Revision Rhinoplasty

Revision Rhinoplasty Frequently Asked Questions

What is revision rhinoplasty?

Revision rhinoplasty is a surgical procedure performed to repair problems with the appearance and/or function of the nose, which have resulted from previous rhinoplasty surgeries.

How is revision rhinoplasty performed?

The nose is made up of skin and soft tissue that is draped over an underlying nasal framework. The nasal framework, made up of both bone and cartilage, gives shape to the nose. When your nose was operated on previously, this framework was altered. Revision rhinoplasty involves reshaping and/or restoring the altered nasal framework to achieve a more natural and pleasing appearance.

Where are the incisions made?

Revision Rhinoplasty is performed through either an endonasal (closed) approach or an external (open) approach. In the closed approach all of the incisions are made on the inside of the nose. The surgeon then manipulates the nasal framework (bone and cartilage) from within.  The open approach is performed similar to a closed rhinoplasty, however a very small incision is made on the bottom of the nose, between the skin of the nostrils (called the collumela). This tiny incision is approximately 3 millimeters in length and is not noticeable. The open approach, as the name implies, allows for better visualization and access to the nasal framework than the closed approach.

Which approach to you use?

Whichever approach will produce the best result! Dr. Steiger utilizes both approaches in his practice. Since every nose is different, the approach is individualized to the patient. Each approach has its benefits. This will be determined after a thorough consultation, evaluating your nasal appearance and desires.

Can you make my nose look natural again?

In most cases, revision rhinoplasty can produce significant improvement. Dr. Steiger uses advanced techniques to help achieve a more natural appearing nose. After a thorough consultation, Dr. Steiger will be able to discuss the possibilities with you.

I think they took out too much cartilage, can this be repaired?

An “over-operated” nose is a common reason for which patients seek consultation for revision rhinoplasty. This is usually a result of removing too much cartilage. Cartilage grafts are used to replace missing cartilage, and restore nasal appearance.

Where do you obtain these cartilage grafts from?

Dr. Steiger prefers to use your own native cartilage for grafting purposes. In the majority of cases, cartilage is harvested from the septum without having to make any other incisions. In cases where the septum is unavailable, cartilage from the inside of your ear can by used to create grafts. Not to worry, this will not change the shape of your ear. In the most severe cases, Dr. Steiger can harvest a small portion of rib cartilage to reconstruct the nose.

 

What are some of the possibilities with revision rhinoplasty?

Every case is different and advanced revision rhinoplasty can repair many deformities created by an unsuccessfuly rhinoplasty. Dr. Steiger will be able to determine the possibilities for repair after a thorough consultation. The following are select examples of revision rhinoplasty patients.

Do you perform this surgery often?

Yes. Revision rhinoplasty is a significant portion of Dr. Steiger’s practice. As a plastic surgeon dedicated to the face, he is experienced in the most advanced revision rhinoplasty techniques.

Will insurance cover the procedure?

If you have nasal obstruction caused by a functional nasal problem, insurance often covers the portion of the septorhinoplasty aimed at repairing this. Most insurances do not cover the cosmetic portion of the procedure. Our office will help you get preauthorization from your insurance company, if necessary, for the functional aspect of the procedure.

Can I see more photos of some of the patients you have treated?

Yes. During the consultation, we can review before and after photographs of patients who have kindly given us permission to do so. If you desire, our office will put you in touch with patients who have undergone the procedure and voluntarily agreed to speak with you.

Dr. Jacob D Steiger MD is board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology- Head & Neck Surgery. He practices in Boca Raton and Delray Beach, Florida treating patients from Palm Beach, Ft. Lauderdale, Miami, as well as patients from all over the US and from around the world.