Is It Safe to Undergo a Second Revision Rhinoplasty?

Rhinoplasty can improve the functionality of the nose when septoplasty is performed to repair a deviated septum

Rhinoplasty, or nose reshaping, is a popular cosmetic surgical procedure that can greatly enhance a patient’s overall facial proportions by removing a dorsal hump, balancing symmetry of the face, or reducing the overall size of the nose. However, in some instances, when a patient’s goals are not met by the procedure, they may consider a second or even third surgery. It is important to be aware of the potential risks that are involved before committing to another rhinoplasty, because with each successive surgery, complication risks increase. Safety should always be the number one priority. The following considerations should be carefully reviewed before scheduling a second revision rhinoplasty.

Revision rhinoplasty can help you achieve your desired results

Choose a qualified surgeon

If you are considering tertiary rhinoplasty, choosing a highly qualified surgeon who specializes in reconstructive surgery is of the upmost importance. Rhinoplasty is one of the most difficult surgeries to perform, and the procedure itself is more complex the second and third time. Be sure that you select a certified surgeon who has extensive experience in revision rhinoplasty work. Also, review their previous results by consulting before and after pictures. During your initial consultation, Dr. Torgerson, a highly trained and respected facial plastic surgeon, will examine your nose carefully to ensure that you are a suitable candidate for a second revision rhinoplasty. He will apply his vast knowledge of the complex facial structure to achieve results that are both aesthetically pleasing and corrective, making certain that the third procedure is your last.

Secondary rhinoplasty can repair a bent or broken septum to improve your breathing

What are your goals for the procedure?

After selecting a highly experienced specialist in this field, it is crucial that you understand the surgeon’s plan for the procedure and have realistic expectations for the results. 3D imaging can be used to provide you with a clear image of the anticipated outcome. Be sure that the projected image satisfies your goals for the procedure, as it is not worth putting yourself through a third procedure if there is a risk that you will be dissatisfied. Dr. Torgerson will talk openly with you about the nose you envision and whether that is possible given your existing anatomy and effects from previous procedures. Due to the complex nature of revision rhinoplasty, it is important that you agree that the goal is to enhance your appearance, not to achieve perfection.

Risks/limitations of revision surgery

Each surgery will result in scar tissue formation, much of which isn’t readily seen on the outside of the nose. This means that tissues may be very difficult to work with and additional scarring can form.

The procedure itself will be more complicated due to the fact that alterations have already been made to the structural framework of the nose. Primary and even secondary rhinoplasty procedures can typically make use of the existing nose cartilage to build up nose contours. However, by the time a third surgery is performed, this nasal cartilage has often been depleted by the previous surgeries. As a result, tertiary rhinoplasty often requires cartilage grafts, which are taken from the septum, ears or even ribs, depending on the extent of the previous procedures.

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*Disclaimer: Similar and/or permanent results are not guaranteed based on the treatment/procedure and may vary from patient to patient, based on multiple factors, including genetics and lifestyle of each patient.*

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