Revision Rhinoplasty Chicago

Did recent nose surgery leave you wondering what went wrong? Are you dissatisfied with the appearance of your new nose, or do you have trouble breathing? If so, you may be considering revision rhinoplasty in Chicago. Often referred to as secondary rhinoplasty, this procedure is used to correct less than satisfactory results experienced from a primary rhinoplasty procedure.

The nose is not just an attachment that sits in the middle of our face. It’s also an important appendage for breathing and a significant sensory organ. If primary rhinoplasty is botched or unsuccessful, appearance and breathing can also be affected. Revision rhinoplasty can be one of the more challenging procedures a plastic surgeon performs. Aside from fixing problems with the appearance of the nose, the inner structures involved with breathing and smell may require delicate, intricate attention.

Thankfully, at MAE Plastic Surgery, you have access to one of the top rhinoplasty surgeons in Chicago. Dr. Michael Epstein is a board-certified plastic surgeon and a member of The Rhinoplasty Society, a premier organization comprised of rhinoplasty experts from around the world. When rhinoplasty goes wrong, contact MAE Plastic Surgery to learn about your options for revision.

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What is Revision Rhinoplasty?

Revision rhinoplasty entails re-operating on a nose to repair a previous poor outcome. Due to scar tissue and structural changes, this procedure is largely considered to be extremely challenging. Working with an experienced surgeon is essential for good results.

There are two types of revision rhinoplasty. The first is the minor touch up revision of a mostly satisfactory result. The patient may be content with the appearance of the nose but requires a slight improvement. For example, a small bump on the bridge may have been a remnant of an otherwise successful procedure. Here, revision rhinoplasty is a less complex operation. In some cases, we can use non-surgical techniques, like dermal fillers, to correct these minor imperfections.

The second type of nasal revision is performed to restructure a previously failed procedure. A botched rhinoplasty can be one of the more distressing experiences a plastic surgery patient can endure. If appearance is worse, or functionality is affected, physical or psychological pain can result. Self-esteem may be fractured or breathing impaired, and revision rhinoplasty is a necessary solution.

There are many reasons for primary rhinoplasty to fail. The most common is a technical error. Nose surgery experience, a sound surgical plan, and precise technique are critical for a successful rhinoplasty outcome. Poorly placed incisions, excessive cartilage and bone removal from the nasal bridge, or aggressive removal of nasal tip cartilages will lead to poor structural support. The result can be an unnatural and awkward appearance, which will draw undue attention to the nose.

With an increased number of cosmetic procedures being performed, there has been an increase in demand for rhinoplasty surgery. Sadly, anyone with a medical license can perform nose surgery. They may not have the necessary experience or suitable training to perform a safe and successful rhinoplasty procedure. With a higher demand for rhinoplasty comes a higher number of unsuccessful results and, unfortunately, an increase in the need for revision rhinoplasty.

Revision rhinoplasty challenges require the skills of a plastic surgeon with extensive training and experience. Often, too much nasal cartilage was removed and scar tissue has replaced much of the structural framework. The remaining nasal cartilage is often crooked or distorted. The nasal structure must be re-formed by grafting cartilage to revise the framework of a natural nose.

This restructuring of cartilage must be precise and flow in a 3-dimensional manner to give the appearance of an aesthetic, natural nose which balances the patient’s facial features. Scarred and altered tissues must be properly placed by a re-arrangement of the nasal framework. This must be accomplished while removing skin and soft tissue scarred by the primary rhinoplasty procedure.

The structure must be stable to support scar formation which may be present during the healing period of prior surgery. Breathing must be maintained or repaired. This is done by strengthening nasal passages responsible for maintaining airflow.

Despite the challenges of revision rhinoplasty, achieving a good result is usually possible. Dr. Epstein has successfully reshaped and rebuilt many noses after an unsuccessful rhinoplasty attempt. There are options available and there is hope for a beautiful result.

If you’re preparing for a first-time rhinoplasty, choose a board-certified plastic surgeon with extensive nasal surgery experience to avoid the many potential complications.

Contact MAE Plastic Surgery’s Chicago office today for your revision rhinoplasty consultation – Northbrook, 847-205-1680

Am I a Candidate for Revision Rhinoplasty ?

The ideal candidate for revision rhinoplasty is a healthy person who is not content with their previous rhinoplasty outcome. Revision rhinoplasty should not be performed until at least a year after primary surgery. Although patients may want to rush the surgery to improve their appearance, safety is the most important concern. The surgeon must allow adequate time for swelling to subside completely to avoid complications.

The two most important reasons for revision rhinoplasty are aesthetics and functionality. Chicago rhinoplasty patients who have been left with less than satisfactory results in their appearance or ability to breathe are prime candidates to undergo the procedure.

 

 

Revision Rhinoplasty Consultation

During your initial visit, you will be given a physical examination. Your nose will be thoroughly examined inside and out for bumps and excess scar tissue. The septum is checked for any deviations and palpated for cartilage. Findings will be explained, and your concerns will be heard.

As part of your Chicago revision rhinoplasty consultation, Dr. Epstein uses advanced computer-imaging software to help visualize the procedure’s outcome.  He will take several pictures of your nose from different angles and upload them onto a computer. Together, you and the doctor will work to formulate a goal for your procedure. Additionally, a 3D image can be taken for digital imaging. These images can often give some clarity as to what the final outcome may look like.

It is important to remember rhinoplasty digital imaging does not guarantee exact results but will ensure you and your surgeon share a common surgical goal and that your expectations are realistic.

After the imaging is complete and you are happy with the projected outcome, your surgeon will upload the images to the private password-protected program, TouchMD. This will allow you to review the information given from home with loved ones. In many cases, patients have found their actual revision rhinoplasty results are better than the digital images.

 

The Revision Rhinoplasty Procedure – Open or Closed?

Revision rhinoplasty is done on an outpatient basis using a local anesthetic administered by a board-certified anesthesiologist. It will be performed at our AAAASF certified state-of-the-art surgical center in Northbrook.

There are two possible techniques for a revision rhinoplasty procedure:

Closed Procedure: A closed procedure involves no additional external incision. Instead, the incision is hidden inside the nose. This does not afford Dr. Epstein much access to the internal structures of the nose, so most revision procedures done this way are for more minor, discrete problems.

Open Procedure: Here, the incision is made across the columella (the narrow strip of tissue which 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 which 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 or even a rib for the best revision rhinoplasty result.

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

Contact us today for your Chicago rhinoplasty consultation in Northbrook.

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What to Expect During Revision Rhinoplasty Recovery

Recovery is one of the most challenging parts of plastic surgery, but if you follow our post-operative instructions, you should be back to life and feeling better quickly. As you heal, remember that we are here for you and you can contact our team with any questions or concerns.

  • 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 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.
  • Pain medications can relieve discomfort as you heal. Prescription pain relief may be needed for the first few days, but most patients can quickly transition to over-the-counter medications. Our team will teach you how to manage post-surgical discomfort.

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

Revision Rhinoplasty Cost

The revision rhinoplasty procedure can be an extremely complex plastic surgery procedure, and each revision is unique. Each procedure is as different due to the complications of the previous surgery. Your surgery is no different, hence, it is impossible to put a price tag on this customized procedure. The cost of revision rhinoplasty in Chicago can vary from one patient to another.

The less complex your surgery, the lower the cost. For example, if you require cartilage grafts used when building up a flat nose, the surgery will be more extensive. During your consultation, Dr. Epstein will let you know what is required for your surgery and you will be provided a breakdown of the costs. We have payment and financing options available to make this procedure more accessible and available.

Contact us today for your Chicago rhinoplasty consultation.

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Choosing your Rhinoplasty Surgeon in Chicago

Having revision rhinoplasty in Chicago is not a decision to be taken lightly. It includes many issues, with the choice of which surgeon being the most significant. In considering a surgeon you must be informed about their qualifications and experience. Is your surgeon board-certified? What is their level of experience with revision rhinoplasty? Is the surgery center certified? What about the support staff; are you comfortable with them?

Revision nose surgery must be precise. If you opt for an inexpensive, inexperienced surgeon, there is a risk your surgery will not turn out well, again. In which case, you might need an additional procedure to correct mistakes, and you could end up spending a lot more in the end.

Your nose is simply too important to choose a surgeon based solely on cost. Your surgery is an investment that will last a lifetime – so choose your surgeon well.

Why MAE Plastic Surgery?

Our Fully Accredited Surgical Center for Chicago and Beyond

Dr. Michael Epstein performs many of our surgical procedures at our state-of-the-art, fully accredited surgical center in Northbrook. Northbrook Plastic Surgery has a team of board-certified anesthesiologists to provide the highest standard of care and ensure the safest and most comfortable experience in Chicago. Read more…

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.

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Revision Rhinoplasty FAQs

How do I know revision rhinoplasty will fix my previous procedure’s outcome?

Although no surgeon can guarantee exact results, Dr. Epstein uses advanced software to provide you with the best possible model of your new nose so that you will know what you can expect.

When will I be able to go back to work?

It depends on the nature of your work. Jobs involving light activity can be resumed, usually within one to two weeks. Anything involving intense physical activity may take longer.

Is revision rhinoplasty covered by insurance?

Functional rhinoplasty to correct breathing problems is covered by many insurance providers. You must check with your insurance first to determine if revision rhinoplasty is included in your plan.

Cosmetic rhinoplasty is not covered by any insurance. If you are having a combination of functional and cosmetic rhinoplasty, your plan may cover the functional aspect of the surgery. Again, be sure to verify this with your provider.

Should I go back to my previous rhinoplasty surgeon for my revision?

Patients need to consider the extent of their dissatisfaction combined with the qualifications of their previous surgeon. In your consultation, Dr. Epstein will thoroughly explain your options for revision.

Will my revision rhinoplasty procedure be open or closed?

Most rhinoplasty revision surgeries are performed with an open approach. This provides your surgeon with the visibility required to make precise changes. Working with the scar tissue that remains after a first-time rhinoplasty makes revision surgery more complex. Good visibility is important to achieve the best results and is best achieved with an open technique.

How long will the swelling take to subside?

Every patient’s revision is unique. Patients can see up to 70% of their swelling subside within three months. However, it may take over a year for all swelling to dissipate.

Why does full recovery take so long?

 Don’t forget, your nose never takes a day off. You breathe through it every few seconds, and many of us sleep on it each night. Revision rhinoplasty can involve anything from minor corrections to major reconstruction. Sometimes scar tissue from your previous procedure needs to be removed. All of these factors combine to make a recovery longer than many other surgeries.

If my previous doctor took too much off my nose, how can it be built back up?

Cartilage from other parts of your body, like the ears or ribs, can be harvested and used as part of your new nose.

Am I ready for Revision Surgery?

You may be anxious to correct aesthetic problems with your previous surgery, but if we want to do things right, patience is needed. Dr. Epstein recommends waiting at least a year between the initial rhinoplasty and revision surgery. This waiting period gives your nose time to fully heal and recover.

Is it my fault that my previous surgery didn’t turn out well?

Usually not. It may be no one’s fault at all.  Whether it is something that occured postoperatively, the healing process gone awry or just bad surgery you should not beat yourself up. Instead, consult with Dr. Epstein to learn about your options going forward.

Get the rhinoplasty results you were expecting with revision rhinoplasty in Chicago by Dr. Michael Epstein. Call MAE Plastic Surgery at (847) 205-1680 to schedule a consultation and start the process.

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Our board-certified plastic surgeon, Dr. Michael Epstein, performs plastic surgery for patients all over Chicago and the surrounding areas. Call us today for scheduling.

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