Revision Rhinoplasty Procedure StepsOctober 20, 2017
Revision rhinoplasty procedure may become necessary in a case where the primary nose job results are unsatisfactory for the patient, or have caused a functional concern such as breathing obstruction through the nostrils.
Revision rhinoplasty is typically more challenging to perform than the primary procedure, and the patient should only choose an experienced surgeon to attain predictable outcomes.
Dr. Gary Motykie is a board certified plastic surgeon with expertise in performing revision rhinoplasty. With nearly 50 percent of his practice consisting of revision surgeries from elsewhere, Dr. Motykie is recognized for his ability to achieve the right results the first time even for complicated procedures. He provides revision rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and other suburbs and communities in this area of the country.
Pre-operative consultation is the first key step in a revision nose surgery procedure. The surgeon will carefully listen to the patient’s specific concerns regarding their nose shape and appearance, overall facial balance, and functional aspects of the nose. They will examine the changes made to the nose in the primary rhinoplasty, and assess how much bone, cartilage and skin tissue is still available for modification and correction.
The surgeon will review the patient’s previous medical and surgical records, and if necessary, may have a conversation with the previous surgeon or the primary care physician. A few imaging tests or lab tests may be ordered in some cases. The surgeon may also share revision rhinoplasty before and after images to help the patient develop realistic expectations.
Based on the information acquired during the consultation, the surgeon will create a customized revision nose surgery plan to perform the necessary corrective steps. The plan will be designed to ensure that the natural facial balance and harmony is not disrupted and overall facial balance and appearance of the face is enhanced with the nose procedure.
A revision rhinoplasty may usually involve open surgery technique. The surgeon will determine the type of anesthesia to be used and the choice of surgical venue in consultation with the patient. As far as possible, they will use the previous incisions for revision surgery in order to minimize the possibility of new scarring.
Profound and successful rhinoplasty surgeon Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for revision nose job.
Revision rhinoplasty may be performed using general anesthesia or local anesthesia with intravenous sedation. An anesthesiologist may remain present in the surgery room to monitor the patient’s response.
Through small incisions, the surgeon will remove, add or modify nasal tissue, cartilage and bone during the procedure as per the pre-determined surgical plan. Implants or grafting may be used for some patients. If only minor corrections are required as part of the revision procedure, the surgeon may apply closed surgical technique with internal incisions and no visible scarring.
Once the surgery is completed, the surgeon will carefully close the incisions with removable or absorbable sutures. Temporary drain tubes and nasal packing may be placed, which will be removed in about a week along with sutures.
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