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Revision Rhinoplasty

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Revision rhinoplasty can be more difficult than the initial procedure and requires a doctor with a particular skill set and years of experience. Previous nose surgery in San Francisco may have removed much of the underlying cartilage and generated scar tissue which may pose additional challenges. As a rhinoplasty surgeon, Dr. David C. Mabrie has developed a special interest in these challenging cases.

Dr. Mabrie works with men and women from throughout the Bay Area including San Francisco, Oakland, Walnut Creek and Pinole. Request a consultation online or call us at (415) 445-9513 today.

Featured Cases

Case 319

ABOUT OUR PATIENT Feeling like she was looking much older than she actually was this Bay Area woman knew she needed a fresh look to match how she felt. After doing a little bit of research online about the possibilities of dermal fillers, she came in for an in-depth consultation at my office in downtown San Francisco to see what her options were. DR. MABRIE'S TREATMENT PLAN It's very common for...

Case 318

ABOUT OUR PATIENT This young Bay Area woman had previously received a non-surgical Juvederm treatment to address the circles that were appearing under her eyes, but she wasn't exactly satisfied with the results. After reading some of my patient reviews online and noting my unique approach and focus on non-surgical facial sculpting, she decided to come in for a consultation at my downtown San...

Case 312

ABOUT OUR PATIENT For about a year, this 40-something mother of two had thought about getting a treatment for her nose. She started doing research about her options and came across the reviews and photos for my cosmetic surgery practice. Soon after, I was glad to welcome her to my San Francisco office where I gave her an in-depth consultation. DR. MABRIE'S TREATMENT PLAN For this patient, I per...

Case 305

ABOUT OUR PATIENT This woman from Santa Cruz really liked the way her face looked in general but was interested in refining her nose. She felt it was a little round and slightly bulbous in appearance. Evan so, she knew she definitely did not want an invasive surgical procedure to fix it. When she found my website, watched our videos, and reviewed the before and after photographs, she decided to v...

Case 300

ABOUT OUR PATIENT This African American man in his 20's had a big problem: he had long felt his nose detracted from the rest of his face. While he appreciated its shape in general, he felt it made him look too childlike. During his search for a surgeon experienced in Ethnic Rhinoplasty, my videos caught his eye, so we met in my downtown San Francisco office, where I consulted with him about non...

Case 276

ABOUT OUR PATIENT This patient, a young woman located in the East Bay, had a common problem: she wanted to subtly change the look of her nose, but she didn't want to undergo any invasive surgery to do so. That's why she came to see me at my San Francisco office for a consultation, eager to find out about the benefits of Non-Surgical Rhinoplasty. DR. MABRIE'S TREATMENT PLAN This patient's case i...

Case 261

ABOUT OUR PATIENT I love this case! This woman in her 70s from the East Bay, had long considered getting surgery to narrow her nostrils. She and I had a great talk during a consultation in my San Francisco office regarding Surgical Rhinoplasty, in which we explored options that would get her the amazing results she was after. DR. MABRIE'S TREATMENT PLAN I performed a Non-Surgical Rhinoplasty us...

Case 218

ABOUT OUR PATIENT This young lady was already feeling somewhat satisfied with the shaping of her nose, but she knew there was room for improvement. She felt it looked a little round and slightly undefined. Basically, she was looking for a change that was defining but not too drastic. After searching online for a facial plastic surgeon specializing in Non-Surgical Rhinoplasty, she found our before...

Case 210

ABOUT OUR PATIENT This patient initially visited my San Francisco office interested in finding the right kind of filler treatment for bags under her eyes. I noticed her nose was somewhat misshapen and injured as well. She told me it was the result of a Rhinoplasty she had many years ago. There has been a hump reduction during the Rhinoplasty surgery, which had caused the middle cartilaginous port...

Case 208

Background: This young San Francisco woman was interested in Rhinoplasty surgery.  She chose Dr. Mabrie because of his experience with preserving ethnic characteristics and maintaining natural results.  She wanted a softer nose, like her mother's, with better symmetry, a smaller tip, and a straighter profile.  Lastly, when she smiled and said certain words, like, "no", her nasal tip...

Case 201

Background: This woman had long considered Rhinoplasty surgery. Her nasal tip was full and similar in size and shape to the nose of her father. While she liked his nose on him, she wanted something softer and more feminine. After searching several plastic surgery websites of doctors in San Francisco, she found Dr. Mabrie and scheduled a consultation. Dr. Mabrie's Assessment: "This African America...

Case 195

Background: This young woman had a previous Rhinoplasty years ago that had given good results. Years later she started to see a change in those results. She came in to see Dr. Mabrie for a consult with specific goals in mind. 1. Narrow the nasal bridge. 2. Make the tip less round. 3. Smooth the contour of her nose. 4. Improve her profile. Dr. Mabrie’s Assessment: "After her initial Rh...

Case 169

Background: This 24 year old African American woman consulted with Dr. Mabrie about Rhinoplasty in San Francisco to improve the appearance of her nose. She explained that she would like the bridge thinner and tip more detained to match her face. Dr. Mabrie's Assessment: "The nose actually has a nice size and shape to start. There is a small bump on profile and the tip could use some definition. T...

Case 120

Background: This 21 year old Tourism student is of Spanish and Italian ethnic background. She had a history of trauma a few years ago during a water polo incident.  Her concerns were to: 1. Primarily reduce the bump in her nasal dorsum, 2. Resolve her difficulty in breathing, 3. To smooth the lines in her nose, and 4. To maintain the look and character of her nose. Dr Mabrie&...

Case 94

Background: This Filipina woman in her 20’s consulted with Dr. Mabrie in his San Francisco office, interested in a Rhinoplasty. She had been asked to do some modeling and noticed that on certain angles her nose was less defined than she would like. Her husband, who felt she was beautiful as was, supported her wish to obtain a consultation but urged her not to get “that o...

Case 67

Background:  This Bay Area woman was very active in outdoor activities and did a lot to keep herself in good physical condition.  She liked her all the characteristics of her nose except that when she smiled, in photos, the nostrils appeared somewhat wider than she liked.  She consulted with Dr. Mabrie about surgical options and cosmetic rhinoplasty in San Francisco.Dr. Mabrie's Ass...

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What Techniques Are Used for a Revision Rhinoplasty?

Depending on the surgical goals, either an open or closed rhinoplasty may be recommended for your revision surgery. Frequently, an open approach is used to allow better access to the nasal structure by making a small incision under the nose. In doing this, Dr. Mabrie is able to analyze the elements that have caused the unwanted results of the initial nose job in San Francisco. In other cases, a closed approach may be used by placing a small cartilage graft to remove a concavity or depression. The following are techniques used to resolve particular areas of concern:

  • Removing scar tissue from a previous surgery which has reduced definition or caused asymmetry
  • Using a patient's cartilage from the nasal septum or ear to augment an area that was over-reduced
  • Using materials such as Gortex or Medpor to augment the dorsum or hump
  • Injecting permanent or semi-permanent dermal fillers to achieve a non-surgical rhinoplasty

Featured Videos

Non-Surgical Revision Rhinoplasty

Facial fillers are a good alternative for patients seeking revision rhinoplasty. Surgical rhinoplasty may result in a weakened nasal structure making the nose more susceptible to injury when subjected to additional surgeries. Small deformities or irregularities in an otherwise ideal rhinoplasty outcome may be challenging to correct with surgery. Non-surgical dermal fillers are better at contouring than surgery, as they provide the ability to treat deformities without disrupting adjacent areas.

What are the Typical Goals of a Revision Rhinoplasty?

Revision nose surgery in San Francisco helps to improve the cosmetic outcome of a prior surgery. Specific improvements may include:

  • Improving symmetry: A first time rhinoplasty can render results that aren't even, most commonly between the two sides of the nose. Occasionally, an imbalance between the proportions of the upper, middle and lower parts of the nose may exist.
  • Rebuilding an area that was over-reduced: If the surgeon performing the rhinoplasty removed too much of an area, leaving the patient with less tissue than desired, techniques to rebuild the area can be used to reform the look.
  • Refining results that were incomplete: Should the patient feel they didn't achieve their desired results the first time around, Dr. Mabrie will review their goals with them and comparing to their surgical results.

San Francisco Facial Plastic Surgeon David C. Mabrie M.D., F.A.C.S.

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The Surgeon

Dr. David Mabrie offers:

  • Double board certification
  • Excellent training & experience
  • Specialization in the face and neck
  • A trainer's skill in injectable filler techniques
Why Dr. Mabrie
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David C. Mabrie, M.D.
166 Geary Street #1502
San Francisco, CA 94108
(415) 445-9513
Dr. David Mabrie
1700 San Pablo Avenue Suite F
Pinole, CA 94564
(510) 724-3200