Rhinoplasty Revision

Rhinoplasty Revision Beverly Hills | Los Angeles

A successful rhinoplasty surgery should be aimed at achieving the best possible nasal shape, maximizing breathing and minimizing possible complications. Unfortunately, sometimes the results from a prior rhinoplasty can be unsatisfactory due to the surgeon’s inexperience, poor surgical technique or scarring of the nose after surgery. In fact, rhinoplasty has one of the highest reoperation rates of all plastic surgery procedures because nasal anatomy is inherently variable, the final results can be compromised by scar tissue formation and/or structural warping and the surgery itself takes artistic talent to perform successfully.

Some of the most common complaints after a prior unsuccessful rhinoplasty are a nose that is crooked, large, asymmetrical, bulbous, droopy or overall worse looking than before the surgery.  Nasal airway obstruction or worsening of initial breathing can also sometimes occur after primary rhinoplasty if the airway was not properly evaluated and treated during surgery. These types of results can be due to inexperience of the operating surgeon, under-correction or warping of the underlying nasal framework, over or under cartilage grafting of the nose, under or over resection of the nasal structural cartilages or poor communication between the patient and surgeon.

Revision rhinoplasty is a surgical procedure which corrects nasal problems of an aesthetic or functional nature resulting from a previous rhinoplasty surgery. Revision rhinoplasty is by far one of the most challenging to perform since it requires a plastic surgeon with experience and skill in reconstructing the cartilages and bony framework of the nose. Revision rhinoplasty may correct or improve a number of issues which have resulted from prior surgery including nasal obstructions and other functional problems which may inhibit breathing, cause depressions, bumps, collapsed or pinched tips and/or excessive scarring. In some cases, cartilage grafts or implants may be necessary to replace missing structures.  Revision rhinoplasty is more difficult to perform than primary rhinoplasty because the normal anatomy of the nose has been distorted, there are missing pieces of cartilage and there may be scar tissue formation inside of the nose. In addition, some patients are damaged emotionally since they are frightened that additional surgery may bring then additional problems or worse deformities. There are some certain ways to try and avoid these types of problems from recurring or happening in the first place which include making sure that your surgeon has a lot of experience performing rhinoplasty surgery, you are able to review their previous work, they spend a lot of time determining what type of nose you would like from surgery and they provide you with a computer image of what your nose could possibly look like after surgery. Most important of all is to remember that revision rhinoplasty is one of the most challenging plastic surgery procedures to perform since it requires a highly skilled plastic surgeon that possess both a strong aesthetic sense and a deep breadth of experience to perform successfully on a consistent basis. So be sure to do your homework and take the extra time necessary to research and find the right plastic surgeon to perform your revision rhinoplasty procedure.

CONSULTATION

There are as many different shapes and sizes of noses that can result from rhinoplasty surgery as there are shapes and sizes before rhinoplasty surgery. Unfortunately, we have all seen the “operated-on’ looking noses that give away the fact that someone has had a rhinoplasty surgery.  These sorts of results should be avoided at all costs and you should be wary of any surgeon that displays or suggests results from rhinoplasty that give you an artificial or “over-done” look to your nose. Dr Motykie has coined these types of noses to avoid as the three “P’s” of rhinoplasty because they can be very difficult to correct surgically: the “Piggy”, “Puggy” and “Pinchy” nose. In other words, Dr Motykie recommends all of his patients to vehemently avoid noses after rhinoplasty that look turned up like a pig, smashed in like a pug dog or pinched in like a witch since they look very unnatural after surgery and they can be very difficult to correct.

Due to the vast breadth of techniques, philosophies, skill sets and professional backgrounds involved in performing modern day rhinoplasty, a diverse array of surgical results can be seen across the board. Patients seeking revision rhinoplasty may present with any number of functional and/or cosmetic complaints that will require a precise evaluation in order to offer any hope of adequate correction. The most common reasons for a revision rhinoplasty include a pollybeak deformity, nasal tip contour deformities, pinched tip, dropped tip, upturned tip, residual dorsal hump, crooked nose, hanging or retracted columella, flared nostrils, uneven nostrils, wide nose, runny nose and breathing problems. Also, remember the most dreaded and common stigmata of an “over-operated nose” that must be avoided in a primary or revision rhinoplasty surgery are the piggy, puggy and pinchy nose.

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