Bad Nose Job? You Need Revision Rhinoplasty

If you’ve had a rhinoplasty and aren’t satisfied with the aesthetic results or are facing functional issues as a result of it, you’ll be pleased to know of a corrective procedure called revision rhinoplasty.

What Is Revision Rhinoplasty?

The skin of the nose is like a drape put over a structure, in this case an underlying nasal framework. This nasal framework is made up of bone and cartilage, and it gives shape to the nose.

Rhinoplasty is used to alter elements of this structure, either to make it more visually appealing or to correct functional issues such as breathing problems.

Revision rhinoplasty corrects any cosmetic and functional issues that may have formed during a primary rhinoplasty or afterwards during the recovery period. It is a complex procedure, even more complex than primary rhinoplasty, since there may be new structural weaknesses and an overall weaker nasal architecture.

Revision rhinoplasty typically utilizes the same incisions that were created for the primary rhinoplasty in order to avoid the need for any new incisions.

Aesthetic Issues Corrected During Revision Rhinoplasty

Here are the most common issues that are corrected during revision rhinoplasty:

• Asymmetry of the nasal tip or a pinched tip appearance
• Pointy, uneven, or unnatural appearance of the nasal tip (usually caused by cartilage protrusion)
• A nasal bridge that is crooked, irregular, or off-center
• Saddle nose deformity (nasal bridge looks scooped out)
• Polly-beak deformity (upper bony bridge is over-resected and lower cartilaginous part of the bridge is proportionally not low enough)
• An inverted-V deformity (happens when too much of the middle-third cartilage has been removed). This makes nasal obstruction worse.

Functional Problems Corrected During Revision Rhinoplasty

The nose is a delicate organ, and even very slight changes can cause major issues in terms of functionality. The most common issue that is corrected is an obstruction in the nasal passage.

Many things can cause nasal obstructions, including excessive internal scar tissue and a nasal valve collapse. A nasal valve collapse is caused by excessive tissue removal during the primary rhinoplasty, causing weakness in the nasal architecture.

Using Grafts in Revision Rhinoplasty

When the nasal architecture is excessively weakened during rhinoplasty surgery, it can result in a lot of aesthetic and functional problems. The best way to correct this sort of issue is with the help of grafts.

A rhinoplasty graft is typically a small section of tissue, usually cartilage or bone, used to add or restore strength to an area of the nose. When a cartilage graft is needed, cartilage is harvested from the patient’s septum, ear, or rib. It is carefully shaped by Dr. Bared to fit the target area correctly and add needed shape and strength. It is then placed inside the nose and affixed securely to the target area.

Do You Need Revision Rhinoplasty?

If you’ve been experiencing functional and/or aesthetic issues after your primary rhinoplasty, contact our office and schedule a revision-rhinoplasty consultation. Dr. Anthony Bared is a double-board-certified facial plastic surgeon with years of rhinoplasty experience and numerous satisfied patients.

Author Info

Dr. Anthony Bared

Dr. Anthony Bared, MD, FACS is a double board certified facial plastic surgeon who specializes in rhinoplasty, revision rhinoplasty, and hair restoration. You can schedule a consultation with Dr. Bared by calling 800-943-7295.

Out of town? A virtual, web-based consultation can be scheduled. Visit our Out of Town Patients section.