Dissatisfied with the results of your initial nose job? Turn to Dr. Panossian in Pasadena, CA, for expert revision rhinoplasty. We offer a comprehensive approach to correct previous issues, such as breathing issues or cosmetic irregularities, and achieve your desired look, enhancing your self-confidence with long-lasting results.
Experience the Benefits of Expert Revision Rhinoplasty
Revision rhinoplasty is more than just a second chance at your ideal nose; it’s a leap toward self-confidence and peace of mind. When performed by an expert like Dr. Panossian, you not only correct past surgical issues but also bring harmony to your facial features.
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What Is Revision Rhinoplasty (Secondary Nose Job)?
Revision rhinoplasty is a specialized form of rhinoplasty that focuses on addressing problems arising from an earlier rhinoplasty procedure. This type of surgery is typically more complex than a primary rhinoplasty due to factors such as existing scar tissue, altered nasal bones, and the need for a more nuanced rhinoplasty technique.
Unlike primary rhinoplasty, which is a patient’s first surgery to change the shape or function of the nose, revision rhinoplasty is conducted to correct complications or dissatisfaction from that initial surgery. It can be performed using a closed or open surgical approach, depending on the complexity of the case.
Overall, the goal is to fix issues from the prior surgery while achieving the patient’s desired aesthetic or functional outcome.
How It Differs from Primary Rhinoplasty
Primary and revision rhinoplasty differ significantly in terms of complexity. Revision surgery generally involves the manipulation of scar tissue and possibly cartilage grafts, making it a more complex procedure compared to primary rhinoplasty.
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Ideal Candidates for Revision Rhinoplasty
Regardless of the surgical technique, determining the right candidate for a revision rhinoplasty is a critical aspect of the process. Unlike primary rhinoplasty candidates, those considering a revision have unique needs and considerations. Below are some key criteria that help identify the most suitable candidates for this specialized procedure:
- Lack of nasal obstructions
- Stable nasal structures
- Sufficient healing process time since the original surgery
- Clear cosmetic goals
- Realistic expectations from the revision procedure
Cost of Revision Rhinoplasty in Pasadena
The average cost of revision rhinoplasty in Pasadena will depend on the complexity and type of procedure being performed. Generally, revision rhinoplasty is more complicated than primary rhinoplasty procedures and therefore can be more costly.
Dr. Panossian will discuss the expected costs with you during your initial consultation. It is important to note that medical insurance may cover a portion of the cost if the procedure is correcting a functional issue such as breathing issues.
The Revision Rhinoplasty Procedure
The revision rhinoplasty procedure involves the manipulation of scar tissue and possible donor cartilage to correct issues from the initial nose surgery. During the procedure, an incision is made in either an open or closed technique, depending on the complexity of the case.
Dr. Panossian will then reshape and contour the nose to address any breathing problems or other functional issues as well as achieve the desired aesthetic outcome. In some cases, soft tissue and cartilage grafts may be used to enhance structural stability and maintain natural proportions.
Once complete, all incisions are carefully closed with sutures. The procedure typically requires more time than primary rhinoplasties due to the complexities involved in revising previous surgical work.
Immediate Post-Operative Care
Immediate post-operative care after secondary rhinoplasty is vital for a successful recovery. After the surgery, patients are moved to a recovery room for close monitoring of vital signs and initial pain management. Nasal packing will be in place to maintain the nose’s new shape and minimize bleeding.
Detailed discharge instructions covering wound care, medication, and signs of complications will be provided, and patients should arrange for someone to drive them home and ideally stay with them for the first 24 hours.
Key aspects of this phase include pain management through prescribed medications, specific guidelines on activity levels, and wound care. Breathing is typically done through the mouth due to nasal congestion, and head elevation while sleeping can help reduce swelling.
It’s also important to be emotionally prepared, as patients often experience a range of feelings post-surgery. Understanding these immediate post-operative care measures can significantly impact the overall success of your revision nose job.
Revision Rhinoplasty
The Consultation
During the initial consultation, Dr. Panossian will evaluate your medical history and previous rhinoplasty surgery details. He will discuss the potential risks and what you can realistically expect from the revision surgery.
Questions to Ask
- What are my options for revision rhinoplasty?
- What surgical techniques do you recommend?
- How does the healing process differ from primary rhinoplasty?
- Are there any potential risks associated with revision rhinoplasty?
- How long will it take to see the final results post-surgery?
- Can you provide before and after photos of other patients you have treated with revision rhinoplasty?
Are You Ready For A Consultation?
If you are considering this procedure, booking a consultation with an experienced board-certified plastic surgeon like Dr. Panossian is a great way to learn about the procedure and determine if it’s right for you.
Is it safe to have multiple rhinoplasty procedures?
Undergoing a second or third revision rhinoplasty is not without its risks. It is important to be aware of the potential complications that may arise with additional surgeries, including prolonged swelling and bruising, infection, and structural issues. Achieving an acceptable outcome from 2nd revision rhinoplasty can be difficult due to the complexity of noses that have already undergone multiple procedures.
However, when performed by an experienced Pasadena plastic surgeon such as Dr. Panossian, these additional surgeries can improve nasal appearance and provide significant results. With proper pre-operative planning and realistic goals for the outcome of the procedure, patients can trust that they are in excellent hands.
When performing a revision rhinoplasty surgery on a nose that has already been operated on before, Dr. Panossian will carefully examine the external structure and internal anatomy to determine how best to correct any irregularities or deformities resulting from previous bad nose jobs or botched nose jobs. This may involve cartilage grafts taken from other areas of your body as well as additional cartilage grafts from donor tissues depending on the case.
With a comprehensive understanding of complex noses, Dr. Panossian will create a tailored plan for each patient’s unique needs in order to achieve satisfactory results with minimal risk associated with the surgery.
Recovery After Revision Rhinoplasty
After the revision rhinoplasty surgery, patients often experience swelling and bruising around the nose. This is normal and should subside after a few weeks. It’s important to avoid any strenuous activities or facial movements that could cause further injury during the healing process. Patients should also refrain from blowing their nose for at least two weeks.
Dr. Panossian will provide detailed post-operative guidelines on how to care for the incision sites, reduce swelling, and manage pain through medications or cold compresses.
It’s also important to follow all pre-operative instructions, such as avoiding alcohol, aspirin, herbal supplements, vitamins, ibuprofen, fish oil, or other blood thinners before surgery, in order to ensure a safe and successful recovery process.
Long-Term Recovery Plan
The final results of your revision rhinoplasty can take up to 6 months after surgery as swelling subsides and the new shape of your nose fully develops. During this time, it is crucial to maintain a healthy lifestyle while taking steps to protect your new nose from any potential damage or trauma caused by contact sports or other activities.
Follow-up appointments with Dr. Panossian are essential to monitor your healing progress and ensure that you are achieving your desired aesthetic outcome post-surgery.
Risks and Complications of Revision Rhinoplasty
Secondary rhinoplasty carries risks that are similar to those associated with any type of surgery, such as excessive bleeding, infection, and reactions to anesthesia. Additionally, since the revision procedure is more complex than primary rhinoplasty, there may be additional risks. Some potential complications specific to revision rhinoplasty include:
- Unsatisfactory aesthetic outcome due to scar tissue or irregularities in the nasal structure from previous surgery
- Distorted nose due to extensive scarring or underlying cartilage damage.
- Visible sutures or ridges on the bridge of the nose
- Residual numbness around the tip of the nose
- Asymmetry between the sides of the nose
- Impaired breathing due to improper alignment of nasal bones
Why choose Dr. Panossian?
- He received his medical education at Tufts University School of Medicine.
- Graduated at the top of his class at UCLA, receiving Phi Beta Kappa and Summa Cum Laude honors.
- Was accepted into an elite combined general surgery and plastic surgery residency at the Keck School of Medicine of USC.
- Completed subspecialty training in craniofacial surgery at the Hospital for Sick Children in Toronto and Harvard Medical School.
- Was mentored by Dr. Ron Zuker in the practice of facial paralysis reconstruction. This prestigious fellowship position was available to only one surgeon in the United States.
- Is affiliated with various charitable and educational organizations, including Operation Smile and Mending Kids.
- Is a member of the American Society of Plastic Surgeons and the highly selective American Association of Plastic Surgeons, reserved for only a select group of individuals nationally who have demonstrated excellence in academic plastic surgery.
- Holds memberships in several other professional societies including the American College of Surgeons and the American Society of Reconstructive Microsurgery.
- He serves on the Board of Directors for Mending Kids and the Gondobay Manga Foundation, a non-profit organization dedicated to the improvement of lives in Sierra Leone.
- Has been nominated by his peers annually since 2012 as a “Super Doctor.”
- Served as an expert medical consultant and appeared on The Doctors, Grey’s Anatomy, and Nip/Tuck.
- Has been featured as “Top Doctor” in US News and World Report, Pasadena Magazine, and Los Angeles Magazine.
Frequently Asked Questions
The success rate varies but is generally high when performed by qualified revision rhinoplasty surgeons like Dr. Panossian, particularly among the majority of revision rhinoplasty patients.
Yes, you can undergo revision rhinoplasty if you had multiple previous surgeries. However, due to the additional complexity of each revision, it is important to make sure that the procedure is performed by an experienced and qualified surgeon like Dr. Panossian, who can minimize the risks of complications such as crooked noses, scar tissue formation, saddle nose deformity, and many others.
It is advisable to wait at least one year after the initial surgery to allow for complete healing.
Insurance may cover if the procedure is correcting functional issues like breathing difficulties. However, most insurance companies do not cover cosmetic procedures.
Recovery time varies, but most patients are back to normal activities within a week to 10 days after surgery.
Last modified by Dr. Andre Panossian
