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Rhinoplasty Revision

Rhinoplasty Revision

Who to Look For

Because of the skill and expertise required to perform nasal reconstruction, I recommend that you work with a surgeon who specializes in nasal reconstruction. In fact, your revision rhinoplasty will be more difficult to perform than the primary procedure, which explains why few surgeons  have the expertise to correct the problems

My training includes Board Certification in two surgical specialties that provide training to perform rhinoplasty.  One is Otolaryngology, or Ear, Nose and Throat and the other is Plastic Surgery.  For many years I have been teaching rhinoplasty at the UCLA and USC.

As a result, I can confidently offer my services to patients in need of this specialized care.

It’s imperative that for your second-time around, you work with a surgeon who is equally as well qualified.

While many plastic surgeons may say that they can perform your revision surgery, truly bona fide experts are uncommon. Thus your search will require a time commitment and extensive research.   Visit the Rhinoplasty Society website for surgeons specializing in nasal surgery.

To be a member of this society requires an invitation by world experts and demonstration of surgical competence and training.

Consider making appointments with a couple of doctors. During your consultation ask about their qualifications, specialized training, academic work, before and after photos, and how they would address your particular case. There are many more important factors required to evaluate the competency of the doctor, but these are a solid start.

What to Expect

A revision rhinoplasty will require your surgeon to work with scar tissue from the previous procedure. In addition, the degree to which your doctor will have to address prior problems will influence your recovery period. In general, you should expect a recovery period that will take longer the second-time around.

In most cases, swelling will subside in about six months. Although your nose should look good immediately after dressings are removed, in some instances, it can take a  a while for the swelling to go away. Furthermore, you may experience more swelling than you did during your initial rhinoplasty, and it may be asymmetrical. In other words, one side is more swollen than the other.

My patients come to me because months and years after their procedures, they’re unhappy with how their noses look and their quality of life has diminished because their noses aren’t performing correctly, or both. I’m proud to have a track record of successfully performing nasal reconstructive surgeries initially done by other doctors. A skilled and ethical plastic surgeon will be honest and clear about the benefits and drawbacks of undergoing your rhinoplasty revision.

Ideal Candidates for Rhinoplasty Surgery

smile woman - Ideal Candidates for Rhinoplasty Surgery | Beverly Hills | Los AngelesRhinoplasty (also know as a nose job) is one of the most popular cosmetic plastic surgery procedures today. By undergoing a rhinoplasty, patients can improve the appearance of their nose, and by doing so enhance the overall appearance of the face in the process. When you meet with a Los Angeles facial plastic surgeon, you can find out if the surgery is the right option for you.

Not everyone is a good candidate for rhinoplasty, of course, which is why the consultation process is so important. We'd like to take this opportunity to look at various considerations for candidacy when it comes to rhinoplasty.

General Candidacy for Rhinoplasty

Ideal candidates for rhinoplasty are people who are in generally good health and do not suffer from any sort of condition that would make facial plastic surgery a risky proposition. In addition, it's important that the patient has decided to undergo a Los Angeles rhinoplasty through his or her own volition. You should never be pressured into undergoing surgery for another person. Remember, you are in charge of making decisions regarding your own body.

Let's now look at some reasons why people would undergo rhinoplasty.

Candidates for Cosmetic Rhinoplasty

Many people who undergo rhinoplasty do so because they are not pleased with the appearance of their nose. There may be a bump or ridge on the bridge, for instance, of the prominence of the nose may not be to their liking. Whether it's aesthetic or ethnic rhinoplasty, there are plenty of legitimate cosmetic reasons for undergoing the surgery.

Candidates for Reconstructive Rhinoplasty

When the nose is broken, it can look crooked or misshapen as a result. That's where reconstructive rhinoplasty comes into play. By undergoing this corrective surgery, the appearance of the patient's nose can be restored to the way it was prior to the nose injury.

Candidates for Revision/Secondary Rhinoplasty

Sometimes surgical errors or complications during the healing process will necessitate a second rhinoplasty. This corrective rhinoplasty surgery will be able to address the issues that arose following the previous surgery and improve the overall appearance of the nose in the process.

Rhinoplasty to Address Nasal Passage/Respiratory Issues

Rhinoplasty is not just for cosmetic and reconstructive surgery. A rhinoplasty can also be performed in order to address structural problems in the nasal passages that cause various health issues, such as sleep apnea or obstructed breathing. By undergoing nasal restructuring surgery, patients will be able to breathe better and experience an improved quality of life.

Is rhinoplasty right for me?

The only way to find out if a rhinoplasty is a good idea for you is to meet with a rhinoplasty surgeon in Los Angeles for a full consultation. If you are not deemed a good candidate for rhinoplasty, there are other surgical treatments that may be helpful. These alternatives to rhinoplasty can be discussed in greater detail during your visit.

Schedule a Consultation for Rhinoplasty

For more information about rhinoplasty and how it can be of great benefit to you and your needs, be sure to contact our Los Angeles facial plastic surgery center today. We look forward to meeting you in person and helping you achieve your aesthetic goals.

Teens and Rhinoplasty

Our teenage years are one of the most challenging periods in our lives. As we transition from childhood to adulthood, suddenly our physical appearance takes center stage. Although teenage insecurities are a normal part of adolescence, if a young person’s self-esteem is adversely affected by unsatisfactory facial features, such as the shape or size of one’s nose, then rhinoplasty may provide long lasting relief. In addition, teens may seek nasal surgery to address breathing difficulties and injuries related to accidents. Los Angeles plastic surgeon Geoffrey R. Keyes, a nationally known rhinoplasty surgeon, specializes in the particular needs of adolescents.   Dr. Keyes is currently Secretary of The Rhinoplasty Society, the premier rhinoplasty educational society in the world.

When Are Teens Ready for Rhinoplasty?

This question has two parts: physical and psychological.


Physically speaking, adolescents should only seek nasal reconstructive surgery when their noses have reached their full size. The age is different for everyone, but commonly it’s 13 to 16 years old for girls and 15 to 17 years old for boys. Most boys mature later than girls, and this explains why their procedures typically take place later.

In psychological terms, teenagers must determine their reason for surgery and evaluate the pluses and minuses. For instance, if their wish to undergo surgery has to do with quality-of-life issues, such as breathing more freely or repairing damage that stems from sports injuries, he or she must consider whether the benefits of undergoing surgery outweigh the risks and inconveniences.

What Is Involved in the Decision-Making Process?

Teens and their parents should have a frank discussion about the procedure prior throughout the decision-making process. Nasal reconstruction is a serious operation. Patients and their caregivers should determine whether they can handle the recovery period, which may involve bleeding, bruising, pain, and swelling.

Dr. Geoffrey Keyes, a double board certified facial plastic surgeon, uses his unparalleled training to evaluate both the physical and emotional preparedness of the teen. The prospective patient must understand what will and will not happen. Is he or she emotionally mature enough to undergo a transformation of one of the body’s most prominent features? Has the patient separated rhinoplasty myth from reality in terms of the procedure’s outcome? For example, from an emotional perspective, the teen may expect that his or her new nose will bring endless happiness and popularity, which are unrealistic and unattainable. From a physical perspective an adolescent may initially want the nose of a celebrity, but this may not be possible, and it may not even lead to the best result.

Dr. Geoffrey Keyes considers the patient’s entire face when determining the best surgical approach. While a patient may initially want a certain nose, it’s a surgeon’s responsibility to provide recommendations that best compliment his or her patient’s overall appearance. 

The nose is one of the most memorable and pronounced features we have. It’s structure and look can significantly affect our quality of life. For these reasons, teenage rhinoplasty should only be performed under the care of a board certified plastic surgeon and with the support of caregivers who have fully assessed the procedure’s risks and benefits.