Revision Rhinoplasty

Revision rhinoplasty is a surgical procedure performed to correct problems resulting from prior rhinoplasty procedures. These problems generally fall under two categories: aesthetic and functional (ability to breath). There are a wide range of aesthetic reasons for which patients seek revision nasal surgery, most of which can be corrected (see below for examples). Unfortunately, some patients accept results which they may be unhappy with because they are unaware that correction is possible. In addition, many patients seek revision surgery because they are no longer capable of breathing well out of their noses. The size and shape of the nose is closely related to its functional ability, and nasal obstruction is frequently encountered along with aesthetically displeasing results.

 

Revision rhinoplasty is a very detailed and complex procedure. Patients seeking revision rhinoplasty must choose a surgeon capable of treating the nose comprehensively. Dr. Steiger is an expert in primary rhinoplasty and revision rhinoplasty, frequently performing these procedures. He uses the latest, advanced techniques in order to restore balance to the nose. Both a fellowship-trained facial plastic surgeon and board-certified otolaryngologist, Dr. Steiger is a nasal expert; inside and out. He has published numerous research articles and chapters related to rhinoplasty and nasal surgery.

 

Goal

To surgically refine the size and shape of the nose after a prior rhinoplasty procedure, improving facial balance. Revision rhinoplasty may also be performed to improve obstructed breathing caused by prior surgery.

The Procedure

Incisions are placed within the nose, where they are not visible. In some cases, a small incision is hidden between the skin of the nostril, underneath the nose. The underlying cartilage and bone is sculpted to create the new shape. In some cases, cartilage grafts are used to re-build and re-enforce an over-operated nose. A successful revision rhinoplasty improves facial harmony and draws attention away from the nose.

Anesthesia

Deep sedation/twilight sleep is preferred, however some patients opt for a general anesthetic.

Length Of Time

The amount of time varies based upon the individual nose and necessary refinements. The procedure averages between one and a half to three hours. It is performed in our state of the art, fully accredited outpatient surgical facility or at the hospital. Other procedures, such as a chin augmentation, may be combined with revision rhinoplasty and may be recommended after a detailed consultation with Dr. Steiger.

After Procedure

Most patients go home comfortably after the procedure. If you prefer, professional in-home nursing care or overnight stay at out state of the art facility is available upon request. Our friendly staff can assist you in coordinating these services upon request.

Recovery

Most patients return to work after 1 week and are back to full activities after 10 days. However, activities which risk bumping or traumatizing the nose should be limited for four to six weeks. Bruising around the eyes may occur in some cases, and can be camouflaged . Most patients feel remarkably well immediately after the procedure, and have minimal pain which is alleviated with a mild narcotic.

 

Dr. Jacob D Steiger MD is South Florida Revision Rhinoplasty specialist, 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 revision rhinoplasty patients from Palm Beach, Ft. Lauderdale, Miami, as well as patients from all over the US and from around the world.