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Plastic Surgery Clinic of Chicago

Revision Rhinoplasty

 

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
Revision Rhinoplasty

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.

Dr. Patel and his staff were absolutely wonderful. I broke my nose in June 2023 and used my referral to go to Dr. Patel. He listened to me and my concerns. I was always insecure about my nose and after the accident the asymmetry and deviation were even worse. I did not like how it looked and my breathing issues were horrible. Dr. Patel suggested a revision rhinoplasty since I had septum surgery in the past, he told me there was a possibility of having to take some rib cartilage since I had septum surgery before. That did end up being what he needed to do. I got my surgery in November 2023 and am now 7 weeks post op and could not be happier. My breathing is so much better already, and I love the way it looks. I could not recommend Dr. Patel enough; he listens and is so very knowledgeable.– Tara

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.

BEFORE & AFTER

Revision Rhinoplasty Before and After
Revision Rhinoplasty Before and After
 

 

All surgical procedures by the Plastic Surgery Clinic of Chicago are performed at top hospitals in Chicago and CMS or AAAASF-certified surgical centers for safety.



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Check out this interesting rhinoplasty case where I performed a combined primary rhinoplasty and sliding genioplasty. Fixing the crooked or deviated nose is very challenging for all rhinoplasty surgeons and the goal is to achieve a straighter nose because a perfectly straight nose does not exist. On the frontal view, you can see a nose that is midline and with beautiful dorsal aesthetic lines. On the profile view, you can visual a nice nasal profile with a slight break at the tip. The sliding genioplasty complements the nose and improves the overall proportions and balance of the face. A chin implant would not be able to achieve this amount of chin augmentation or chin length. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #nosejob #chinaugmentation #genioplasty #chicago #chicagoplasticsurgery
...

It’s never too early to starting thinking about that summer body. This patient underwent a mommy makeover or a breast reduction/lift and tummy tuck. Pay close attention to the belly button, this patient had an umbilical hernia, which made the reconstruction of her belly button even harder. Most plastic surgeons take their time trying to make the belly button look as natural as possible since the appearance of the belly button can be an obvious sign that the patient had a tummy tuck. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #mommymakeover #tummytuck #breastlift #breastreduction #chicago #chicagoplasticsurgery
...

A facial feminization case that highlights how subtle changes can have a major impact on the balance and proportions of the face. Do the post-operative images appear softer, less angular, more refined, and more heart-shaped rather than square-shaped? Can you tell what surgeries were performed? Hint: look closely at the forehead/orbital rims, nose, chin, jawline, and neck. Posted with permission.

#plasticsurgery #plasticsurgeon #craniofacialsurgery #FFS #facialfeminization #rhinoplasty #genioplasty #trachealshave #jawreduction #chicago #chicagoplasticsurgery
...

Post-operative results on a patient in her 50’s who wanted improvement in the contour of her neck and jawline. She felt like her neck showed her age and she wanted to appear as she did in her late 30’s. The patient underwent a lower facelift and neck lift. In the post-operative photos, you can see a nice and natural neck contour and improvement in the jawline (jowls were treated). Pay attention to the volume redistribution, now her volume is in a more youthful position at the level of the cheek bones. Her appearance changed from sad and tired to looking as though she is ready to take on the world. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #facelift #necklift #chicago #chicagoplasticsurgery
...

6 month follow-up on a patient who underwent a breast reduction and lift for neck and back pain. For this surgery, we reduce the size of the breast and lift the breast and nipple to a more aesthetic position on the chest. These surgeries are some of the most rewarding surgeries plastic surgeons perform due to the impact they have on neck/back pain and improvement in mobility, exercise, and activities of daily living. The scars continue to fade with time and by 1 year, they blend in with the surrounding skin color. Posted with permission.

#plasticsurgery #plasticsurgeon #mastopexy #breastlift #breastreduction #chicago #chicagoplasticsurgery #chicagoplasticsurgeon
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Early follow-up (3 months) on a patient with thicker skin, who underwent a primary rhinoplasty. The patient’s goals were to reduce the dorsal hump, refine and lift the tip, but not change her nose significantly. In the post-operative photos you can see a natural result with improvement in the dorsal profile and tip aesthetics. Over the next 8-12 months, the tip will continue to improve in terms of swelling, refinement, and detail. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #nosejob #chicago #chicagoplasticsurgery
...

A combined primary rhinoplasty and otoplasty or ear pinning. For the rhinoplasty, the goals of the surgery were to improve the deviation, remove the dorsal hump, and refine the tip. The patient had deviation to the right which was straightened. The dorsal hump was removed to create a nice profile. For the tip, the tip was de-projected, de-rotated and refined. In other words, the tip was brought back closer to the face, rotated downwards, and it was made smaller. Happy for this patient and the improvements we were able to achieve for her. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #otopalsty #nosejob #chicago #chicagoplasticsurgery
...

This young patient wanted to feel more confident about the appearance of her ears and to be able to wear her hair up without feeling self-conscious about the asymmetries of her ears. The patient underwent a unilateral otoplasty of the left ear. The patient now proudly wears her hair up and is living her best life. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #otoplasty #earreconstruction #chicago #chicagoplasticsurgery
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