Revision Rhinoplasty is different and more difficult than performing a primary Rhinoplasty (first time nasal surgery). The surgeon has to be more experienced in the techniques of nasal surgery in order to accomplish a good result on patients who have had previous rhinoplastic surgery.

Why is operating on the nose a second or third time that much more difficult?

It is because the tissues of the nose are often scared and the smooth natural surgical planes are not as easily identifiable. Thus a perfect understanding of the anatomy of the nose has to be second nature to the revision rhinoplastic surgeon. Also nasal breathing problems such as obstruction often accompany the nasal deformity that has to be addressed at the same time. So not only does the revision rhinoplastic surgeon have to be able to correct the external deformity that have resulted from the surgery but also be able to understand the breathing problems that may have either not been corrected at the time of the original surgery or resulted from the problems of the healing from the original surgery. In order to correct those types of breathing problems Dr. Silver, not only have training and expertise in Facial Plastic Surgery, but also training in Otolaryngology (ENT) as well, where they spent many years treating and diagnosing nasal obstruction problems. Because of their vast experience both in performing complicated revision rhinoplastic surgeries and extensive lecturing and writing on the subject, over half of the patients referred to practice are referred for a revision rinoplasty.

Dr. Silver dicusses revision rhinoplasty

What are the difficulties of performing revision rhinoplastic surgeries?

Besides having to know the anatomy so extremely well, very often there is a need for grafts to be applied to the nose in order to substitute for tissue that has been removed or injured at the time of the initial nasal surgery. Knowing what types of grafts, whether to use the patient's own cartilage from other parts of the body such as the ear, the nasal septum, or the rib without creating additional deformities has to be performed quite delicately and with experience. Also there are times when other materials that do not come from the patient can be substituted for the patient's own tissues.

Dr. DeJoseph discuss rhinoplasty procedures

At Premier Image Cosmetic & Laser Surgery Dr. Silver has been performing rhinoplastic surgery for over 30 years. His vast experience in the field of nasal surgery has enabled him to be one of the leading Board Certified Facial Plastic Surgeons in the country to have patients referred to him for revision rhinoplastic surgery.

What occurs on a consultation visit for revision rhinoplastic surgery at Premier Image Cosmetic and Laser Surgery?

Revision Rhinoplasty patient testimonial video

On the initial consultation with the surgeons a careful history and complete nasal exam is performed. If available, the previous operative notes are reviewed. Also every patient is computer imaged prior to making any final recommendations. In very complicated cases the patient is often seen on more that one or two visits in order to make sure the patient fully understands the entire procedure. These extra visits are part of the original consultation, but are utilized for the patient as well as the surgeons to reach a beautiful result.

How to make an appointment: Call 770 457 6303 or 888 455 FACE.

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