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Rhinoplasty has one of the highest satisfaction rates among patients, as it can improve the nasal shape, correct breathing, and enhance self-confidence. Unfortunately, some clients find their primary rhinoplasty didn’t go far enough in making the requested changes, or it might have gone too far, removing too much bone and cartilage and leaving the nose without the proper support structure. Dr. Eisemann in Houston is a skilled, experienced, triple board-certified plastic surgeon who will assess your nose and create a revision strategy that restores your appearance as well as your quality of life.

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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What are the different surgical techniques used during 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.

What are the benefits of revision rhinoplasty?

  • Corrects misshapen structures
  • Restores the nasal width with cartilage grafts for middle vault collapse
  • Reconstructs nasal valves with spreader grafts or spreader flaps
  • Restores optimal facial harmony and symmetry
  • Deprojects or projects the nasal tip
  • Lengthens or shortens the nose
  • Provides concurrent sinus surgery
  • Improves nasal airway obstruction 
  • Enhances self-confidence

Who is a good candidate for revision rhinoplasty?

You’re a candidate for revision rhinoplasty in Houston if you:

  • Have recovered completely from your primary rhinoplasty
  • Are in generally good physical health
  • Have realistic expectations 
  • 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
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What can I expect from my recovery?

Most clients can expect their recovery to last two weeks. During the first week, swelling, bruising, and tenderness will be at their peak but will gradually begin to subside after that. A splint placed after surgery will be removed within seven days. While minor swelling may persist for up to a year, the nose will begin to look more pleasing and attractive within a matter of weeks. Our team will continue to monitor your recovery and will schedule you for follow-up visits with the surgeon.


    • Clean your incisions using hydrogen peroxide once daily. Twice a day you should apply antibiotic ointment to the wounds.
    • A cold compress can be applied for the first few days to ease discomfort. After that, you can use a warm compress to help minimize discoloration in the skin.
    • You will need to keep your head elevated for about seven days after surgery. Whenever you lie down, rest or relax, remember to remain somewhat upright, as this can help minimize postoperative swelling. 
    • Light walks are okay at first, but you should avoid strenuous exercise and activity for 4-6 weeks post-op. Before you resume heavy lifting or aerobics, check with your surgeon. 

    Why choose Dr. Michael Eisemann in Houston?

    Revision rhinoplasty is a challenging procedure since the surgeon has to work with often compromised, scarred, and contracted tissues. Dr. Eisemann is triple board certified by the American Board of Plastic Surgery, the American Board of Facial Plastic and Reconstructive Surgery, and the American Board of Otolaryngology-Head and Neck Surgery with over 30 years of experience. He 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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    Where is my surgery performed?

    The Eisemann Plastic Surgery Center in Houston is a nationally recognized operating room facility fully accredited 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. Patients appreciate the anonymity, privacy, safety, reduced cost, and quicker recovery with this technique rather than hospitalization and general anesthesia.

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