What is a revision rhinoplasty (nose job)?
At the Klausner Institute in New York, NY, rhinoplasty is a procedure in which a surgeon repairs or reshapes the external nose. Common motivations for a patient to seek rhinoplasty are to improve medical (e.g. respiratory) problems or the aesthetic appearance of the nose. In either case, the patient may be dissatisfied with the cosmetic results of their surgery and opt for a repeat procedure to correct them. This is known as secondary or revision rhinoplasty (nose job). Other patients may need to undergo revision rhinoplasty due to post-operative complications, such as newly acquired breathing difficulties and infections that develop after surgery. Lee Ann M. Klausner, M.D. is one of NYC's leading rhinoplasty and revision rhinoplasty experts.
How does a primary rhinoplasty lead to revision?
The nose is made of a number of tissue types and structures and has many functions. Nasal damage 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 (nose job) in addition to patients whose symptoms are of a purely medical nature. However, the rate at which patients require revision rhinoplasty (nose job) 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 post-operative period. Patients with unacceptable levels of dissatisfaction on these grounds may request a revision rhinoplasty (nose job) to correct these problems.
""Fantastic experience each and everytime." I have been seeing Dr. Klausner for over seven years and each and every time I am here its a warm reception, detail description of each and every step are explained and never feel rushed just welcomed each time."- T.M. / Google / Apr 01, 2021
"Dr. KlausnerMD is amazing, I’m a middle age woman and I had a few procedures done with her. I wanted to look as natural as possible. Dr. Klausner took her time, and listened....given my skin complexion ( I’m prone to keloids) we worked together regarding what would be my best options. Each procedure produced gratifying results, and I still remained looking like myself. Dr. Klausner makes you feel comfortable and assured...her service is exceptional."- L.M. / Google / Mar 15, 2021
"Dr. Klausner was extremely kind and helpful during our visits, and took the time to answer all of my questions and listen to my concerns. She ran through our plan for surgery in detail, leaving me feeling safe and well assured. It was my first time having surgery and I felt completely comfortable the entire time, which eased my anxiety. I would definitely recommend her!!"- Z.V. / Google / Mar 15, 2021
"Dr. Klausner is an amazing doctor/surgeon. She takes time with her patients, listens, makes sure she explains everything in detail, follows up quickly, and is overall amazing at what she does. Her diagnosis was beyond accurate and I didn't even notice I had breathing issues until she brought it up to me. The surgery went well, I had minimal bruising, and my follow-up appointments have been great. I'd recommend her to anybody!"- M.H. / Google / Dec 15, 2020
"Lee Ann is kind, thoughtful, empathetic and ultimately the best doctor I've ever worked with. I came to her after a 10 year search for a practitioner that could also dual as a healer for an issue I had suffered with, being a perforated septum due to a previous invasive surgery that had gotten larger over time. I had seen many ENT's throughout this search, most with doubts they could help my condition, all with little to no suggestion of ways to alleviate my discomfort. Throughout the entire process with Lee Ann my concerns were not only alleviated, but she did so thoughtfully and honestly. I was given a regiment that subdued the affects of my condition almost immediately, and over time I came to trust her ability to heal me. In July 2020 I underwent septal perforation surgery which was intense and deeply transformational. I was not aware of how much I was suffering until I came out the other side. Now I would recommend her to anyone seeking any type of reconstructive surgery, because it takes someone unique with brilliant character to hold space for your healing every step of the way. Even through the COVID19 crisis, Lee Ann gave me the most unique and heartfelt experience that has ultimately changed my life and the way I view myself. I no longer think about my past condition on an hour to hour basis, and I feel full and complete as if I hadn't been suffering for how long I had. To say I appreciate her is a great understatement. I absolutely suggest a consultation with her if you are looking for a healer in human form."- M. / Google / Dec 15, 2020
What does the timeline look like for a revision rhinoplasty?
A surgeon has many points to consider when approaching any (primary or revision) rhinoplasty. These include the initial shape of the nose and the ideal shape required 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 in question or be made of sterile surgical-grade silicone. In cases of revision rhinoplasty, the surgeon may need to take additional problems into account. These include scar tissue resulting from the primary procedure, which may prove an obstacle or prevent adequate manipulation of the nose during surgery.
Revision rhinoplasty (nose job) may also require several new grafts in order to fully correct nasal shape. A second procedure may also be a more ‘open’ surgery in which the surgeon must ‘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 also known as ‘tip plasty’). This may involve its partial dissection, re-suturing, and yet more grafts. These are placed in the part of the nose immediately ‘above’ the tip for structural support.
What else should you consider before the procedure?
Revision rhinoplasty (nose job) may be associated with post-operative risks. Prominent examples include those of infection (which may be intensified if the revision involves more open surgery) and deformity. An example of deformity related to revision rhinoplasty 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. On the other hand, revision rhinoplasty can result in positive outcomes for many 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. Full recovery from rhinoplasty may take up to six weeks. However, it is important to note that post-operative swelling and/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.
Schedule a revision rhinoplasty consultation
If you have received rhinoplasty and have experienced complications or if you have been dissatisfied with the results, please reach out to us at the Klausner Institute in New York, NY. At our Upper East Side, Manhattan location, Lee Ann M. Klausner, M.D. prides herself in the care and experience she brings to patient conversations. Let Dr. Klausner alleviate your symptoms or help you achieve the look you've always set out to have. Call today to schedule your consultation.
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