New issues may arise as well, like nostrils that have become too wide, or the size of a nose that is not proportional to the facial features. Functional problems, such as nasal blockage, can also occur after the first rhinoplasty. While the majority of rhinoplasty procedures provide excellent results, up to 15 percent of patients will require some form of correction surgery. The Revision Rhinoplasty procedure is a corrective surgical treatment specifically designed to improve the results from previous nasal surgery.

This is an extremely delicate procedure, often presenting complex challenges such as inadequate septal cartilage or the presence of scar tissue. These may limit the extent of correction even the most experienced surgeon can provide. For this reason, patients should only place their trust in the very best. Gold Coast Plastic Surgery has been providing revision rhinoplasty procedures for over 10 years. Dr. Moynihan uses his meticulous attention to detail and naturally artistic eye to provide the safest and most effective correction results available today.

The Rhinoplasty Procedure at Gold Coast Plastic Surgery

Dr. Moynihan examining patient nose

Why a Revision Rhinoplasty?

  • An inexperienced surgeon was unable to address the existing problem.
  • The patient’s expectations for improvement were unrealistic.
  • The surgeon’s original goal was overly ambitious.
  • Cosmetic and/or functional problems occurred after surgery due to trauma or poor healing.

The Ideal Revision Rhinoplasty Candidate

A revision rhinoplasty procedure can be very effective at correcting the results of a previous nasal surgery. Not everyone will make an ideal candidate, however. The patient should be in generally good health, a nonsmoker, and have realistic expectations for the procedure. It is important to wait at least 12 to 18 months after an initial rhionoplasty before committing to a revision procedure. This will allow for the full surgical results to become apparent, as some swelling may take up to a year to completely resolve and the scar tissue to soften.

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The Revision Rhinoplasty Procedure

When undergoing revision rhinoplasty with Dr. Moynihan at Gold Coast Plastic Surgery, your procedure will take between 2-3 hours to complete under general anesthesia. It is normally performed as an outpatient procedure, allowing patients to rest in the comfort of their home that same evening.

The majority of Dr. Moynihan’s revision rhinoplasty procedures are performed using the “open technique.” This will consist of a small trans-columellar incision at the base of the nose, between the nostrils. As the tissue can then be pulled back, the open rhinoplasty allows for a full visualization of the nasal anatomy. Once the predetermined incisions have been made, Dr. Moynihan will make the necessary corrections, such as removing the excess tissue, sculpting the nasal cartilage, or placing a nasal implant. Then the skin is repositioned, and small sutures are placed for proper healing.

Cost of a Revision Rhinoplasty

The cost of a revision rhinoplasty is determined by several factors and it is important to understand what is included in a quote. Typically, expenses include an anesthesia fee, an operating room fee, or both. Some rhinoplasty surgeons charge for certain materials if they are used during the procedure and there may be fees to attend follow-up appointments. Prescriptions may be included in the quoted fees or they may be submitted to your local pharmacy for you to pick up at your own expense. These fees tend to be consistent from practice to practice for the most part, but the total cost of your rhinoplasty will also depend on the actual surgeon’s fee. The surgeon’s fee for rhinoplasty ranges significantly and depends on the specific credentials of the rhinoplasty surgeon.

Dr. George Moynihan’s patients typically spend a true total of $12,000-$15,000 for all expenses involved with their revision rhinoplasty. A more specific quote may be provided prior to the consultation when photos are submitted and a final, all-inclusive quote is provided during the consultation.

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Recovery From a Revision Rhinoplasty

The revision rhinoplasty is considered to be an outpatient procedure, meaning the patient may arrive on the morning of surgery and travel home on the same day. A responsible adult must drive the patient or ride along in a taxi/rideshare. The patient leaves the surgery with a hard outer cast over the bridge of the nose and there may be sutures visible in the nostril area. Most of the discomfort is experienced during the first three days, with some pressure and congestion lasting for a full week. The cast and sutures are removed after one week and most activities may resume after ten days. More specific post-care instructions are provided on a case-by-case basis depending on the particular needs of the patient.

Risks From a Revision Rhinoplasty

The corrective procedure is considered to be one of the most difficult of all plastic surgeries performed. As it is an invasive procedure, there is always the rare chance for serious complications. These can include excessive bleeding, disrupted sense of smell, airway alteration, scarring, and nasal asymmetry. Patients should only put their trust in a reputable, board-certified cosmetic surgeon, like Dr. Moynihan. This will guarantee the most successful Revision Rhinoplasty with the least possible complications.

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