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Revision rhinoplasty is typically required when patients have had surgery years ago when surgical techniques were not as accurate or, in some cases, if the procedure was performed by a less skilled facial plastic surgeon. Sometimes, a surgical revision is required if the cosmetic portion of the procedure compromised the functional portion causing a secondary breathing problem. Surgical rhinoplasty revision may be needed if the healing process did not go smoothly, which caused imperfections or irregularities. Rhinoplasty surgery is the most challenging facial plastic surgery performed, and sometimes revisions are required if you undergo rhinoplasty surgery with a facial surgeon who did not understand facial anatomy as well. Dr. Zimbler is a highly specialized, well-trained facial plastic surgeon with years of experience and is dual board certified in both facial plastic surgery and otolaryngology. Dr. Zimbler is a top rhinoplasty surgeon in NYC who can handle complex revision rhinoplasty cases and provide harmonious, natural-looking results.

Revision rhinoplasty procedure:

Patients seeking revision rhinoplasty surgery may have lost trust regarding rhinoplasty. Additionally, many patients struggle realizing how a secondary rhinoplasty procedure will achieve the goals that they had hoped to obtain with a previous rhinoplasty surgeon. Dr. Zimbler and his staff are expertly trained in dealing with patients who have not achieved their goals through previous procedures. Revision nose surgery can be a challenging procedure, but Dr. Zimbler approaches each case with patience and proper planning to provide the most pleasing results. Dr. Zimbler’s skill and patience combined with a particular attention to detail makes our office an excellent choice when considering revision rhinoplasty surgery.

In many cases, revision rhinoplasty surgery is required because too much septal cartilage was removed, causing the nose to look overly operated on. Results like pinched nostrils, scooped-out profiles, overly narrow frontal views, difficulty breathing, and a pinched-up nose are often the negative outcomes of a poorly performed rhinoplasty surgery. Dr. Zimbler will discuss with you his particular approach and surgical plan on how to deal with each of these issues and how much improvement is to be expected after surgery. Although significant improvement should be expected, patients undergoing revision rhinoplasty surgery should realize that goals should be realistic to each personal case. Secondary rhinoplasty surgery requires more time to heal than primary rhinoplasty surgery, and results may take a few months after surgery before they appear. Cartilage grafts from the septum, ear, or rib may be required in secondary surgery, making this procedure a more complex operation.

Revision rhinoplasty recovery time:

After revision rhinoplasty, you should expect certain physical changes. Because each patient is different, physical changes and recovery time vary depending on your own body’s rate of healing. While some of these symptoms may seem alarming, they are your body’s normal response to your rhinoplasty surgery. Symptoms should fade in the weeks following your revision rhinoplasty procedure. Difficulty breathing may persist for 2 or 3 weeks after your revision rhinoplasty surgery. You may experience all of the following changes, or you may only experience some.

After revision rhinoplasty, you may experience:

A splint will be applied to your nose to promote proper healing following your revision rhinoplasty. Your nose will be sensitive and swollen after your splint is removed and may need to be retaped for a couple days following your revision rhinoplasty procedure. The swelling of your nose will slowly reduce in the weeks after your revision rhinoplasty. Fortunately, the majority of the swelling diminishes in the 2-3 weeks following your revision rhinoplasty surgery. We suggest that you avoid excess physical exertion, working out, or any strenuous activity for at least 2 weeks following your revision rhinoplasty surgery. We also advise you to rest during the first week following your rhinoplasty procedure, as your body is just beginning to heal.

During your healing process, we urge you to contact us if any questions or concerns about your revision rhinoplasty or recovery arise. For the first 48 hours after your rhinoplasty procedure, we suggest that you keep your head properly elevated. Sleeping on your back with your head elevated by multiple pillows is also recommended as you heal from your revision rhinoplasty surgery. Applying cold ice packs or compresses to your eyes can help reduce the overall swelling associated with your rhinoplasty recovery. The dressing under your nose must be routinely changed until any discharge or drainage completely stops. We urge you not to move or disturb any packing in your nose, as this is pivotal in your healing process. We will carefully remove any packing from your nose after you have begun to heal from your revision rhinoplasty surgery.

After your rhinoplasty procedure, you should begin to take your antibiotics twice daily until completed. Prescription painkillers are not always necessary, as some patients feel comfortable managing their pain level with over-the-counter medication, such as Tylenol®. Please do not disturb any cast or dressings on your nose. You should only change the dressing below your nose until drainage subsides. All other bandages and casts should not be disturbed. We will remove your cast at our office about 1 week after your revision rhinoplasty surgery. You must keep your nasal cast completely dry until you return to our office to have it removed. If you have stitches on the undersurface of the nose, you must gently clean them 3 times daily. You can clean these suture lines with a sterile Q-tip and a small amount of hydrogen peroxide. This process can reduce any excess crusting that has accumulated along your nasal cavities. After you have gently cleansed this area, you should apply a topical antibiotic over the suture to prevent infection. We strongly urge you to not blow your nose until instructed. Also, if you feel the need to sneeze, we suggest you attempt to redirect the air from your sneeze through your mouth as to not disturb or hurt your healing nose. Please do not rest sunglasses or eyeglasses on your nose until otherwise directed.

Revision rhinoplasty before & after

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before & afters

Revision rhinoplasty questions

  1. I had a bad nose job years ago. Can it be corrected?

    Yes, revision rhinoplasty can address the negative results of a previous rhinoplasty performed by a less skilled plastic surgeon. Revision rhinoplasty is a procedure that requires great skill, and Dr. Zimbler’s combined training in facial plastic surgery and ear, nose, and throat medicine makes him one of the top facial plastic surgeons in NYC when it comes to treating complex revision nasal cases. Dr. Zimbler can sit down with you and create a personalized revision rhinoplasty plan that can help improve the appearance and shape of your nose.
  2. What does a revision rhinoplasty consultation entail?

    After reviewing your medical history and current medical health, Dr. Zimbler will perform a thorough examination of the inside and outside of your nose. This will provide Dr. Zimbler with enough information to begin to properly plan your revision rhinoplasty procedure. Dr. Zimbler will also check for any previous or current traumas, injuries, or infections that may complicate revision rhinoplasty. After all of this, Dr. Zimbler will being to discuss with you your rhinoplasty options, potential outcomes, and explain the process of a revision rhinoplasty.
  3. Is it possible to see what my nose may look like after revision rhinoplasty?

    Yes! At our office, we use the most scientifically advanced and innovative medical imaging and technology. We are experts when it comes to rhinoplasty computer imaging. This technologically advanced medical imaging can provide a realistic rendering of what your nose may look like after your revision rhinoplasty procedure. This specially designed computer software can provide quick, realistic representations of what you can expect after undergoing revision rhinoplasty surgery.
  4. Is it true that your nose has to be broken during rhinoplasty?

    In the majority of revision rhinoplasty cases, Dr. Zimbler does not have to fracture or break nasal bones during surgery. In most cases, your nasal bones and structures can be carefully shaved or carved without the need to break any bones. In certain rhinoplasty cases, Dr. Zimbler may need to break a nasal bone to achieve your particular goals. Dr. Zimbler will discuss your particular rhinoplasty procedure in-depth prior to your procedure and will only break a nasal bone if you both have discussed and agreed upon it prior to your revision rhinoplasty.

Why choose Dr. Zimbler for revision rhinoplasty?

Dr. Zimbler is not only an exceptionally skilled facial plastic surgeon, but he also cares for each of his patients and thoroughly discusses all of your options for the best results possible. Dr. Zimbler will spend as much time as is necessary to answer all of your questions and review your revision rhinoplasty plan with you. Since revision rhinoplasty patients often have seen many physicians, Dr. Zimbler realizes that this particular procedure requires additional time and planning to properly meet all of your goals. As a top rhinoplasty surgeon, Dr. Zimbler carefully plans each revision rhinoplasty case to provide beautiful results and to correct any complications from a previous rhinoplasty surgery.

How to get started with revision rhinoplasty?

Marc S. Zimbler, MD and his staff will be happy to discuss revision rhinoplasty with you. Please call for a private consultation or schedule an appointment online at our office.

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