Revision Rhinoplasty

If you’ve had an initial rhinoplasty surgery that did not turn out as expected, there is hope and good news. A failed rhinoplasty can be fixed by a skilled surgeon who has had special training in this field. Even with the best surgeons, 3-10% of rhinoplasties need minor revisions one year or later after the initial surgery. This is just due to the nature of the variability of each individual patient’s healing and the pre-existing, pre-operative condition of the nose. If the first surgeon “over did” the initial rhinoplasty or failed to correct the initial deformity, it may be necessary for the patient to undergo a “major” revision rhinoplasty surgery.

Even excellent, highly-skilled rhinoplasty surgeons with a great deal of long-term experience may have small issues to resolve or correct after surgery; however, it’s a minor procedure compared to revising a nose that was operated on previously by an inexperienced surgeon who does not know current technology and may only perform a few rhinoplasty surgeries per year.

Revisions, known as “secondary” rhinoplasty, are very challenging and more difficult than the first, so you need to choose a board certified facial plastic surgeon who performs rhinoplasty on a regular basis with good outcomes and who is current in their techniques. The original rhinoplasty surgeon may or may not be experienced enough to perform the required revision. That surgeon may not know why what they did in the initial surgery did not work well and may have ended up with an unnatural appearing nose that is causing breathing problems.

Typically, the second surgery takes longer, is more work and is more expensive. It also usually takes somewhat longer to appreciate the result. People who are unhappy with their initial result must be patient and allow time for the healing process to complete before undergoing a revision rhinoplasty. This typically takes about one year. This is due to the inherent nature of the tissue healing and time for swelling to resolve.

Dr. Perkins has 29 years of experience and performs a large number of revision rhinoplasty surgeries every year. He is often called upon to perform these surgeries by patients and their referring rhinoplasty surgeons who are not as experienced as he is in correcting initial rhinoplasty problems. And, from the East Coast to Los Angeles and all over Europe, to Turkey, Latin America and more, Dr. Perkins teaches his cutting-edge revision rhinoplasty techniques to other rhinoplasty surgeons. He does this via continual invitations by the American Academy of Facial Plastic and Reconstructive Surgery, the American Society for Aesthetic Plastic Surgery, the European Academy of Facial Plastic Surgery and the International Facial Plastic Surgery Fellowship.

Remember that in order to avoid the need for an expensive revision, it’s very important not to “price shop” for a “bargain” on your first rhinoplasty. Be sure that you take time to choose a facial plastic surgeon that is board certified by the American Board of Facial Plastic and Reconstructive Surgery and performs this surgery successfully on a very regular basis.