jawline, and neck in the post-operative photos? Posted with permission.
#plasticsurgery #plasticsurgeon #craniofacialsurgery #genioplasty #chinimplants #facialimplants #facialmasculinization #chicago #chicagoplasticsurgery
1 year follow-up on a patient who wanted fuller and more symmetric breasts after having deflation with pregnancy. The patient is athletic and therefore it was very important to her to have a smaller augmentation that appeared natural. The patient underwent a breast augmentation with gel implants (250 cc) through a periareaolar incision and in a submuscular plane. Posted with permission.
#plasticsurgery #plasticsurgeon #breastaugmentation #gummybear #breastlift #cosmeticsurgery #chicago #chicagoplasticsurgery
This patient had a full thickness nasal defect of the left nostril after a skin cancer was removed by our Dermatology colleagues. Even though the wound is relatively small, this is a challenging reconstruction because all layers of the nose have to be rebuilt without making the reconstructed area bulky and noticeable. Also, you have to make the area strong enough so that the nostril doesn’t collapse as the area heals and scars. Posted with permission.
#plasticsurgery #plasticsurgeon #skincancer #nasalreconstruction #nosejob #rhinoplasty #chicago #chicagoplasticsurgery
A 1 year follow-up on a patient who wanted a rhinoplasty to remove the dorsal hump and improve the aesthetics of her tip. In this case the dorsal hump was removed, the nose made straighter, the tip refined, and the tip rotated and projected more. Her new nose fits her face without overtly changing the ethnic features of her face. Posted with permission.
#plasticsurgery #plasticsurgeon #rhinoplasty #ethnicrhinoplasty #nosejob #cosmeticsurgery #chicago #chicagoplasticsurgery
Proud of our research team for getting this important manuscript published in the #1 plastic surgery journal in the world. In this study, we looked at the published literature to develop guidelines on how to treat visual impairments related to droopy eyelids and excess skin of the eyelids.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #blepharoplasty #eyelidlift #chicago #chicagoplasticsurgery
Happy for this patient who underwent full facial rejuvenation surgery, which included a brow lift, upper/lower blepharoplasty, facelift, neck lift, and facial fat transfer. How much younger does he look now? Posted with permission.
#plasticsurgery #plasticsurgeon #facelift #necklift #blepharoplasty #eyelidlift #browlift #fattransfer #chicago #chicagoplasticsurgery
Amazing transformation for this lovely patient who wanted to have fuller, more symmetric, youthful, and natural breasts. The patient underwent a #breastaugmentation with gel implants. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #gelimplants #gummybearimplants #chicago #chicagoplasticsurgery
One year follow-up on a #BBL or Brazilian butt lift. As you can see from the post-operative photos, the fat that is transferred stays and is permanent. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #BBL #360degreeliposcution #liposuction #chicago #chicagoplasticsurgery
Male patient in his late 60’s who was able to turn back the clock after undergoing a #facelift, #neck lift, #blepharoplasty, and #fattransfer. Pay close attention to the “bags” underneath the eyes, the jawline, and neck. The scars have healed nicely and are inconspicuous even with short hair. In the post-operative photos, the patient has maintained his natural facial features and anatomy, but just looks like a more youthful version of himself. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #facelift #necklift #blepharoplasty #chicago #chicagoplasticsurgery
