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Rhinoplasty, or a nose job, is commonly regarded as the most complex procedure that cosmetic surgeons perform. As such, they are unfortunately also the ones that most commonly go wrong. When an inexperienced or under qualified surgeon attempts a rhinoplasty, the results can be disastrous, leaving the patients with more problems than they had pre-surgery. Patients may be left with aesthetic irregularities and deformities, or even disruption to the airway that could cause significant difficulties with breathing. What’s more, having undergone this first surgery will make the additional procedures needed to correct it even more complicated than the original rhinoplasty. Scar tissue, thicker skin, and a shortage of cartilage are all complicating factors that can make the corrective surgery more difficult. For this reason, only an experienced plastic surgeon with an excellent track record should perform a revision rhinoplasty.

Revision rhinoplasty can be even more challenging than primary rhinoplasty since the support structure of the nose is often already weakened significantly, and a new surgery will have challenges in dealing with old scar tissue. These two factors are the major reasons why Dr. White’s approach to revision rhinoplasty often involves placement of cartilage grafts in the nose, which he usually obtains from the nasal septum or ear. Dr. White will review with you what your nose looked like before surgery, what the current aesthetic result is, and then how you will proceed together to achieve the nose that you wanted the first time. If you are having breathing troubles after your initial rhinoplasty, Dr. White will also address these issues and review with you some solutions.

How the Surgery Works

Whenever possible, the cosmetic surgeon will try to perform what is called a “closed rhinoplasty,” meaning that the incisions made are isolated to the inside of the nose, leaving no visible scarring. When this is not possible, an additional small incision will be made underneath the tip of the nose in an “open rhinoplasty.” For revision surgery, an open rhinoplasty may be necessary to allow for fuller access to the nose’s underlying structure. Once the incisions have been made, the skin will be lifted to reach the bones and cartilage underneath, which may then be altered, rearranged, or removed. In cases where the original, or “primary” rhinoplasty involved the removal of too much tissue, the surgeon may harvest cartilage, bone, or fascia from the nasal septum, ear, temple region, or rib to then use in the reconstruction of the nose.

Patients who are coming in for a revision rhinoplasty have already suffered the experience of undergoing cosmetic surgery only to be horribly disappointed by the results. This can happen due to mistakes made by an inexperienced surgeon, unrealistic expectations set by the doctor, poor healing or postoperative complications, or some combination of these factors. For this reason, it is of the utmost importance that the patient and surgeon have an open understanding about what kind of results can be expected. Patients going in for a revision rhinoplasty should be aware that the extent of damage done by the previous surgery may limit what can be achieved aesthetically.

Learn more about revision rhinoplasty in North Miami

Dr. White has patients from North Miami and around the world who come to him for his unique expertise in rhinoplasty, and his outstanding success and reputation for correcting nose jobs that have been badly done or that did not produce the look envisioned by the patient. Are you living with bad results of nose surgery? Talk to our team about revision rhinoplasty, please contact Dr. White and our staff to schedule a personal consultation.

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