Revision Rhinoplasty

Plastic surgery should leave you glowing with pleasure at the results. Nothing is worse than undergoing a procedure only to have the outcome not turn out the way you expected. This is especially true with procedures such as rhinoplasty because it impacts your facial appearance. Fortunately, the good news is that most poor nose job surgeries can be corrected with revision rhinoplasty.

There are many reasons why you may not be happy with the results of your nose surgery. Often, it results from your surgeon lacking the proper skill or experience. Sometimes, even an experienced surgeon can encounter unexpected problems. Whatever the cause, unsuccessful nose surgery can have a severely negative impact on your self-image. Fortunately, Dr. Moelleken is ready to help with revisional rhinoplasty and plastic surgery in Beverly Hills.

What is Revisional Rhinoplasty?

Revision rhinoplasty can also be called secondary rhinoplasty. The procedure is a second nose surgery to correct unfavorable flaws from a previous unsuccessful one. Often, this procedure seeks to complete what the first nose surgery started.

At other times, it may work toward correcting mistakes. An inexperienced surgeon might have made any number of these during the first rhinoplasty. In both cases, revision surgery corrects problems through reconstruction and reshaping. The aim is to deliver results that fully match your goals.

stock image of model feeling air in park

Why Get a Secondary Nose Job?

Your first rhinoplasty did not achieve what it was supposed to. Maybe your previous surgeon’s skills resulted in a lower-quality first nose job. This can be severely disappointing and even harmful to your confidence in your appearance.

Or perhaps you were hoping for a functional surgery to help with breathing. If you are still having difficulty, then you would require a revision nose job.

With Dr. Moelleken’s expertise, you will be able to boost it to your deserved level. Whatever the reason, your first nose job did not do its job for your nose. You need a new pair of skilled hands and an expert that has a proven track record. With Dr. Moelleken, you’ll find a surgeon who combines technical skill with a mindset that treats every patient as unique.

Why So Many Cases for Revision Rhinoplasty?

The cause lies in the imbalance between skilled plastic surgeons and the number of people seeking procedures. Instead of seeking only a certified surgeon, some might turn to less experienced doctors. Deals and bargain prices can be sorely tempting. But, when the results leave you dissatisfied, you will be even more disappointed than you started.

Before and After

before after rhinoplasty procedure patient 1
before after rhinoplasty procedure patient 2

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We cannot advise strongly enough to seek out the right surgeon patiently. Find someone who can deliver results the first time around. Read reviews and check out before and after photos.

Finding the right surgeon might mean you have to wait. But it is worth it. This is true not only for rhinoplasty. If you are considering any other plastic or cosmetic surgery, choose only the best. You will find yourself much happier with the results. And, you will save yourself the trouble of needing revisions later.

Problems Associated with a Poorly Performed Rhinoplasty

Some of the problems that can occur from a poorly performed nose surgery include:

The Pollybeak Deformity

A Pollybeak deformity is a term given to a nose where the area just above the tip is too full. Typically, there should be a small dip or depression just above your nasal tip that defines the transition from your bridge to your tip, and when this area is too high or filled in, it is called a Pollybeak. A full Pollybeak can make your nose look down-turned like a parrot’s beak, thus the name.

If a surgeon does not reduce the cartilage enough in the area above your tip during a rhinoplasty, this will cause a Pollybeak deformity. On the other hand, if a surgeon is overly aggressive in reducing the area too much in someone with thick skin, the skin does not contract and flatten out as much as it should, allowing the area to fill in with thick scar tissue. Another problem is if a surgeon does not provide enough support to your nasal tip, eventually causing your tip to droop, making the area above the tip look too full.

The Scooped Out Bridge

A scooped out profile is probably one of the most common problems that occur after rhinoplasty. It usually happens after routine reduction rhinoplasty when there was a bump on the bridge that was shaved down too much. This can happen when a surgeon uses a chisel to make a bony bump smaller. Sometimes the angle is not right, and the surgeon can misjudge the bone level.

Dr. Moelleken prefers to reduce a bump on the nose by using a nasal rasp. A nasal rasp is a fine file that can be used to slowly whittle or file down the bony bump three-dimensionally in a meticulous and controlled manner. When the bone is reduced too much, the nasal profile will look scooped, and to fix this, Dr. Moelleken will need to build the bony bridge back up again, most often with your cartilage.

Open Roof Deformity

Your nasal bones are like a pyramid. When a bump is made smaller, the top of the bones is shaved or cut shorter to reduce the bump. This leaves an opening and is one of the reasons the base of your bones has to be cut during rhinoplasty surgery called osteotomies.

If the opening is not closed correctly, the problems result in an “open roof” deformity. If you have an open roof deformity, the middle part of the bridge on your nose will feel unnaturally flat. The edges of the bones are separated, and this can be seen as a prominent bump. The bones have to be brought back together to repair an “open roof” deformity. Sometimes, the bones have been so shortened that it is impossible to bring them together without pinching the top of your nose, and in this case, it is necessary to rebuild the roof with grafts.

Why so many Cases Revision Rhinoplasty?

The cause lies in the imbalance between skilled plastic surgeons and the number of people seeking procedures. Instead of seeking only a certified surgeon, some might turn to less experienced doctors. We cannot advise strongly enough to seek out the right surgeon patiently. Find someone who can deliver results the first time around.

Finding the right surgeon might mean you have to wait. But it is worth it. This is true not only for rhinoplasty. If you are considering any other plastic or cosmetic surgery, choose only the best. You will find yourself much happier with the results. And, you will save yourself the trouble of needing revisions later.

The Complexity of Revisional Rhinoplasty

Revision rhinoplasty is far more complicated than a first-time procedure. The first surgery alters the normal anatomy of your nose, and scar tissue is deposited under the skin.

Those changes make it more challenging to make desired corrections during a second operation. Older techniques relied only on the removal of tissue. So, it was popular among plastic surgeons to remove as much as possible. This included removing from the nose:

  • Bone
  • Cartilage
  • Soft tissues of the nose

Taking too much out can lead to a variety of additional problems. Problems resulting from excess tissue removal include:

  • Difficulty breathing due to collapsed nostrils
  • Constricted airways from poor scarring inside the nose
  • Visual or palpable irregularity of the nasal contour or shape.
  • Classic turned-up “ski slope” nose (sometimes a nasal collapse)

Rhinoplasty Requires Skill and Aesthetic Sensibility

A common problem after surgery is the feeling that your nose doesn’t match the rest of your face. Unfortunately, many plastic surgeons try to perform the same type of nose procedure for every patient. The result is that a sense of balance is missing. Imbalance among the parts of the nose can make it appear “fake.”

Maintaining balance in a nose job takes an artistic touch. Rhinoplasty may focus on a small area, but it is an exceptionally complex surgical procedure.

Achieving a successful balance requires a surgeon who approaches each surgery differently. You need a surgeon who understands that what works for one person won’t work for another. Also, it is helpful for patients to have an idea of what the changes will look like.

We have the state-of-the-art software programs that allow you to see what your nose might look like after nose surgery. It is important to keep in mind that the program has limits and does not exactly mirror the end results. However, this tool significantly helps patients prepare for the changes.

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Schedule a Consultation for Revisional Rhinoplasty in Beverly Hills

If your first procedure did not bring the results you needed, don’t hesitate to seek out a surgeon with the skill to correct it. Whatever your concern with your nose might be, Dr. Moelleken will help you reach your goals. Dr. Moelleken’s credentials and past success demonstrate that he is the surgeon you need. Vogue even named him one of the “Top 10 Plastic Surgeons in the US.”

Schedule a consultation with Dr. Moelleken today. He will work with you to understand your expectations and will develop a plan to reach them. Don’t let the disappointment of your first rhinoplasty stop you. Be ready to reach out to a surgeon with the ability and care to give you the nose you deserve

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