Revision Rhinoplasty
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.
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Before & After
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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
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 dermafillers are better at contouring than surgery, as they provide the ability to treat deformities without disrupting adjacent areas.
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Non-Surgical Revision RhinoplastyThis patient actually consulted with Dr. Mabrie about treatments under her eyes. Dr. Mabrie noticed the nose was fairly misshapen and inquired about it. She told him she had had a rhinoplasty many years before and was disappointed with the shape but really afraid of having another surgery performed. Dr. Mabrie was able to fill in the indentation, instantly smoothing her profile, using Perlane®.
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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.
