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Thanks to revision rhinoplasty, there is no need to live with unsatisfactory results or deal with functional issues following a less-than-stellar primary nose surgery. Board-certified plastic surgeon Dr. James Anthony regularly performs revision rhinoplasty in San Francisco to leave you with a more aesthetically pleasing appearance and improved breathing function.

What is revision rhinoplasty?

When a client undergoes rhinoplasty, they naturally expect that their outcome will be to their liking. It can be distressing to find that your nose doesn’t look or work right after investing so much time and money into refining its appearance. Typically the previous nose surgeon did not go far enough in creating the desired changes to the tip, nostrils, or bridge, or they went too far and removed too much cartilage and bone, upsetting the structural balance of the nose and thus causing breathing issues. A revision procedure can help correct asymmetry, improve functional harmony, and achieve many of the goals that the patient originally intended.

What are the most common reasons why people pursue revision rhinoplasty?

  • Nasal asymmetry
  • The nose is still too large for the face
  • The nose appears flat, pinched, pointy, or hooked
  • The nasal hump has not been properly addressed
  • The nose appears too short, too long, too wide, or too thin
  • Too much cartilage or bone has been removed
  • It is difficult to breathe properly
  • The primary rhinoplasty results do not look natural
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What are the benefits of revision rhinoplasty?

  • Improved symmetry
  • A more balanced, proportionate nasal appearance
  • Enhanced breathing
  • Correction of imperfections in the tip, nostrils, and bridge
  • Helps restore self-confidence and quality of life
  • Natural-looking results

What happens during the procedure?

Our San Francisco revision rhinoplasty will be preceded by an in-person consultation with Dr. Anthony so that he can fully understand your personal desires and aesthetic goals before designing a personalized treatment plan. 

The actual surgery involves either a “closed” or “open” technique. During the open technique (the most common approach), Dr. Anthony separates the skin, cartilage, and bone for maximum visibility before shaping the nose to the requested position.

The closed technique is less invasive and tends to be used for less complicated reformations. Sometimes revision rhinoplasty procedures involve the placement of a cartilage or bone graft to help reconstruct and strengthen the framework of the nose.

Revision rhinoplasty is commonly completed as an outpatient procedure under general anesthesia, and the duration of your recovery will depend on the extent of repair and the technique that is used.

Who should consider a revision rhinoplasty procedure?

After a primary rhinoplasty, it can take up to one year for all the swelling to dissipate, so it’s important that you don’t judge your nose too harshly until after this amount of time has passed. If at that point you are still unhappy with your appearance or you are struggling with functional problems related to your initial surgery, a revision rhinoplasty may likely be the best course of action. The revision procedure can address unevenness, asymmetry, a poor-looking scar, and many other aesthetic and functional concerns.

Before & After

Am I a candidate?

Before your revision rhinoplasty in San Francisco, Dr. Anthony will talk you through the long-term results you can expect and will guide your expectations. It’s also important to be aware that this surgery can be significantly more difficult than the initial rhinoplasty and requires the skill of a gifted surgeon like Dr. Anthony. The best candidates for revision rhinoplasty are:

  • Mentally and physically healthy
  • Free from any significant medical issues
  • Non-smokers
  • Realistic in their expectations
  • Willing to follow Dr. Anthony’s instructions
      Model smiling while using a tablet

      What can I expect from my recovery?

      In general, recovery after revision rhinoplasty takes 2-3 weeks. You’ll need to wear a nose splint for a few days, and you will need a follow-up appointment to remove the stitches and splint. This will also allow Dr. Anthony to check on your recovery progress. It’s common to experience some substantial bruising and swelling, along with some discomfort or congestion, for approximately two weeks. The doctor will make sure you are comfortable with prescription medications. Since revision rhinoplasty is often more difficult than your first nose surgery, the recovery can take a bit longer.

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      Why choose Dr. Anthony for revision rhinoplasty?

      During your consultation, Dr. Anthony will develop a deep understanding of your needs and cosmetic goals before walking you through your options to provide you with a pleasing aesthetic outcome. If you’re interested in a revision rhinoplasty surgery and are ready to schedule your consultation with Dr. Anthony, we invite you to contact us today.

      Dr. James Anthony is a consummate artist and skilled, precision-minded plastic surgeon who has devoted his career to delivering customized, natural-looking results. For over two decades, he has performed strategic procedures for the breasts, face, and body that elevate self-confidence and quality of life.

      After obtaining his Doctor of Medicine degree from Stony Brook University, Dr. Anthony completed a general surgery residency at the New York Hospital-Cornell Medical Center. He then pursued an elite plastic surgery residency at the University of California, San Francisco (UCSF). Dr. Anthony is board-certified in plastic surgery by the American Board of Plastic Surgery and has been listed as among the “Best Doctors in the San Francisco Bay Area” by San Francisco magazine.

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      Revision Rhinoplasty FAQ

      What is Vectra 3D imaging

      Surgery is a big commitment, and many patients wish they could know exactly how their results will look before undergoing a surgical procedure. With Vectra 3D imaging, that’s now a possibility. This cutting-edge technology utilizes 3D scanning to allow patients to visualize how their faces will look after a procedure, giving them a much better idea of the outcome so that they can make educated decisions.

      Does insurance cover revision rhinoplasty?

      Insurance companies typically only cover medically necessary procedures. If revision rhinoplasty is performed solely for cosmetic purposes, it will not be covered. If there are functional issues with the nose, insurance may cover a portion of the costs. It’s best to check with your individual carrier.

      Will revision rhinoplasty leave scars?

      For closed rhinoplasty, the incisions are placed inside the nostrils, where they are inconspicuous. For open rhinoplasty, a small scar may be visible beneath the base of the nose. Dr. Anthony does everything possible to minimize your scarring and produce a natural-looking, elegant outcome.

      Is revision rhinoplasty painful?

      The surgery is performed under general anesthesia, so you will not be conscious or feel anything during the procedure. Afterward, Dr. Anthony will make sure you are comfortable with prescription pain medications. In general, revision rhinoplasty is less painful than primary rhinoplasty.

      How much does a revision rhinoplasty cost?

      The cost of revision rhinoplasty in San Francisco will depend on the amount of reconstruction needed. During your consultation with Dr. Anthony, we’ll determine any out-of-pocket costs in addition to discussing payment options and financial planning possibilities.

      What is cartilage grafting?

      Cartilage grafting is sometimes necessary with a revision rhinoplasty procedure. It involves taking bone and cartilage from a part of the body (such as the ribs) and using it to restructure the nose. This is usually only needed in severe cases or if cartilage was jeopardized during the initial rhinoplasty procedure.

      How common are revision rhinoplasty procedures?

      While it’s fairly common for some patients to want to slightly alter or touch up the results of a rhinoplasty procedure, major revisions are less common. When major revisions are needed, it’s often because they’re the result of a less-experienced surgeon. Dr. Anthony brings not only a wide breadth of facial cosmetic experience to the table but also uses the most state-of-the-art procedures and technology to ensure that you come away with your ideal results.

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