By, Dr. Vincent Marin
5 Indicators Why You Might Need Rhinoplasty Revision
Rhinoplasty surgery is one of the most complicated procedures performed in the cosmetic arena. As a result, it is one of the procedures where we see the highest percentage of revisionary surgery. Some surgeons even specialize exclusively in revisionary rhinoplasty surgery alone. Thus, it is very important to do your homework and choose your surgeon wisely to reduce the risk of needing a second operation.
- Too much or too little was removed from your nose. Most patients requesting a rhinoplasty surgery want a smaller and more refined nose. In years past, surgeons over aggressively removed cartilage and bone from the nose leaving a pinched appearance with a constricted airway. The situation frequently led to the need for revisionary surgery. Some surgeons who were too conservative also have left too much tissue behind. This is an easier situation to remedy, but still requires a secondary operation. The goal of a successful rhinoplasty is to remove just enough to enhance the appearance of the nose while still providing sufficient support to maintain an open airway. Every patient is different and an experienced surgeon is required to assess the situation and choose the most effective treatment.
- Rhinoplasty is a surgery of millimeters – literally. Every millimeter makes a difference in rhinoplasty, and thus even the smallest discrepancy can be evident after surgery. If the nose does not appear perfect on the operating table, or as close to perfect as one can make it, it is likely to become an issue after surgery. Thus, you want to choose a physician who appreciates the intricacy of rhinoplasty surgery.
- Scar tissue is frequently the enemy in rhinoplasty. Once a surgeon has finished his/her surgery, they lose control of the operation. What this means is that the presence of scar tissue can distort or pull on the underlying bone and cartilage framework after the surgery is complete. Thus, there can be warping or movement of the tissues as a result of scar tissue contraction. This is normally evident several months after the conclusion of your surgery, and is not normally a result of an improperly performed surgery. If this does occur, frequently a revisionary surgery is required.
- You are a perfectionist. We frequently see patients who are requesting a rhinoplasty to be very detailed in their assessment of what is wrong with their nose before surgery. As a result, they frequently will search out any abnormalities, no matter how slight, after surgery. No surgeon can get a perfect result, and almost certainly there will become imperfections in the nose after the conclusion of even the best rhinoplasty. The goal in rhinoplasty is a significant improvement in one’s appearance, better balance and refinement and achieving the patient’s aesthetic goals – not perfection. Thus, it is important to accept this fact prior to undergoing any surgical procedure as we as surgeons do not have magic wands.
- You may have chosen the wrong doctor. It is important to make sure that your doctor has significant experience in rhinoplasty surgery. Many doctors, even well trained plastic and facial plastic surgeons, do not get enough experience with rhinoplasty, and as a result, have a higher revision rate. Additionally, your doctor could be either not be Board Certified or Certified in the wrong specialty. In most states, ANYONE who is licensed to perform ANY surgical procedures can legally perform cosmetic surgery – as long as they went to a weekend course, pay a fee and have a couple procedures supervised. Board Certified Plastic Surgeons and Facial Plastic Surgeons rigorously train for 5-7 years to learn the intricacies of these procedures, detailed anatomy, the proper finesse, and the management of any complications.
Do your homework before you decide to have any cosmetic surgical procedure.
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Short Bio: Dr. Vincent Marin is a board certified Plastic Surgeon and the founder of Marin Aesthetics, serving at La Jolla, California and the greater San Diego area. Dr. Marin specializes in cosmetic surgery of the face, nose, breast and body.