Frequently Asked Questions - Rhinoplasty

There is a great difference in skill level and knowledge about how to perform an excellent and predictable primary rhinoplasty, and there is an even more profound difference in skill level among rhinoplasty surgeons and how they manage and are able to correct poor outcomes from previous surgeries. Flatly, many surgeons do not have the necessary expertise, as Dr. Perkins does, in rhinoplasty and revision rhinoplasty.

A failed rhinoplasty can be fixed by a skilled surgeon who has had special training in this field. Even with the best surgeons, three to ten percent of rhinoplasties need minor revisions one year or later. It’s just the nature of the variability of each individual’s healing. It may be necessary, however, to have “major” revision rhinoplasty because the first surgeon “over did” the initial rhinoplasty or failed to correct the initial deformity. Revisions, known as “secondary” rhinoplasty, are very challenging and more difficult than the first, so you need to choose someone who performs rhinoplasty on a regular basis with good outcomes and is current in their techniques. The original rhinoplasty surgeon may or may not be experienced enough to perform the required revision.

The reason, at any age, for cosmetic changes, depends somewhat on growth or maturity: age 15-16 for girls and 16-17 for boys. In terms of rhinoplasty, functional reasons or trauma is a first reason at any age. If your child or teen has a nasal injury or trauma, breathing difficulties or a badly misshapen or disproportionate nose, rhinoplasty may be the appropriate solution. I also often have teenagers who come to see me because they are bothered by their nose. This can be due to the actual shape or size, the presence of a bump or the lack of harmony with the rest of their face. Rhinoplasty can fix all of these issues. The consultation is a perfect time to discuss the goals and desires that the teenager is looking for with rhinoplasty. I use computerized imaging that will show you what the surgical result will be – even before the surgery is scheduled. It’s important for the parents and kids to have open dialogue about their concerns of having surgery.