What is a Revision Rhinoplasty?

In either case, the patient may be dissatisfied with the cosmetic results of their previous rhinoplasty procedure and opt for corrective surgery. This is known as secondary or revision rhinoplasty. Other patients may need to undergo our revision rhinoplasty in New York City and Manhattan due to post-operative complications, such as newly acquired breathing difficulties and infections that develop after surgery. Facial plastic surgeon Lee Ann M. Klausner, M.D. is one of NYC's leading rhinoplasty and revision rhinoplasty experts.

Should You Redo Your Rhinoplasty?

We understand that a secondary rhinoplasty procedure can be intimidating, stressful, and maybe even a little frustrating, which is why Dr. Klausner spends time educating patients at every step of the process, ensuring satisfaction with results. Patients often choose our clinic for the following reasons:

Expertise

Dr. Klausner has the experience and skills to achieve optimal results as a revision rhinoplasty specialist.

Attention to detail

We understand the importance of even the most minute details in revision surgery. Dr. Klausner takes a meticulous approach to ensure that all corrections are made with precision.

Individualized attention

We believe each patient is unique and deserves personalized care. Our team takes the time to get to know you and your goals.

Successful results

We are proud to have helped countless people achieve their desired outcomes and live happier, healthier lives. Read our reviews and view before and after photos to see the stunning results achieved here at the Klausner Institute in Manhattan.

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Revision Rhinoplasty Before & After

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Lee Ann M. Klausner, MD, FACS Revision Rhinoplasty

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Are You Unhappy with The Results of a Previous Surgery? We Can Fix That.

You may be an ideal candidate for revision rhinoplasty if you are unsatisfied with your surgical outcome or need to address complications arising from your initial rhinoplasty. Rhinoplasty revision is mainly done to restore or change the appearance and function of your nose. Patients should be looking for a lasting repair and have realistic goals before undergoing revision surgery. In addition, you should know that this procedure may be significantly more complex than the initial rhinoplasty due to factors like scar tissue.

Dr. Klausner was one of many surgeons I met with for a revision (third) rhinoplasty. I met ten surgeons and traveled to Burlington, Boston, Albany, and New York City for consultations. At each appointment, it was impossible not to compare everyone to Dr. Klausner. Her ability to gather information, formulate a plan with options that met my needs, and offer feedback on how she could improve my quality of life allowed me to move forward with the procedure. While tertiary surgeries carry higher risks for complications, Dr. Klausner’s expertise and skills will enable you to have a positive outcome.

Tonya A.

How Does a Primary Rhinoplasty Lead to Revision? Or, Why Do I Need Another Surgery?

The nose has several tissue types and structures and many functions. Nasal damage from surgery may result in adverse consequences, such as nasal bleeding, deformities—e.g., loss of normal nasal symmetry—or an impaired sense of smell. The psychological effects of a cosmetically undesirable nose can also affect life quality and functional status. Therefore, a surgeon may take on patients seeking elective primary rhinoplasty and patients with purely medical symptoms. However, the rate at which patients require revision rhinoplasty is relatively high—approximately 21%. The reasons for this include failure to correct the deformity—which may be objective or subjective in nature—and adverse events in the postoperative period. Patients with unacceptable levels of dissatisfaction on these grounds may request a revision rhinoplasty to correct these problems.

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What Will the Timeline Look Like for a Revision Rhinoplasty?

A surgeon has many points to consider when approaching any rhinoplasty, primary or revision. These include the initial shape of the nose and the ideal look desired by the patient. Nasal reshaping is an often complex piece of surgical engineering that may require grafts to achieve the desired result and support the structure of the new nose. These grafts may be cartilage harvested from the patient or sterile surgical-grade silicone. In cases of revision rhinoplasty, the surgeon may need to consider additional problems, such as scar tissue resulting from the primary procedure, which may prove an obstacle or prevent adequate manipulation of the nose during surgery.

Revision rhinoplasty may also require several new grafts to fully correct nasal shape. A second procedure may be a more involved surgery in which the surgeon will dissect the nose to a greater extent compared to the primary rhinoplasty. This may address the need for improved access to some parts of the nose due to the actions of the surgeon who performed the first procedure. A surgeon may also find that they need to work on the tip of the nose—a procedure known as “tip plasty”. This may involve partial dissection, re-suturing, and more grafts placed in the part of the nose immediately above the tip for structural support.

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Other Considerations Undergoing Revision Rhinoplasty

Generally, our revision rhinoplasty in New York City and Manhattan results in positive outcomes for patients. A recent study reported that 90% of patients receiving this procedure exhibited good or very good subjective results with significant improvements in many aspects of nasal appearance. However, revision rhinoplasty may be associated with post-operative risks. Prominent examples include the possibility of infection, which may be intensified if the revision involves more open surgery or deformity. An example of this is the characteristic “polly beak”, which occurs if the nasal tip loses support and slips somewhat below the level of the rest of the nose. Full recovery from revision rhinoplasty may take up to six weeks. However, it is important to note that post-operative swelling or fluid buildup in the length and tip of the nose, which may distort patient or surgeon impressions of the eventual results, may require up to 12 weeks for total resolution.

Scheduling a Revision Rhinoplasty Consultation

If you received a rhinoplasty and have experienced complications or are dissatisfied with results, please contact us at the Klausner Institute at our Upper East Side, Manhattan location. Dr. Lee Ann M. Klausner, M.D. prides herself in the care and experience she brings to patient conversations. Dr. Klausner is confident she can alleviate your symptoms or help you achieve your desired look. Call today to schedule your consultation.

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How much does a revision rhinoplasty cost?

Your cost for revision rhinoplasty will vary depending on how much reconstruction is needed. In your initial consultation, Dr. Klausner will listen to your concerns before examining your previous nose surgery. When designing your surgical plan, she can more accurately determine your costs. Dr. Klausner will also review payment options and information on low-interest financing to help make your surgery more affordable.

How long should I wait after my original rhinoplasty?

Giving your nose time to heal after the initial rhinoplasty is important. In many cases, it may take over one year for swelling to completely subside so you can see the final shape of your nose. Once your nose has completely healed from rhinoplasty, you will need to take time to assess how you feel about the appearance and then schedule an appointment with Dr. Klausner.

How common are revision rhinoplasty procedures?

Rhinoplasty is a popular cosmetic surgery, and most patients are pleased with their outcomes. However, some rhinoplasties may need a second surgery to complete the procedure or repair minor cosmetic flaws. In a small number of patients, revision nose surgery is necessary to improve major cosmetic flaws or functional issues caused by the original surgery. If you are unhappy at all with the results of your nose surgery by Dr. Klausner or another plastic surgeon, schedule a consultation to learn more about revision rhinoplasty.

How can I ensure I will receive better results with a revision procedure?

When looking for an experienced plastic surgeon for your revision rhinoplasty, it is imperative to do thorough research. Dr. Klausner is a highly skilled double board-certified facial plastic surgeon with years of experience in rhinoplasty with a special interest in revision rhinoplasty. She understands the extra skill and advanced techniques required to complete a second rhinoplasty without weakening the structure or compromising your face.

Will I need cartilage grafting?

In some revision rhinoplasty procedures, cartilage grafting may be necessary. Cartilage grafting is performed by taking cartilage or bone from another part of the body, like the ribs, and transferring it to rebuild the structure of your nose. Usually, this is only needed in severe cases or when the cartilage was damaged in the original rhinoplasty surgery. Cartilage grafting may be necessary to help support your nasal structure so you don't have trouble breathing after surgery. Dr. Klausner will discuss the possibility of cartilage grafting in your initial consultation.

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Revision Rhinoplasty Frequently Asked Questions

Do you still have questions or concerns about revision rhinoplasty? Read on for some of our most frequently asked questions.

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