Question: I’m from Minneapolis and I had a closed rhinoplasty surgery 9 months ago. I know I’m supposed to wait a year but I feel fairly certain at this point that I’m going to want a revision procedure. Can the revision be done as a closed procedure as well or is open rhinoplasty typically needed?
Answer: Considering a revision rhinoplasty at nine months after surgery is very unusual. The only time we would consider doing this is if there is profound nasal airway obstruction or if there is a significant deformity such as deviation of the bony framework of the nose or residual significant dorsal hump. We find it more advantageous to let the edema resolve from the surgery before carrying out a revision. Regarding whether it can be done as an open or closed procedure, I reserve judgment on that until we can make any decision as to what the objectives of surgery should be. A consultation at nine months after surgery is certainly a reasonable consideration at this point even if surgery was to be delayed for 12 months. At least hearing your concerns and going over the issues with you is reasonable at this point.