Revision Rhinoplasty: When Is It Necessary?

Posted on by Dr. Richard Rival

Revision Rhinoplasty: When Is it Necessary?

Although most people who undergo rhinoplasty are satisfied with their long-term results, some patients require a secondary procedure to achieve an outcome that’s just right. My revision rhinoplasty patients in Toronto often have very compelling reasons for undergoing a second surgery, and some of them might surprise you.

The Volume Question

Adding or removing volume to the nose is a common request among primary rhinoplasty patients, but sometimes the surgery goes too far—or not far enough. Often, revision rhinoplasty is requested to create the appropriate level of volume, one that complements the patient’s natural facial features and creates impeccable symmetry. Volume can be added or removed from the bridge of the nose with the use of cartilage (often taken from the patient’s ear), dermal fillers, or even a small implant. If volume is your primary concern, your surgeon discusses the best course of action with you during your consultation so you can fully understand what results you can expect. 

Tip-Top Results

The nasal tip area is another area of concern for many rhinoplasty patients. While a bulbous tip is a very common complaint in primary cases, a “pinched” tip—or a tip that appears excessively small—is often corrected during revisionary surgery. Adding volume to a pinched tip is relatively simple and is often achieved the same way volume is added at the bridge. When the nasal tip looks even and well-proportioned in relation to the other structures of the nose, the entire nose looks streamlined and attractive. Using tissue taken from your ear or another part of your body ensures long-lasting results. 

Breathe Easy

Rhinoplasty isn’t just for looks. Many people undergo the surgery to correct a breathing problem caused by structural irregularities within the nose. During a revision rhinoplasty, your surgeon can perform an additional procedure called septoplasty. This minor adjustment is simple to make and can make a world of difference for people bothered by chronic congestion or snoring.

The septum is the strip of bony tissue that divides the nasal cavity. In most people, the septum isn’t perfectly straight—it may deviate slightly from one side to the other. For people with a significantly deviated septum, respiratory issues can be quite distressing.

I’ve collected some of my favorite revisionary rhinoplasty cases and put them in my gallery of before-and-after photos. Here, you can see what prompted these patients to undergo the procedure, as well as the results they achieved.

When you’re ready to learn what revision rhinoplasty can do for you, contact my practice through my website to request your personal consultation. A member of my team will be in contact with you quickly to help you begin your process.

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