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Revision Rhinoplasty

in Phoenix, AZ

While rhinoplasties are among the most popular cosmetic surgery options, an unfortunate number of patients do not achieve the results they are looking for. Whether unexpected complications have occurred or an inexperienced surgeon performed the procedure, patients may be left with poor cosmetic results or even difficulty breathing due to structural issues. When this occurs, patients can turn to Dr. Christian Paquet for a revision rhinoplasty.

What is a Revision Rhinoplasty?

A revision rhinoplasty is any secondary or subsequent rhinoplasty performed to improve results or correct issues that arise from a poorly performed initial rhinoplasty. When seeking a revision rhinoplasty, it is important to choose a skilled, experienced, and qualified plastic surgeon. This is because the procedure is much more complex than an initial rhinoplasty, as additional scar tissue is present and blood supply may be compromised from the first surgery.

Who is a Candidate for Revision Rhinoplasty?

Many patients who are unsatisfied with the results of their first rhinoplasty or who face complications from their results are candidates for a revision procedure. During a consultation, Dr. Paquet will examine your nose to determine what is to blame for your poor results and develop a plan for a revision procedure. He will also ask questions about your health history and your expectations for the procedure. Keep in mind that your potential results may be limited depending on the state of the tissues within your nose and challenges that may arise due to your initial surgery. 

Real Patient Results


The Revision Rhinoplasty Procedure 

Most revision rhinoplasties are performed using an open rhinoplasty approach, meaning that incisions are made in the columella, or small section of tissue which separates the nostrils. Through this incision, the tissues of the nose can be adjusted as needed. In some cases, cartilage grafts may be necessary to restore the nasal structure, correct a deviated septum, or repair a septal perforation. Cartilage grafts may be taken from another area of the nose or from elsewhere in the body, typically the ear or rib.  Often times cadaveric rib cartilage grafts may be used as well.

Revision rhinoplasties are usually performed under general anesthesia as an outpatient procedure. 


“I could not be happier with my rhinoplasty experience with Dr. Paquet! He is incredible and definitely knows what he’s doing. My recovery was easier than I could’ve imagined and my results have exceeded my expectations. Several of my own clients and friends have scheduled consultations with him after seeing my results.”


Recovery After Revision Rhinoplasty 

Recovery after a revision rhinoplasty is typically similar to the initial surgery. Patients will notice swelling, bruising, and redness and may experience some discomfort. As the surgery is performed on an outpatient basis, patients may return home with a trusted friend or family member to drive them and care for them in the early stages of recovery. Dr. Paquet can prescribe pain medication to maintain comfort. Keeping the head elevated and using cold compresses can help alleviate swelling. Most patients are ready to return to non-strenuous routines, such as work or school, after about one to two weeks after their revision rhinoplasty. Some residual swelling may persist for up to a year after the surgery. 

Revision Rhinoplasty FAQs

Can my sinus problems be taken care of at the same time as my revision rhinoplasty?

Yes, it makes sense to take care of the entire nose during one surgery. If you are interested in combining revision rhinoplasty with a septoplasty or other sinus procedures, speak with Dr. Paquet during your consultation appointment.

How long will my surgery take?

The length of surgery will vary depending on the extent of the issues being addressed. Surgery can take anywhere from 30 minutes to six hours.

How many times can you have revision rhinoplasty?

There is no limit to how many revision surgeries can be performed. However, each procedure will come with its own set of challenges and risks. It is best to speak with Dr. Paquet regarding these risks prior to any procedure.

How risky is revision rhinoplasty?

Just like the initial rhinoplasty procedure has its own risks, so does a revision rhinoplasty. To reduce the chance for complications, be sure to seek out a board-certified facial plastic surgeon such as Dr. Paquet.

Should I go to the same doctor for my revision rhinoplasty?

If the surgeon who performed the original procedure has extensive experience and you share the same expectations, you could have them perform your revision rhinoplasty. However, if you have different expectations or you are not happy with their work, you can seek out another surgeon to perform revision surgery.

Who is the best candidate for a revision rhinoplasty?

The best candidate for a revision rhinoplasty is someone who is in good physical and emotional health and has realistic expectations and goals for surgery. Patients are typically unhappy with their functional or cosmetic outcomes from a prior nasal surgery and desire correction. Given the complexity and difficulty of revision rhinoplasty, realistic goals must be set prior to undergoing surgery and will be discussed in the office with Dr. Paquet during your consultation.

How long do I need to wait after my last rhinoplasty for a revision?

It is generally recommended that patients wait at least one year after their last operation prior to undergoing a revision surgery. This is due to continued wound healing and contraction that would otherwise further complicate revision surgery.

What should I expect with regards to recovery?

All patients are functional very soon after surgery and are ready for social undertakings within approximately 10 days. Patients will have tape and a splint on the bridge of their nose and a few sutures for 1 week after surgery. There is no packing inside of the nose! Everything is removed after 1 week, at which point, other than some continued swelling and mild bruising, patients can typically resume social endeavors. Light activity (walking, low-resistance bike/elliptical) is encouraged after 1 week, and full activity and exercise may be resumed after 3 weeks.

Is revision rhinoplasty more expensive?

Yes, revision rhinoplasty is generally more expensive than primary rhinoplasty. Revision rhinoplasty often involves correcting issues from previous surgery, such as scar tissue, structural weaknesses, or asymmetry, which can require more time, expertise, and specialized techniques.

Will I need a second nose job?

Whether you will need a second nose job or revision rhinoplasty depends on several factors, including the outcome of your initial surgery and your satisfaction with the results. Some individuals may require a revision due to functional issues, such as breathing difficulties, or aesthetic concerns, like asymmetry or dissatisfaction with the shape.

What is the best age for rhinoplasty?

The best age for rhinoplasty is typically after the nasal structures have fully developed, which is around 15-17 years old for girls and 17-19 years old for boys. However, rhinoplasty can be successfully performed on adults of any age, provided they are in good health.

Who should avoid revision rhinoplasty?

Patients who have not allowed sufficient time for healing from their primary rhinoplasty, typically 12-18 months, should also wait before considering a revision. Additionally, those with underlying health conditions that pose significant surgical risks or those who have poor overall health might not be suitable candidates.

Can revision rhinoplasty help change the aesthetics of my nose?

Yes, revision rhinoplasty can significantly alter the aesthetics of your nose, addressing issues such as asymmetry, irregularities, or dissatisfaction with the shape or size resulting from the primary surgery. The goal of revision rhinoplasty is to improve both the appearance and function of the nose, providing a more balanced and harmonious look that meets the patient's expectations.

Ready to take the first step?

Contact us today if you are ready to take the first step or have any questions! Schedule a consultation with Dr. Paquet by contacting us online or by calling us directly at 602-726-6310.


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