Revision Rhinoplasty

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At La Jolla Facial Plastic Surgery, Dr. Victor Chung sees many individuals who have undergone an unsatisfying rhinoplasty, or "nose job." People come to Dr. Chung for revision rhinoplasty surgery from throughout San Diego and Southern California because of his skills with this complex and meticulous procedure. Board certified in otolaryngology – head and neck surgery and fellowship trained in facial plastic surgery, Dr. Chung understands that revisionary nose surgery is typically more involved than a primary rhinoplasty, and requires specialized training and a unique set of skills. He is well-trained in the nuances of revisionary surgery, and finds exceptional satisfaction in helping these patients achieve the results they've wanted.

To plan the possibilities for your attractive and functional new nose, request a consultation online to talk to Dr. Chung about revision rhinoplasty. You may also call the office at (858) 461-0383 and one of our staff members will schedule your appointment.

Revision Rhinoplasty
Before & After Photos

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Elements to Consider

Revision rhinoplasty is typically more involved than primary rhinoplasty due to the presence of scar tissue and possibly a lack of remaining cartilage or bone. During your consultation with Dr. Chung, he performs a careful physical examination of your nose to help him plan his surgical process. He takes photographs of your nose with a magnified lens and 3-D camera and may also request images of your nose prior to surgery. He discusses your goals with you and helps you understand what's possible. Like primary rhinoplasty, revision rhinoplasty can correct the most common aesthetic and functional complaints related to the nose, including:

• Asymmetry
• A bulbous or irregular tip
• Unwanted hump or bump
• Diminished respiratory function

Above all, Dr. Chung believes that the best way to create a positive outcome is by listening to you. He knows that your time is just as valuable as his, and he aims to ensure that patients never feel rushed.

Your Revision Rhinoplasty

Dr. Chung performs your revision rhinoplasty while you are under general anesthesia. He begins by making an incision, typically along the strip of skin between your nostrils. He then removes, repositions, or sculpts the underlying bone, cartilage, and other tissue to your desired specifications. He may need to using cartilage from the ear or rib to strengthen the structure of your nose, weakened by previous surgery. He carefully measures your nose and evaluates it for symmetry before closing your incisions.

Revision rhinoplasty is a highly precise, personalized procedure, and the exact process can vary significantly from patient to patient. Keep in mind that Dr. Chung will fully review his surgical plan with you prior to surgery so you can be sure of what to expect.

Recuperating at Home

Recuperation following revision rhinoplasty is not significantly different than that which follows primary rhinoplasty. You'll need a friend or family member to drive you home and stay with you for the remainder of the day to lend a hand around the house. Discomfort, swelling, and bruising are typical and manageable with prescribed medication. You'll see Dr. Chung for your first follow-up appointment the very next day, and you can anticipate returning to work and many other daily activities after about a week. Dr. Chung does not use nasal packing, ensuring a more comfortable experience after surgery.

Long-Term Results

The results of your revision rhinoplasty are likely to last indefinitely, although keep in mind that the nose does evolve with your face as time passes. Dr. Chung encourages life-long follow-up appointments to maintain your results for as long as you like.

Common Questions

Is it possible to have revision rhinoplasty a second time?

Yes, it is possible, but it's important to understand that getting the desired results becomes increasingly difficult with each revision procedure. A second revision is a more complicated procedure; it will take longer and be costlier.

Why is ear cartilage used in revision rhinoplasty?

This allows Dr. Chung to rebuild the tip or sides of the nostril when there is not enough cartilage left in the nose. Ear cartilage is natural, soft, and pliable, enabling Dr. Chung to sculpt it easily. The cartilage is taken from the back of the ear, and the incision is well-hidden.

Why is rib cartilage used in revision rhinoplasty?

If there is a need for long, strong, and straight grafts to rebuild the structure of the nose, Dr. Chung may harvest rib cartilage from a 1-inch incision hidden in a crease on the chest. This technique is typically reserved for complex revision cases.

How long should I wait before getting revision rhinoplasty?

Most plastic surgeons agree that patients should wait at least a year after a previous rhinoplasty before undergoing revision surgery. It can take that long for the residual swelling to completely resolve. Additional surgery before the healing process is complete can increase the risk of complications. The decision that it's safe to move forward should be made on a case-by-case basis.

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