Rhinoplasty Revision in NYC

Revision (secondary) rhinoplasty is a very specialized area in the field of plastic surgery that requires advanced skills and experience. Dr. Sabry has a deep understanding of the underlying complications that can arise from a poorly executed nose job and the expertise to correct them. His extensive background in craniofacial surgery, which involves addressing the most complex congenital deformities of the head and neck region, enables him to perform revision surgeries of the face and nose with great effectiveness. Experience our advanced rhinoplasty treatments at Murray Hill Plastic Surgery!

Table of Contents

What Is a Rhinoplasty Revision?

Rhinoplasty Revision Techniques

Your Initial Consultation

Rhinoplasty Revision Procedure

Recovery After Rhinoplasty Revision

Candidates for Rhinoplasty Revision

Benefits of Rhinoplasty Revision

How Much Does Revision Rhinoplasty Cost in New York City?

Murray Hill Plastic Surgery Is a Premier Destination for Facial Plastic Surgery

Table of Contents

What Is a Rhinoplasty Revision?

Revision rhinoplasty is a secondary surgical procedure performed to correct or improve the results of a previous nose surgery. It may require the nose to be reduced in size or reshaped at the tip or along the bridge. Other common problems are drooping tips, wide nostrils, and over- or under-correction.
Since the issues vary for each patient, revision rhinoplasty surgery must be tailored to each individual’s unique needs. The procedures may be as simple as removing some cartilage or bone. Dr. Sabry prefers to use your body’s natural cartilage to restructure a nose that has had too much cartilage removed or requires additional support.

Rhinoplasty Revision Techniques

A majority of revision rhinoplasty procedures are performed using the open rhinoplasty technique. However, there are some that Dr. Sabry will do using the closed technique. The decision will be made based on the patient’s anatomy and the specific problems to be corrected. He is an expert at striking a perfect balance to the face and strengthening the weakened underlying structure of the nose to improve appearance and functionality.

Open Technique

The open technique is often preferred for revision procedures, especially when significant changes are needed or when an initial rhinoplasty has compromised the internal structure. This method involves a small incision at the base of the nose, allowing Dr. Sabry complete visibility and access to the underlying cartilage and bone. With this approach, he can precisely reshape or rebuild the nasal framework, often using cartilage grafts to restore support and symmetry. The open technique is ideal for complex revisions where prior surgery has altered the natural anatomy.

Closed Technique

In select cases, Dr. Sabry may opt for the closed technique, particularly when the issues are limited, and the previous procedure involved a closed rhinoplasty. This approach involves incisions made inside the nostrils, resulting in no visible external scarring. While it offers a quicker recovery, it’s best suited for patients whose nasal structure remains relatively intact and only minor adjustments are required. For patients who had a closed rhinoplasty in the past, this method can be an effective and less invasive option when appropriate.

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Your Initial Consultation

During your revision rhinoplasty consultation with Dr. Sabry, he will address any questions you may have about the procedure and discuss any safety concerns related to the surgery. A thorough evaluation of your nasal structure, skin condition, and the results of your prior surgery will help guide the surgical plan. Dr. Sabry will also review your medical history and any past surgical records, if available, to better understand the techniques previously used and how they may impact your revision. This personalized approach ensures that your goals and expectations are aligned with what can realistically and safely be achieved.

Rhinoplasty Revision Procedure

Anesthesia

Revision rhinoplasty is typically performed under general anesthesia to ensure patient comfort and safety throughout the procedure. This enables Dr. Sabry to work with precision while minimizing movement and discomfort during the procedure. Local anesthesia with sedation is also an option in some cases.

Incisions

The location and type of incisions depend on whether the open or closed technique is used. In the open approach, a small incision is made at the base of the columella (between the nostrils) to lift the nasal skin and expose the internal framework. The closed technique involves incisions placed inside the nostrils, offering access without external scarring. The choice of technique is based on the complexity of the revision and the degree of correction required.

Scar Tissue Removal

One of the primary challenges in revision rhinoplasty is the presence of scar tissue from a previous operation. This tissue can obscure anatomical landmarks and complicate dissection. Dr. Sabry carefully removes or releases scar tissue as needed to restore normal anatomy and provide a stable foundation for reconstruction.

Structural Adjustments

Revision procedures often involve reshaping or reinforcing the nasal bones and cartilage to correct deformities or restore structural integrity. If too much cartilage was removed during the initial procedure, Dr. Sabry may use grafts to rebuild the nose and provide support. These grafts are often harvested from the patient’s ear cartilage, which is well-suited for delicate structural work.

Final Adjustments and Closure

After the necessary corrections are made, the nasal skin is redraped over the newly structured framework. The incisions are meticulously closed to minimize scarring, and internal support structures such as splints or packing may be placed to maintain stability during the initial healing phase.

Recovery After Rhinoplasty Revision

First 24 Hours

Within the first day after surgery, patients typically experience swelling, bruising, and mild discomfort. Cold compresses and prescribed medication help manage these early symptoms. Keeping the head elevated at all times is essential to minimize swelling and promote proper drainage. Some bleeding or drainage from the nose may occur, which is normal during this initial phase.

Week 1

During the first week, most of the acute swelling and bruising begin to subside. Nasal splints or internal supports, if placed during surgery, are typically removed around day 5 to 7. Rhinoplasty patients often report a feeling of nasal obstruction, which is usually due to internal swelling rather than any structural issue. Activity should remain limited, and rest continues to play a key role in the healing process.

Weeks 2 to 4

By the second week, most patients begin to feel more comfortable returning to light daily activities, although strenuous exercise and any activity that risks facial impact must still be avoided. Swelling continues to improve, but some degree of puffiness may persist, especially around the nasal tip. Residual internal swelling may still cause mild breathing difficulty, which gradually improves.

One to Three Months

Throughout the next several weeks, the nasal shape begins to refine as swelling slowly decreases. The tip may still appear swollen, and the nose may feel firm to the touch. Patients are closely monitored during this phase to ensure that healing is progressing correctly. The recovery period during these months is crucial for achieving long-term results, as subtle changes continue to occur beneath the skin.

Three Months and Beyond

By three months, a more defined nasal contour becomes visible, though final results may take up to a year to fully develop. Any lingering nasal obstruction is typically resolved by this stage, assuming there are no underlying structural concerns. Follow-up visits are spaced further apart, and care focuses on maintaining long-term nasal function and aesthetics.

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Candidates for Rhinoplasty Revision

Revision rhinoplasty is a highly individualized procedure, often sought by those who are unsatisfied with the outcome of a previous surgery. Patients may seek correction for cosmetic or functional concerns that were not adequately addressed or that developed over time. Here are the typical characteristics of candidates:

Unsatisfactory results from a primary rhinoplasty
Persistent asymmetry or a crooked nose
Structural collapse or visible nasal deformities
Over-rotated, under-projected, or irregular nasal tip
Internal damage or obstruction involving the nasal septum

Development of a nasal septal perforation after surgery
Functional issues such as breathing difficulties
Complications caused by poor wound healing
Stable health and realistic expectations

Benefits of Rhinoplasty Revision

When concerns remain after a previous nasal surgery, revision nose surgery can offer both cosmetic and functional improvements. Performed with precision and care, this procedure addresses unresolved issues from the initial procedure and helps restore balance to the face. Patients can receive many benefits from revision rhinoplasty:

Improved nasal symmetry
Correction of irregular contours
Restoration of proper nasal breathing
Enhanced support of the nasal structure
Refinement of tip definition and shape
Better facial harmony and profile balance
Resolution of complications from prior surgery

How Much Does Revision Rhinoplasty Cost in New York City?

The cost of revision rhinoplasty in New York City ranges from $12,000 to $25,000, depending on the complexity of the procedure and the extent of correction needed. Factors that influence pricing include the surgical technique, whether cartilage grafting is required, and the presence of complications from previous surgeries. In some cases, when breathing issues or structural problems are involved, functional rhinoplasty may be performed in conjunction with cosmetic revisions, which can also impact the overall cost.

We encourage patients to schedule a consultation with Dr. Sabry to receive personalized guidance on pricing, financing options, and cosmetic surgery choices.

Murray Hill Plastic Surgery Is a Premier Destination for Facial Plastic Surgery

Located in the heart of Manhattan, Murray Hill Plastic Surgery offers advanced facial aesthetic procedures performed with precision and care. With a reputation for excellence, our rhinoplasty surgeon, Dr. Sabry, brings years of experience and exceptional surgical skills to every case. From complex revisions to primary rhinoplasty procedures, our practice is known for achieving natural, balanced results tailored to each patient’s unique facial structure.

Frequently Asked Questions (FAQs)

How long should I wait after a previous surgery to undergo a nose job revision?

It is generally recommended to wait at least 12 months after a previous rhinoplasty surgery before considering a revision. This allows the nasal tissues to heal fully and the final results of the initial procedure to settle, providing a more precise assessment for any necessary adjustments.

Is rhinoplasty revision considered reconstructive surgery?

Yes, rhinoplasty revision can be considered reconstructive surgery because it aims to improve both the appearance and function of the nose. While it addresses cosmetic concerns, it also corrects structural issues that may affect breathing.

Will a secondary nose surgery provide natural-looking results?

A secondary surgery following a previous rhinoplasty procedure can achieve excellent and natural-looking aesthetic outcomes when performed by an experienced surgeon, such as Dr. Sabry, who understands the unique challenges of revision surgery.

Is revision rhinoplasty performed under general or local anesthesia?

Revision rhinoplasty is typically performed as an outpatient procedure under general anesthesia to ensure patient comfort and allow for precise surgical work.

How does nasal anatomy impact the outcome of a rhinoplasty revision?

Each patient’s unique nasal anatomy plays a crucial role in the success of a cosmetic rhinoplasty. Factors like cartilage strength, skin thickness, and previous surgical changes influence both the approach and the achievable results.

Is it safe to combine a rhinoplasty revision with other cosmetic plastic surgeries?

Combining a revision nose job with procedures such as neck surgery can be safe and efficient when carefully planned, allowing patients to achieve multiple aesthetic goals during a single surgical session.

Why is it crucial to choose a board-certified facial plastic surgeon?

Choosing an experienced professional like Dr. Sabry, who is a triple-board-certified surgeon, ensures specialized knowledge and skill, especially important when addressing complex cases after a first surgery to minimize risks and optimize results.