Revision Rhinoplasty - Robert Morin MD

Revision
Rhinoplasty

If you have been considering
secondary nose surgery, do not rush.
Set a time to meet with Dr. Morin
and other nose specialists to discuss
your condition and surgical options.

Written by Dr. Morin

A revision or secondary rhinoplasty corrects deformities either caused or not corrected by previous surgeries. It requires an extremely skilled board-certified plastic surgeon since there's less cartilage to work with and the fact that your nose tissue has been altered. It also requires a compassionate nose specialist who, like Dr. Robert Morin, is able to understand and sympathize with the psychological and financial difficulties of patients who are dissatisfied with their primary rhinoplasty. During your private consultation, Dr. Morin will look at the inner structures of your nose, identify and explain its current condition. He will listen to your previous experiences as well as your expectations from revision surgery. Dr. Morin will provide an honest opinion so you can visualize what's realistic to achieve and what isn't. He will not perform revision rhinoplasty if it's risky in your case, putting your safety first. Dr. Morin will discuss your expected downtime and specific pre and post-operative instructions based on the details of your case.

ADDITIONAL REVISION RHINOPLASTY INFORMATION:
Techniques in revision rhinoplasty
Why Revision Rhinoplasty
Revision Rhinoplasty Recovery

Before Treatment photo - Revision Rhinoplasty - female patient 1 Before
After Treatment photo - Revision Rhinoplasty - female patient 1 After

*Results may vary

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Why Do Patients Consider New Jersey Revision Rhinoplasty?

  • A nose, even after surgery, can still appear too large or need further refinement. The nostrils may be too wide, and the overall shape of your nose may not suit your face.
  • On the other hand, your new nose may be too refined if too much tissue was removed during the first nose job. In this case, Dr. Morin will construct a graft to recover the correct contour and projection of your nose.
  • The patient is experiencing difficulty breathing through the nose that either existed before or that resulted from the original nose job.

A revision is often considered to be more complicated than the original procedure, and thus requires a surgeon that has specific knowledge of this second, third, or fourth nose job. Dr. Morin has experience using a variety of techniques:

  • Like the original rhinoplasty surgery, a revision rhinoplasty can be performed as an open or closed procedure. Most typically, however, the open technique is used.
  • In the open technique, the incision is made on the outside of the nose. Dr. Morin then has a wider scope of visualization, so this approach is favorable when the inside structure of the nose has collapsed.
  • The closed technique is used for patients where the structure of the nose is more intact. In the closed technique, incisions are made on the inside of the nose, so scarring is more easily hidden.
  • Dr. Morin often uses cartilage grafts during revision rhinoplasty. The cartilage may be taken from your rib or ear and will be re-shaped to contour your new nose. It is a good solution for support and form, especially when reshaping the nasal tip and bridge.
  • Dr. Morin may use injectable fillers like Juvederm or Restylane for additional volume, as a temporary alternative to revision rhinoplasty surgery. These injections are occasionally helpful as they can be easily adjusted and are placed specifically by Dr. Morin in the office.

Each of these techniques can be performed alone or in conjunction with another, depending on the work you need done. As always, the main concern is that your nose fits in with the rest of your face. And because this is not the first rhinoplasty, Dr. Morin pays special attention to avoid an overdone or "fake" result where the nose looks too small and refined.

Your comfort is important to Dr. Morin, and he wants to make sure you are at ease at all stages of your revision rhinoplasty. General anesthesia will be administered by a board certified anesthesiologist.

You will be put to sleep and kept under close watch to make sure that your revision rhinoplasty is going smoothly and safely. Immediately following your revision rhinoplasty, Dr. Morin may apply a splint to cover and protect the nose. He may also need to use soft packing, depending on the specific procedures performed. If packing is placed it is typically removed within 24 hours. The splint is removed around day 7 post-procedure.

You will be unable to perform strenuous physical exercise, and should try to keep activity to a minimum. Like the original rhinoplasty, full results of a revision rhinoplasty can take a year or longer to transpire. Be patient with the process as residual swelling and bruising continue to subside.

Faster Recovery

Patients can expect to experience some swelling and bruising, which subsides usually within a week. To minimize swelling, cold packs can be applied to the nose; however it is important to use a lightweight and malleable cold pack so that pressure on the nose is avoided. It is also important to remove the ice pack frequently to avoid injury to the skin or frostbite. It is normal for a patient to report feeling congested or stuffy for several days. Generally patients can return to work and their normal schedules in approximately one week. However, Dr. Morin may recommend planning for an additional week off if the revision rhinoplasty was extensive or required multiple surgical procedures. Below are tips to quicken healing and reduce the chances of side effects:

  • Sleep with your head elevated.
  • Stay hydrated and eat a healthy, well-balanced diet.
  • Do not smoke for at least a month before and after surgery–and consider quitting for good.
  • Avoid direct sunlight to the incision for 1 year. Tanning or burning can lead to permanent discoloration.
  • Stop taking blood-thinning medications one week prior to surgery and for a surgeon-specified time post-procedure.
  • Avoid certain sports and strenuous exercise until advised the activity is safe.

After about a month, you should be well recovered, with no obvious evidence of your nose surgery. However, it may take up to a year to see your final results. If tip work was considerable, it may take longer than a year for all of the nasal tip swelling to disappear.

Techniques in Revision Rhinoplasty

A revision rhinoplasty is often considered to be more complicated than the original procedure, and thus requires a surgeon that has specific knowledge of this second, third, or fourth nose job.

Considering that revision rhinoplasty is an additional nose surgery, the goal of the procedure is to completely correct any remaining defects. Dr. Morin’s goal is that this will be the final operation and that you will be entirely satisfied, He wants you to finally feel confident showing off your nose. Dr. Morin will design your revision rhinoplasty with this goal in mind. He will alter his techniques during surgery accordingly, and will do everything he can to give you the most favorable results with the least amount of downtime.

What Are the Techniques Associated with a Revision Rhinoplasty?

A revision rhinoplasty is often considered to be more complicated than the original procedure, and thus requires a surgeon that has specific knowledge of this second, third, or fourth nose job. Dr. Morin has experience using a variety of techniques. Below is a short summary of the practices typically associated with revision rhinoplasty:

  • Like the original rhinoplasty surgery, a revision rhinoplasty can be performed as an open or closed procedure. Most typically, however, the open technique is used.
  • In the open technique, the incision is made on the outside of the nose. Dr. Morin then has a wider scope of visualization, so this approach is favorable when the inside structure of the nose has collapsed.
  • The closed technique is used for patients where the structure of the nose is more intact. In the closed technique, incisions are made on the inside of the nose, so scarring is more easily hidden.
  • Dr. Morin often uses cartilage grafts during revision rhinoplasty. The cartilage may be taken from your rib or ear and will be re-shaped to contour your new nose. It is a good solution for support and form, especially when reshaping the nasal tip and bridge.
  • Dr. Morin may use injectable fillers like Juvederm or Restylane for additional volume, as a temporary alternative to revision rhinoplasty surgery. These injections are occasionally helpful as they can be easily adjusted and are placed specifically by Dr. Morin in the office.

Each of these techniques can be performed alone or in conjunction with another, depending on the work you need done. As always, the main concern is that your nose fits in with the rest of your face. And because this is not the first rhinoplasty, Dr. Morin pays special attention to avoid an overdone or “fake” result where the nose looks too small and refined.

What to Expect Before and After Revision Rhinoplasty

Your comfort is important to Dr. Morin, and he wants to make sure you are at ease at all stages of your revision rhinoplasty. General anesthesia will be administered by a board certified anesthesiologist. You will be put to sleep and kept under close watch to make sure that your revision rhinoplasty is going smoothly and safely. After surgery, your recovery process will begin. Plan to take off one to two weeks from work and other obligations so that you can heal properly. You will be unable to perform strenuous physical exercise, and should try to keep activity to a minimum. Like the original rhinoplasty, full results of a revision rhinoplasty can take a year or longer to transpire. Be patient with the process as residual swelling and bruising continue to subside.

What Risks are Associated with Revision Rhinoplasty?

Sometimes after a primary rhinoplasty procedure, the patient may feel as though they want an enhancement of some kind. This is when patients come to Dr. Morin at his New Jersey clinic.

Revision rhinoplasty tends to be riskier than the first surgery due to a reduced amount of bone and cartilage, and Dr. Morin will determine if the procedure can be safely performed.

Common risks of revision rhinoplasty include but are not limited to the following:

  • Bleeding during surgery or afterward (this can happen due to blowing or hitting your nose by accident)
  • Swelling and numbness, potentially causing temporary difficulties in breathing
  • Infection (signs include fevers, discharge, or extreme pain)
  • Temporary loss of smell
  • Bruising
  • Negative reaction to anesthesia

Choosing a specialist in the field of plastic surgery will reduce the chances of surgical risks. Dr. Morin is a highly qualified New Jersey revision rhinoplasty surgeon and will be able to reduce the risks and complications of surgery.

Revision Rhinoplasty Consultation in Hackensack, NJ

If you have been considering secondary nose surgery, do not rush. Set a time to meet with Dr. Morin and other nose specialists to discuss your condition and surgical options. In highly skilled hands, revision rhinoplasty often leads to a beautiful nose that matches other facial features and looks very natural. Email our office or call (201) 488-3422 to schedule a private NJ revision rhinoplasty consultation with Dr. Morin.