Contact Us | Location

Revision Rhinoplasty Plastic Surgery Risks and Safety

Revision Rhinoplasty Plastic Surgery Risks and Safety

Revision Rhinoplasty

shutterstock 90587710 300x224 - Revision Rhinoplasty Plastic Surgery Risks and Safety | Beverly Hills | Los AngelesRevision rhinoplasty has a higher risk of complications compared to a primary nose reshaping surgery. However, the overall risk associated with the procedure is low.

The surgical results can differ widely between surgeons, which makes it important to choose an expert surgeon who is highly qualified and has a thorough understanding of the nasal anatomy along with previous experience in such procedures.

Double board certified plastic surgeon Dr. Geoffrey R. Keyes provides revision rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding locations.

Key Risks

Some of the most significant risks that may be associated with revision rhinoplasty are as follows:

Bleeding

Rhinoplasty or revision rhinoplasty may cause damage to the blood vessels during the procedure. Therefore, bleeding is the most common risk associated with these surgeries. A majority of patients lose only a small amount of blood in the course of the surgery. Only in rare cases do patients experience major post-op blood loss.

If the patient is not suffering from a bleeding disorder, then the blood loss is not to the level that the patient would require a blood transfusion or hospitalization. The patient typically needs nasal packing for 12 to 36 hours to control any bleeding.

Even mild blood thinning meds such as baby aspirin can lead to significant bleeding. Therefore, the surgeon will advise the patient to abstain from using specific prescription and OTC medications and herbal supplements. It is essential to be cautious in the recovery phase as blowing the nose forcefully or bumping it can lead to further bleeding.

Anesthesia Response

The patient can avoid poor response to anesthesia when a well-qualified anesthesiologist administers the general anesthesia which is usually used for revision nose surgery.

General anesthesia involves intravenous drugs as well as a breathing tube that protects the airway. The patient will undergo a physical examination before the revision procedure to ensure that their overall health is ideal. Furthermore, the patient will be asked about any previous adverse responses to anesthesia that they or their family members may have faced to prevent any future anesthesia-related problems.

Nasal Blockage

At times, the patient may experience a blocked nose or feel like their nose is blocked. While reshaping the nasal contours, the surgeon may need to make changes in the septum or reduce the overall nose size.

Initially, there will be inflammation and numbness which may cause temporary breathing issues. These breathing problems usually resolve as the inflammation subsides and the patient adapts more to their new nose.

Some patients may have a nasal septum that is perforated or a nasal structure that is weakened to the point of collapse. The use of a flawless technique and correct patient selection can typically prevent such significant issues. The airway may be narrow due to the scar tissue from the primary and/or secondary nose reshaping procedures.

In rare cases, a graft may leave its position and block a part of the nasal passage. A meticulous pre-surgery exam and comprehensive surgical plan can prevent such complexities in a majority of cases. Patients must offer a detailed description of breathing issues that they are facing so that the surgeon can repair these internal irregularities completely.

Infection

The risk of infection is rare as the blood supply to the nose is fundamentally strong. The procedure can be complicated due to issues such as damage to the nasal lining, previous drug use, scarred soft tissue coverage, and the requirement for grafting.

Kind and double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and nearby areas for revision rhinoplasty.

For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA. 

Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.

Revision Rhinoplasty Plastic Surgery Recovery

Revision Rhinoplasty 

cosmetic surgery 72 300x291 - Revision Rhinoplasty Plastic Surgery Recovery | Beverly Hills | Los AngelesWhile rhinoplasty surgery can dramatically improve the appearance of the nose and the face, some patients could be dissatisfied with the outcomes of their procedure. Patients may find the aesthetic results to be undesirable or may suffer from breathing issues or other functional problems.

These patients may consider revision rhinoplasty to address the adverse effects of a previous rhinoplasty procedure.

However, revision rhinoplasty is usually more challenging to perform than the primary rhinoplasty procedure. Double board certified plastic surgeon Dr. Geoffrey R. Keyes provides revision rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding communities across the horizon.

What to Expect after the Procedure

The patient will spend some time in a recovery room after the anesthesia effects wear off. They may initially find it challenging to breathe through their nose. The surgeon will generally apply a splint outside the nose along with soft packing in the nostrils.

The patient may have a follow-up appointment with the surgeon in three to five days after the procedure where the surgeon will remove the packing.

The splint will be taken out usually a week after the procedure. The patient will have periodic follow-up consultations in the subsequent weeks and months. Further to these check-ups, the surgeon may schedule additional visits or talk to the patient over the phone to address any questions they may have regarding their recovery.

Initial Days of Recovery

It is essential to get sufficient rest during the initial 48 hours following the surgery. During this period, patients should:

  • Sleep with their heads in an upright position
  • Wear front-open clothes instead of those that go on over the head
  • Brush their teeth softly to avoid any irritation to the upper lip and nose
  • Keep their faces as motionless as possible
  • Apply ice-packs to mid-face and nose
  • Intake soft foods that still have adequate nutrients and fiber
  • Take baths instead of showers until the bandages are in place
  • Avoid blowing their noses
  • Change gauze and bandages according to the surgeon’s guidelines

First Few Weeks

Patients commonly resume work after two weeks of their surgery. But they should continually monitor the level of their activities and protect the delicate nasal tissues. Some precautions that the patient can take during this phase are as follows:

  • Avoid aggressive exercise until the surgeon instructs otherwise
  • Restrict sodium consumption to decrease post-op inflammation
  • Wear sunscreen with a minimum SPF of 30 when they step outside
  • Not wear sunglasses or glasses for a minimum of at least four weeks (patients may use chin rests for frame support, if necessary)

It is vital that patients visit the surgeon routinely for follow-up consultations. The first appointment is commonly set up a week after the procedure. During this appointment, the surgeon usually removes any sutures or nasal packing. Subsequently, the patient will visit the surgeon for routine checkups for the next many months.

Will there be Permanent Scarring?

Most forms of plastic surgery carry the possibility of scarring, which is also the case for revision rhinoplasty. Closed rhinoplasty will not cause scarring as incisions are placed inside the nostrils.

In the case of open rhinoplasty, an astute plastic surgeon will put the incisions in a discreet location to make the scarring as inconspicuous as possible.

Compassionate and double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and other cities and towns in this part of The Golden State for revision rhinoplasty.

For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA. 

Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.

Hello world!

Welcome to WordPress. This is your first post. Edit or delete it, then start writing!

Revision Rhinoplasty Plastic Surgery Procedure Steps

Revision Rhinoplasty 

cosmetic surgery 49 300x200 - Revision Rhinoplasty Plastic Surgery Procedure Steps | Beverly Hills | Los AngelesRevision rhinoplasty is often a more complex surgery to perform than the primary nose job.

It can be aesthetically and clinically difficult to restore a nose with revision nose surgery because the previous rhinoplasty may have caused changes to the nasal cartilage, and scar tissue may have replaced much of the nasal structure.

Precise Work

The nasal cartilage that remains is frequently misshaped and damaged. The surgeon must create a nasal structure through the use of cartilage grafts which is similar to the framework of a nose that has never undergone surgery.

The surgeon must perform this reconstruction precisely, and it should flow seamlessly to give the nose an appealing appearance that is well-balanced with the facial features of the patient.

Nose tissues that have been scarred or altered need to be placed in the correct position through a rearrangement of the framework of the nose. This complicated process must be performed while simultaneously addressing the already scarred skin and soft tissues.

Committed and double board certified plastic surgeon Dr. Geoffrey R. Keyes provides revision rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding communities in this section of the southwest.

Consultation

The first step in revision rhinoplasty is the pre-operative consultation. The surgeon will understand the patient’s reasons for seeking the revision procedure in terms of the nasal shape, appearance and functionality.

They will evaluate the extent of the changes that the nose has gone through during the initial rhinoplasty and understand the amount of cartilage, bone, and skin tissue that is still available for the corrective changes.

The surgeon will go over the patient’s past health and surgical records and speak with the previous surgeon or physician if necessary.

They may also order some imaging or lab tests for certain patients. Furthermore, the surgeon may show the patient before and after pictures of former rhinoplasty patients to enable them to develop realistic expectations from the procedure.

Surgical Planning

On the basis of the information gathered during the consultation process, the surgeon will devise a customized revision rhinoplasty plan to address the correction. This individualized plan is created with a focus on maintaining the natural balance of the face and ensuring that the overall facial appearance is improved with this nose reshaping procedure.

Revision rhinoplasty commonly involves the open surgery technique. The surgeon will discuss the anesthesia type and surgical venue with the patient beforehand during the consultation. They will use the old incision lines for the revision procedure as far as possible to mitigate the risk of new scarring.

Surgical Procedure

Anesthesia

The surgeon may perform revision nose surgery under local anesthesia with IV sedation or general anesthesia. An anesthesiologist or registered anesthetist nurse is usually present in the surgical facility to oversee the patient’s reaction to the anesthesia.

Surgery

The surgeon will place small incisions through which they will add, remove or modify the tissue, bone, and cartilage of the nose as detailed in the customized surgical plan. Some patients may require implants or grafting as well.

Double board certified plastic surgeon and successful Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and other suburbs and neighborhoods in this region of the country for revision rhinoplasty.

For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA. 

Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.

Revision Rhinoplasty Plastic Surgery Candidates

Revision Rhinoplasty 

17a5BbuFWuf6NQi9dUnbZo5jSSgCiI0QsWhah HnfkYw3G0LTWMLm7roHPeMkpMYB Q26OMCpqmYkGsCOJ6he4 300x287 - Revision Rhinoplasty Plastic Surgery Candidates | Beverly Hills | Los AngelesChanges in the nasal shape or internal structure through rhinoplasty can change the patient’s life for the better and improve their self-esteem and confidence.

However, sometimes due to issues such as surgeon’s lack of expertise, post-surgical complications, or a delayed healing process, the final outcomes can be undesirable.

Patients may feel dissatisfied and frustrated with the consequences of such a rhinoplasty surgery. Revision rhinoplasty, also known as “secondary rhinoplasty,” can provide improvements in the aesthetic appearance as well as correct functional issues arising out of the primary rhinoplasty.

Double board certified plastic surgeon Dr. Geoffrey R. Keyes provides revision rhinoplasty to suitable candidates in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding locations.

Candidacy

Individuals who are unhappy with the results of a previous rhinoplasty could be candidates for a revision procedure. A majority of patients who require a revision rhinoplasty procedure seek improvement in the following aspects:

  • Pinched tip
  • Folds around the nose
  • Upturned nostrils
  • Scooped out profile
  • Breathing issues

A revision rhinoplasty surgery is usually more complicated than the initial procedure because of scarring and lack of cartilage availability. This surgery is typically undertaken as an outpatient procedure under general anesthesia. The surgeon may use the old incision lines instead of placing new incisions to decrease the chances of further scarring.

Are You Pleased With How Your Nose Looks?

The primary reason that patients seek a revision rhinoplasty is undesirable outcomes from the initial nose reshaping surgery. A revision nose job can address small issues such as a minor dent or bump outside the nose or more significant ones like changes to the nasal tip.

Sometimes the outcomes are not as the patient anticipated when they met the surgeon initially, or they may have a different view of what is more appropriate for their face. Regardless of the cosmetic reasons for changing the nasal shape and size, a revision rhinoplasty can probably assist patients in accomplishing their desired results.

Does Your Nose Function Properly?

Even patients who are happy with the appearance of their noses may seek a revision nose reshaping surgery for functional problems. Several revision rhinoplasty patients find it challenging to breathe properly due to problems with their internal cartilage such as a broken or bent septum, too much cartilage, or internal collapse.

These conditions do not always obstruct the breathing entirely. At times, such problems only impact one side of the nose. Patients experiencing such challenges may snore or face issues in breathing during exercise.

Did Something Go Wrong with Your Initial Rhinoplasty?

Some patients face problems with their nose due to complications from a previous rhinoplasty. While not every patient experiences these difficulties, it is possible to develop these complications which can occur in various forms and degrees.

These problems can be anything from a mildly crooked septum to a complete collapse of the internal nose structure. The complications can also include conditions such as infection or the rejection of grafts or implants.

Double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and nearby areas for revision rhinoplasty.

For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA. 

Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.