About Revision Rhinoplasty
Rhinoplasty is among the most prominent aesthetic surgeries available and patients are usually ecstatic about their results. But if you're not pleased with the look of your new nose shape or you're having breathing trouble following nose surgery, revision rhinoplasty can be performed at our practice in San Francisco, CA. Revision or secondary nose surgery can include small improvements to better the appearance of the nose or includes total reconstruction to rebuild it, allowing for easier breathing. You don't have to live with lackluster results or deal with functional issues following rhinoplasty — arrange an appointment with board-certified plastic surgeon Dr. James Anthony for more information about revision rhinoplasty and your opportunities for achieving more aesthetically pleasing results.
"Dr Anthony was recommended to me, and I've had more than one procedure at his clinic. At my initial consultation I felt at ease to ask a myriad of questions. He has a warm style, listens and works to understand each individual body and situation. His work is a skilled blend of art and science, and he recommends what is best for the patient, not what is trending. Each time I've been impressed with Dr Anthony's ability to minimize scars and hide them well. In preparation for surgery, what to expect on the day is explained in detail. I'm delighted with my results which look natural and have stood the test of time well. Dr Anthony's team is excellent - Ann, Jasmine and Megan are personal and caring."- M.B. / Yelp / Apr 19, 2019
"I see Dr Anthony a couple times of year for botox on my forehead and worry lines. I do not like the lines on my forehead but I also don't want to look like I have had botox or a frozen look on my forehead. Dr. Anthony achieves the perfect balance for me by decreasing the severity of my wrinkles but not completely eliminating them for a more natural look. We started by doing some "baby botox" and have increased my amount over the last year and half. I had experience with other doctors before I started seeing Dr. Anthony and he is my favorite.I trust him and would highly recommend him, especially if you are new to botox injections."- K.D. / Yelp / Nov 05, 2019
"The best! Dr. Anthony is a stellar physician and surgeon. His approach to technique and art is truly amazing. His attention to detail(s), bedside manner and follow up is superb. His office team is attentive, smart and always available! Ann and Jazmine consistently and effectively manage your appointments, skin care, recovery and overall experience. The "team" assist you from end to end. You feel as if you are the only patient. I recently, had two procedures with Dr. Anthony. Breast reduction/lift and neck lift! His team and anesthesiologist are unmatched in the outpatient world. Their attention to YOU, procedure and policy truly put you in the best care possible as you elect surgery. There are many choices in the plastic surgery world, but know, when you have the very best surgeon and team with you and always available you are ahead of the game!"- D.P. / Yelp / Oct 29, 2019
"Fantastic surgeon who gave me a natural, beautiful result. Entire experience was top rate - he is very attentive and responsive, available for any questions, and saw me regularly for a year after my surgery to make sure all was going well. I couldn't be happier with the results which took years off and left no visible trace of his work nor any complications whatsoever. This surgeon is also an artist by training, so seems to appreciate a natural look and does not encourage more than is necessary to achieve that natural but enhanced look. Highly recommend."- L. / Healthgrades / May 31, 2019
"I highly recommend Dr. James Anthony without reservation. I went to him about a year ago to address an aging neck because a physician friend of mine said he was the best. Though I had several consultations with other surgeons, none of them compared with his clear vision, his confident approach, his genuine warmth and his focused attention. Impressively, he didn't push any other procedures along with lifting the neck, saying repeatedly that he wouldn't recommend anything else be done to me (despite my not being young), whereas other surgeons pressed for additional work like face lifts or fat grafting -- things those close to me felt were unnecessary. Dr. Anthony is both a highly skilled surgeon and a life-long artist, so he understands how to preserve a natural look. He was brilliant throughout the entire process, and I and my family couldn't be more thrilled with both that process and the beautiful, natural result which has taken years off me. He is also an extremely responsive physician who provided multiple consults before surgery as questions arose, as well as regular check-ups for a year after surgery, and is un-hurried and attentive in exams. Recovery was much easier than I imagined, and his nursing staff (his surgical center adjoins his office) was wonderful -- he can send a skilled night nurse home with you. There were absolutely no complications, everything healed perfectly and much sooner than I thought, and there are no visible scars whatsoever, no puckering, no problems. This is a wonderful and highly skilled surgeon and a complete pleasure to interact with from beginning to end."- L.B. / Yelp / May 30, 2019
You could be a great candidate for secondary rhinoplasty if you need to alter or fix the complications from your initial rhinoplasty. Rhinoplasty revision is often performed to repair or change the shape and functionality of your nose. Patients should be in search of a long-term repair and have realistic goals before pursuing a revision rhinoplasty surgery. In addition, you should know that this surgery could be significantly more difficult than the initial rhinoplasty.
Prior to initiating revision rhinoplasty, Dr. Anthony will meet with you during a consultation to understand your personal requests and aesthetic goals before designing a course of action. At the time of the actual surgery, Dr. Anthony will use either a closed or open approach. During the open technique (the most common approach), Dr. Anthony will separate the skin, cartilage, and bone, allowing for maximum visibility. Next, he will shape the nose to the requested position. The closed technique is much less invasive and is used for less complicated reformations. Sometimes during revision rhinoplasty, a cartilage or bone graft is used to help reconstruct and strengthen the framework of the nose.
What to Expect
Secondary rhinoplasty is most commonly completed as an outpatient procedure under general anesthesia. The duration of your procedure depends upon the extent of repair and the technique used. Upon the completion of the surgery, you will be asked to wear a nose splint for a few days and could be asked to arrange a follow-up appointment to remove the stitches and splint. This will also allow Dr. Anthony to check on your recovery progress. Since revision rhinoplasty can typically be more difficult than your first nose surgery, recoveries can take a bit longer. You could experience some substantial bruising and swelling, and discomfort or pain for approximately two weeks.
Frequently Asked Questions
How much does a revision rhinoplasty cost?
The cost of a revision rhinoplasty varies greatly based on the amount of reconstruction needed. During your initial assessment, we will be able to more accurately determine any out-of-pocket costs. We can also discuss payment and financial planning options in your consultation.
What is cartilage grafting?
For some revision rhinoplasty procedures, cartilage grafting may be necessary. This is performed by taking bone and cartilage from a part of the body, such as the ribs, to then use it to restructure the nose. Typically, this is only needed in severe cases or if cartilage was jeopardized during the initial rhinoplasty procedure.
How common are revision rhinoplasty procedures?
While it is fairly common for some patients to want to slightly alter or touch up the results of a rhinoplasty procedure, major revisions are less common. Major revisions are needed because they are often a result of choosing an inexperienced plastic surgeon. It is important with any cosmetic procedure to choose a highly-skilled, experienced plastic surgeon that you can trust to help you achieve your desired outcome.
How can I ensure that I will receive better results with a revision procedure?
It is extremely important to do your research when looking for a revision specialist. A skilled plastic surgeon will be able to understand the alterations you are wanting and what is necessary to provide them through a revision rhinoplasty procedure. Though the procedure itself can be quite complex for some patients, the results are often pleasing.
What can I expect during recovery?
In some cases, the recovery from a revision rhinoplasty can be quicker than the initial rhinoplasty. However, this may not be the case if a cartilage graft was necessary. Following the procedure, you may experience swelling, bruising, pressure, and some discomfort. Your surgeon will be able to give you appropriate aftercare recovery instructions to help you heal properly without any major complications.
Modify Your Look
Our San Francisco practice is devoted to ensuring that you achieve the results you deserve, even more so if you had a less-than-desirable experience with your first rhinoplasty procedure. At the time of your consultation, Dr. Anthony will ask questions to gain understanding about your needs and cosmetic goals before talking about your potential options to provide you with a pleasing aesthetic outcome. If you are interested in a secondary rhinoplasty surgery and are ready to schedule your consultation with Dr. Anthony, call our San Francisco, CA facility at your earliest convenience.