With over more than 25 years of experience, Dr. Hilger’s and Dr. Lyford-Pike’s practice has gained a reputation for superior outcomes in rhinoplasty procedures. Area surgeons refer a significant number of patients to our practice who have had previous unsuccessful rhinoplasty surgery elsewhere.
Revision surgery may be indicated for aesthetic goals, functional airway correction or both.
Revision rhinoplasty is exceedingly challenging. Many physicians are aware of the challenges and refer the patient to a more experienced surgeon. The surgeons at the Hilger Clinic perform over 200 rhinoplasty surgeries annually, and approximately one-third of those procedures are revision rhinoplasty referred to our Minneapolis office for correction.
What is a Revision Rhinoplasty?
A revision rhinoplasty is the second or third nose surgery (occasionally more) that is performed to correct unsatisfactory results occurring after a primary procedure. Following an initial surgery, the tissues may not heal correctly, leading to an unbalanced appearance. Sometimes excessive tissue removal causes weakness to internal nasal structures, which results in breathing difficulties because of obstruction. Excessive scar tissue formation might also cause functional problems or altered appearance. Revision rhinoplasty procedures correct these problems, providing a more satisfactory appearance, along with improved breathing.
What is Involved in a Revision Rhinoplasty Procedure?
The type of procedure revision patients require depends on the problem. Occasionally, limited aesthetic problems can be corrected with minor alterations that can be accomplished in an office setting with local anesthetic and very little “downtime”. Individuals requiring more extensive interventions may undergo general anesthesia or receive a local anesthetic in combination with sedative medications in a certified operating room. Depending on the procedure required to correct problems, patients may have internal and external sutures. Patients sometimes require revision procedures due to loss of or insufficient structural tissue. Under these circumstances, surgeons may obtain cartilage and tissue from inside the nose, possibly from behind the ear or rib or from a tissue bank.
Revision surgical procedures may take anywhere from one hour to more than four hours to complete.
Who is a Candidate for Revision Rhinoplasty?
Before surgeons agree to any procedures, they first determine whether or not patients qualify as candidates. The main stipulation surgeons consider is whether or not the patient is in good health and that they have emotionally recovered sufficiently from their previous surgery. Dr. Hilger and Dr. Lyford-Pike also require that patients have realistic expectations both concerning the current problem and regarding possible outcomes. Qualified and experienced surgeons inform patients when surgical procedures are necessary and what to expect after healing occurs. Patients must also have allowed adequate healing time after prior procedures before expecting corrections.
What are the Benefits of a Revision Rhinoplasty?
Understandably, individuals experiencing unsatisfactory results from a first procedure feel reluctant to consult with another physician. Most have some dread about having to undergo additional surgical procedures. People may not realize an additional procedure often corrects various problems. Many experienced surgeons suggest that up to 20 percent of rhinoplasty patients may benefit from additional procedures. Consulting with a surgeon experienced in revision rhinoplasty often alleviates fears and provides patients with information and hope that they do not have to continue suffering embarrassment, discomfort or the inconvenience caused by prior procedures. Patients having breathing difficulty particularly should consider consultation and possible additional surgery.
What is the Cost of a Revision Rhinoplasty?
There are many factors that contribute to revision rhinoplasty procedures. Physicians may or may not require payment for consultation. Revision rhinoplasty procedures may cost anywhere from a few thousand dollars up to $20,000 dollars, depending on the location and reputation of the surgeon. Besides the specific surgical procedure required to correct the problem, costs include anesthesia and hospital fees. Some surgeons own a private practice clinic where they perform procedures. This may alter the cost of procedures. Dr. Hilger utilizes a certified operating center for patient safety and comfort.
Revision Rhinoplasty FAQ
How do I choose the best revision Rhinoplasty surgeon?
Deciding on a revision rhinoplasty can be a difficult and traumatic experience. To feel confident in your decision, consult only with the best surgeons, with extensive experience in both rhinoplasty and revision rhinoplasty procedures. The best rhinoplasty surgeons will be a board-certified facial cosmetic surgeon and will have undergone specialized, rigorous training in facial cosmetic surgery. The best revision rhinoplasty surgeons will listen to your needs and wants regarding your nose, then develop an individualized surgical plan especially for your unique situation.
Dr. Hilger and Dr.Lyford-Pike are national leaders in revision rhinoplasty services. With over 30 years of cosmetic and plastic surgery experience, they have unsurpassed skill and aesthetic vision. These qualities have made them the number one choice for patients requiring a revision rhinoplasty procedure. Board-certified in Facial Plastic Surgery, they have undergone rigorous testing and extensive training, making them the among the best rhinoplasty surgeons both across the state and around the country. They have received multiple awards and recognitions, including the Castle-Connolly Award as America’s Top Doctor. Dr. Hilger is active in both teaching and clinical research, serving as Professor and Director of the Division of Facial Plastic Surgery at the University of Minnesota.
How do I know if a second or third procedure would prove beneficial?
Consultation with a surgeon experienced in revision surgery is paramount.
Techniques have evolved, biomedical device development has provided advancements, and insights gained from experience have added options not available in the past.
Can’t surgeons make treatment decisions based on interviews and physical examinations?
Usually, surgeons prefer to have photographs of patients prior to previous surgical procedures, along with the notes documenting the surgery. This information, along with an interview and a physical examination helps surgeons understand what may have gone wrong and determine the techniques required to change the outcome.
What can I expect following a revision rhinoplasty procedure?
Patients often report experiencing less bruising, discomfort and swelling after a revision compared with an initial procedure. Total healing time requires 12 to 18 months.
For nasal surgery post-op instructions click here. Please visit the section on our website devoted to primary rhinoplasty for additional information.