At SpaMedica, the cost of a rhinoplasty varies according to the particular areas of the nose you would like to alter. Due to the difficulty and expertise required in correcting a previous nose surgery, revision rhinoplasty procedures tend to be more expensive than the initial nose job. As such, the cost of the surgery starts at $12,999.
The recovery process for a revision rhinoplasty is similar to that of an original nose job. In other words, it should take approximately 10-14 days for patients to recover from a revision rhinoplasty procedure. Sometimes, a cast and surgical tape are placed for 1 week following the surgery to help heal the nose.
The length of the procedure depends on the breadth of cosmetic work. However, in most cases, a revision rhinoplasty procedure at SpaMedica can be performed in under 1 hour. In extreme cases where the underlying framework of the nose must be resculpted, the procedure will take several hours.
A revision rhinoplasty is a procedure designed for patients who are not pleased with the outcome of their first nose job. Essentially, the surgery involves reconstructing and reshaping the results of your previous surgery to ensure an outcome that is more satisfactory.
Due to the intricate anatomy of the nose, the procedure requires technical precision – down to the millimetre. Fortunately, with their precise tools and innovative techniques, the seasoned cosmetic surgeons at SpaMedica are highly regarded in the field of facial surgery, and can make the necessary corrections to restore your facial harmony. At SpaMedica, our surgeons utilize their technical expertise and renowned innovation to fix the work you aren’t satisfied with, so you get the results you’ve always wanted. It is not uncommon in revision rhinoplasty to use sources of cartilage, such as from the ear, rib, or fresh frozen cadaver rib.
In truth, there is no particular age restriction for a revision rhinoplasty procedure, and there is no specific trait that defines a “good” candidate. Fundamentally, good candidates are patients who are disheartened by the results of their first nose job, and would like to improve their initial outcome. Regardless, to give your nose sufficient time to heal, SpaMedica recommends waiting at least a year after your first nose job before undergoing a second procedure.
However, while there are no specific traits that dictate candidacy, there are certain conditions that can make the process more seamless.
Well-Defined Bone Structure
A well-defined bone structure can make a great deal of difference for a revision rhinoplasty procedure, as the cosmetic surgeon will have proper support while performing alterations.
Proper Physical Health
Good health and a lack of serious medical conditions are vital for a proper recovery following a revision rhinoplasty procedure.
As is the case with most cosmetic procedures, good revision rhinoplasty candidates have realistic expectations concerning the risks and benefits of the surgery.
In most cases, a revision rhinoplasty procedure is performed to correct a visible deformity caused by the initial nose job.
At SpaMedica, our dedicated cosmetic surgeons are committed to correcting the unsatisfactory outcome of your first rhinoplasty procedure.
A revision rhinoplasty can also be used to fix any health-related issues that result from the first nose job, including breathing difficulties.
If the nose is altered too much from its original state, there can be poor outcomes. At SpaMedica, our surgeons install an implant to correct this issue.
Irregularities of the Nose Bridge
These small irregularities of the nose bridge may occur from the shifting of bones after the surgery. However, they can be adjusted with simple molding.
The external scar on the columella typically heals imperceptibly, but can occasionally be visible.
There is a risk of compromised breathing after making the nose smaller and more attractive, so a SpaMedica surgeon will be sure to perform a follow-up procedure that increases the airflow required to compensate for the reduction of nose size.
Although infections are very rare with respect to revision rhinoplasty procedures, Dr. Mulholland and his experienced team still take every precaution to ensure that the surgery is a smooth, seamless experience.
Led by the incomparable Dr. Mulholland, the skilled cosmetic surgeons at SpaMedica combine technical proficiency and unparalleled precision with an individualized approach that puts the patient first. Dr. Mulholland himself has had extensive experience treating fractures of the face and nose. With his reputable talents in managing deficits in soft tissue and bones, Dr. Mulholland has become recognized as a leading authority in performing revision rhinoplasty surgeries for cosmetic and medical purposes.
Dr Roskies, a certified ENT surgeon and facial plastic surgeon with a Cleveland Clinic Head and Neck Cancer reconstruction fellowship training, is SpaMedica’s expert in revision rhinoplasty. He is Canada’s foremost authority in ultrasonic rhinoplasty, an ultrasound device for breaking and shaping the nose with little to no bruising and less swelling.
The approach to each specific secondary, revision rhinoplasty is quite different.
In general, the approach can be:
Endonasal, closed Secondary Rhinoplasty
It uses internal incisions and is often used for secondary correction of the bridge.
Open, external Secondary Rhinoplasty
Uses external and internal incisions and is often the method of choice to correct revisions that involve the nasal tip and nostrils
Injection rhinoplasty is a non surgical option to surgical secondary rhinoplasty. This popular technique, also called the 5-minute nose job is very effective in correcting a bump on the bridge, indentations, a crooked nose, or an inadequate dorsal bridge.
The nose can look great in a day, but the results only last for approximately 1 year, then need to be repeated.
At SpaMedica, a revision rhinoplasty procedure is performed under general and local anesthesia with IV sedation. Prior to your surgery, Dr. Mulholland, or Dr. Roskies will determine the best type of anesthesia to use based on your previous medical history, as well as your current prescriptions.
During a revision rhinoplasty, cosmetic surgeons reconstruct and reshape the nose to alter the unsatisfactory outcome of your previous nose job. In extreme cases where the entire structure of the nose must be rebuilt, surgeons use pieces of cartilage from a patient’s body as implants. These pieces of cartilage are typically found in the nasal septum, ear, or rib.
Prior to your procedure, Dr. Mulholland, Dr. Roskies and the SpaMedica team will review your medications and medical history. Based on the scope of the surgery, SpaMedica doctors may recommend that you stop taking certain medications before the surgery. It is also recommended that you consume a healthy diet and drink plenty of liquid before your surgery. The use of computer simulated imaging during your consult will give you a realistic sense of the naso-facial balance and proportion.
Please note that, after the surgery, you will be impaired from the anesthesia and thus unable to drive for at least 24 hours and we always recommend resume driving at 2 weeks. Most patients will go home following their procedure with internal packing in the nose to minimize the risk of bruising, as well as a cast on the external portion of their nose. As you will mostly be breathing through your mouth, be sure to stock up on plenty of water to prevent it from drying out.
Following your procedure, Dr. Mulholland, or Dr. Roskies and their surgical team in Toronto will recommend a comprehensive postoperative care regimen. This regimen will include instructions about the importance of avoiding physical activity, abstaining from alcohol and smoking, and minimizing exposure to the sun.
Day of Surgery: Patient returns home with internal packing to minimize the risk of bruising.
Week 2: Patients may resume their normal activities, including work.
Month 1: Patients may resume performing strenuous activities, such as sports.
Month 12-18: Swelling has completely subsided, and patients may evaluate their final results.
Due to the invasiveness of the procedure, a revision rhinoplasty can cause a certain level of discomfort. However, at SpaMedica, the actual revision rhinoplasty procedure will not be felt due to the general anesthesia. While there may be swelling and discomfort afterwards, there will be no extreme or long-term pain.
It is recommended that your nose heals from your first nose job before embarking on your revision rhinoplasty. As such, the cosmetic surgeons at SpaMedica recommend waiting anywhere from 12-24 months after your first nose job before proceeding with the procedure.
If the damage is extensive, Dr. Mulholland and Dr. Roskies recommend undergoing revision rhinoplasty, as the surgery can smoothen sharp angles, correct irregularities, and restore symmetrical balance. By adding balance and improving symmetry, Dr. Mulholland will be able to completely fix the appearance of a crooked nose.