Did you have a nose surgery that did not turn out well? Perhaps you now have trouble breathing, or you are dissatisfied with the way your nose looks. Dr. Epstein is a well-known rhinoplasty expert who has extensive experience with revision rhinoplasty, a type of surgery used to correct issues caused by previous nose surgeries.

Though nose surgery is a common plastic surgery procedure, it requires considerable skill and experience on the part of your surgeon. Revision nasal surgery is usually even more complex than an initial rhinoplasty due to scar tissue and damaged cartilage. For this reason, many plastic surgeons do not perform revision rhinoplasty at all.

Dr. Epstein can address breathing problems (functional rhinoplasty) and/or cosmetic problems, usually at the same time. During your consultation, he will explain his surgical plan to repair your nose, everything that you can expect from the surgery, and what will happen during recovery.

Before & After Gallery

Be sure to view our Before and After Photo Gallery of rhinoplasty procedures to see real patient results at MAE Plastic Surgery.

Click Here

Computer digital imaging – your ideal nose!

As part of your Chicago rhinoplasty consultation, Dr. Epstein uses an advanced computer-imaging software program to help you visualize the potential surgical outcome. After speaking with you to gain a better understanding of your goals and expectations, Dr. Epstein will take several pictures of your nose from different angles, upload them onto a computer, and work with the software to help visualize his process for your procedure. Additionally, a 3D image can be taken for digital imaging. Together, these images will help explain why and how the procedure is performed.

It is important to remember that manipulated rhinoplasty photos through digital imaging do not guarantee the specific results, but they will ensure that you and Dr. Epstein share a common surgical goal and that the expectations are realistic.

After the imaging is complete and you are happy with the projected outcome, Dr. Epstein will upload the images to a private password-protected program called TouchMD. This will allow you to review (and share it with your family, if you choose) the information given at the consult from home. In the majority of cases, patients have found that their actual revision rhinoplasty results are very close to the digital images that the surgeon produced.

The revision rhinoplasty procedure

The procedure is usually done on an outpatient basis using a local anesthetic and deep sedation. You are continuously monitored by a board-certified anesthesiologist in an accredited office-based surgical facility.

There are two possible techniques:

  1. Closed Procedure: A closed procedure involves no additional external incision. Instead, the incision is hidden inside the nose. This does not afford Dr. Epstein a great deal of access to the internal structures of the nose, however, so most revision nose surgeries must be done using an open procedure.
  2. Open Procedure: In this case, the incision is made across the columella (the narrow strip of tissue that separates the nostrils). If an external incision was made during the initial rhinoplasty, it will be made in the same place for your revision procedure.

Through the incision sites, the soft tissue that covers the nose is raised, and the structure of the nose is reshaped. In some cases, cartilage might be taken from one area of the nose and grafted into another area. If there is insufficient cartilage within the nose, Dr. Epstein may have to take cartilage from the ear.

Revision rhinoplasty can take 3 hours or more to complete depending on the complexity of your case.

What to expect during the revision rhinoplasty recovery period

  • Bruising and swelling around the eyes are normal and will fade within 1-2 weeks after surgery.
  • You may experience discomfort within the nose and other areas of the head, which can be controlled with medication.
  • Stuffiness and some light bleeding from the nose are common during the first few days.
  • A small external splint will be taped to your nose to protect the new shape for approximately 5-7 days after surgery.
  • You will feel more comfortable sleeping on your back for 1-2 weeks and elevating your head with pillows will help to reduce swelling.
  • You can return to light activity within a few days or as you feel ready.
  • You may resume full activity within 3-4 weeks.

Dr. Epstein will give you full post-operative instructions, and he will monitor your progress and make sure that you are healing properly and satisfied with your result.

Schedule your Chicago revision rhinoplasty consultation

Dr. Epstein performs revision rhinoplasty surgery for patients all over Chicago and the surrounding areas. Call us today to schedule your consultation.