Revision Rhinoplasty

If you have undergone a previous rhinoplasty procedure and are not happy with the results, revision rhinoplasty procedure may be a great way to correct your cosmetic or functional problems. Dr. Thomas Walker is a double board-certified facial plastic surgeon who specializes in revision rhinoplasty procedures of all kinds and who has ample experience performing extremely complex cases. He will work with you to achieve your goals with natural-looking and long-lasting results.  Walker MD Facial Plastic Surgery is located 19 minutes from Downtown Atlanta and 16 minutes from Buckhead.

Schedule Your Consultation

If you are unhappy with the result of an initial rhinoplasty procedure, contact our Atlanta office today to schedule your revision rhinoplasty consultation with Dr. Walker. During this appointment, you can discuss your concerns regarding your initial results, and your cosmetic goals for your revision rhinoplasty.

Frequently Asked Questions About Revision Rhinoplasty

How many times can you have a revision rhinoplasty?

There is no set rule in terms of how many revision rhinoplasties can safely be performed; this will vary from patient to patient. Each rhinoplasty, though, will present additional challenges due to scar tissue formation and possibly compromised blood supply to the nose, so it is important to choose a qualified facial plastic surgeon who understands the unique concerns of a revision rhinoplasty.

Does revision rhinoplasty take longer to heal?

Revision rhinoplasty recovery is overall similar to a primary rhinoplasty but may take slightly longer depending on extent of surgery and type of graft utilized. However, some revision rhinoplasties which only require small adjustments will have a shorter recovery period than your initial surgery.

Is revision rhinoplasty more painful?

No. The post-OP discomfort is generally the same in revision surgery and is dictated by extent of surgery rather than whether or not a previous surgery was done.

Is revision rhinoplasty more expensive?

A revision rhinoplasty tends to be more expensive than an initial rhinoplasty because it is a much more complex surgery requiring more expertise and generally takes longer than a primary surgery given the distorted anatomy and scar tissue. During your consultation, a member of Dr. Walker’s team will provide you with a cost estimate.

How much is a revision rhinoplasty?

A revision rhinoplasty typically costs, on average, $10,000-15,000, although this greatly depends on many factors including geographic location, surgeon expertise, etc.

How common are revision nose jobs?

The nationwide revision rhinoplasty rate is anywhere from 10-15% in the U.S. It is important that you find an experienced surgeon who you trust and whose work you like based on her or his portfolio rather than computer imaging during your consultation.

What causes a patient to seek a revision rhinoplasty?

There are several factors that can contribute to a require a revision nose job. In many cases, the previous plastic surgeon may have removed too much cartilage, causing the nostrils to collapse. In other cases, patients may choose a revision rhinoplasty because they are simply unsatisfied with the results of their first surgery, either aesthetically or functionally, possibly both.

Is it safe to have a second rhinoplasty?

Revision rhinoplasty is safe for most patients. During your consultation, Dr. Walker will examine your nose to determine whether a revision rhinoplasty is safe and suitable for you.

Is a revision rhinoplasty free?

A revision rhinoplasty is not free especially if a different surgeon performed the initial surgery. However, many surgeons waive the surgeon fee for minor nasal revisions during the first year of having performed the initial surgery. This typically excludes the facility and anesthesia fees that the patient is still responsible for.

Can I get a third nose job?

A third rhinoplasty is possible but has increased risks and complexity compared to a first or second procedure. This is because more scar tissue will be present along with compromised blood supply leading to an increased risk of infection and tissue necrosis.

Who is the best revision rhinoplasty surgeon?

The best revision rhinoplasty surgeon is an experienced, board-certified facial plastic surgeon who specializes in revision rhinoplasty including ear and rib cartilage grafting. Dr. Thomas Walker is double board-certified in facial plastic surgery and specializes in complicated and reconstructive procedures such as revision rhinoplasty in Atlanta, Georgia.

What is the success rate of revision rhinoplasty?

Revision rhinoplasty has inherent challenges and is significantly more challenging than primary surgery due to scar tissue, distorted anatomy, often unavailable septal cartilage for grafting, amongst other factors. However, in experienced hands, it can be a very rewarding procedure although up to 15% of patients undergoing a revision rhinoplasty may need a minor tweak after surgery.

How long is the recovery time for revision rhinoplasty?

Downtime from work is typically 1 week. Social downtime is around 2-3 weeks. Swelling lasts for around 1 month, during which time sweating and sodium intake should be avoided. Most patients are ready for wedding photos after 1-3 months although final results talke 2-5 years to be apparent.

How long does a revision rhinoplasty take?

This depends on many factors but generally takes 4-6 hours.

Can a revision rhinoplasty help my breathing problems?

Absolutely, if well done.

How long do I have to wait after my first rhinoplasty to get a revision rhinoplasty?

Generally for 12 months but exceptions can be made depending on swelling resolution and the underlying problem.

Why is revision rhinoplasty more difficult to perform?

Any revision surgery is more difficult to perform due to scar tissue, distorted anatomy, compromised blood supply, distorted tissue planes, and possibly overresected cartilage that cannot easily be replaced.

Will insurance pay for revision rhinoplasty?

Rhinoplasty is generally a cosmetic procedure and not covered by insurance although certain aspects of it such as straightening a deviated septum may be covered by insurance if associated with nasal obstruction and meeting other criteria.

What are the risks or complications that come with a revision rhinoplasty?

The most common risks are new or residual imperfections, asymmetries of the nose or nostrils, nosebleeds, amongst others that will be thoroughly discussed during your consultation.

How long will the swelling last after the revision rhinoplasty surgery?

Swelling typically lasts 4-6 weeks depending on skin thickness, extent of surgery, and type of cartilage graft used.

What are some common reasons people have revision rhinoplasty?

Cosmetic dissatisfaction is the number one reason to undergo revision rhinoplasty followed by nasal obstruction. The best chance to get a great result is avoiding a revision rhinoplasty and getting things right during a primary rhinoplasty.

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