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How to Choose The Best Revision Rhinoplasty Plastic Surgeon

How to Choose The Best Revision Rhinoplasty Plastic Surgeon

Revision rhinoplasty is often a more complicated procedure than the primary nose surgery. It is vital to get the procedure right duringchemical peel stock 7 - How to Choose The Best Revision Rhinoplasty Plastic Surgeon | Beverly Hills | Los Angeles revision surgery because it is anyway a corrective surgery over the previous one. Patients should select the best surgeon for their revision rhinoplasty needs.

Astute 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 area of SoCal.

Professional Credentials

The judicious Dr. Geoffrey R. Keyes has double board certifications from The American Board of Plastic Surgery as well as The American Board of Otolaryngology-Head and Neck Surgery.

Both these surgical specialty bodies provide training in cosmetic surgery procedures. Dr. Keyes is a respected rhinoplasty surgeon in Los Angeles who has published and lectured nationally and internationally on the most advanced plastic surgery techniques.  

He has been a Vice President of the International Rhinoplasty Society, and presently serves as the President of this prestigious agency. The rhinoplasty society is an eminent society for rhinoplasty renowned across the world. The society only offers membership by invitation.

The cordial Dr. Keyes has appeared on Good Morning America, Dateline, CNN, UPN LA, Fox News and Montel Williams to discuss various facets of plastic surgery. He has been mentioned in the Wall Street Journal, New Beauty Magazine, Time Magazine, and numerous other high-authority national publications.  

The dedicated Dr. Keyes operates with a team of highly qualified and board certified anesthesiologists and registered nurses to offer his patients the best standards and care in rhinoplasty procedures.

Why Choose a Board Certified Plastic Surgeon?

When the patient selects a board certified plastic surgeon for a procedure such as revision rhinoplasty, the patient has an automatic assurance that the surgeon has undergone a specific number of years of training specifically in the field of plastic surgery.

Plastic surgeons who are certified by the board usually invest in the best quality standards and practices, adopt state-of-the-art surgical techniques and technology, pursue on-going education, and follow the most recent safety protocols provide their patients with excellent outcomes.

Qualities of a Good Revision Rhinoplasty Surgeon

Patients should seek the following qualities when selecting a revision rhinoplasty surgeon:

Desirable Qualities

  • Warm and compassionate, transparent, easy to communicate with
  • Inclined to inform the patient on all facets of the surgery
  • Passionate about making a positive difference in patients’ lives through rhinoplasty
  • Providing individualized care and attention to each patient
  • Ability to understand the inherent cosmetic needs, objectives, aspirations, and hopes of the patient
  • Possesses detailed knowledge of the nasal and facial anatomy
  • Has an artistic point-of-view with an eye for detail and a sense of balance and proportion
  • Utilizes advanced techniques to offer desirable results in a minimally invasive manner with the least amount of scarring possible.

A rhinoplasty surgeon may like to present before and after images of past patients who have undergone nose surgery. They may also furnish testimonials from previous patients as necessary.

Emphasis on Individualization and Innovation

Every person has a unique nasal structure. The best outcomes in a primary or revision rhinoplasty can be accomplished when the plastic surgeon customizes the procedure depending on the particular structural and cosmetic needs of the patient.

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

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 may involve a recovery period of a few weeks. During this period, patients should take special care to ensure proper cosmetic surgery 49 300x200 - Revision Rhinoplasty Plastic Surgery Recovery | Beverly Hills | Los Angeleshealing and desirable aesthetic outcomes.

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

The Initial Few Days

The patient should get plenty of rest during the initial 48 hours post-surgery. Specifically, patients should:

  • Sleep with their heads in an upright position
  • Wear clothing that buttons in the front instead of going over the head
  • Use the toothbrush gently to avoid irritation of the nose and upper lip
  • Restrict facial movement as much as possible
  • Apply cold compresses to the mid-face and nose
  • Consume soft foods that still have adequate amounts of nutrients and fiber
  • Avoid showers and take baths until the bandages are taken off
  • Avoid blowing the noses
  • Change the gauze and bandage as directed by the surgeon

First Few Weeks

Patients can usually return to work within two weeks after their procedure. But they must still monitor their activity level and protect the tender tissues of the nose. The patient should undertake the following in the first several weeks after the surgery:

  • Avoid aggressive exercise until the surgeon instructs otherwise
  • Limit the intake of sodium to decrease post-operative inflammation
  • Wear sunscreen with a minimum SPF of 30 whenever stepping outside in the day
  • Not wear sunglasses or glasses for a minimum of four weeks, and use chin rests for frame support, if necessary

It is vital for patients to visit the surgeon for scheduled follow-up appointments after the revision rhinoplasty. The first post-op appointment usually takes place a week after the procedure.

During this appointment, the surgeon usually removed the sutures and nasal packing. Subsequently, the patient will have periodic follow-up appointments for the next few months.

Temporary Side Effects

Long-term complications are rare in revision rhinoplasty. However, the procedure can have some temporary side effects such as:

  • Bruising: Bruising usually occurs around the eyes and resolves within ten days of the procedure.
  • Discomfort: The patient may feel soreness and irritation, especially in the sites where the surgeon has reshaped the nose or eliminated tissue for a bone graft. In a majority of the cases, OTC pain meds can help manage the discomfort.
  • Inflammation: The most visible inflammation typically resolves after some weeks. But it may take between six months to one year for the swelling to dissipate entirely.
  • Anesthesia Side Effects: Certain patients may feel nauseous under the effect of anesthesia. However, this feeling usually subsides as the anesthetic wears off.
  • Sinusitis: Some patients may experience swelling of the sinus passages combined with temporary alteration in the voice as well as the excess production of mucus.
  • Nosebleeds: The presence of some blood discharge for up to 72 hours following the rhinoplasty is normal. While spontaneous nosebleeds after this duration are not usually serious, patients should contact their surgeons if this happens.

Will there be Permanent Scarring?

Like any surgical procedure, there are chances of scarring after a revision rhinoplasty as well. If the closed rhinoplasty technique is used, the surgeon will place all incisions within the nostrils. Therefore, there will not be any noticeable scarring.

In case of an open rhinoplasty, an incision will also be placed across the columella. This may leave behind a tiny scar. But the location of the incision is usually discreet which makes the scar inconspicuous.

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

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.

What is the Recovery Time After Revision Rhinoplasty (Nose) Plastic Surgery?

Revision rhinoplasty may involve a recovery period of a few weeks. During this period, patients should take special care to ensure proper cosmetic surgery 49 300x200 - What is the Recovery Time After Revision Rhinoplasty (Nose) Plastic Surgery? | Beverly Hills | Los Angeleshealing and desirable aesthetic outcomes.

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

The Initial Few Days

The patient should get plenty of rest during the initial 48 hours post-surgery. Specifically, patients should:

  • Sleep with their heads in an upright position
  • Wear clothing that buttons in the front instead of going over the head
  • Use the toothbrush gently to avoid irritation of the nose and upper lip
  • Restrict facial movement as much as possible
  • Apply cold compresses to the mid-face and nose
  • Consume soft foods that still have adequate amounts of nutrients and fiber
  • Avoid showers and take baths until the bandages are taken off
  • Avoid blowing the noses
  • Change the gauze and bandage as directed by the surgeon

First Few Weeks

Patients can usually return to work within two weeks after their procedure. But they must still monitor their activity level and protect the tender tissues of the nose. The patient should undertake the following in the first several weeks after the surgery:

  • Avoid aggressive exercise until the surgeon instructs otherwise
  • Limit the intake of sodium to decrease post-operative inflammation
  • Wear sunscreen with a minimum SPF of 30 whenever stepping outside in the day
  • Not wear sunglasses or glasses for a minimum of four weeks, and use chin rests for frame support, if necessary

It is vital for patients to visit the surgeon for scheduled follow-up appointments after the revision rhinoplasty. The first post-op appointment usually takes place a week after the procedure.

During this appointment, the surgeon usually removed the sutures and nasal packing. Subsequently, the patient will have periodic follow-up appointments for the next few months.

Temporary Side Effects

Long-term complications are rare in revision rhinoplasty. However, the procedure can have some temporary side effects such as:

  • Bruising: Bruising usually occurs around the eyes and resolves within ten days of the procedure.
  • Discomfort: The patient may feel soreness and irritation, especially in the sites where the surgeon has reshaped the nose or eliminated tissue for a bone graft. In a majority of the cases, OTC pain meds can help manage the discomfort.
  • Inflammation: The most visible inflammation typically resolves after some weeks. But it may take between six months to one year for the swelling to dissipate entirely.
  • Anesthesia Side Effects: Certain patients may feel nauseous under the effect of anesthesia. However, this feeling usually subsides as the anesthetic wears off.
  • Sinusitis: Some patients may experience swelling of the sinus passages combined with temporary alteration in the voice as well as the excess production of mucus.
  • Nosebleeds: The presence of some blood discharge for up to 72 hours following the rhinoplasty is normal. While spontaneous nosebleeds after this duration are not usually serious, patients should contact their surgeons if this happens.

Will there be Permanent Scarring?

Like any surgical procedure, there are chances of scarring after a revision rhinoplasty as well. If the closed rhinoplasty technique is used, the surgeon will place all incisions within the nostrils. Therefore, there will not be any noticeable scarring.

In case of an open rhinoplasty, an incision will also be placed across the columella. This may leave behind a tiny scar. But the location of the incision is usually discreet which makes the scar inconspicuous.

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

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 Procedure Steps

Nose reshaping plastic surgery is also known as a nose job or rhinoplasty. The patient may require a revision rhinoplasty if the primary shutterstock 125015030 300x200 - Revision Rhinoplasty Plastic Surgery Procedure Steps | Beverly Hills | Los Angelesrhinoplasty has led to aesthetic or functional issues.

The patient’s particular needs to enhance the size and shape or the nose, or address functional issues, or both will determine the choice of technique for the revision nose job.

However, the steps that the revision rhinoplasty entails will mostly be similar to those involved in the prior rhinoplasty.

The surgeon will inform the patient regarding the surgery steps during the pre-op consultation. Sometimes a surgeon may even display images or a video of an actual revision rhinoplasty surgery to help the patient understand the procedure better.

When the patient has a fair understanding of the procedure steps, they will feel more assured about undergoing the revision rhinoplasty. Accomplished double board certified plastic surgeon Dr. Geoffrey R. Keyes provides revision rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding locations across the landscape.

Surgical Planning

On the basis of the information gathered during the consultation process, the surgeon will develop an individualized revision rhinoplasty surgical plan to carry out the required corrective steps.

The plan will be developed such that the natural balance and harmony of the face remain intact and the overall facial appearance is improved.

A revision nose job can be performed using an open or closed surgery technique. In consultation with the patient, the surgeon will determine the anesthesia type, surgery technique, and surgical venue for the procedure. The main aim of the surgeon will be to attain the maximum level of cosmetic enhancement in the least invasive manner possible.

Anesthesia

The patient will be brought into the operating room and placed under anesthesia. The surgeon may perform the revision rhinoplasty using general anesthesia or local anesthesia with IV sedation.

An anesthesiologist or a registered anesthetist nurse will administer the anesthesia. They will remain in attendance in the operating room during the procedure to oversee the patient’s response to the anesthetic.

The patient may experience nausea, grogginess and other mild side effects for a few hours after the surgery. Patients can go home the same day but should ask someone responsible to drive them back after the procedure. It is advisable for the patient to arrange aftercare for the initial one or two days following the surgery.

Surgical Procedure

After the anesthesia, the surgeon will place tiny incisions along the columella, and within the nostrils, in case they use the open rhinoplasty technique. In case the closed rhinoplasty technique is used, the surgeon will place the incisions only in nostrils during the surgery.  

The surgeon will add, remove or modify cartilage, tissue, and bone of the nose through the incision based on the preformed surgical plan. Some patients may require implants or grafting. The closed rhinoplasty technique involved internal incisions which will not cause any noticeable scarring.

Wound Closure

After the surgeon has modified the tissue and corrected the functional issues, they will seal the incisions with dissolvable or removable sutures. The reliable double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and other towns and communities in this region of California for revision rhinoplasty surgery.

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 Preparation

The patient should undergo a detailed preparation process before revision rhinoplasty surgery to accomplish safe and predictable 17a5BbuFWuf6NQi9dUnbZo5jSSgCiI0QsWhah HnfkYw3G0LTWMLm7roHPeMkpMYB Q26OMCpqmYkGsCOJ6he4 300x287 - Revision Rhinoplasty Plastic Surgery Preparation | Beverly Hills | Los Angelesoutcomes.

Patients considering a revision nose reshaping procedure should be committed to following the instructions that the surgeon provides them during the pre-operative consultation process.

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

Preparatory Steps Before the Consultation

After the patient has made a decision to undergo with revision rhinoplasty, they can start preparing for the procedure from that time itself. The below mentioned preparatory steps can be taken before the patient visits the surgeon for a consultation appointment:

  • Make arrangements to send the medical records to the surgeon’s office from the primary care doctor and specialists. This will enable the surgeon to understand whether the patient suffers from any pre-existing conditions such as breathing problems, sinus, chronic diseases or allergies from reviewing past records.
  • Arrange for surgical records of the prior rhinoplasty including before and after images, and the report from the surgeon who performed the primary rhinoplasty.
  • Contact the insurance company to understand whether revision rhinoplasty procedure may have insurance coverage in certain cases.
  • Arrange and carry the insurance documents to the surgeon’s office during the pre-operative consultation.
  • Review the surgeon’s website to gain familiarity with their practice before the consultation.
  • Make a list of all questions, concerns, and doubts that the patient has regarding the procedure to ensure that they do not miss out on anything when meeting the surgeon.
  • Identify pictures from magazines or websites as reference images for the type of nasal or facial structure that they desire.

Restrictions on Smoking and Specific Medicines

The surgeon will instruct the patient to not smoke for a specific duration before and after the revision nose job. Tobacco contains nicotine which causes disruptions in the flow of oxygen in the blood. This may lead to higher surgical risk and slower healing.

In case the patient takes blood thinning medications such as NSAIDs, aspirin, or specific herbal supplements and vitamin E, they will have to stop using these for a particular period. The surgeon may alter the schedule of any prescription medications in consultation with the prescribing doctor.

A Day Prior to the Surgery

The patient should wash their hair well to mitigate infection risks a day prior to the revision rhinoplasty. Furthermore, they should not consume alcohol for a minimum of 48 hours before the procedure. They should take plenty of rest and sleep early on the night before the revision nose job.

The Day of Surgery

On the day of the surgery, the patient should wear comfortable, loose-fitting clothing which is front open. In case the patient has diabetes, they should have their vital parameters assessed on the morning of the procedure.

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

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.