Revision rhinoplasty, also referred to as secondary rhinoplasty, is a corrective aesthetic or functional nasal surgery procedure which is performed after a previous rhinoplasty or revision rhinoplasty, nose surgery. There are multiple and distinct reasons for a Revision Rhinoplasty.
Every nose will heal after a Rhinoplasty. About 5 – 10% of the time the healing may create minor issues, which may be improved by a secondary “touch-up” minor revision Rhinoplasty procedure. But the most common causes of patients seeking revision Rhinoplasty surgery are not due to healing. There are three serious causes for cosmetic surgery patients undergoing more nasal reshaping surgery after their previous nose job surgery:
- Gross surgeon error due to lack of understanding of the nose and lack of specialization in aesthetic &/or functional rhinoplasty. These patients may have had 1 or 2 or even 8 very poorly performed previous nose jobs and they require the proper revision Rhinoplasty to restore balance to their faces and lives.
- Inadequate preoperative dialogue between plastic surgeon and cosmetic patient resulting in variance in goals and outcome. Essentially the nose may be a nice nose after the nose job surgery but not what the patient wanted or asked for.
- Patients with BDD (body dysmorphic disorder) or simply lack of understanding of nasal analysis and healing who are almost never content or happy with any Rhinoplasty surgical results no matter how good the results. These patients often seek “perfection” in their own eyes and will continue to seek revision after revision after revision.
*Each patient is unique and individual results may vary.
Revision Rhinoplasty may improve both aesthetic and functional problems. Good candidates for revision rhinoplasty include healthy patients over the age of sixteen who have realistic goals for improvement. Poorly performed or poorly healed previous nasal reshaping surgery can create cosmetic &/or breathing problems which may need to be addressed with Revision Rhinoplasty. Dr. Naderi is a Rhinoplasty and Revision Rhinoplasty specialist. These two surgeries make up well over 90% of his practice. He performs revision rhinoplasty at one of the INOVA system hospitals in Northern Virginia, which include Fair Oaks Hospital, Loudoun Hospital, and Fairfax Hospital. He also has surgical privileges as Suburban Hospital in Bethesda, Maryland, part of the Johns Hopkins Hospital system. The time range to perform a “revision nose job” by Dr. Naderi is anywhere from 15 minutes, up to 3 hours or even more to complete and is usually performed with general anesthesia although certain minor revision Rhinoplasty procedures may be done under purely local anesthesia.
About 30% of revision rhinoplasty cases are endonasal or closed, in which incisions are confined to the inside of the nose, also known as “scar-less nose job.” The other 70% are external or open, which involves incisions made on the inside of the nose as well as a very small and hidden incision made on the skin between the nostrils on the base of the nose. Once the incisions are made, the desired shape may be achieved by repositioning cartilage or replacing missing structures. The incisions are then closed and a splint is applied to the nose. Revision Rhinoplasty is often more complicated than primary Rhinoplasty due to scar tissue, missing tissue, malposition tissue, alterations in blood flow and skin resilience, etc. This is why some of the top board certified plastic surgeons in the greater Washington DC area refer all of their Revision Rhinoplasty cases to Dr. Naderi due to his specialization in the field of nasal surgery.
*Each patient is unique and individual results may vary.
Bruising and swelling may be more extensive after revision rhinoplasty than after primary or original procedures. Patients generally experience very little pain though since Dr. Naderi uses pristine and meticulous surgical technique and does not routinely pack the nose. Most of the bruising fades within ten days while the swelling may take several months to dissipate. External stitches are removed in three to seven days. Most patients can return to work within a week, though more strenuous activities will need to be postponed for two to three weeks.
Patients who choose Dr. Naderi as their Rhinoplasty Specialist Surgeon do so based on the carefully calculated decision and wise desire to trust a “specialist” with their face and nose. Dr. Naderi is a Board Certified Facial Plastic Surgeon (exclusively performs Plastic Surgery on the face only) but above and beyond this, his busy surgical practice is focused practically completely on the nose (Rhinoplasty and Revision Rhinoplasty). Patients who choose Dr. Naderi do not do it based on price. He is not inexpensive! He takes excellent, skillful, artistic, and compassionate care of his patients and their noses. While no one can guarantee a “perfect” nose, his multitude of happy and grateful patients from all over the world are testimony to his skill. Do not choose Dr. Naderi if you are seeking a bargain. Choose Dr. Naderi if you want a surgeon who has the specialized skill and high ethics to take excellent care of you or your loved one.
Revision rhinoplasty cost
“Average rhinoplasty total price” is around $6000-$8000 with Dr. Naderi. Dr. Naderi’s Primary Rhinoplasty total cost can range from around $4500 – $10,000 or above, and this price includes the cost of Anesthesia and Hospital Fees. “Average revision rhinoplasty price” is around $10,000-$12,000 with Dr. Naderi. For Revision Rhinoplasty Dr. Naderi’s total cost ranges from around $9500 to $17,000 or above, which includes the cost of Anesthesia and Hospital fees. Effective January 1, 2016, Revision Rhinoplasty consultation fees are $250.
Frequent Revision Rhinoplasty Questions
What is revision rhinoplasty?
Revision rhinoplasty, also known as secondary or tertiary rhinoplasty, is a corrective aesthetic nasal surgery procedure designed to correct aesthetic or functional problems resulting from a poor previous rhinoplasty result performed by another surgeon. Revision Rhinoplasty makes up a large portion of Dr. Naderi?s Rhinoplasty practice in Northern Virginia, Maryland and Washington DC areas.
Is revision rhinoplasty right for me?
If you are healthy and looking to improve the appearance or function of your nose after a previous rhinoplasty surgery, revision rhinoplasty may be right for you. Patients should be over the age of sixteen and have realistic goals for improvement.
Are there any age restrictions for undergoing revision rhinoplasty?
Dr. Naderi will perform revision rhinoplasty on patients over the age of sixteen.
What does a consultation for revision rhinoplasty entail?
During a consultation for revision rhinoplasty, Dr. Naderi will examine the structure of your nose and face, take a thorough medical history, and discuss your goals. Computer imaging is often performed by Dr. Naderi, so that you can see what you may look like after the Revision Rhinoplasty surgery. All aspects of the revision rhinoplasty procedure will be explained including the technique, the anesthesia, the facility, the recovery, the risks, the costs and so on. Digital imaging or photographic morphing is an integral part of the consultation dialogue.
Where is revision rhinoplasty performed?
Dr. Naderi performs revision rhinoplasty at INOVA system hospitals which include Fair Oaks Hospital, Loudoun Hospital, and Fairfax Hospital.
What type of anesthesia is used for revision rhinoplasty?
General anesthesia is commonly used for revision Rhinoplasty although local or mild sedation can also be used in certain cases.
How is revision rhinoplasty performed?
Determining the aesthetic or functional problem is the first step in planning the proper surgery by Dr. Naderi. Understanding the patient?s expectation combined with what is realistically achievable allows for the correct type of surgery and a successful outcome. Revision Rhinoplasty can be done using both open as well as closed techniques.
How long does revision rhinoplasty take to perform?
Revision rhinoplasty takes one to four hours to complete.
Where are the incisions made for revision rhinoplasty?
About 70% of revision rhinoplasty cases are external or open in which incisions are made on the inside of the nose along with a small incision made on the outside of the nose on the skin separating the nostrils (columella). The other 30% of cases are endonasal (scar-less) or closed in which all incisions are confined to the inside of the nose.
Does revision rhinoplasty leave scars?
External or open rhinoplasty results in a very small scar that is well hidden and rarely noticeable, on the underside of the nose between the nostrils. Endonasal or closed rhinoplasty leaves no visible scarring as all incisions are confined to the inside of the nose.
Does revision rhinoplasty involve much pain?
Revision rhinoplasty tends to involve even less pain than primary rhinoplasty procedures. Medication can help to control any discomfort that patients experience.
What is the recovery like after revision rhinoplasty?
Revision rhinoplasty may involve more extensive bruising and swelling than primary procedures, though there is generally very little pain. Most of the bruising will fade within ten days and the swelling within several weeks. Final results may take one to two years to become evident although at 2 weeks after your revision surgery the nose should look better than it did prior to the surgery. The results will improve every week and every month until the healing is complete at 1-2 years.
When will I be able to return to work after undergoing revision rhinoplasty?
Most patients can return to work within a week after revision rhinoplasty.
How soon will I be able to exercise after my revision rhinoplasty procedure?
Patients will need to wait at least two weeks after revision rhinoplasty before partaking in strenuous activities and exercise.
When will my stitches be removed after my revision rhinoplasty procedure?
External stitches are removed in three to five days.
What are the risks or complications associated with revision rhinoplasty?
All surgery carries potential risks. Those associated with revision rhinoplasty include nose bleed (1-3%) and the need for minor revision (3 – 5%).
Is revision rhinoplasty covered by insurance?
Revision rhinoplasty procedures performed for cosmetic reasons alone are usually not covered by insurance, though some coverage may be available when treating breathing problems. Patients should check with their own insurance company.
Can I finance my revision rhinoplasty procedure?
Financing is available for Revision Rhinoplasty surgery procedures through banks such as Capital One or Care Credit.