Ali Sepehr, MD, Facial Plastic Surgeon

Revision Rhinoplasty

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Rhinoplasty (nose reshaping surgery) is a big step and many patients are counting on the best possible results to help them address functional nasal issues or improve their appearance. However, some patients do not attain the results they hoped for from rhinoplasty procedures, and in some cases, experience complications or ineffective solutions to the initial problem. Revision rhinoplasty, also referred to as secondary rhinoplasty, is a procedure in which our facial plastic surgeon can address issues you may be having from a previous rhinoplasty performed by another surgeon. Dr. Ali Sepehr can fix problems that may have arisen, or help you achieve results more in line with what you had originally envisioned.

Please contact The OC Center for Facial Plastic Surgery to schedule a consultation with Dr. Sepehr for revision rhinoplasty.

Revision Rhinoplasty Candidates

There are a number of reasons patients may want to have a secondary (revision) rhinoplasty, from displeasure with the aesthetic results to functional problems that have been exacerbated or simply not corrected from the previous surgery. You may be a candidate for revision rhinoplasty if:

  • You are dissatisfied with the results from the original rhinoplasty
  • You experienced complications from the original rhinoplasty
  • You had breathing difficulties that have still not been corrected

Dr. Ali Sepehr will discuss your goals with you during an initial revision rhinoplasty consultation. He will explain all aspects of the procedure with you and talk with you about your expectations. Together, you and Dr. Sepehr will come up with a treatment plan designed to address your needs.

Revision Rhinoplasty Procedure

Revision rhinoplasty procedures typically involve taking bone and cartilage grafts from the ear or rib and reshaping them for the nose. The procedure is very complex and requires the skilled hand of an experienced plastic surgeon. Fortunately, Dr. Sepehr is a specialist in facial plastic surgery and can provide very good results with revision rhinoplasty. Incisions will likely be made in the same area as the original rhinoplasty surgery to avoid excess scarring; however, rhinoplasty typically involves very discreet incisions in any case and scarring is virtually invisible.

Revision Rhinoplasty Recovery

Recovery from revision rhinoplasty is very similar to that of traditional rhinoplasty. You will likely experience swelling, bruising, and discomfort for several days after surgery; however, pain can be relieved with medication. You will need to diligently shield the nose from harm in the first few months after treatment, and avoid blowing your nose for at least a week after revision rhinoplasty. Most patients are able to return to normal daily routines after one week.

Learn More About Revision Rhinoplasty

To help our patients make the best decision for their needs and goals, Dr. Sepehr has answered a number of frequently asked questions (FAQs) about revision rhinoplasty. We hope this additional resource serves you well. If you would like to know more, or if you’re ready to schedule a consultation, please reach out to our medical team for help.

Can revision rhinoplasty help me?

The reasons for considering revision rhinoplasty are many. Some patients are dissatisfied with the results obtained by another plastic surgeon. Others may find that functional issues, like breathing problems, are not fully corrected after the first procedure. In very rare instances, complications could occur initially, and revision rhinoplasty may then be performed to address the effects of this event or to achieve the outcome that was originally intended. Dr. Sepehr is extensively trained in the delicate and complex technique of revision rhinoplasty. With his experience, precision, and artistic eye, he can help you obtain the look and functionality you’re seeking.

What techniques are used in revision rhinoplasty?

The majority of revision rhinoplasty procedures use an open approach. This technique allows Dr. Sepehr to have better access to the internal nasal structures and provide the optimal outcome. There may be instances where a closed (endonasal) rhinoplasty can be performed. Dr. Sepehr will let you know which method is ideal for your needs and goals during your initial consultation.

Will there be any scars?

If an open rhinoplasty is performed, there is usually a small, barely noticeable scar created on the underside of the nostrils, an area called the columella. Most patients find that this incision heals very well. If you’re concerned about scarring, we can provide advice on how to minimize the appearance of the mark using laser skin resurfacing and topical scar-reduction products.

How long will recovery take?

You will need to take at least a week off from your regular schedule, perhaps more depending on your individual healing rate. We recommend listening to your body to help determine when you’re ready to return to work, school, and other normal activities. Strenuous exertion, such as sports, exercise, and certain other recreational events, should be avoided for at least a month to a month-and-a-half. Dr. Sepehr can provide a more specific estimate based on the activity you would like to engage in. Swelling, bruising, and tenderness in the treated area is to be expected, and these effects should gradually fade. After a couple of months, you should have a good idea of the final result. Some residual swelling may continue after this point, but you will likely be unaware of it.

How much does revision rhinoplasty cost?

Revision rhinoplasty is a more complicated procedure than a first rhinoplasty, and as a result the costs are often higher. The fees associated will depend on your unique treatment plan, and they will also include a hospital or medical facility fee, anesthesiology fee, and other incidentals. We will go over the details of your plan, including the cost, during your initial appointment so you can be well-informed about your options. We also work with CareCredit® and Prosper, two healthcare financing agencies that offer appealing terms to qualified applicants if you’re interested in paying installments rather than a lump sum.

If you would like more information on revision rhinoplasty and secondary rhinoplasty procedures, please contact our practice.

*Individual Results May Vary

Driving Directions

Dr. Sepehr also offers his services to patients traveling from nearby communities. For your convenience, we have provided directions from the neighborhoods below.