Rhinoplasty, or a nose job, is one of the most popular facial surgeries and one of Dr. Shapiro’s favorite procedures to perform. If you had nasal surgery that produced undesirable results or even resulted in breathing problems, Dr. Shapiro may be able to help. Dr. Shapiro does not believe in a “one procedure fits all” style of surgery and will work with you to develop a nose that harmonizes with your face without changing who you are.
The nose is the central feature of the face, and this procedure most be performed expertly with results that exceed a patient’s expectations. The nose should be proportional to the face, yet complement other facial features like the eyes and cheekbones without bringing undue attention to the nose.
Revision nasal surgery is a specialized procedure that repairs or improves a patient’s results from initial surgery. Some patients have remaining cosmetic problems to correct, such as a saddle nose deformity, polly beak deformity or a nose top that is pinched. Functional issues can also result from nasal surgery, such as nasal blockage or trouble breathing. Revision surgery in Scottsdale can correct both cosmetic and functional issues.
Dr. Shapiro, a Scottsdale plastic surgeon, understands that a patient seeking this procedure are disappointed with their previous experience, nervous and emotional. Dr. Shapiro will work with you to determine what the previous surgeon did, typically with previous operative notes, and explain what may be done to revise the surgery and what you can expect. Dr. Shapiro will take photos of your nose and use computer imaging to show you what you can expect. Dr. Shapiro recommends you bring in photos to illustrate the results you hope for.
Surgical treatment depends on the nature of the problem. A nose that appears distorted or with an uneven tip typically requires manipulation of the cartilage and enhancement with a cartilage graft. If too much cartilage has been removed during a primary procedure, a very common problem, a graft will be necessary.
In some cases, the nose may appear too large after the first surgery, in many cases due to excess cartilage or bone that must be modified or even scar tissue that must be removed. Some patients also have a bony hump persisting after rhinoplasty, which must be taken done for a more refined appearance.
After a first rhinoplasty, some patients develop breathing problems that may be due to internal collapse of the cartilage or bone that make up the nasal passages. This issue can be fixed by placing cartilage grafts or modifying the bone structure to create a larger canal for breathing that does not modify the external appearance of the patient’s nose.
After surgery, patients return home. Nasal packing is usually removed in our Scottsdale area office the day after surgery, but in some cases that involve internal work, packing may remain for up to seven days. External splints and sutures will be removed one week after the procedure to reveal the new nose. Bruising is rare but may occur under the eyes and go away within a week. Patients generally experience little to no pain from this revision surgery. The final results will be apparent in one year to 18 months after all residual swelling dissipates.
Most patients return to work and normal activities within two weeks. If a closed approach is used, there will be no visible scarring. Most revision procedures use the open procedure, however, which will leave a small and very well hidden scar at the base of the nostrils.
Most patients have a less extensive recovery period after revision surgery with reduced bruising, swelling and discomfort.
Are You a Candidate?
If you have unsatisfactory results from a previous nose job, after your revision rhinoplasty surgery here in Scottsdale, Dr. Shapiro will encourage you to wait at least one year after your first surgery before seeking correction. This is because the nose requires at least twelve months to fully heal, for all residual swelling to subside and for scar tissue to soften. Attempting a corrective procedure too soon can result in yet another unsatisfactory surgery, as the nose has not yet reached its healed state.
Good candidates for this procedure should also be in good physical health and have realistic expectations about the outcome of the surgery. Patients should be non-smokers who have not smoked two weeks before surgery and are willing to quit for up to six weeks after surgery for optimal results and healing.