BOARD CERTIFIED BY THE AMERICAN BOARD OF FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY
BOARD CERTIFIED BY THE AMERICAN BOARD OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY
FELLOW OF THE AMERICAN COLLEGE OF SURGEONS
In the world of Plastic Surgery in Beverly Hills, Secondary or Revision Rhinoplasty is a very common procedure people are interested in. Rhinoplasty is one of the most common cosmetic procedures that is performed on the face and many surgeons perform this procedure. When the primary Rhinoplasty results are not as good as the patient hoped for or created a poor outcome the patient may seek a Revision Rhinoplasty to correct any problems. The two most common reasons a person may seek Revision Rhinoplasty are unacceptable cosmetic appearance and breathing problems.
Revision Rhinoplasty and primary Rhinoplasty often require completely different techniques and skill sets. Many primary Rhinoplasty procedures are designed to intentionally weaken the underlying framework of the nose beneath the skin and this will reduce the size of the nose and often make the nose look smaller. However, this weakened state of the nose can weaken beyond the desired amount and as a result collapse which will cause both cosmetic and breathing problems. The best way to avoid these problems is to use more sophisticated Rhinoplasty techniques that don't weaken the underlying structure of the nose. With the appropriate techniques we can make a nose smaller and look better without weakening it. Once the damage has been done then a Secondary or Revision Rhinoplasty becomes necessary.
Revision Rhinoplasty almost always requires structural grafting which means taking cartilage from either the septum, ear or rib to reconstruct the collapsed and weakened cartilages. We may also use synthetic grafts such as Gortex or Medpore for those people who wish to avoid having cartilage taken from their ear or rib. These grafts are used to strengthen the weakened areas and this will result in a better functioning nose as well as a better aesthetic appearance. I used to do all of my Rhinoplasty procedures closed but as I have gained a wealth of experience with some of the most complicated Revision Rhinoplasties from around the globe I have converted to doing almost all of them with the open technique. The open rhinoplasty technique allows for the utmost in precision and therefore the results are better and more predictable. The results we can achieve today in 2010 are so far and away superior to anything that was achievable in the past and this is due to our sophistication of both knowledge and techniques related to revision rhinoplasty. View revision rhinoplasty before and after photos.