Revision Rhinoplasty or revision nose job surgery is a common consultation at Funk Facial Plastic Surgery. It is quite difficult for patients who have undergone rhinoplasty and the uncomfortable recovery involved only to have a disappointing cosmetic outcome. I always applaud these patients for coming back into a plastic surgeon’s office when they have had an unfavorable result. Revision rhinoplasty patients can be disenchanted with the surgical process and with plastic surgeons in general.
Rhinoplasty or nose surgery alone is one of the most difficult procedures in plastic surgery. A surgeon is dealing with a three dimensional object composed of cartilage, bone, soft tissue and skin. With revision rhinoplasty, one has to get through all the old scar that was left behind from the previous surgery. Cartilage does not have the integrity that it had in the past. Septal cartilage may be sparse. There may be valve collapse or functional impairment from the previous surgery. In addition, the healing process is not as predictable during revision surgery. Now you have scar healing on top of scar.
These are the things I discuss with all my revision rhinoplasty patients. That is why I inform them that they must accept improvement. It will be impossible to achieve perfection with revision rhinoplasty but if the surgeon and patient can agree that the nose will be improved and the main issues addressed, then together they have won the battle of revision rhinoplasty.
Dr. Funk is a revision rhinoplasty specialist in Houston, Texas.