At the Chevy Chase Facial Plastic Surgery Centre for Rhinoplasty, Dr. Jennifer Parker Porter sees many patients seeking revision rhinoplasty, also called secondary rhinoplasty. In fact, about 50 percent of Dr. Porter’s Bethesda and Washington D.C. rhinoplasty patients are individuals seeking revision surgery, most often due to an unsatisfying experience with another plastic surgeon. With revision rhinoplasty, Dr. Porter can correct the results of a previous surgery and restore a sense of harmony to facial features.
To get an idea of how revision rhinoplasty can restore a sense of balance to facial features, please see one of our patient’s revision before-and-after photos.
The Consultation for Revision Rhinoplasty
Given that Dr. Porter is not usually the surgeon who performed your first nose surgery, it is helpful if you can bring in photographs that show what your nose originally looked like, when you come in for your consultation. Bringing in your initial surgical report is also useful. However, some patients had the original procedure so long ago that their operative records have since been destroyed. In this circumstance, Dr. Porter will devise a treatment protocol based on her own observations during your exam, and will also devise surgical contingency plans to implement, if needed.
Dr. Porter generally prefers to wait at least one year after your original procedure to perform the evaluation for revision rhinoplasty. This is because your nose continues to heal for a year or more following surgery. Nonetheless, some patients request that Dr. Porter examine their noses during the early phases of recovery, even though they will not be able to undergo revision rhinoplasty until their noses have completely healed.
During your consultation and evaluation, Dr. Porter reviews the reasons that initially motivated you to seek nose surgery as well as your current motivating factors for pursuing revision surgery. She also inquires about your aesthetic and functional concerns regarding your nose. In addition, she evaluates the psychological impact that the initial surgery has had on you. Dr. Porter takes all this information and the results of her own exam into account when establishing candidacy and determining the treatment protocol that is best suited for you.
How Revision Rhinoplasty Differs From the First Procedure
Revision rhinoplasty is an extremely complex procedure, due to the intricate three-dimensional structure of the nose as well as the degree of scar tissue that typically forms after the initial nose surgery.
The primary focus of revision nose surgery is usually to restore proper nasal function. Cosmetic concerns are also taken into account, but not at the expense of restoring a sound nasal structure.
During secondary rhinoplasty, Dr. Porter must carefully dissect and utilize the body’s natural resources to reconstruct the nose. Revision rhinoplasty often requires cartilage grafting. She uses septal cartilage when available to perform any needed grafting, but can also use ear cartilage if necessary.
Recovering From Revision Rhinoplasty
Recovering from revision rhinoplasty is similar to recovering from the initial procedure. You will need to take one to two weeks off from work or your usual activities. During the week after your procedure, you should keep your head elevated, even while sleeping.
For the first few days after surgery, your nose might feel stuffed up, and you may have to breathe through your mouth. You may also notice that your nose is sore, swollen or bruised, and the bruising may continue into the eye area, contributing the look of “black eyes.” However, many patients are pleasantly surprised with the lack of bruising and swelling, thanks to Dr. Porter’s surgical techniques. Note: It takes about one year for any residual swelling to subside completely.
If you experienced an extensive degree of scar tissue after your first surgery, it may take longer to realize your final results than it did with your initial procedure.
Restore a Sense of Balance
If it has been at least one year since your original rhinoplasty and you are ready to restore a sense of balance throughout your facial features, you are ready to pursue revision rhinoplasty. To schedule a private consultation with Dr. Porter to learn more about nose surgery, contact Chevy Chase Facial Plastic Surgery by calling (301) 652-8191.