Precision Revision Rhinoplasty in San Jose With Aesthetx
Revision rhinoplasty is cosmetic surgery to correct problems with the results of the original procedure. Also called secondary nose job surgery, revision rhinoplasty can fix disappointing aesthetics from the primary rhinoplasty, or to address functional issues, such as nasal obstruction and breathing problems. The goal of revision or secondary rhinoplasty is to produce natural-looking results that are in harmony with your other facial features and to ensure a clear breathing passage.
Rhinoplasty is one of the most complex and challenging of all plastic surgery procedures. The surgeon must make precise changes to the underlying structure of the nose to create subtle enhancements to facial appearance, while also ensuring the airways remain open for effortless breathing. It takes advanced training, years of practice, expertise with sophisticated technology, and tremendous skill to get all the elements right. Excellent results also require a deep understanding of the wide range of facial aesthetics and close communication between patient and surgeon to plan a highly customized procedure.
If you are unhappy with the results of your first nose job or an earlier attempt to correct it, consider revision rhinoplasty with a true specialist to get the outcome you want now. At Aesthetx, we take a tailored approach to all rhinoplasty procedures. We take special care with a secondary nose job, which can require repair and rebuilding of damaged or altered tissue. By combining our years of medical training with our eye for artistic detail, we can help our patients achieve a better balance among their facial features.
Dr. Laurence Berkowitz, a leading rhinoplasty surgeon, has refined his technique by completing more than 1,000 cosmetic nose procedures.
How Is Revision Rhinoplasty Different From Primary Rhinoplasty?
Both primary rhinoplasty (your first nose job) and revision rhinoplasty (a secondary nose job to correct results from the first one) aim to enhance to look of your face by making your nose more attractive while keeping its new look in harmony with your other features. Both procedures may help restore nasal function and ensure easy breathing.
Revision rhinoplasty is the answer when the results of the primary nose procedure or an earlier attempt to fix it fall short of desired goals or create unexpected problems. A secondary nose job is a corrective procedure. Because the surgeon is working with altered tissue, revision rhinoplasty is a more complex operation. It requires a facial plastic and reconstructive surgeon with deep understanding of nasal anatomy, extensive experience with a diverse range of patients, and expertise with the most advanced surgical techniques.
Why You Might Consider Revision Rhinoplasty
The goal of revision rhinoplasty is to achieve the attractive, natural-looking, and fully functioning nose you had hoped to get with your first nose job. You might consider a secondary nose job if you are unhappy with the results the first procedure for any of several reasons:
- You are experiencing breathing problems.
- The first nose job has left you with structural deformities, such as a deviated septum, or with facial asymmetry.
- You are not satisfied with the appearance of your nose. Perhaps the size or shape is not what you were hoping for, or you have specific concerns with the tip of the nose, the nasal bridge, or the nostrils. Or, it might be because the altered nose is not in aesthetic harmony with your other facial features.
It’s crucial to note that the results of rhinoplasty take time to appear. Residual swelling from the procedure resolves slowly and can last for up to 18 months. If you are unhappy with the results of your initial nose job during this healing period, give it some more time. You may find yourself pleased with the results when they fully reveal themselves in a few more months. Unless there are breathing issues or a clear structural problem, we ask patients to wait at least a year after their primary rhinoplasty before we consult with them about a revision procedure. Once the swelling has disappeared and scar tissue has softened, your nose will be ready for correction.
If you are unhappy with the results of an earlier rhinoplasty, schedule a consultation with the experts at Aesthetx. We’ll explain our individualized approach to revision rhinoplasty and answer all your questions.
Your Consultation for Revision Rhinoplasty
A key step in a successful rhinoplasty — whether it’s a primary or secondary procedure — is your consultation. Be prepared to take an active role in planning your nose surgery. During your consultation, we will ask questions to understand your concerns about the results from your earlier procedure and your goals for the revision rhinoplasty, and we will answer any questions you may have. It can be helpful in this consultation to bring pictures showing your original nose, before the first surgery.
Drs. Berkowitz and Zeidler have built a reputation for being not only the best rhinoplasty surgeons in San Jose, but also two of the country’s leading experts in rhinoplasty. Their meticulous, patient-centered approach ensures you will go into the procedure with realistic expectations, and that you will love your results.
How Do Skilled Surgeons Perform Revision Rhinoplasty?
Revision rhinoplasty often requires surgeons to rebuild the bridge or tip of the nose using grafts of cartilage harvested from the ear, septum, or ribs. To add volume over the grafted cartilage and ensure a healthy blood supply to the rebuilt area, we may also graft collagen-dense connective tissue known as fascia, harvested from the scalp along the hairline. By wrapping the tiny segments of cartilage in fascia, we can create precisely molded grafts that allow us to make minute adjustments to the shape of the nose.
With all our rhinoplasty procedures — primary and secondary — we use advanced surgical techniques, including the use of platelet-rich plasma to encourage rapid healing and a shorter recovery time. Dr. Berkowitz has also developed a method of shaping the bones of the nose using high-frequency piezoelectric tools, an approach that results in less bruising and trauma to the surrounding tissue. He has given lectures around the world on the safe use of power tools in rhinoplasty surgery.
What Can I Expect in Recovery?
Recovery times for revision rhinoplasty will vary with the nature of the surgery. Small revision procedures will heal much faster than the original rhinoplasty, while more extensive revisions may result in a slightly longer period of recovery.
Since revision nose surgery is an outpatient procedure, we will clear you to go home after your surgery to begin your recovery in comfort. However, since you’ll still be sleepy from the anesthesia, you should arrange for someone you trust to drive you. For the first week, expect to wear a protective cast to help ensure your nose remains in its new shape. We suggest staying home for the full week so you can get plenty of rest to speed the recovery process.
After your surgeon removes your cast, you can go back to work or school if you wish. However, bear in mind that you might have to keep your nose taped during this time, and that you’ll still have some bruising, swelling, and discomfort. Approximately 80% of the swelling should resolve after 6 weeks, and within the first year to 18 months, you should see the final shape of your new nose emerge.
Why Choose Aesthetx for Secondary Nose Job Surgery in San Jose?
Rhinoplasty is one of the most sophisticated plastic surgery procedures, and revision rhinoplasty requires even more expertise, artistry, and skill. Your primary rhinoplasty has altered and possibly damaged your nose. To correct the problems from that procedure, your surgeon may need to graft cartilage and other tissue to rebuild the nasal structure and restore volume. As you have already learned, small missteps can result in disappointing aesthetic results and even problems with breathing.
Dr. Zeidler and Dr. Berkowitz set the standard for rhinoplasty specialists in the San Francisco Bay area. As an innovative surgeon who has performed more than 1,000 rhinoplasties, Dr. Berkowitz has gained respect as a leader in the field. He has pioneered the use of new rhinoplasty techniques in his practice and shared his expertise as a member of the board of directors of the Rhinoplasty Society.
Like Dr. Berkowitz, Dr. Zeidler has a background in reconstruction that informs her rhinoplasty procedures, allowing her to focus on both structure and function. Dr. Zeidler prides herself on her ability to deliver natural-looking results by creating a nose that’s perfectly balanced with a patient’s other facial features.
Contact Us Today
Aesthetx has earned a reputation for our informative, detailed consultations. To learn more about revision rhinoplasty and our customized approach, schedule your private consultation in our office in the San Jose area. Contact us online or by calling (408) 559-7177.