Individuals who undergo an initial rhinoplasty procedure and are not satisfied with the results may benefit from revision rhinoplasty. At AOO | ENT Specialists of the Rockies, our surgeons understand that the nose is a functional organ that can impact breathing and comfort. We take this into consideration when performing revision rhinoplasty to help you breathe easily while also feeling confident about the aesthetic appearance of your nose.

What is Revision Rhinoplasty?

Revision rhinoplasty, also called secondary rhinoplasty, is a procedure to correct or improve upon the results of a previous rhinoplasty surgery. It is often performed when a patient is unhappy with the functional or aesthetic outcomes of their previous surgery. Revision rhinoplasty surgery can address aesthetic concerns, breathing difficulties, and structural issues. It is often more complex than the primary rhinoplasty procedure, as the surgeon must work with excessive scar tissue, altered anatomy, and the need to restore the nose’s structure.

Choosing Your Revision Rhinoplasty Plastic Surgeon

When seeking out a plastic surgeon to perform a revision rhinoplasty, patients should consider the surgeon’s training and experience. At AOO | ENT Specialists of the Rockies, our double board-certified facial plastic surgeons have the most comprehensive training to address the function and aesthetic concerns of the nose. As a facial plastic surgeon board-certified in otolaryngology and facial plastic surgery, Dr. Christopher Cote specializes in rhinoplasty surgery and revision rhinoplasty surgery, with experience in the most intricate and complex cases. If you are seeking a revision rhinoplasty surgeon in the Denver, CO, area, contact our practice today to schedule a consultation.

The Revision Rhinoplasty Procedure

Revision rhinoplasty is a surgical procedure performed using general anesthesia. Because this procedure is highly personalized, no two revision procedures will be the same. This procedure is generally considered to be more difficult and complex than initial rhinoplasty surgery, as damaged cartilage and scar tissue will need to be rebuilt. To create a new nasal skeleton, cartilage grafts may be collected from the nasal septum, the ear, or the rib. In cases where there is a large amount of cartilage needed to rebuild the nose, synthetic tissue may be used.

Revision Rhinoplasty Recovery

Following your nasal revision surgery, swelling, bruising, and discomfort are to be expected. The recovery process following revision rhinoplasty is generally longer than that of the prior rhinoplasty. Most patients can return to work within 7-10 days or revision rhinoplasty surgery, depending on the nature of their job. Swelling generally lasts for 1-2 months. During this time, exercise should be avoided. Our team will discuss specific post-op aftercare instructions with you to help ensure optimal outcomes.

Who is a Revision Rhinoplasty Candidate?

Ideal candidates for revision rhinoplasty are individuals who underwent a previous rhinoplasty surgery and are not satisfied with the functional or aesthetic outcomes. To be considered for this procedure, you should be in good physical and emotional health with realistic expectations regarding what this procedure can achieve.

It is a general rule that patients should wait at least one year following an initial rhinoplasty to undergo a revision rhinoplasty. This is because the nose should be fully recovered from the initial surgery to avoid unnecessary complications.

Schedule a Consultation

If you are considering revision rhinoplasty or another form of nasal surgery, please contact AOO | ENT Specialists of the Rockies today to schedule a consultation appointment. Dr. Cote uses the most advanced techniques to achieve your desired outcome.

Frequently Asked Questions

How long does revision rhinoplasty take?

Revision rhinoplasty surgery can take anywhere from 2-4 hours, on average, depending on the complexity of the case. The exact duration of surgery depends on the specific issues being addressed and your surgeon's approach.

When can I have my revision rhinoplasty performed?

Revision rhinoplasty can be performed at least one year after the initial rhinoplasty procedure.

Can revision rhinoplasty address a blocked nasal airway?

Yes, a revision rhinoplasty procedure can address a blocked nasal airway to improve breathing. Dr. Cote can address functional issues to restore proper breathing as well as improve the nose's appearance.

Is revision rhinoplasty common?

Yes, revision rhinoplasty is fairly common. Patients may seek revision surgery due to aesthetic dissatisfaction or functional issues like breathing problems. The complexity of rhinoplasty surgery makes it challenging to achieve perfect results in every case, which is why revisions can be necessary.

How soon can revision rhinoplasty be done?

Revision rhinoplasty is usually recommended at least 12 months after the initial surgery. This allows sufficient time for the nose to heal completely and for any swelling to subside. Operating too soon may lead to poor outcomes as the tissues are still in a state of healing.

Is a rhinoplasty permanent?

Yes, rhinoplasty results are generally considered permanent. However, your nose may still undergo subtle changes over time due to aging or environmental factors. After surgery, the bone and cartilage structure that has been altered remains stable, but small shifts can occur, especially as the skin ages or thickens.

How do I prepare for a revision rhinoplasty?

Preparing for revision rhinoplasty is similar to preparing for the initial surgery. Here are some steps to follow:rn•tChoose a highly experienced surgeon who specializes in revision rhinoplasty.rn•tFollow pre-operative instructions, such as avoiding certain medications that can thin the blood (e.g., aspirin).rn•tAvoid smoking and alcohol before surgery, as they can affect healing.rn•tPlan for your recovery by arranging time off work, transportation, and help at home if necessary.

Does a revision rhinoplasty take longer to heal?

Yes, revision rhinoplasty often takes longer to heal compared to the initial surgery. This is because the nasal tissues have already been altered, making them more delicate and prone to swelling. The recovery process can vary depending on the extent of the revision, but most patients see improvements in swelling and bruising within a few weeks, with final results visible after 12 to 18 months.

Dr. Christopher Cote headshot
Christopher R. Cote, M.D.
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With more than 25 years experience,Dr. Christopher Cote is double-board-certified by the American Board of Otolaryngology and the American Board of Facial and Reconstructive Surgery. He received his medical degree from Tufts University and performed a surgical internship and residency at Walter Reed Medical Center and National Naval Medical Center. He received fellowship training at Johns Hopkins University in Facial Plastic And Reconstructive Surgery, his subspecialty area of expertise and focus, including rhinoplasty and nasal airway surgery. He also enjoys hiking, skiing, and traveling with his family.

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