Revision Rhinoplasty

Dr. Kassir is a top revision rhinoplasty and nose job specialist in NYC. His success in rhinoplasty is based on inherent skill combined with well-developed judgment and acquired knowledge and experience. Rhinoplasty has one of the highest revision rates in the field of cosmetic plastic surgery. Revision, or secondary, rhinoplasty is an option if you’re not happy with the results of your original nose surgery.

In general, it is easier to fix problems when not enough cartilage was removed during the primary surgery, because your surgeon can go back and take away more cartilage. More often, however, revision rhinoplasty involves adding cartilage to open the airway or to recreate shape and proportion.

Repair a bad nose job with revision Rhinoplasty surgery

nose plastic surgery preparationBad nose jobs can be repaired with a revision Rhinoplasty surgery, performed by Dr. Kassir in his 799 Park Avenue, NYC clinic. The incisions for revision rhinoplasty can be made on the inside of the nose (closed rhinoplasty), or on the underside of the nose between the nostrils (open rhinoplasty). Closed rhinoplasty has the advantages of being less traumatic and invasive to the tissues because the surgeon only uncovers the areas that need correction, whereas the open approach involves a wider dissection and more disconnection and reconnection of supporting structures. The closed approach may be safer if you have scarring from earlier nose surgeries, but some surgeons prefer the open approach for the exposure that it provides, or to better understand and visualize complicated cases. If you are unhappy with your previous nose job, setup a consultation with Dr. Kassir to see if he can repair your poor rhinoplasty with his revision procedure.

Are injectable fillers safe and effective for revision rhinoplasty?

In the right hands and on the right nose, the right filler can do wonders. Injectable fillers may be cheaper and safer alternatives to a secondary nose surgery, but they are not risk-free, nor are they a solution for all imperfections. Fillers should not be used in place of primary and/or revision nose surgery; however, some fillers may be able to play a role in minor corrections.
As it stands, hyaluronic acid fillers (such as Restylane and Juvederm), calcium hydroxylapatite gel fillers (like Radiesse) and liquid silicone have all been used off-label to treat nasal deformities. Silicone can be deleterious and may increase risk of severe complications such as nodules, cellulitis and ulceration.

In the same way that Dr. Kassir’s technique can make a difference in satisfaction when filling facial folds, such prowess also plays a role in tweaking nasal imperfections. For example, these fillers should not be used in the base and tip of the nose, and should be injected at the proper depth to stave off complications, which may include bumps and lumps.

Revision Rhinoplasty Risks

Revision rhinoplasty, like primary rhinoplasty, comes with its share of risks. They include temporary loss of sense of smell, prolonged swelling, bursting of small blood vessels, excessive scarring and even skin loss, anesthesia complications, and further cosmetic or functional issues. Dr. Kassir will explain all the risks to you before you have the surgery.
Dr. Ramtin Kassir is triple board-certified by the American Board of Otolaryngology & the American Board of Facial Plastic and Reconstructive Surgery. Board certification assures you that your surgeon has had extensive training, passed rigorous examinations, and is up to date on new technology and techniques.

View revision rhinoplasty before and after pictures of other people who have had revision surgery done by Dr. Kassir.

Revision Rhinoplasty Recovery

Revision rhinoplasty recovery is similar to that of primary rhinoplasty. Nasal packing will help reduce swelling and bleeding after surgery, but you will be unable to breathe through your nose until the packing is removed. Dr. Kassir can prescribe painkillers to alleviate any of the pain associated with the surgery. You may feel nauseated after any surgery. If you have had this problem, alert Dr. Kassir and the anesthesiologist so that you can receive anti-nausea drugs in advance.

There may be some bleeding during the first few days. Applying a cold compress to your forehead can help reduce swelling. It is also a good idea to elevate your head for the first week after surgery and to avoid any trauma to the nose area during the first six to eight weeks after surgery. Blowing your nose should be avoided for two to three weeks after any type of rhinoplasty. However, your airway should be clear as soon as the packs are removed, and the need for nose-blowing (common when the airway is obstructed) should diminish significantly after your surgery.

You will likely be asked to return in three to seven days so the stitches and the cast can be removed. Your nose will still be swollen, but after two weeks much of the swelling will have subsided.

Revision Rhinoplasty Cost

Revision rhinoplasty costs up to $25,000. Any part of the fee that is directly related to correcting airway problems may be covered by your health insurance, although you must cover any costs associated with cosmetic changes. If the rhinoplasty cost is prohibitive, ask Dr. Kassir about monthly payments. For financing options and tips, call our expert surgical coordinator for no-interest financing offers.

To schedule your revision rhinoplasty consultation with Dr. Kassir call 212.288.3000 today