Nearly a quarter of a million men and women had cosmetic nose surgery in the last year, but did you know that nearly a quarter of those surgeries were do-over from previous nose surgery? Revision Rhinoplasty is the quiet little secret among those seeking surgical enhancements to their face or figure.

Why Revision Rhinoplasty ?

Well, despite the overall satisfaction rate of those having cosmetic surgery on their nose, working on the nose, which is the middle of the face and easily shows cosmetic blemishes is very tricky. So tricky in fact, that many plastic surgeons don’t even consider trying it in the first place and concentrate on less invasive surgeries such as tummy tucks and breast augmentation.

But hundreds of physicians do attempt cosmetic nose surgery and the less skilled of them or the in-out next doctors sometimes leave less than stellar results.

What are the risks of a poorly done nose reshaping?

The first and primary risk is poor expectations. Some physicians are just poor with their initial consultations so potential problems such as thin skinning or the overall shape of the nose are bypassed. Many young doctors, in particular, do a poor job of communicating the limits of plastic surgery.

Secondly, some doctors are poorly trained or are simply out of their depth. Their plastic surgery techniques, while workable in the short term, do not do their patients justice over time. These doctors eliminate too much bone or cartilage to the underlying nose while operating and after a few months this defect really shows, particularly in the middle of the nose. The effect of cosmetic surgery should take into account the effects of time, scarring and growth and it should leave a natural, unworked look.

Cosmetic surgery has effects on more than just your outward appearance. Many times there can be effects on your mental health, too. Cosmetic surgery can create depression and lack of confidence in our look. BetterHelp can help you treat these kinds of inner problems with help from a licensed mental health professional. 

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Finally, some doctors simply overlook the ability of their patients to breathe normally and even weeks after their initial surgery a substantial amount of patients continue to have problems breathing.

Reconstructive Surgery

Whatever the reason, ultimately about 25 percent of cosmetic nose enhancement patients ultimately decide on a second surgery to correct the defects left by the first surgery. And these defects are not always due to physician error either. Sometimes the body simply reacts in ways to the original surgery that were not foreseen either by the patient nor the doctor.

And now the tricky part. Finding a qualified doctor to make the corrections. If you think doing an initial cosmetic reconstruction on the nose is difficult, wait until you get involved in reconstructive surgery. Here only the bravest and most talented plastic surgeons dare tread.

A reconstructive surgeon needs to have intimate knowledge of how to re-shape a nose using skin grafts so that when he’s finished the nose looks contoured and natural. And he must have intimate knowledge of cosmetic nose surgery, to begin with. Which leads us, the patients, searching the internet or yellow pages for a board-certified plastic surgeon who is an expert at facial reconstruction. We’ll talk more about that later, but first let’s talk about who is, and who is not a good candidate for modifying a previous cosmetic nose surgery operation.

Who is not a good candidate?

Under this category, the first candidate is those who have had their initial surgery recently. Men, in particular, seem to fall victim to this. But whether it is completely obvious or not that the initial surgery was a failure, the interior of the nose needs time to heal from the scars. This usually takes a minimum of a year after the previous surgery and some reconstruction physicians insist on two years.

The second category of patient is those who had unrealistic expectations in the first place. Here, the failure was not so much in the procedure but failure to communicate between the physician and the patient. Here, facial reconstruction physicians sometimes have to be the bad guy and say, “sorry but what you have is as good as it gets.”

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Who is a good candidate for reconstruction of the nose?

That being said about those who have unreasonable expectations or have simply had prior surgery that has not healed, there are some perfectly legitimate reasons for undergoing plastic surgery a second time.

The first is unexpected healing results from the initial surgery. In combination with the reduction in underlying bone and cartilage, as the body heals sometimes new defects appear to replace the old ones.

Another fact is continued poor breathing. If scarring or incisions in questionable places has led you to struggle with poor breathing you are certainly a good candidate for reconstructive surgery. Some people had their initial surgery because they had poor breathing, so by the time you are done your breathing should be better, not worse.

Another reason for reconstructive surgery on your nose is asymmetry or alternatively, the collapse of the cartilage supporting the nose.

Dr. Andres Bustillo

If you are considering a revision rhinoplasty in the Miami area, one plastic surgeon you should highly consider consulting with is Dr. Andres Bustillo.

A board certified plastic surgeon with over 15 years of experience, Dr. Bustillo has been at the forefront of revisionist facial construction for many years. You will also find that Dr. Bustillo is tops in frank communication. He believes in a conservative, minimal approach to plastic surgery and if it’s too early to consider a second surgery or it’s doubtful a second surgery won’t likely correct the defects he’ll be straight with you about it. And if you are a great candidate for reconstructive nose surgery he’ll do everything in his power to put you at ease so that your second surgery goes better than the first.

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