It can be difficult for some plastic surgeons to achieve the patient's desired or best results during the first rhinoplasty (nose surgery). A revision rhinoplasty is best done by an experienced nose and facial surgery, like the cosmetic surgeons at Cosmetic Surgery Affiliates in Oklahoma City, to carefully make subtle changes to perfect the patient's results or a larger reconstruction to correct damage done during the primary rhinoplasty. In some cases, revision rhinoplasty may require two or more surgeries to harvest and graft needed bone and cartilage that repair the nasal structure. At Cosmetic Surgery Affiliates, Dr. Erik Nuveen and Dr. Courtney Caplin use their training and experience in rhinoplasty procedures to help every patient achieve their best results.
"Would give more stars if I could! Amazing group of people working here and very considerate, helpful, encouraging, and overall I had a even better experience than I could have ever expected. I'm very grateful for their opinions, timeliness, care, and most importantly my surgery outcome! Could not recommend a better plastic surgeon and staff!"- Anonymous / UCompareHealthcare / Nov 20, 2016
"I just left a consultation with Dr. Nuveen and I am blown away. These type of appointments are always very uncomfortable for me. Having to stand in front of a complete stranger in my intimates and discussing my flawed body as the main topic of conversation is quite humiliating. However, instead of getting right to the problem, Dr. Nuveen took his time to get to know me and establish a trust that he has my best interest at heart. I didn’t feel like I was at another doctors ap...pointment at all. When we reached the point of discussing my flaws, I felt like I was just asking a new friend for his opinion. But it doesn’t start or end there. His staff was also very warm and welcoming-which says a lot about the physicians of this group. I believe they can completely set the mood of their practice. The staff at this office feels comfortable enough to be themselves-warm and welcoming. I just felt very comfortable from start to finish. I am looking forward to working with this group in the near future. If you are in the market for a cosmetic surgeon, give them a visit. You will not be disappointed."- M.C. / Facebook / Aug 14, 2019
"I just got breast augmentation done by Dr Nuveen, I loved everything about CSA! very caring and listened what I said and made me feel great at be in home. Dr Nuveen was a blessing, great professional and sensitive to his profession.His entire staff are absolutely amazing!!!Don’t know what else I can say, just THANK YOU Dr Nuveen and staff."- C.C. / Google / Jul 26, 2019
"I love this place. I had breast implants (gummies) and a lift in Feb 2019. I was amazed at how fast I healed and how I barely have scars. I will be 50 in Aug so it's not like "youth" is the answer to my great healing. Dr. Nuveen has been awesome, he gives you his personal # and he DOES answer your questions and concerns. I love this place and highly recommend it."- D.C. / Yelp / Jul 24, 2019
"Dr. Caplin is really wonderful. My mother saw her at the beginning of 2018 for a lower facelift and the results, follow up and care were awesome. As it probably happens, my mother got the itch again in 2019 to have a breast lift & augmentation - so of course I said I would do it too. Dr. Caplin listened to us and the results are better than we expected. We were seen on the same day and the team at CSA remembered us from the prior year - oh we remember your mom's dancing after surgery. :) Yes, that happened. My mom had no problems after surgery and she looks amazing less than 8 weeks later! I sadly decided to slip about a week after surgery and injured the area that just had surgery but there was an immediate response directly from Dr. Caplin and her team. I am happy to report that I feel great, energy is back and I have breasts that I love for the first time in my life. (Mom reports the same)"- J.R. / Yelp / Jul 20, 2019
Full Rhinoplasty Revision
When the initial rhinoplasty results in unsightly features, it can be difficult for the plastic surgeon to revise the initial surgery. Open rhinoplasty is the ideal technique because it allows the doctor access to the nose’s supporting framework, and corrects the internal structure of the nose as originally intended. It may involve re-cutting and reattaching the cartilage or bone. It may even need skin, tissue or fat grafting to make sure the aesthetic intent is achieved. The peeled skin will be draped back, and a nose splint or packets may be provided to aid with healing.
Similarly, secondary rhinoplasty may be necessary to adjust minor issues from the initial surgery. It may be a case of slight unevenness or misshapen contours. In these cases, the first surgeon is often the one who will perform the touch up as the procedure is less complex and typically involves minor techniques, such as slight shaving of the bone, augmentation or reduction for volume issues. The results from minor revision rhinoplasty are mostly satisfying.
Depending on the condition, revision rhinoplasty may be performed with either a local anesthesia (for smaller areas) or general anesthesia (for major alterations). It is often an outpatient procedure. Just as the initial surgery, there will be bruising and swelling around the face. It is normal to feel anxious about the results of a revision surgery after the results of the original surgery. But if the surgeon is reputable and has many years of experience with rhinoplasty, the results are usually better and more natural looking.
Depending on the correction being made, a surgery can cost as low as $5,500, or can go cost more than $20,000 for the most complex deformity reconstruction. The high-end fees may include costs that come with cartilage or bone grafting and other supplementary procedures such as augmentation or reduction. The lower-end fees are normally only touch up procedures to correct minor aesthetic issues.
**Fee's that are posted are subject to change. No doctor/patient relationship is established until exam. Consent in perpetuity until canceled in writing.
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Revision Rhinoplasty FAQs
Better or Worse?
Revision procedures can be really complex since there is always the possibility of a worse outcome. It is extremely important to find a revision specialist who has years of experience with this particular treatment. It is critical for the surgeon to understand what went wrong with the initial surgery to be able to shape it into the intended surgical plan. This involves manipulating the internal structures of the nose and resetting the wrongly placed elements.
In cases when there is loss of cartilage or bone, it will be harvested from other parts of the body – the ribs for example. The grafted bone or cartilage will make up for the reconstruction of the internal framework of the nose. However, this is only likely in severe botched cases, which accounts for a small rate of rhinoplasty procedures.
Is This Normal?
Revision rhinoplasty is a common occurrence when it comes to cosmetic surgeries; especially minor touch-up procedures, which account for an average of 10% of all rhinoplasty cases. It is normal for some patients to find themselves wanting touch-up rhinoplasty in order to make necessary tweaks that can produce even greater results. Major revisions are less common because they are often a result of choosing an inexperienced plastic surgeon.