Revision Rhinoplasty

Revision Rhinoplasty in Dallas, TX, with Dr. Yash

Revision rhinoplasty is nose surgery to correct problems stemming from an earlier nose job procedure. Reasons for revision rhinoplasty can be to improve the nose’s appearance, correct nasal obstruction and breathing problems, or both.

The goal of revision rhinoplasty is the same as the goal for primary rhinoplasty: to reshape your nose to correct any breathing problems and to make you more attractive. The aim is to create a natural-looking and fully functional nose that is in harmony with your other facial features.

Rhinoplasty is a highly customized procedure that requires extensive surgical expertise and knowledge of facial anatomy. The changes made to the nose’s underlying structure, including bone and cartilage, demand the utmost precision, and the skin and soft tissue deserve careful molding for a natural-looking result. When the results of your initial procedure are disappointing or problematic, revision rhinoplasty — in the hands of a skilled and experienced plastic surgeon — offers the opportunity to make your nose right.

Dr. Yash Avashia has specialized training and extensive experience in performing rhinoplasty and other cosmetic and reconstructive facial surgery procedures. He applies his surgical skill, aesthetic sense, and in-depth medical knowledge to produce beautiful and natural-looking results.

To learn more about how rhinoplasty in Dallas might benefit you, contact Dr. Yash Plastic Surgery to schedule a consultation.

How Is Revision Rhinoplasty Different From Primary Rhinoplasty?

Revision rhinoplasty is a corrective procedure, performed when the results of the original procedure aren’t satisfactory. While the goals for revision rhinoplasty are the same as for primary rhinoplasty — cosmetic and sometimes functional improvement — revision rhinoplasty requires a high level of expertise and skill. In revision rhinoplasty, the surgeon must deal with an additional level of complexity, as the changes made to the nose’s structure in the initial procedure may limit the options for working with your nasal tissue in making corrections. The surgeon may have removed or altered bone and cartilage in the primary rhinoplasty in ways that can make repair challenging.

Revision rhinoplasty requires a plastic surgeon with special expertise in facial plastic and reconstructive procedures, a thorough understanding of facial aesthetics in all of its diversity, and extensive training and experience in using the most current techniques for nasal surgery.

Why Might I Consider Revision Rhinoplasty?

Revision rhinoplasty may be the solution for you if you are unhappy with or are having problems as a result of an earlier rhinoplasty procedure. You might consider revision rhinoplasty if you have had nose surgery and are now:

  • Dissatisfied with your appearance
  • Bothered by structural deformities in your nose, such as asymmetry or a deviated septum
  • Experiencing breathing problems

Allow time for your initial rhinoplasty results to become fully visible before considering a revision procedure. Residual swelling from the initial procedure can last for up to 18 months. For at least a year after your surgery, what you see may not be the final shape of your nose. Unless you have breathing problems or a structural issue, Dr. Yash will want you to wait for at least a year after your primary rhinoplasty before consulting with him about revision. Once all residual swelling has disappeared and your nose has fully healed, he’ll know what he needs to correct.

Am I a Good Candidate for Rhinoplasty in Dallas, TX?

You are probably a suitable rhinoplasty candidate if you:

  • are bothered by or self-conscious about the appearance of your nose
  • have an obstruction in your nose that interferes with normal breathing
  • are in good health
  • do not smoke
  • have realistic expectations for the procedure. (Rhinoplasty can improve the appearance of your nose and restore healthy breathing function. It can’t give you someone else’s nose.)

Cosmetic rhinoplasty is generally performed on adults and older teenagers, after the bone and cartilage structure of the nose has matured and stopped growing. Functional or reconstructive rhinoplasty can be conducted on younger patients to correct breathing problems or repair a significant defect.

Why Choose Dr. Yash as My Revision Rhinoplasty Surgeon in Dallas?

Rhinoplasty is a complex and challenging procedure, requiring great surgical skill. Dr. Yash has special expertise in performing nose surgery. He has extensive training in functional rhinoplasty, cosmetic rhinoplasty, revision rhinoplasty, and reconstructive nasal surgery. He uses all the skills gained from these different types of rhinoplasty to provide each patient the best approach and result. Additionally, Dr. Yash has a reputation for his friendly demeanor and ability to connect with his patients on a personal level.

ready to begin your Aesthetic Journey?

Honesty and integrity are the cornerstones of Dr. Avashia’s process. He feels strongly that he needs to educate patients on what gives them the most value, and he focuses on what should be done instead of simply what could be done. He will only recommend procedures that will help achieve your goals. Dr. Avashia knows that not everyone “needs the knife,” and he will recommend nonsurgical solutions when appropriate in order to give you a more minimally invasive solution to achieve your goals.

Dr. Yash in a suit

Whether you’re looking to reverse the signs of aging or improve the appearance of a specific area of your body, Dr. Avashia can help you achieve your desired goals. Visit Dr. Yash today to learn more.

What to Expect in Your Revision Rhinoplasty Consultation

In your consultation with Dr. Yash, he will ask questions to understand what bothers you about your nose and the results of your previous rhinoplasty. He’ll want to see photos of your face before the rhinoplasty to understand what changes your previous surgeon made. He’ll ask you about your hopes for the revision surgery. He will examine your unique nasal structure — including the underlying bone, cartilage, and tissue — and consider the balance among your facial features. He will also review your medical history. A photographer will take images of your face from multiple angles, which your surgical team will use to create a plan. Dr. Yash will then show you before-and-after pictures of other rhinoplasty patients who had similar concerns and goals to further clarify your wishes for the procedure and explain the kinds of changes he can make.

After Dr. Yash has gathered information from the consultation, he will plan the details of your procedure and explain them to you. If revision rhinoplasty seems like the best solution, he will tell you what to expect before and after the surgery and describe the planned results. He will also review the cost of the procedure with you and discuss payment options. His goal is to be fully transparent so you can make a confident and educated decision.

What Can I Expect Before, During, and After My Revision Rhinoplasty?

Before

Dr. Yash is a partner in the Dallas Plastic Surgery Institute and will perform your revision rhinoplasty in the Institute’s state-of-the-art surgery center. The Institute is the top facility for aesthetic surgery in Dallas and among the best in the country. You will arrive on surgery day, check-in, and meet with Dr. Yash and your anesthesia provider. You will then be carefully anesthetized with general anesthesia and after being taken back to the operating room.

During

Revision rhinoplasty is a highly individualized procedure. The exact approach Dr. Yash will use for your surgery will depend on your anatomy, the changes made with the earlier rhinoplasty, and your goals, as determined in your consultation.

Revision rhinoplasty can be an open procedure, with a small incision made just below the tip of the nose between the nostrils, or a closed procedure, with incisions made inside the nose. Each approach has advantages for making different types of changes to the nose. Cartilage grafts may be necessary to build up or expand the nose’s underlying structure. Dr. Yash may take this transplanted cartilage from a rib or the tissue behind your ear.

After

Revision rhinoplasty is an outpatient procedure. Once you are alert again after your anesthesia, a friend or family member can drive you home to begin the recovery phase. Dr. Yash will provide you with a full list of post-operative instructions and will be available if you have any immediate questions or issues.

What Can I Expect in Recovery?

before and after rhinoplasty

Your recovery from revision rhinoplasty will depend on your surgery’s specifics. In most cases, recovery is relatively quick and painless, similar to your experience after your first rhinoplasty. You may experience some short-term discomfort, which you can manage with pain medications. For five or six days after your surgery, you’ll wear a splint to hold your reshaped nose in place while it heals. You’re likely to have some minor bruising and swelling for the first week or two, which you can conceal with makeup. Some swelling may continue, especially in the morning, for a few months after your surgery. Dr. Yash will give you specific instructions on how to care for yourself in recovery, what medications to take, and when to come back for follow-up appointments.

Once the splint comes off, you can typically return to work or school in about a week. Dr. Yash will advise you to avoid all but light activities for the first two weeks, after which you can gradually build up to more strenuous activity over the following month.

Your nose should be fully healed by one to three months after your surgery. Your results will continue to improve over the first year to 18 months as residual swelling gradually disappears.

Schedule Your Revision Rhinoplasty Consultation in Dallas Today

Contact us today to schedule a consultation and learn how Dr. Yash can help you get the nose you’ve always wanted. He will listen to understand what you hope to achieve from the procedure and will give you his expert recommendation on the best approach to meet your needs. Dr. Yash provides exceptional care to patients from Dallas and the surrounding areas of Texas.

Dr. Yash will give you pre-operative instructions for the days before your surgery. These will include a special skin-care program and anti-bacterial treatments for the inside of your nose.
Open rhinoplasty involves an incision along the thin ridge on the underside of your nose, between your nostrils. This incision will leave a faint scar, but it is well concealed by the contours of your nose and almost invisible after it is fully healed. Closed rhinoplasty leaves no external scars, as the incisions are made inside the nose.
Rhinoplasty is performed after your facial bones and nasal cartilage have stopped growing, typically at about age 16 for females and 17 for males. However, this age can vary. You can tell whether your growth has slowed by noticing how quickly your height and shoe size are increasing. If you’re getting taller or your shoe size increases every six months, that’s a signal that you should wait on rhinoplasty. If you’re within an inch or two of your projected adult height, your bone and cartilage structure have probably matured enough to have the surgery.

Dr. Yash has developed a non-surgical alternative to cosmetic rhinoplasty that combines different types of injectable dermal fillers and Botox®. This approach follows the fundamental principles of surgical rhinoplasty based on your facial anatomy. The results are attractive and natural-looking, but they are not permanent. Treatment with injectables cannot be used to correct breathing problems or reduce the nose’s size or width. Dr. Yash also offers other facial procedures like facelifts and brow lifts

Dr. Yash strongly recommends performing rhinoplasty under general anesthesia.  This is the safest approach for your surgery as it secures your airway.  Rhinoplasty can be a painful operation and it’s always desirable to be asleep during the operation. 

You can expect to have an internal and external splint on your nose with significant swelling and bruising.  The bruising improves over the course of the first week along with the swelling.  Chewing may be slightly uncomfortable for the first few days, so patients often rely on soft foods and liquids for nutrition. A drip pad is placed after surgery under your nose to collect minor drainage that normally subsides by day 2 after surgery. 

When you arrive for your consultation, try to have a clear, well-defined idea of your rhinoplasty goals.  Take some time before your appointment to look at yourself in the mirror from three angles: (1) front, (2) side, (3) basal, or with your head tilted back.  Analyze your nose from top – down.  Distill your concerns to the “top 3 concerns.”  Dr. Yash will ask you to describe your top 3 concerns during your consultation. This serves as the foundation for the conversation you will have with Dr. Yash about your cosmetic goals for rhinoplasty.  If you have functional airway obstruction, remember to describe that as well.

Before your rhinoplasty surgery, remember to pick up all your prescriptions from the pharmacy. Dr. Yash’s patient coordinator will have gone over these medications with you during your preoperative appointment.  Your medications will include pain control, antibiotic, anti-inflammatory steroids, antibacterial ointment, and nasal spray for internal moisturizing.  You should start using the nasal spray two days prior to surgery to moisturize your nose’s internal lining. You should also start applying the antibacterial ointment to your nostrils to help reduce the risk for infection after surgery. 

After your surgery, you should plan on taking ample rest.  You should have your head elevated on three pillows when lying in bed for the first week.  Icing is critical to help reduce swelling, bruising, and pain. Dr. Yash advises his patients to begin icing immediately after surgery and continuing this for the first week.  Remember to take your pain medications on time for the first few days after surgery as you don’t want to fall behind on pain control. 

Immediate recovery is roughly one to two weeks at which point your splints and sutures are removed, bruising has subsided, and you’re able to appreciate the early result.  The first 6 to 8 weeks are considered early phases in your recovery during which you should follow certain activity restrictions to protect your nose as it settles from surgery. Long term results are truly appreciated at 9-12 months after surgery.

Patient normally return to work one week after surgery after splints and sutures are removed. They can wear make-up at this time and are more comfortable with returning to work after one week.

You should plan on taking rest for 6-8 weeks after surgery.  Working out will elevate your heart rate and can increase your nasal swelling.  Contact sports should be avoided for 8 weeks as it subjects your nose to the risk of injury at a delicate time when it is still healing.

Dr. Yash’s philosophy on rhinoplasty is to customize the operation to your aesthetic goals.  He will take time during your consultation to listen to you in order to develop a customized plan for your rhinoplasty.

The nose is considered part of your airflow conduit.  It is actually the narrowest part of your airway.  There are specific anatomic areas in the nose that can cause obstruction to your airflow.  This may be due to congenital nasal deformity or acquired, after an injury or trauma.  Functional rhinoplasty seeks to improve the anatomic areas of obstruction to improve airflow.  Patients who suffer from airflow obstruction find these operations to be very gratifying.

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