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Rhinoplasty is a complex procedure, and if not performed by a specialist, it can lead to unfavorable results. If you have previously undergone rhinoplasty with subpar results, a revision rhinoplasty may be for you. While this can be daunting, it is important to choose a skilled facial plastic surgeon with experience that is unmatched.

Dr. Rana is a facial plastic surgery expert who has performed over hundreds of nasal procedures and will take the time to understand your concerns and give you a detailed understanding of your surgical options.

What is Revision Rhinoplasty?

A poorly-performed or failed rhinoplasty may make it necessary to undergo revision surgery. Some patients experience nose structure collapse within a few years of surgery or feel that too much or too little was corrected or were left with a non-optimal outcome

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Benefits of a Revision Rhinoplasty

A revision rhinoplasty procedure offers patients many potential benefits, which include improved appearance and function of the nose along with improved self esteem. Patients can expect to receive subtle or dramatic aesthetic improvements to the nose depending on the prior surgery. Dr. Rana will evaluate what components (bone, cartilage, or soft tissue) are contributing to the undesired appearance and attempt to resculpt these elements.

Because it is so versatile, the procedure offers custom results that can maintain a very natural facial appearance. Surgery with a talented surgeon will ensure that the focus of your face will no longer remain on your nose and become what its true role should be, an accent piece. 

Aside from the aesthetic benefits of a revision rhinoplasty, the procedure often provides psychological benefits as well. It can help patients gain confidence and self-esteem, feeling more open and comfortable in social situations and in photographs.

Rhinoplasty with Dr. Rana

This rhinoplasty procedure is an outpatient procedure, meaning that patients can go home shortly after the procedure is complete. Typically, the procedure is completed under general anesthesia, as the procedure is fairly in-depth.

During the surgery, Dr. Rana will make small incisions either inside the nostrils or on the columella (the strip of skin separating the nostrils). The approach used will depend on the goals of the procedure.

Once the incisions have been made, Dr. Rana can then fine tune and sculpt the underlying bone and cartilage that provide shape and structure to the nose. It is not uncommon to use cartilage grafts to re-shape the nose. This is typically taken from the extra cartilage (nasal septum) that already exists. The bones of the nose may be filed or reset to give adequate balance from the base of the nose to the tip. During this process, Dr. Rana will ensure that the functional structure of the nose remains solid. Once these changes have been made, the incisions are closed and the procedure is complete.

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Recovery after Revision Rhinoplasty

After rhinoplasty, patients can expect to spend about 7-10 days in recovery before returning to work. Swelling, bruising, and some discomfort can be expected, but ice and prescribed medication can make the recovery period fairly easy. Patients will have the dressings removed about 5 days post-operation. For several weeks after the procedure, strenuous activity, bending, and lifting should be avoided. Though the swelling will subside quite a bit in the first month, the residual swelling will continue for up to 6-12 months.

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FAQ

What kinds of cosmetic concerns can rhinoplasty address?

Primary rhinoplasty is an extremely versatile procedure that can address a wide range of aesthetic issues. We tailor each procedure to help each patient reach his or her individual goals. Dr. Rana routinely performs rhinoplasties in Mckinney, TX to correct cosmetic concerns such as:

  • Droopy tip
  • Saddle nose
  • Over-Projected Nose
  • Deviated Septum
  • Turned Up Nose
  • African American nose
  • Revision Rhinoplasty
  • Wide Nose
  • Bulbous Tip
  • Twisted Nose
  • Ethnic Nose

Can teenagers get rhinoplasty?

The nose is slow to mature. Maturity typically occurs around age 15-16 in girls and 16-17 in boys. Sometimes teens do get rhinoplasty surgery with parental permission, but it is important to wait until the nose has matured. If performed before this point, the nose could become distorted due to the natural changes caused by the growth process.

What can be done if the rhinoplasty results don’t turn out as expected?

Sometimes, rhinoplasty patients are disappointed by their results. This is sometimes legitimate, due to complications or other issues, but it can also be due to unrealistic expectations or just simply needing time to adjust to the new look. Revision rhinoplasty can be performed after 12 months if the results are still not satisfactory, but this procedure is even more difficult than primary rhinoplasty and should not be taken lightly.

Does the nose have to be broken during rhinoplasty surgery?

Many patients are worried that their nose will have to be broken during rhinoplasty. In reality, this process is nothing like an accidental break—the bones are instead cut and re-set for optimal positioning, function, and aesthetics. This process is quite common and shouldn’t cause any additional recovery time or discomfort.

Will I need to have my nose packed after rhinoplasty surgery?

These days, most surgeons have done away with nasal packing for rhinoplasty since it’s not needed anymore. Modern nasal surgery is safer and more comfortable than ever!

Where does the cartilage grafts for rhinoplasty come from?

In most cases, the cartilage will be taken from the nasal septum and shaped for use during rhinoplasty. However, if there is an insufficient quantity of cartilage in the septum, cartilage from the ear or rib may be used instead.

Will there be any scarring after rhinoplasty?

Depending on the technique used, external incisions are sometimes not needed, and scarring is not visible. Even when the incision is made externally, such as on the columella, the scar typically fades very well and is nearly undetectable.

What should I look for in a surgeon for rhinoplasty surgery?

Only an expert facial plastic surgeon should perform cosmetic rhinoplasty procedures. It is an extremely complex surgery requiring a great deal of artistry, skill, and expertise. It’s not something you want to take chances on. Choose your plastic surgeon carefully, as they will be the biggest factor in the success of your procedure.

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