Revision rhinoplasty is a surgical procedure to correct any problem areas related to a patient’s first rhinoplasty surgery. Also called, Secondary rhinoplasty, is designed to correct the problems that have either persisted from a previous rhinoplasty or achieve unmet appearance goals. While some issues are easily resolved, some are more challenging.

ABOUT SECONDARY REVISION RHINOPLASTY

Due to the reduction of nose material left behind from the work done in the first rhinoplasty, a secondary rhinoplasty is generally more challenging than a primary rhinoplasty.

Secondary rhinoplasty is potentially challenging to the surgeon because the original tissue has already been altered, and may require reconstruction or rebuilding of the nasal framework to attain ideal rhinoplasty results. Furthermore, the original rhinoplasty surgery will have created scar tissue.

Scar tissue makes separation and repositioning of the remaining cartilage and bones technically more difficult. Secondary rhinoplasty performed by a skilled nasal surgeon, employing meticulous and precise surgical technique can often create significant and dramatic improvement in nasal appearance and function.

As an expert, Dr. Shabdiz is able to assess each revision rhinoplasty case and determine the anatomical cause contributing to suboptimal cosmetic and functional outcomes after the original rhinoplasty. Understanding such intricacies comes from a career which is focused on cosmetic and reconstructive rhinoplasty surgery. Dr. Shabdiz has developed a keen sense of judgment and technical skill from the variety of rhinoplasty surgical procedures he has performed.

We would advise anyone seeking either a primary rhinoplasty or a secondary rhinoplasty with Dr. Shabdiz , to visit the Rhinoplasty gallery which showcases some of Dr. Shabdiz rhinoplasty surgical photos. These before and after photos give you the opportunity to see the quality of work that Dr. Shabdiz is known for and will hopefully assist you in making your decision to select one of the most trusted cosmetic and reconstructive facial surgeons in Southern California. 

HOW TO ACHIEVE A NATURAL LOOKING NOSE?

From a surgical perspective, a natural-looking nose has gentle transitions between each aesthetic sub-unit of the nose: the bridge, the tip, the alae, and the columella. The transitions should be soft and free from extreme angles or sharp lines. With some rhinoplasty procedures, the nose has been made to look unnatural with transitions between the different subunits that look artificial. Therefore the primary aim of rhinoplasty surgery is to create gentle transitions between sub-units and to take into account the patient’s goals, facial features and nasal characteristics.

COMMON CONCERNS OF PATIENTS CONSIDERING REVISION RHINOPLASTY

Anxiety is common. The prospect of an additional rhinoplasty surgery can understandably cause some feelings of anxiety and caution. But those same emotions can actually help patients proceed carefully and find a facial cosmetic and reconstructive plastic surgeon they feel comfortable with. Learning more about your current nasal condition and what improvements can be made will help you become more comfortable making a decision to proceed. As an expert rhinoplasty surgeon for both primary and revision rhinoplasty surgery, Dr. Shabdiz has the experience and skill to assess your situation and identify your areas of concern. He will help you understand which refinements and alterations are possible for your unique anatomy, through revision rhinoplasty surgery.

Frustration and confusion can also be common when considering a second procedure. Not knowing what improvements are needed for your nose, or how to proceed can be just as frustrating as knowing exactly what needs to be done, but not being able to find the right surgeon for you. Dr. Shabdiz provides realistic and honest nasal appraisals and up-to-date surgical recommendations. He encourages everyone to come in for a consultation.

WHAT CAN I EXPECT DURING MY CONSULTATION WITH DR. SHABDIZ?

A consultation with Dr Shabdiz is comprehensive. Dr. Shabdiz will investigate every aspect of your prior surgical history, reviewing the records of your operations, your current anatomy, and most importantly, allowing you to voice your deepest concerns and questions. Dr. Shabdiz strives to set his patients at ease so that they may communicate freely without holding back. Only then can he gather all the information he needs to enact the successful, organic outcomes he is known for.

DR. SHABDIZ APPROACH

There is no such thing as “one-surgery-fits-all”. Dr. Shabdiz tailors his technique to the needs and desires of each individual, ensuring a unique, pleasing result that appears refreshingly natural.

Due to the complexities of corrective surgery where scarring and functional mishaps are commonplace, the doctor may employ the use of grafts or implants, and the procedure may last longer than the original surgery, sometimes up to 3 or 4 hours.

Dr. Shabdiz will recommend either an open or closed procedure for his revision rhinoplasty patients, depending on specific circumstances and anatomy. A closed rhinoplasty is generally less invasive with less downtown, but it may not afford the surgeon the freedom of an open rhinoplasty, which includes a minor incision to the columella (skin separating the nostrils).

WHO IS A CANDIDATE?

Whatever caused your previous surgery to be less-than-satisfactory, you may not have to live with it for the rest of your life. You could be a candidate for revision rhinoplasty if the following apply to you:

• IT HAS BEEN AT LEAST A YEAR SINCE YOUR PREVIOUS PROCEDURE
• AN EARLIER SURGERY HAS LEFT YOU WITH BREATHING PROBLEMS
• YOUR NOSE HAS BEEN INJURED SINCE YOUR SURGERY
• AFTER THE PASSAGE OF TIME, YOU HAVE REALIZED THAT YOU WOULD LIKE TO FURTHER IMPROVE THE APPEARANCE OF YOUR NOSE
• YOU ARE SO UNHAPPY WITH THE RESULTS OF YOUR PREVIOUS PROCEDURE THAT YOU FEEL YOU CANNOT LIVE WITH THEM
• THE NOSE STRUCTURE HAS COLLAPSED DUE TO LACK OF STRUCTURAL SUPPORT

Of course, you will have to meet all the medical requirements for surgery and anesthesia to be safe for you. This can be determined through a consultation with Dr. Shabdiz.