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
"Dr. Caplin did an amazing job on my procedure. She answer all of my concern question. Check up on me after the procedure. I would definitely come back to her again. Her staff was very sweet and nice. They all had great positive vibes."- Y.V. / Google / Mar 12, 2020
"I had a breast augmentation 2 days ago..Everyone was super nice from start to finish..very responsive when I have any questions for the nurse or dr himself!! I live 5 hours away from CSA and they were just amazing throughout this whole process. Never felt uncomfortable..and I’m a pretty modest person!"- K.N. / Google / Mar 12, 2020
"perfect. Had the priviledge of using Dr. Nuvern twice now both times I've been more than happy with the outcome as well as him and his staff. Very good people, very comfy, very professional."- S. / Healthgrades / Feb 27, 2020
"Dr. Nuveen is the best surgeon I've had the priviledge of using. He is so knowledgeable, has the best bedside manner and goes above and beyond for his patient . I highly recommend Dr. Nuveen and his staff."- S.J. / Google / Feb 26, 2020
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 $5,770, 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.