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What is revision rhinoplasty?

Revision rhinoplasty is performed to revise, reverse, improve, or correct suboptimal or unwanted results following a primary rhinoplasty. Vagaries in wound healing can result in structural, functional, or cosmetic problems such as:

  • Pinched nasal tip
  • Inadequate nasal tip projection
  • Excessive cartilage removal or malposition
  • Ski slope bridge deformities
  • Nasal airway obstruction
  • Pollybeak deformities
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The national average shows that 5-9% of all rhinoplasties may require revision. That is because rhinoplasty is one of the most challenging plastic surgery procedures to perform. The surgeon is operating in 3 dimensions on bone, cartilage, and skin each having its own healing characteristics.

Rhinoplasty and revision rhinoplasty in particular should only be undertaken by surgeons who have sufficient skill, training, interest, and dedication to perfect their own results. This requires years of experience and time to critique their own results. We both truly enjoy doing this operation not only for the patient but for ourselves since it is truly an art form.

Harvesting, shaping, and positioning cartilage and bone grafts from the ear, rib, or calvarium require advanced training. Dr. Michael Eisemann and Dr. Bradley Eisemann have both taken fellowships in craniofacial surgery beyond residency. Dr. Michael Eisemann has over 30 years of experience and has performed more than 2,000 rhinoplasties. Please schedule a consultation with Dr. Eisemann to discuss and evaluate any of your concerns, by calling (713) 790-1771 or by filling out this online form.

Benefits of Revision Rhinoplasty

  • Re-shape or correct a misshapen structure
  • Restore the nasal width with cartilage grafts for middle vault collapse
  • Reconstruct nasal valve with spreader grafts or spreader flaps
  • Restore optimal facial harmony and symmetry
  • Deproject or project nasal tip
  • Lengthen or shorten the nose
  • Septal cartilage, ear cartilage, or calvarial bone harvesting
  • Perform concurrent sinus surgery
  • Improve nasal airway obstruction of multiple causes
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Am I a Candidate for Revision Rhinoplasty?

You’re a candidate for revision rhinoplasty if you:

  • Have recovered completely from your primary rhinoplasty
  • Are in generally good physical health
  • Have realistic expectations from the rhinoplasty
  • Are unhappy with the results of your primary rhinoplasty
  • Have trouble breathing because of a botched rhinoplasty
  • Miss your old nose and want to reverse the results

Surgical techniques for Revision Rhinoplasty

Traditional rhinoplasties generally involve either open or closed approaches. Revision rhinoplasty may employ advanced open techniques including extracorporeal septal reconstruction. In this technique, the deviated septum is removed, modified and straightened and then replaced back into the nose.

The open technique requires an incision made within the columella between the nostrils. This is done to give the surgeon improved visualization and access to the bones and cartilage. The closed rhinoplasty technique has no visible scars and all incisions are made within the nostrils completely hidden from view.

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Why choose Dr. Michael Eisemann?

Revision rhinoplasty is a challenging procedure, since the surgeon has to work with often compromised, scared and contracted tissues. Dr. Eisemann is triple board certified in cosmetic and reconstructive surgery, both in general plastic surgery and in facial plastic and reconstructive surgery with over 30 years of experience and has performed over 2,000 rhinoplasty procedures. He plans each surgery after a detailed analysis to meet the patient’s individual needs and expectations to ensure that both he and the patient are happy with the result. New and advanced surgical techniques have minimized recovery significantly. 

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If sinus surgery is indicated, it can be performed concurrently with functional and/or aesthetic nasal surgery using surgical navigation with CT scanning for precise and safe localization of ethmoid, sphenoid, maxillary and frontal sinus disease.

The Eisemann Plastic Surgery Center is a nationally recognized and fully accredited operating room facility by the American Association for Accreditation of Ambulatory Surgical Facilities, Inc. (AAAASF). Here, surgery is performed under local anesthesia with IV sedation with continuous monitoring and without the need for general anesthesia. Generally patients appreciated the anonymity, privacy, safety, reduced cost and quicker recovery with this technique rather than hospitalization and general anesthesia. 

Revision Rhinoplasty

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