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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:


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.


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.

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