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Houston Revision Rhinoplasty

Although patients undergo nasal surgery (primary Rhinoplasty or Nose Job) with the expectation to improve their appearance, unfortunately that is not always the case. Less than desirable outcomes can be due to a number of reasons — a surgeon using outdated, ineffective techniques, complications that arise during the procedure or healing process, or unforeseen post-operative injury. As a result of a previous surgery, you may have an aspect of your nose that you do not care for — a bump or depression — or you may have difficulty breathing. Revision Rhinoplasty can help correct these issues among others.

Revision Rhinoplasty is a far more complex procedure because the anatomy inside your nose may have been significantly altered and it requires special expertise. Dr. Russell Kridel is an internationally recognized expert in Rhinoplasty and Revision Rhinoplasty surgical techniques. Dr. Kridel performs over 100 Rhinoplasty or Revision Rhinoplasty surgeries every year. He has written over 60 scientific journal articles and textbook chapters http://www.todaysface.com/about_us/about_rk/Russell_Kridel_MD_credentials.htm and has been invited to lecture and train other surgeons all around the world. He has presented his own Rhinoplasty Course, “Rodeo Rhinoplasty”, and has a special set of medical instruments named after him that surgeons use for these procedures. Several of Dr. Kridel’s unique surgical techniques for Rhinoplasty are now being used in medical schools around the country. He has been awarded the highest honors from his specialty for his surgical excellence in facial plastic surgery, including Rhinoplasty and Revision Rhinoplasty techniques.

Click here to read one of Dr. Kridel’s published landmark scientific studies on
“Long-term Use and Follow-up of Irradiated Cartilage Grafts in the Nose” http://archfaci.jamanetwork.com/article.aspx?articleid=407629

Questions & Answers

What happens in Revision Rhinoplasty surgery?

Revision rhinoplasty can take two or more hours to complete and is commonly performed with local anesthesia and sedation or with general anesthesia. Incisions may be made inside of the nose (closed rhinoplasty) or it may be necessary to make an additional small incision externally in a well-concealed location within the natural folds or in otherwise inconspicuous areas (open rhinoplasty). In many cases, the anatomy inside the nose may be significantly compromised from previous surgery, which better lends itself to Open Rhinoplasty technique. Once the incisions are made an improved shape can be achieved by repositioning cartilage or replacing missing structures. The skin is then redraped over the nose and the incisions are closed.

What is the recovery like for Revision Rhinoplasty?

Patients undergoing revision rhinoplasty often experience less bruising, swelling and pain than with primary rhinoplasty procedures. The majority of bruising will fade within ten days, though it can take several months for the swelling to fade.

Stitches will be removed within seven days unless absorbable sutures were used as these dissolve on their own. Most patients can return to work within a week after the Revision Rhinoplasty procedure, though more strenuous activities should be postponed for three weeks and contact sports, diving and weight-training should be avoided for six weeks.

Who are the best candidates for Revision Rhinoplasty?

The best candidate for revision rhinoplasty is a physically healthy man or woman who is looking to improve the appearance and/or the function of the nose after a previous Rhinoplasty procedure.

However, it is also important that patients have realistic expectations for improvement. The number of times a patient has been operated on and the complexity of the repair can impact what can be achieved in surgery. During your consultation with Dr. Kridel he will fully evaluate your nose, including a breathing test (Rhinometry) and take photographs. After computer imaging has been completed he will review with you the goals and expectations for your Revision Rhinoplasty.

Can Revision Rhinoplasty help my breathing?

Dr. Russell Kridel often does Revision Rhinoplasty to correct a dysfunctional airway – in other words, the person can’t breathe well. This can result from a problem that existed prior to your first surgery (known as Primary Rhinoplasty or Nose Job). Or, if the nasal airway was changed during your previous surgery by another physician, you may now be having trouble breathing through your nose, especially if your nose was made smaller or if you experienced a post-operative drooping of the tip of your nose.

As a result, you may now need correction of a deviated or crooked septum (the partition between the nostrils), and trimming of your turbinates may be required (turbinates are structures deep inside the nose on the sides which warm and humidify the air going through your nose). Although you may have already had surgery on your septum, a revision septoplasty may be necessary to improve your breathing. Furthermore, you may need a graft to re-support the tip of your nose.

Revision Rhinoplasty is a significantly more difficult procedure because scar tissue has formed and often some of the structures inside the nose may have been altered or removed. However, following successful Revision Rhinoplasty surgery with Dr. Kridel, patients are ecstatic that they can breathe again.