Revision Rhinoplasty Overview
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
"Enjoy the awesome vibe from staff. They made me feel comfortable and relaxed. Highly recommend this place to family and friends!"- M.G. / Google / Jun 22, 2020
"This week I went to Cosmetic Surgery Affiliates for a consultation for breast augmentation and a full body lift. I had been researching places to go and this was the one I kept going back to after lots of reviews, both online and word of mouth, were very positive! I walked in and was immediately greeted by the receptionist who was very polite and attentive. The waiting area was gorgeous and comforting. I was taken back to the consult area by Jayme where we had a great conversation about what I had in mind, she was very open and honest with her answers to my questions and made me feel extremely comfortable. Sonia came in next to measure and take photos, I have had 4 kids and modesty isn’t usually an issue, but my poor boobs...She was so sweet, explaining everything she was doing and why. Again, I felt so comfortable. I rocked that photoshoot! Dr. Nuveen stopped in next and explained some more things about the procedures I was wanting and gave some advice on what he felt would be best, I loved that. There’s that comfortable thing again, I felt it. next up, Dr. Caplin! It’s like a literal ray of sunshine came in. She is the kindest person I think I have ever had the pleasure of meeting. She knew exactly what I wanted and assured me it would all be great! She told me a few fun facts about the facility and told me about her pups Max & Ruby who come to the office. How can I not choose this place for my procedures? My deposit for the surgery date was paid today and in a little more than a month I’ll be doing the very first thing for me and I am more than pleased with my decision to use Cosmetic Surgery Affiliates. I am so excited! Thank you so much to Jayme who has answered all of my silly questions at all hours."- M.P. / Yelp / Jun 16, 2020
"Love my results. Dr Nuveen is a miracle worker"- P. / Healthgrades / Jun 11, 2020
"Dr. NUVEEN did a fantastic job taking out HUGE breast implants (done by another doctor), lift and put in smaller implants. I couldn’t be happier with the results. He and his staff were sweet and professional. He listened to my needs and produced great results. I wouldn’t ever go anywhere else."- K. / Healthgrades / May 15, 2020
Revision Rhinoplasty Surgical Technique
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.
Revision Rhinoplasty During/After Surgery
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.
Expected Cost for Revision Rhinoplasty
Depending on the correction being made, a surgery can cost as low as $5,770, 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.