Revision rhinoplasty is a plastic surgery procedure to correct issues resulting from a primary rhinoplasty surgery, either cosmetic or functional.
Although rhinoplasty is a common procedure, it is also one of the most complex performed by plastic surgeons. National statistics how shown that approximately 15% of patients have a secondary rhinoplasty to obtain the results they initially sought. The process of revision rhinoplasty is more complicated than the primary one. It involves dealing with the initial defects, changes created in the prior procedure and scar tissue. Dr. Hurvitz specializes in revision rhinoplasty in Long Beach and Southern California.
Successful revision rhinoplasty involves evaluating the nose to determine the initial aesthetic problems that were left unsolved and the new problems created by the prior procedure. Revision rhinoplasty must address both issues in order to obtain an optimal result. In many cases, cartilage grafts from the ears and/or ribs are required to correct weakened areas resulting from the first surgery.
What to expect – It may be necessary to apply a splint/nose cast to the top of the nose over the bridge, and possibly splints placed inside the nostrils. Packing may or not be used. A mild amount of discomfort will be felt at the ear if cartilage is borrowed from that location. Generally no change in the shape of the ear is noted. If cartilage is borrowed from the ribs there will be some mild soreness in that area.
Anesthesia type: Dr. Hurvitz performs uses general anesthesia for most revision rhinoplasty surgeries. In some cases, where minimal tip revision is needed, he will perform the procedure under local anesthesia.
Facility type: Outpatient surgery center for general anesthesia, in-office for local anesthesia.
Recovery time: The splints, both internal and external, are removed at about one week. Bruising and swelling is generally mild and lasts about 7 days. Patients generally return to school or work at about that time.
What to expect during recovery: Bruising, swelling, splint on the bridge of the nose, possible splints or packing in the nose, nasal congestion, asymmetric healing, minimal discharge.