Revision rhinoplasty is a specialized type of surgery done to correct problems persisting after or because of prior rhinoplasty. After a primary rhinoplasty, a significant number of patients will require revision work to correct problems arising from that initial operation or to further optimize the aesthetics.
Revision rhinoplasty is unquestionably the most challenging of all facial plastic operations and it is not uncommon for patients to consult with Dr. Frankel after they have had multiple prior nasal surgeries.
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The surgery is performed at the Lasky Clinic Surgical Center under twilight anesthesia. Procedures can vary widely depending on patient goals and how much scar tissue and distortion of the underlying anatomy is present. Revision rhinoplasty cases often require grafting cartilage to reestablish structure and to replace cartilage that has previously been removed or weakened.
Both open and closed approaches are utilized, depending on the situation and the patient’s anatomy, and will be discussed with Dr. Frankel before surgery.
Consultation and Planning
Dr. Frankel understands what a big step it is to undergo a revision rhinoplasty and he does his best to set expectations and to inform his patients of his detailed plan. He invests the time to learn a complete history, review prior operative reports, evaluate the inside and outside of the nose, and take digital images.
Dr. Frankel will discuss the cosmetic and functional expectations of your rhinoplasty in detail to ensure all your questions are answered. Pre-operative computer imaging, or “photo-morphing,” is performed with all rhinoplasty patients before surgery, so they may have an active role in determining the desired outcome.
DR. FRANKEL’S NOTES
“Revision rhinoplasty is a very unique reconstructive surgery and few plastic surgeons have the discipline, skill, training and passion required for a practice involving a constant flow of complicated revision rhinoplasty cases.
I pride myself on doing these types of cases, and I feel a great sense of satisfaction when I successfully restore someone’s nose after that person has suffered a devastating prior experience. Many of these patients have lost faith in surgeons and are very weary of undergoing another operation when the prior operations have failed. I am flattered that they put their faith in me and take that responsibility very seriously.”
Dr Frankel has a website where you can learn more about Rhinoplasty and the different types of procedures that are available.
– Andrew Frankel, M.D.
Revision Rhinoplasty Before and After
*Each patient is unique and individual results may vary.
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Preparation & Expectations
Our office will provide a comprehensive plan for how to prepare for surgery and a list of and vitamins, herbs or medications to avoid in the days and weeks before the procedure.
You will also need to stop smoking before and after surgery as it inhibits healing.
Length of surgery
Revision rhinoplasties are extremely variable and can take from one hour to six hours to perform. Dr. Frankel will discuss this with you at your initial consultation.
While everyone heals differently, patients are typically able to return to work eight days after their revision rhinoplasty procedure.
Light cardio exercises may begin after seven days and a return to full exercises including weight training, yoga, and pilates at three weeks. Any activities which may bump or jar the nose or risk sunburn to the nose should be avoided for eight weeks.
Following surgery, a splint will be placed on the nose, both for protection and to help it maintain its new shape. The stitches are usually removed within about six to seven days after surgery.
The nose will be moderately swollen and stuffy for several weeks, and the remainder of the swelling will gradually resolve over the course of the next six to eighteen months.
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