Revision Rhinoplasty

Rhinoplasty is a complicated, delicate surgical procedure. That may explain why many patients come see Dr. Michelle Carlotti and Dr. Albert Carlotti seeking to fix/address the nose surgery they have had done elsewhere. Revision rhinoplasty.

Revision rhinoplasty demands the surgical expertise and artistic flair of both Drs. Carlotti to achieve the results the patient originally had in mind for his or her nose surgery.

What is revision rhinoplasty?

The reasons patients come to Austin Cosmetic Surgery for revision rhinoplasty are varied. Revision rhinoplasty can be needed for simple breathing, as the previous surgery has somehow occluded the nasal passages. It may be for cosmetic reasons such as the bridge sagging. Some people may have had as many as five or six prior surgeries.

Revision rhinoplasty demands expertise because it can be even more complicated than the original procedure. Tissue and cartilage grafts can be required to provide the required mass needed for the procedure. Sometimes the nose needs to, in effect, be rebuilt.

How is this done?

As is the case with all of our cosmetic surgeries, Drs. Carlotti treat each case of revision nose surgery as a completely unique situation. Some of these surgeries can be straightforward, where the patient simply wants some additional bone or cartilage removed from the nasal bridge. Maybe the tip remained more bulbous than they were hoping.

Or these procedures can be quite involved. Due to previous mistakes, the surgery could basically require a complete rebuilding of the nose. In these cases, the previous surgeon removed too much tissue, cartilage, or bone, leaving the patient disfigured. Revising these prior mistakes can require surgeries lasting up to four hours. These surgeries may require tissue grafts harvested from the ear, ribs, or temple regions to restore the necessary amount of cartilage, bone, and fascia. In these types of revisions, the skin and soft tissue can be a limitation due to previous scarring and a developed resistance to expansion. In these cases, it’s important to have realistic expectations.

In many revision rhinoplasties, the open method is preferred because it allows better access to the structures that may need grafting or rebuilding. Open rhinoplasty is done through an incision on the skin under the nose between the nostrils. If that sort of access isn’t needed, we will use the closed method where all incisions are made inside the nose.

Are you unhappy with a previous rhinoplasty? You don’t have to live with it. Call us at Austin Cosmetic Surgery, (512) 688-8000 (Lakeway office), or (480) 947-7700 (Scottsdale office), to schedule your consultation for revision rhinoplasty.

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