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Revision Rhinoplasty

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.

  • “I’d give Dr. H more starts if I could. He was awesome! My husband’s nose was in really bad shape when we first consulted with Dr. Hurvitz. He walked us through the process, the procedure itself, even prepared us on how to handle the insurance part of it. He explained what he would do and was honest with us about what type of result to realistically expect. The procedure went better than planned and after 30 years my husband was able to breathe through both sides of his nose and has been sleeping great since. He feels great everyday and feels more confidence than embarrassment about his physical appearance. Many thanks to Dr. H and his staff for an amazing job!”

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  • “I chose Dr. Hurvitz to “fix” my nose. I chose him because he is a board certified plastic surgeon, he is an ENT, he has a good reputation as a surgeon, and he is a nice guy! He performed a rhinoplasty, septoplasty revision, turbinate reduction, and reconstructed my nasal valve with cartilage from my ear. Not an easy procedure. I live near Newport Beach, where there are probably a hundred plastic surgeons. I am glad I chose to make the drive up to Long Beach. I am so happy with my results! I can breathe again, which has helped me to sleep much better. My nose also looks great. Another reason I chose Dr. Hurvitz is I could tell he was actually listening to me. I told him I did not want a completely different nose (looks wise); that I wasn’t unhappy with the way I looked. I just wanted a better version of what I have. He was able to make subtle changes that I am very happy with.”

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  • “Dr. Hurvitz and his staff are absolutely top notch!  I had a precancerous skin removal on my nose and was very nervous about who I would let touch my face!  Not only does Dr. Hurvitz has a wonderful manner about him, he is very knowledgeable and skilled at surgery and assessing the least invasive procedure to get the best result.”

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  • “I feel very confident to recommend any of my family and friends to his office for any plastic surgery procedure.  He is double board certified in both plastic surgery and ENT (Ear Nose Throat) which was one of the reasons I knew that he was highly qualified.”

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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.