Revision rhinoplasty refers to nose surgery on a nose that has previously been operated on. Since rhinoplasty is a complicated and difficult surgery, even the most gifted plastic surgeons don’t always get it right the first time. Revision rhinoplasty itself is even more difficult because of scar tissue and structural changes from prior surgery. Revision rhinoplasty takes longer, and is more expensive. After initial (primary) rhinoplasty surgery, patients may be unhappy with the appearance of the nose or have difficulty breathing, or both.
After proper and thorough evaluation, Dr. Mirmanesh will attempt to restore natural anatomy by reducing or increasing your nose’s size, changing the shape of the tip, correcting asymmetry, narrowing the nostrils’ width, removing a residual bump, or changing the angle or distance between the nose and the upper lip.
In the majority of cases, Dr. Mirmanesh, uses the open revision rhinoplasty technique, in which the procedure is performed through a small incision made across the small strip of tissue between the nostrils. This approach allows Dr. Mirmanesh to fully appreciate what was done during the previous surgeries in order to execute a corrective operative plan.
Dr. Mirmanesh will need to assess how much cartilage remains in your septum from your prior surgeries. If sufficient septal cartilage is no longer available, then he may need to use cartilage from behind your ear or from a portion of your rib to properly rebuild your nose.