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Revision Rhinoplasty: Why Such a Big Need?

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"A lovely woman is shown on the operating table before nose surgery"
Another Nose Surgery?

Every report about a failed nose job, always mentions the difficulty of the operation.

Why is that? Has the plastic surgeon not been highly trained, some as long as six or seven years after becoming an M.D.?

One board-certified plastic surgeon with 30 years experience figured from his past and the experience of colleagues that performing 100 to 200 rhinoplasties over a decade is required to become efficient.

Plus,one professional plastic surgeon organization figures as many as one in five first nose jobs are muffed.

Lack of experience often results in a nose that is too pinched, scooped, upturned or ski-sloped. Or, the nose tip is unbalanced or the nostrils are different sizes.

Nose surgery requires unusual hand-eye coordination and extreme manual dexterity; it’s often described as operating through a keyhole.

First rhinoplasties can go south because much of healing is uncontrollable. A scar on one patient’s nose can force nasal cartilage to unbuckle or be unsightly unbalanced but not for another patient. If the structural support inside the nose is not solidly done, the patent may suffer a twisted nose or breathing blockage some years later.

Consequently, many nose surgeons adopt a “less is more” philosophy and find more pleased more patients.

(Learn more about a first meeting with a qualified rhinoplasty surgeon.)

Sometimes, a failed rhinoplasty and a need for later revision rhinoplasty are assured before the first procedure starts. The surgeon and patient simply are not on the same page about what needs to be changed – so either too much or not enough was removed or structural parts of the nose were changed too little, too much or not at all.

An easy way out of that pickle is found in computer imaging, in which a surgeon draws on a computerized picture of the patient’s face what the most likely, predicted surgical outcome for that nose will look like.

How to guard against an inexperienced nose surgeon?

Go straight to the before and after pictures. Ideally, the surgeon should have hundreds of standardized rhinoplasty before and after surgery pictures.

(Read more about how to best use rhinoplasty before and after pictures.)

Yet another aspect is patients ignoring doctors’ orders and recommendations. Some patients will pony up serious money for a complex rhinoplasty and then take off the splint too soon, resume smoking or lift weights too early.


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