Unfortunately, not every Rhinoplasty procedure will have positive results. A patient may find aesthetic problems continue to linger, such as a humped nasal bridge, or a bulbous nasal tip. 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 sort of correction surgery.
The Revision Rhinoplasty is a corrective surgical procedure specifically designed to improve the results from previous nasal surgery. This is an extremely delicate procedure, often presenting complex challenges such as missing 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 Ideal Revision Rhinoplasty Candidate
A Revision Rhinoplasty can be very effective at correcting the results of a previous nasal surgery. Not everyone will make an ideal candidate, however. For a successful Revision Rhinoplasty 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 Rhionplasty 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.
Before scheduling a Revision Rhinoplasty procedure, a consultation with Dr. Moynihan will be arranged. This is an opportunity to learn more about the Revision Rhinoplasty procedure, and provides a time to get to know the surgeon. During the initial appointment, Dr. Moynihan will carefully examine the anatomy of the nose and face. He will discuss the surgical history, current medications, and listen to the patient’s aesthetic goals for the future. He will use computer imagery, as well as Before and After photos, to assist patients with a visualization of the potential results. If it is determined that a Revision Rhinoplasty is the right procedure for an individual situation, a unique surgical plan will be created.
The Revision Rhinoplasty at Gold Coast Plastic Surgery will take between one and three hours to complete, under general anesthesia or IV sedation. Revision Rhinoplasty 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 procedures are performed using the Closed Rhinoplasty technique, with small incisions made inside of the nostrils. However, as the Revision Rhinoplasty may present larger challenges than the initial surgery, an Open technique may be necessary. 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.
Patients should expect the recovery period, after a Revision Rhinoplasty, to take between one and two weeks. During this time, swelling, bruising around the nose and eyes, and nasal bleeding are common. Most of these symptoms will resolve over the following week. Some hidden swelling may continue, however, for up to 12 months. Moderate pain may be experienced initially; Dr. Moynihan will prescribe the appropriate pain medications needed to keep patients resting comfortably at home.
Revision Rhinoplasty may result in a thin scar at the base of the nose, between the nostrils, if an Open Technique is used. This scar will be well-concealed in the natural contours of the face, and will fade over time. A Closed Rhinoplasty technique does not leave any visible scarring.
Most patients feel well enough to return to work in five to seven days. Vigorous activity and strenuous exercise will need to be postponed for the first four to six weeks. Avoid any activates that risk trauma to the nose, such as a contact sport. In about five days, a follow-up appointment will be set with Dr. Moynihan, at which time he will remove the sutures and the nasal splint, as well as check on the progression of healing.
To ensure a smooth procedure and a stress-free recovery, prepare ahead for the healing process. Know what to expect, what is normal, and when to call the surgeon for help. Keep the following points in mind:
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, such as Dr. Moynihan. This will guarantee the most successful Revision Rhinoplasty with the least possible complications.
The cost of a Revision Rhinoplasty will vary depending on each individual patient’s anatomy, the technique utilized, and the level of correction necessary. The price does include the surgeon’s fee, the surgical center’s cost, the anesthesiologist’s charges, and all follow-up appointments.
During the consultation appointment, Dr. Moynihan will determine the exact cost of the Revision Rhinoplasty procedure. For patient convenience, Gold Coast Plastic Surgery takes cash, all major credit cards, and health-care financing through CareCredit. At this time, the patient coordinator will go over payment options in detail and set up a payment plan.
To get more information about Revision Rhinoplasty at Gold Coast Plastic Surgery, call our office at (312) 988-9300. We are here to answer your questions, and to assist in setting up a consultation appointment with Dr. Moynihan. Contact the office if you need help with driving directions, assistance with train or taxi service, or other travel recommendations.
The Revision Rhinoplasty is a surgical procedure designed to improve or correct the results from an initial procedure. Both aesthetic and functional problems can be addressed during the Revision Rhinoplasty.
The ideal candidate for a Revision Rhinoplasty will be a man or women, in overall good health, frustrated by the results of a previous surgical procedure. Patients should wait at least 12 months after an initial Rhinoplasty procedure before committing to correction, as it will take this long for all swelling to subside and scar tissue to soften, allowing the full results to become apparent.
During the consultation appointment, Dr. Moynihan will perform a quick physical exam of the nose and face. He will review the surgical history and current medications, as well as your aesthetic goals. A detailed surgical plan will then be created. The patient coordinator will discuss the exact cost of the Revision Rhinoplasty and review the payment options.
Dr. Moynihan performs all of his Revision Rhinoplasty procedures at the nearby, accredited surgery center.
The Revision Rhinoplasty procedure will normally take between one and three hours to complete.
The Revision Rhinoplasty is performed using general anesthesia, or using IV sedation.
The recovery after a Revision Rhinoplasty will take between one and two weeks. Swelling and bruising are common; the majority of these will resolve over the first two weeks. After five days, patients will return to the office for Dr. Moynihan to remove the sutures and splint, as well as check on the recovery progress.
Mild to moderate discomfort may be experienced after a Revision Rhinoplasty. Dr. Moynihan will prescribe the necessary pain medications to keep patients resting comfortably at home.
An Open Rhinoplasty will result in a small Trans-Columellar scar, at the base of the nose between the nostrils. When the Closed Rhinoplasty technique is utilized, no visual scarring will result.
Patients generally feel well enough to return to work about seven to ten days after their Revision Rhinoplasty.
Patients should wait four to six weeks after a Revision Rhinoplasty before exercising or engaging in strenuous activities.
Complications after a Revision Rhinoplasty can include excessive bleeding, infection, scarring, or breathing problems.
Yes, patients have the option of paying for a Revision Rhinoplasty with cash, all major credit cards, or financing through CareCredit.
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