Rhinoplasty is one of the hardest surgical procedures for a facial plastic surgeon to perform. Revision rhinoplasty is even tougher because bone and cartilage have already been compromised during the prior surgery. Before you sign up for a revision rhinoplasty, see if you’re really cut out for this surgery.
You’ve Waited a Sufficient Time
Swelling after rhinoplasty can take as much as a year or more to fully resolve. For this reason, most surgeons will advise you to wait at least 10 months after your primary rhinoplasty surgery before considering revision. What you may not have liked at three months post-op may well have resolved after a few more months of recovery.
Having Realistic Expectations of your Revision Surgery
Even with modern technology bringing computer imaging to facial plastic surgery offices, there is no way a rhinoplasty surgeon can guarantee your nose will match the nose in the picture. How well you heal plays a part in the final outcome. The surgeon’s skill is also important. Most importantly, with a revision rhinoplasty procedure, if the surgeon did not perform the original surgery he will likely have an uncertain idea what the underlying structure looks like until the incision is made and the skin is lifted from the nose. If the cartilage or nasal bones are not ideal, the surgical goal may have to be changed in the middle of the procedure.
You Do Not Object to Grafts
If the underlying structure is not as expected, your rhinoplasty surgeon may need to create a graft either from cartilage taken from your ear or septum or by using GoreTex grafts to create a natural-looking result. GoreTex is an FDA-approved material that is commonly used to make clothing and medical materials like those used to repair holes in the heart. Grafting is fairly common with revision rhinoplasty.
You’re Willing to Do What Your Surgeon Asks
Before and after a revision rhinoplasty, there are a number of things i.e. no alcohol for a week pre-op, your facial plastic surgeon asks you to do. If you’re unwilling to meet these requests, this is not the ideal time to undergo the procedure. Weeks before the surgery, you must stop smoking. You cannot start smoking again until a number of weeks have passed during the healing process, too. There are a number of over-the-counter medications, nutritional supplements, and herbal supplements that you need to stop using. This includes things like vitamin E and pain relievers like aspirin and ibuprofen. Again, if you are unwilling to stop using these products, it’s not the ideal time for a revision rhinoplasty. Finally, you will have specific rules to follow in terms of postoperative care. This means leaving any packing or splint alone and letting the surgeon remove it. You must expect swelling and bruising that starts to subside in two to five days. Swelling can take weeks or months to resolve, but you can help minimize it by sleeping in a recliner or propping your head up with pillows. Rest is important and usually is required for the first week. Strenuous activities, sports, and time in the sun must be avoided until your doctor gives the okay to resume those activities. Dr. Jeffrey Epstein specializes in revision rhinoplasty. With more than two decades of experience in this specialty, Dr. Epstein performs an average of two revision rhinoplasties every week. View some of his revision rhinoplasty before and after pictures to see the quality of his surgical work. Schedule your private revision rhinoplasty consultation by calling the Miami rhinoplasty surgeon at (305) 666-5884. If New York City is a more convenient location for this appointment, call (212) 759-3484.