Rhinoplasty is an extremely complex procedure. Although most patients who choose a board-certified facial plastic surgeon to perform their nose surgery end up with excellent results, not all rhinoplasty surgeries go according to plan. Occasionally, poor results occur for a variety of reason. In these cases, a rhinoplasty revision specialist needs to step in and improve the patient’s results with a second surgery.
Table of Contents
- Revision Rhinoplasty Explained
- Benefits of Revision Rhinoplasty
- Candidates for Revision Rhinoplasty
- A Revision Rhinoplasty Consultation in New Jersey or Philadelphia
- Expert Tips for Prepping for a Revision Rhinoplasty Surgery
- Revision Rhinoplasty – The Procedure
- Revision Rhinoplasty Surgery Recovery
- Potential Risks and Side Effects of Revision Rhinoplasty
- Why is Dr. Becker the Best Choice for Revision Rhinoplasty?
- Relevant Articles about Revision Rhinoplasty
- Frequently Asked Questions About Revision Rhinoplasty
An expert in revision rhinoplasty in New Jersey and Philadelphia, Dr. Daniel G. Becker has a dual-location practice dedicated exclusively to nose surgery. At the Becker Rhinoplasty Center, Dr. Becker draws on his years of experience to correct the inferior results of previous surgeries for his revision rhinoplasty patients.
Revision Rhinoplasty Explained
Rhinoplasty, also called a nose job, is known as one of the most difficult procedures to perform in facial plastic surgery. The anatomy inside the nose is intricate and small compared to other areas of the face and body. Minor changes measured by the millimeter can impact a patient’s overall look. When a surgeon removes too much or too little tissue, patients may be dissatisfied with their end result.
The structure of the nose is largely made up of cartilage, which does not contain any blood supply to provide the structure with healing nutrients. In some cases, the nose does not heal as expected because of this. In other cases, patients may experience trauma to the nose or infection following their first rhinoplasty. Issues in the cartilage might cause an undesirable aesthetic that lacks key symmetry and balance.
Rhinoplasty is considered a hybrid surgery, where skills in art and science are equally important for a successful procedure. The doctor will often take measurements of the face, determine the angle of tip projection, and use different pictures – both medical imaging and computer-generated results – to create an optimal outcome. Rhinoplasty surgeons who lack this technology are not practicing modern aesthetic medicine.
During a revision rhinoplasty procedure, the plastic surgeon corrects any issues that remain following the patient’s initial rhinoplasty. Original concerns may not have been corrected or may have actually been caused by the first nose surgery. Revision rhinoplasty can correct cosmetic issues and improve a patient’s breathing if necessary.
For patients who are looking for corrective surgery following an unfavorable rhinoplasty outcome, Dr. Becker performs revision rhinoplasty in two main locations – a primary office in New Jersey and second practice in Philadelphia, PA – providing patients with accessibility to his unparalleled expertise.
Benefits of Revision Rhinoplasty
One of the most important benefits of revision rhinoplasty is increased self-esteem for patients. Experiencing a poor result from rhinoplasty can be a disheartening experience, causing patients to feel self-conscious and embarrassed. In some cases, the surgical outcome from a poor rhinoplasty procedure may appear less attractive than even the original nose.
During a revision rhinoplasty, the doctor can change the size and shape of the nose and refine the look of the nasal tip. Even minor improvements will help to create harmony among the facial features and enhance the patient’s overall facial aesthetics. Many patients feel a sense of relief and confidence following a successful revision procedure.
In addition to looking better, patients may also be able to breathe easier through their noses after revision rhinoplasty. A revision specialist like Dr. Becker can clear any obstructions from the nasal passages and create more structural soundness. If necessary, he can reshape the inner nose, effectively alleviating sinus pressure and infection.
*Each patient is unique and individual results may vary.
Candidates for Revision Rhinoplasty
Because of Dr. Becker’s experience, skill, knowledge, and access to advanced technology, most patients who seek out secondary nose surgery at the Becker Rhinoplasty Center will qualify for the procedure, even if they have complex concerns. Secondary nose reshaping is recommended for patients who dislike the look of their nose after an initial rhinoplasty or find that their nasal breathing has not improved after healing.
Because the healing time for rhinoplasty is lengthy, it is recommended that most patients wait a full year from their initial procedure to schedule a revision surgery. The doctor can ensure full healing of the nasal structures and verify that the poor results are not due to prolonged swelling. Any patient approved for surgery should be healthy enough to undergo the procedure and should have realistic expectations. The patient should also be able to communicate the changes they would like the doctor to strive for.
A Revision Rhinoplasty Consultation in New Jersey or Philadelphia
With two convenient locations along the East Coast, patients can choose to visit Dr. Becker’s New Jersey or Philadelphia offices for a revision rhinoplasty consultation. The appointment to assess the initial rhinoplasty results is crucial to planning a revision procedure.
Dr. Becker may request that his New Jersey and Philadelphia patients undergo imaging or additional testing to determine what failed during the initial rhinoplasty. The surgeon will also assess whether there may be special considerations, like an additional surgery to harvest ear, rib or other cartilage for grafting purposes. Nasal implants can also be affixed within the nose to rebuild certain areas in some cases. The consult appointment allows Dr. Becker to customize the procedure based on the patient’s unique needs.
During the consultation, Dr. Becker may use imaging to preview approximate results for patients and explain how they may be achieved. In some cases, the doctor may suggest alternative treatments, such as semi-permanent nasal fillers or other methods for correction. In order to achieve facial balance, the doctor may also recommend additional procedures of the jaw and chin.
During the appointment, patients will go over their full medical and surgical history with Dr. Becker, and he will examine the nose. He may create a final surgical plan at this time or request more medical information before building out a treatment blueprint. Dr. Becker will also be able to explain his approach to surgery, including the type of anesthesia that will be used and whether he will opt for an open rhinoplasty or a closed approach for incision placement. This is the perfect opportunity for patients to ask questions and get all the information they need to make a decision about moving forward with revision rhinoplasty in New Jersey.
Expert Tips for Prepping for a Revision Rhinoplasty Surgery
New Jersey-based rhinoplasty surgeon Dr. Becker is conveniently located in Voorhees Township, and just across the Delaware River. Patients in Philadelphia seeking rhinoplasty revision can visit his second practice location. Before the date of the outpatient surgery, patients should coordinate a ride home as they will be unable to drive after receiving anesthesia.
While Dr. Becker serves many local patients in the New Jersey area, some revision rhinoplasty patients travel internationally to undergo surgery. Those traveling from out of town should solidify their travel plans and hotel or other arrangements at least a week prior to the procedure. Staff can assist by suggesting nearby lodging for convenience and comfort.
Patients should also prepare their environment to ensure they can recover in a clean and comfortable area where all their post-surgery needs will be met. This includes clean laundry and bedding, appropriate pillows for sleeping with the head elevated, quiet activities to keep them entertained, and readily available nutritious food and beverages.
The head should remain elevated and patients must avoid bending for the first few postoperative days, so all necessary items should be within reach. Any approved cold packs, like frozen peas or cold compresses should be frozen and ready for use. Prescription medications should be filled, and a pill divider must be utilized to prevent over-medication.
Dr. Becker’s office may recommend or provide an antimicrobial soap for the pre-operative shower. The skin is cleansed prior to the surgery but this extra measure helps to stave off infection.
Revision Rhinoplasty – The Procedure
Corrective rhinoplasty is performed much like the initial nose surgery. If the patient’s health permits it, the procedure is typically performed under general anesthesia. Before administering the anesthesia, the doctor will meet with the patient and discuss his plans for the surgery one final time. He may create markings on or around the nose with a surgical pen to help guide him during the procedure. The patient also has the opportunity to ask any final questions about the procedure.
Once the patient is comfortably asleep, Dr. Becker will begin the surgery, reshaping the nose according to the patient’s goals. If he performs the revision rhinoplasty as an open procedure, he will make a small incision in between the nostrils to expose the anatomy of the nose. During a closed rhinoplasty, the skin of the nose will remain intact, and the bones and cartilage will be altered through internal incisions inside the nostrils. If Dr. Becker harvests cartilage from the ribs, this is generally performed prior to alterations of the nose as the tissue must be prepared for implantation.
Internal or external sutures may be needed once the necessary changes have been made. The doctor might use nasal packing in the nostrils, cauterization, or other techniques to control bleeding. Sutures will be needed to close any cartilage or bone harvest sites.
Revision Rhinoplasty Surgery Recovery
Immediately Following Surgery
Once patients are awake, they will be moved to a temporary recovery room before they are discharged home. Written instructions on recovery are provided to ensure that patients are following all recommendations during the healing process. Patients can expect to have an exterior nasal cast or splint affixed over top of the nose to protect it during the first few days.
The Hours Following Surgery
The nose remains especially malleable directly after a rhinoplasty revision. Patients must take care not to touch their nose, even if it itches. Patients may feel sleepy as the effects of the anesthesia wear off. They should be prepared to schedule small meals and times to take their pain medication, if needed.
The Week Following Surgery
Patients should try to keep their head elevated at least to a 45-degree angle and avoid blowing the nose for a week or two. They should avoid any strenuous activity for the next several weeks to help prevent complications. Individuals who wear glasses may be asked to use sports tape to keep them from resting on the bridge of the nose.
To reduce swelling and discomfort, patients can use a cold compress and take their medications as instructed. Some things patients should avoid are bending over, smoking, and consuming alcohol. Most patients are cleared to return to work within a week. Any residual bruising and swelling can be camouflaged by cosmetics. Swelling will subside gradually over a period of months.
Potential Risks and Side Effects of Revision Rhinoplasty
In general, revision rhinoplasty surgery carries the risks of:
- Adverse reactions to anesthesia and infection.
These risks are minimized by patients divulging their full medical histories, including any allergies to medications, and by keeping the area clean prior to and following the revision rhinoplasty. - Unforeseen events like trauma to the nose can affect the final look of the nose. Side effects can include issues breathing through the nose, asymmetry, and swelling, which may only be temporary but can be permanent. In some cases, revision rhinoplasty can correct these issues.
- Advanced complications may lead to the loss of cartilage and bone.
Dr. Becker has an extremely high success rate, and because his focus is nose surgery, he takes extensive measures in preparation and the surgery. Patients are advised to follow all at-home instructions to minimize complications.
Why is Dr. Becker the Best Choice for Revision Rhinoplasty?
Dr. Daniel G. Becker, M.D, has over 20 years of experience as a rhinoplasty and revision rhinoplasty surgeon. He is a board-certified practitioner who first started practicing in Philadelphia. Dr. Becker treated patients at this single location until opening his New Jersey practice in 2003. It is through the wide demographics of his patients that Dr. Becker has mastered the different aspects of rhinoplasty and revision rhinoplasty, including:
- Nasal bump or hump removal
- Straightening a twisted nose
- Correcting a nasal fracture
- Refining a nasal tip
- Slimming the nose
- Nasal reconstruction
- Ethnic rhinoplasty
- Functional rhinoplasty
Dr. Becker is a renowned rhinoplasty specialist who is internationally recognized for his work. He works to educate others on his ongoing research findings as a Clinical Professor at the Ivy League University of Pennsylvania and through giving lectures around the world. The New Jersey rhinoplasty expert has also authored publications ranging from peer-reviewed journal articles to textbooks.
Dr. Becker has also been named in national publications as a preferred provider and a top plastic surgeon in the United States. The state of New Jersey is a hub for rhinoplasty surgery, in part because of its proximity to New York City.
Relevant Articles about Revision Rhinoplasty
Aesthetic Surgery Journal article written by Dr. Becker, et al
Stanford Medicine – Revision Rhinoplasty
Journal of the American Medical Association article written by Dr. Becker, et al
Dear Dr. Becker, I hope this email finds you well. It is a long overdue email that should have landed in your mail box many weeks ago. Just want to send you greetings from Hong Kong and let you know that I’m doing really well with my new nose. As you have told me before, now that much of the swelling has subsided, I am breathing much better and am loving the feeling of being able to breathe like a normal person. I also love the fact that I have a straight and smooth humpless nose. Thank you so much for doing such a wonderful job (I can’t even find the scar anymore!). Although it was a big trip to come all the way from Hong Kong, but it was so worth it and I’m so glad we found you. Thank you so much! Hope you had a wonderful Christmas. My fiance and I send you our warm wishes to you and your family for a Happy New Year! Regards, N
*Each patient is unique and individual results may vary.
Frequently Asked Questions About Revision Rhinoplasty
What is the cost of nasal plastic surgery procedures?
The cost for rhinoplasty, revision rhinoplasty, septoplasty, and other procedures of the nose vary by case complexity and different fees, including anesthesia and the surgical facility fees. Most patients can expect to pay a total of $7,000-$10,000. After a patient has attended a consultation, the doctor can discuss cost estimates with office staff to provide the patient with a quote. Patients may qualify for different payment plans.
Will my insurance cover the cost of revision rhinoplasty?
It varies by plan, insurer, and circumstances, but some insurance companies will cover the portion of a rhinoplasty that is performed for medical purposes. Septoplasty describes the part of a nose surgery that is performed to benefit a patient’s breathing. The procedure helps to evenly separate the nasal passages, alleviating nasal breathing issues, sinus infections, and in some patients, snoring.
*Each patient is unique and individual results may vary.
What are some techniques used during rhinoplasty to provide better results?
New Jersey rhinoplasty expert Dr. Becker is at the forefront of innovative nose surgery techniques. He is involved in research, implementation, and teaches up-and-coming as well as established surgeons. Some of his approaches include building up tissue loss with patient-harvested cartilage and bone, advanced instrumentation, and using proven methods in surgery. Each surgery is different. Dr. Becker can provide his patients with more specific plans during their doctor-patient consultation.
What types of materials are added to the nose during revision rhinoplasty surgeries?
During a New Jersey revision rhinoplasty with Dr. Becker, common additions to the nose include the patient’s own cartilage and/or AlloDerm. Cartilage helps to rebuild areas of the nose to the desired height and shape, while AlloDerm sheets smooth out imperfections that are visible below thin nasal skin.
*Each patient is unique and individual results may vary.
Is revision rhinoplasty painful?
Secondary rhinoplasty is a similar experience to primary rhinoplasty, though patients may have additional sites of soreness with harvested tissues. New Jersey revision rhinoplasty patients’ comfort is of the utmost importance to Dr. Becker and his surgical staff. They will be prescribed pain medications and will be provided with instructions on how to minimize swelling and discomfort. Patients are cautioned to take it easy for at least a week postoperatively.
This article on revision rhinoplasty in New Jersey was written by Dr. Daniel G. Becker, MD, FACS {About Dr. Becker}.