Revision Rhinoplasty Chicago
A revision rhinoplasty is a surgery that is performed of the nose after an initial rhinoplasty or primary rhinoplasty procedure has been performed. It is a broad term to describe a situation where the aesthetic goals of the first rhinoplasty surgery may not have been met. All primary rhinoplasty procedures have the potential to ultimately require a revision rhinoplasty, however, the goal for any rhinoplasty surgery is to get it right the first time. Rhinoplasty surgery is one of the most challenging procedures in plastic surgery due to the delicate and intricate anatomy of the nose. We recommend you find a plastic surgeon board certified by the American Board of Plastic Surgery for both primary and revision rhinoplasty surgery. The Plastic Surgery Clinic of Chicago understands that there is no catch-all approach to rhinoplasty; every nose is unique, which is why each patient at our practice receives personalized care, an individualized course of treatment tailored to each patient’s needs.
Revision rhinoplasty can be useful to treat:- Persistent asymmetries of the nose
- Persistent deviation of the nose
- Original aesthetic goals were not met
- Perforated septum
Am I a Candidate for Revision Rhinoplasty?
Every time you have a surgery of the nose, the surgery and recovery become more difficult. Therefore, the decision to undergo a revision rhinoplasty should not be taken lightly. If you have moderate to major nasal asymmetries or major aspects of the aesthetic goals of the primary rhinoplasty were not met, then you may be a candidate for a revision rhinoplasty.
Patients who smoke or are otherwise not in good physical health, or who do not have realistic expectations are typically not ideal candidates for a revision rhinoplasty.
What to Expect from a Consultation
Any medical center or practice you choose should be willing to sit down with you and take the time to explain all aspects of the procedure beforehand, including expectations of the surgery and associated risks and recovery. At the Plastic Surgery Clinic of Chicago, we thoroughly review your medical history, speak with you about your expectations, and provide you with an extensive overview of both functional and aesthetic details of revision rhinoplasty surgery. Having realistic expectations is essential in having a good experience and outcome with revision rhinoplasty.
How Revision Rhinoplasty is Performed
First, patients are placed under general anesthesia in order to ensure safety and comfort during the procedure. Next, incisions are made to allow the surgeon access to the nose.
Revision Rhinoplasty is most commonly performed through an open technique for adequate exposure and access of the nasal anatomy. In an open procedure, an incision is made along the columella, the thin bridge of tissue that connects the nostrils.
Surgical maneuvers are then made, which may involve removing cartilage, using sutures to reshape cartilage, bone contouring, or placement of cartilage grafts. In many cases, cartilage grafts have to be used from the rib or ear to rebuild and restore the anatomy of the nose.
Lastly, once the necessary corrections are made, sutures are placed to close the incisions and the nose is bandaged appropriately.
Recovery after Revision Rhinoplasty
Although revision rhinoplasty is an outpatient procedure, patients are required to remain at the surgical facility until anesthesia wears off. It is also necessary to have another adult bring you home after a rhinoplasty procedure.
Recovery on the day of surgery should involve lying in a comfortable position, a lot of rest, liquids, soft foods, and prescribed medications. Immediately after surgery, the nose and the area under the eyes will typically be swollen and bruised. The swelling will go down within a few weeks, however, swelling will last longer than a primary rhinoplasty. Patients should avoid any strenuous physical activity right after surgery, as it can increase the risk of bleeding.
It is very important to follow all instructions issued by the plastic surgeon and to attend follow-up appointments so that your surgeon can check your healing progress and let you know when it is safe to return to regular activity and a normal work schedule.
The results of successful revision rhinoplasty are usually visible around two weeks after surgery; however, since the nose will not be completely healed, the full effects of the procedure will not be visible for several months, until the nose takes its new shape. Swelling of the nose can last up to 2 years after surgery, therefore, patience is needed during the recovery period.
Potential Risks of Revision Rhinoplasty
Patients should be aware that revision rhinoplasty, as with any medical procedure, come with potential risks. Each individual should consider both the benefits and known risks before making the decision to have a revision rhinoplasty. Such risks may include:
- Skin discoloration
- Bleeding
- Infection
- Scarring
- Persistent asymmetries
- Breathing obstructions
Always make sure that the surgeon performing the procedure is board-certified by the American Board of Plastic Surgery, and that the surgery is being carried out in an accredited surgical facility.
What Does Revision Rhinoplasty Cost?
The cost of this type of procedure is going to fluctuate based on location, surgeon, center, and the individual patient’s needs. According to the American Society of Plastic Surgeons, the average cost of rhinoplasty in the U.S. is around $5,000, though it can range up to $15,000.
The Plastic Surgery Clinic of Chicago always provides a detailed breakdown of costs after an initial consultation.
SCHEDULE A CONSULTATION
The Plastic Surgery Clinic of Chicago welcomes any questions from both potential patients and returning patients regarding any of the procedures that we offer. We are committed not only to excellent patient care, but thorough patient education; our professional staff will answer any questions you have and ensure that you understand every step of the process. If you are interested in looking and feeling like the best version of yourself, call us today for a consultation.
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As the seasons change, so should your skincare! Fall is all about keeping your skin hydrated as the air gets cooler and drier. Here’s a go-to fall skincare routine you can reference when swapping out your summer products to help your skin thrive: 🍂
1. Start with a hydrating cleanser
2. Use a toner to remove any excess dirt, oil, makeup, and residue
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6. Don’t skip the SPF (yes, even in fall!)
7. Take care of your lips with a nourishing lip balm
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This is a 2 year follow-up revision rhinoplasty case. The patient had had 2 prior rhinoplasties in the past and was bothered by the nasal deviation, the dorsal hump, and the under-rotated and under-projected tip. In the post-operative views, you can see the nose is straighter, symmetric dorsal aesthetic lines have been established, the dorsal hump was removed, and the tip was elevated and rotated. It’s amazing how a more symmetric and proportional nose improves the balance and overall aesthetics of the face. Posted with permission.
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This is a great example of how buccal fat removal changes the face. Buccal fat removal involves removing fat from the lower cheeks and the purpose is to narrow the lower 1/3 of the face. With removal of the buccal fat pad, the face appears less round and more angular or V-shaped. Buccal fat removal was popularized and trending during the pandemic, however, not everyone is a good candidate for this procedure. Ideal candidates are younger patients in their 20-30’s with a rounder face, and excess volume of the lower cheeks. As we age, the face loses volume and therefore patients in their 40’s plus may not be good candidates. An article in our journal from 2021, The Role of Buccal Fat Pad in Facial Aesthetic Surgery, by Drs. Rohrich and Stuzin, highlighted that this procedure can be beneficial in certain patients but if over resected or performed in the wrong patient, can lead to premature aging and midface distortion. Posted with permission.
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How important is the chin in a rhinoplasty case? This patient’s results show how important the nose-chin relationship is for a balanced and proportional profile. This patient had a crooked nose, a prominent dorsal hump, and a very deficient chin. After straightening her nose, removing the dorsal hump, lifting and refining the tip, and performing a sliding genioplasty; look how much her profile has changed aesthetically for the better.
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Thinking about getting a rhinoplasty? Here are some things you should know before getting this procedure!
1. Are you physically and mentally ready for a rhinoplasty and recovery process?
2. Can you articulate what your rhinoplasty goals are and are they realistic?
3. Have you found the right surgeon and practice to get you where you want to be?
If you have any questions, leave them down below!
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Is it a good night’s sleep, filler, or surgery? These patients underwent a lower blepharoplasty procedure, and in the post-operative photos, you can see an improvement in the contour of the lower eyelids, no more bags, and reduced dark circles. The results? A brighter, more youthful, and refreshed appearance. Posted with permission.
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