Rhinoplasty or cosmetic nose surgery is one of the most difficult procedures in plastic surgery. The nose is composed of skin, soft tissue, cartilage, and bone. Addressing all of these features during one surgery to create the ideal aesthetic nose is a difficult task. In addition, the surgeon must be prepared to improve or at least preserve function or nasal breathing.
Revision rhinoplasty, or a repeat nose surgery, makes the task of improving nasal aesthetics even more difficult. With revision surgery, there is significant scarring between the skin and cartilage making dissection difficult at times. There may also be missing cartilage that needs to be supported or replaced. The final results are not as predictable as now there is scar healing on top of old scar. Revision Rhinoplasty patients must understand that although perfection is the goal with every surgery, significant improvement in the appearance of the nose is the appropriate expectation for surgery.
Dr. Funk is a revision rhinoplasty expert in Houston, TX.