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Revision Rhinoplasty NYC

Why Revision Rhinoplasty?

Although cosmetic nose surgery, or rhinoplasty, is one of the most common plastic surgeries performed in the United States, it is also one of the most challenging operations to accomplish with finesse. Reshaping the nose requires both technical command and a high level of artistry.

Because a rhinoplasty procedure involves the manipulation, removal, and sculpting of both bone and cartilage, a cosmetic surgeon must be precise in judging the amount of work to be done. Unfortunately, if a surgeon slightly under- or overestimates the quantity of bone and cartilage to remove, it can lead to a variety of undesirable outcomes and complications. If too much tissue is subtracted, the nose will lose structure; if too little is removed, the rhinoplasty may not address the initial aesthetic concern. Also, healing irregularities, which can be difficult to predict, may influence the ultimate result.

Revision, or secondary, rhinoplasty is a follow-up nose surgery intended to correct the shortcomings of a prior rhinoplasty procedure. Dr. Westreich offers among the best revision rhinoplasty NYC can lay claim to, and he can often produce a significant improvement to your nose, both in form and function.

Revision Rhinoplasty New York City

Are you a candidate for revision rhinoplasty?

For those who have chosen to have a rhinoplasty procedure, a cosmetic surgery that can alter the shape, size, and appearance of the nose, the changes are often pleasingly dramatic. If done well, a smoothing out of that bothersome bump or a subtle adjustment to the nose’s contour can drastically change self-perception for the better.

However, not all nose surgeries end in success stories. Unfortunately, on average, about ten percent of individuals who have undergone a rhinoplasty suffer from poor results or complications following the operation. When this occurs, a corrective surgical procedure, called a revision rhinoplasty, may be recommended to address aesthetic, functional and/or medical concerns. New York double board-certified facial plastic surgeon Dr. Richard Westreich suggests you consider NYC revision rhinoplasty if you have or are experiencing one or more of the following symptoms:

  • Restricted breathing, nasal obstruction or a functional problem following your initial rhinoplasty
  • An injury to the nose sustained during the surgical recovery period
  • Dissatisfaction with the final appearance of your nose after it has healed
  • Problems with the nasal tip, such as contour asymmetry, alar collapse, over or under projection or tip deviation
  • Irregularities in the bridge and central nose due to the removal of too much bone or cartilage or, conversely, the failure to remove enough of either.
  • Uncorrected problems, such as a persistent bump that was not adequately improved
  • Unnatural-looking results that create an aesthetic imbalance.

For those seeking an aesthetic improvement after a primary rhinoplasty procedure, it is also important to remember that the nose will continue to change as it heals. It can take months for the nose to completely settle into its new form, thus a revision nose surgery should not be scheduled before the nose has thoroughly healed – usually 12-18 months post-procedure.

Ideal candidates for a revision nose job are looking to improve the results of a previous rhinoplasty surgery and have realistic expectations of what the procedure can accomplish. In the case of revision rhinoplasty, it is necessary to build a good rapport with the right surgeon to ensure that your goals can be met. Dr. Westreich recognizes the importance of communication with the patient, and understands the delicacy of the procedure.

NYC Revision Rhinoplasty

Because a precise assessment of the problem or nasal deformity is necessary, revision rhinoplasty is an extremely difficult procedure to perform. In his NYC practice, Dr. Westreich focuses solely on aesthetic facial and reconstructive surgery, making him highly experienced in rhinoplasty procedures. Dr. Westreich has the expertise to identify correctable defects, as well as has the surgical skill to fix them. As a rhinoplasty specialist, Dr. Westreich has pioneered new methods to use in nose job surgeries. Dr. Westreich will occasionally opt to use dermal fillers such as Juvederm®, Radiesse® or Restylane® to correct minor irregularities in a previously performed rhinoplasty. Sometimes this is used as the primary treatment, while other times, it is used to show the patient how a result will appear after surgery.

His Foundation Rhinoplasty™ is an innovative closed surgical technique – meaning the incisions are made inside the nose – that can correct nasal deviations associated with breathing obstruction without dramatically altering the size and shape of the nose. He has given numerous lectures and courses on Rhinoplasty and currently serves on the review board of the American Journal of Rhinology. He frequently publishes articles, making him well informed about the current trends and the latest advancements in the field of nose surgery.

If you are in NYC and are not content with the outcome of your primary rhinoplasty procedure, contact us at our New York office for a consultation. Dr. Westreich can review your case and determine if you are an ideal candidate for revision rhinoplasty.

Recovering After a Revision Rhinoplasty

As with a primary Rhinoplasty, secondary surgery carries some risks, but patients generally do not experience serious complications. Swelling and bruising is normal, which can last for a few weeks. The overall recovery may be longer in revision surgery, as the tissues have now been manipulated twice. Also, if the grafting of tissue was involved, which is often the case, it may take some additional time for the shape to settle in. Dr. Westreich will advise on the best way to manage your recovery after your secondary rhinoplasty.

Revision Rhinoplasty NYC

Revision Rhinoplasty Consultation with Dr. Westreich, NYC

As a facial plastic surgeon experienced in rhinoplasty, Dr. Westreich regularly performs revision rhinoplasty on patients that have had a previous nasal operation and are not satisfied with the outcome. During your consultation, Dr. Westreich will review the best options for your individual case to achieve a more refined nasal shape based on your personal specifications. When coming to see Dr. Westreich for a revision rhinoplasty consultation, it is suggested that you bring documentation (operative reports or before-after photos) from your previous surgery for his reference.

Revision Rhinoplasty FAQs

What is revision rhinoplasty?

Revision rhinoplasty, or a revision nose job, is a surgery performed to correct problems resulting from a previous rhinoplasty procedure. Dr. Richard Westreich, a facial plastic surgeon specializes in revision rhinoplasty at his Manhattan office in NYC.


What problems do revision rhinoplasty address?

Individuals may choose to undergo a revision rhinoplasty to modify an aesthetic concern or to correct a functional problem. In some cases, an individual may want to address both the appearance of the nose and a structural issue. An individual may be dissatisfied with the aesthetic outcome of the primary surgery for a variety of reasons, such as asymmetry or abnormal scarring. Functional problems can include the impediment of proper breathing, possibly resulting from the removal of too much cartilage in the first surgery.


What happens during the rhinoplasty surgery?

After the general anesthesia is administered, Dr. Westreich will make incisions in the nose so that he can reshape and restructure the bone and cartilage. Once he has completed the corrective reshaping, Dr. Westreich will close the incisions with sutures and place a splint outside the nose. A revision rhinoplasty generally takes about 3 hours to perform. However, the procedure time may vary, depending on the nature and complexity of the problem that Dr. Westreich is correcting.


Where are the incisions made and will there be scarring?

The two techniques that are used for revision rhinoplasty are referred to as “closed” and “open” rhinoplasty. In closed rhinoplasty, incisions are confined to the inside of the nose, resulting in no visible scarring. In an open rhinoplasty procedure, an additional small incision is made under the tip of the nose, which will leave a very fine, light scar that is typically very hard to detect, even if you know it is there.


What is the recovery period following a revision rhinoplasty?

Performed as outpatient procedure, revision rhinoplasty does not require a hospital stay. Patients should arrange for somebody to accompany them home. In addition, it is highly recommended to make plans for somebody to stay with them for the first 24 hours following the procedure. Patients can expect some minor bruising and swelling for a few days following the surgery. Generally speaking, revision rhinoplasty tends to cause minimal post surgical discomfort, which can be alleviated with prescription medication. Within a week, the dressings and splints can be removed.


What are the risks associated with revision rhinoplasty?

As with all surgical procedures, there are some risks and complications associated with revision rhinoplasty, which can include problems with the anesthesia, bleeding, scarring, and prolonged swelling. Before proceeding with surgery, Dr. Westreich will thoroughly review the possible complications.


How much does revision rhinoplasty cost?

The cost of a revision nose surgery will depend on the problem and the extent of the surgery. If the revision rhinoplasty involves a functional correction, insurance may pay for a portion of the procedure.

If you are in NY and considering revision rhinoplasty, please contact us at our Upper East Side practice where New York double board-certified facial plastic surgeon Dr. Richard Westreich will evaluate your case and recommend the best option for your revision rhinoplasty procedure.


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