What Is Secondary Facial Reconstruction
Secondary facial reconstruction is a general category of craniofacial surgery that refers to patients who have already had one or more facial procedures performed and desire (or require) a secondary reconstructive surgery. There may be any number of reasons that a patient would undergo secondary facial reconstruction, including but not limited to:
- Enhance the results of previous surgeries
- Improve aesthetic appearance after functional craniofacial surgery
- Revise the outcome of previous surgeries
CANDIDATES OF SECONDARY FACIAL RECONSTRUCTIONS
A patient who has already undergone facial reconstructive surgery – for example, after trauma or a tumor resection – and is unhappy with the outcome may be an ideal candidate for secondary facial reconstruction. Alternatively, a candidate may be a patient who has undergone facial surgery previously but requires multiple procedures in order to fully correct a defect or issue caused by trauma.
It is always of the utmost importance to choose a board-certified plastic surgeon with comprehensive experience and expertise before making the decision to undergo secondary facial reconstructive surgery.
WHAT TO EXPECT FROM YOUR CONSULTATION
When you schedule a consultation with the Plastic Surgery Clinic of Chicago, you will meet with a board-certified plastic surgeon that specializes in craniofacial and reconstructive surgery. Your surgeon will perform a full facial evaluation during your consultation and discuss both your aesthetic and functional goals with you. We will review your entire medical history to ensure that you are an ideal candidate for secondary facial reconstruction, and we are always happy to answer any questions or concerns you may have.
THE PROCESS OF SECONDARY FACIAL RECONSTRUCTION
The way in which secondary reconstructions are performed varies greatly according to each patient’s individual needs and the extent of the corrections to be carried out. Such corrections may include amending facial asymmetries, placing implants (facial implants), repositioning bone (osteotomies, orthognathic surgery), revising soft tissue and muscle (scar revision), or filling in defects with fat (fat grafting).
Recovery from secondary facial reconstruction will also vary according to the necessary corrections. Before undergoing any procedures, your plastic surgeon will review all aspects of the process, including recovery and any potential risks that may be associated with it.
WHAT DOES SECONDARY FACIAL RECONSTRUCTION COST?
Secondary facial reconstruction is a highly personalized procedure, and as such, it is difficult to provide an approximate cost. Be sure to discuss all costs with your plastic surgeon during your consultation. Your medical insurance may cover some or all of the cost associated with secondary facial reconstruction, so contact your provider before undergoing the procedure.
SCHEDULE A CONSULTATION
If you believe you are a candidate for secondary facial reconstruction, please call us at the Plastic Surgery Clinic of Chicago to schedule a consultation with a board-certified plastic surgeon. Our clinic is dedicated to excellent patient care and the safest, most innovative techniques. We will never perform a procedure unless we are certain that it is the best course of treatment for you.
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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Would you have been able to guess that this patient is in his mid-70s? This patient underwent an eyelid lift, facelift, neck lift, and facial fat transfer. The result? An appearance that’s 10-15+ years younger. We achieved a sharp, defined, and angular jawline and youthful neck post-operatively. Posted with permission.
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Not seeing the gym gains you want? A board-certified plastic surgeon can assist in achieving a more defined physique. This patient underwent hi-definition liposculpting and abdominal etching to enhance and improve the contour and aesthetics of his abdomen and waistline. You can see how the result is a natural and more sculpted and refined midsection. This is an educational post. Posted with permission.
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Is it a good night’s sleep, filler, or surgery? These patients underwent a lower blepharoplasty procedure, and in the post-operative photos, you can see an improvement in the contour of the lower eyelids, no more bags, and reduced dark circles. The results? A brighter, more youthful, and refreshed appearance. Posted with permission.
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In facial feminization surgery, a common question we get is how do we contour the forehead and orbital rim. There are two main techniques that craniofacial surgeons utilize. A type 1 technique is where we use a burr or shaving device to shave and contour the bone to set it back or make it less prominent. To be a good candidate for this technique, one would have to have thick bone, a smaller frontal sinus, and less frontal bossing. A type 3 technique is where we use a saw to cut off the outer part of the frontal sinus bone, shave down the forehead and then replace the bone with titanium plates and screws. Good candidates for this procedure are patients with thin bone of the frontal sinus, a large frontal sinus and significant frontal bossing. We determine which technique would best achieve a patient’s goals through a clinical exam and a CT scan. Posted with permission. Videos are educational.
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Thinking about getting a rhinoplasty? Here are some things you should know before getting this procedure!
1. Are you physically and mentally ready for a rhinoplasty and recovery process?
2. Can you articulate what your rhinoplasty goals are and are they realistic?
3. Have you found the right surgeon and practice to get you where you want to be?
If you have any questions, leave them down below!
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How important is the chin in a rhinoplasty case? This patient’s results show how important the nose-chin relationship is for a balanced and proportional profile. This patient had a crooked nose, a prominent dorsal hump, and a very deficient chin. After straightening her nose, removing the dorsal hump, lifting and refining the tip, and performing a sliding genioplasty; look how much her profile has changed aesthetically for the better.
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This is a great example of how buccal fat removal changes the face. Buccal fat removal involves removing fat from the lower cheeks and the purpose is to narrow the lower 1/3 of the face. With removal of the buccal fat pad, the face appears less round and more angular or V-shaped. Buccal fat removal was popularized and trending during the pandemic, however, not everyone is a good candidate for this procedure. Ideal candidates are younger patients in their 20-30’s with a rounder face, and excess volume of the lower cheeks. As we age, the face loses volume and therefore patients in their 40’s plus may not be good candidates. An article in our journal from 2021, The Role of Buccal Fat Pad in Facial Aesthetic Surgery, by Drs. Rohrich and Stuzin, highlighted that this procedure can be beneficial in certain patients but if over resected or performed in the wrong patient, can lead to premature aging and midface distortion. Posted with permission.
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This is a 2 year follow-up revision rhinoplasty case. The patient had had 2 prior rhinoplasties in the past and was bothered by the nasal deviation, the dorsal hump, and the under-rotated and under-projected tip. In the post-operative views, you can see the nose is straighter, symmetric dorsal aesthetic lines have been established, the dorsal hump was removed, and the tip was elevated and rotated. It’s amazing how a more symmetric and proportional nose improves the balance and overall aesthetics of the face. Posted with permission.
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