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Procedure Options

Revision Rhinoplasty

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Rhinoplasty is a delicate art. Even under expert care, you can walk away with minor imperfections, like visible indentations or a bulbous, under-defined nasal tip. These imperfections can cause self-consciousness and can affect your overall appearance. If you're not completely happy with the outcome of your previous rhinoplasty surgery and are considering revision surgery, read on to see why the non-surgical approach may be the best option for you.

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About Revision Rhinoplasty

Non-surgical rhinoplasty is a procedure that enhances the nasal appearance by skillfully applying a dermal filler, like Restylane, to the nose using a microcannula. Having performed hundreds of surgical rhinoplasty surgeries, Dr. Mabrie is well-versed in the important anatomic and aesthetic concerns of the nose, making him especially qualified to perform non-surgical rhinoplasty.

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Surgical Vs. Non-surgical Revision Rhinoplasty

About 25% of surgical rhinoplasty patients choose to undergo a more challenging secondary surgical procedure to tweak their initial results. The level of risk increases with each additional surgical procedure. Why?

Complex Reconstruction: Since structural components may have been removed during the initial surgery, surgical revision may require rebuilding your nasal support using cartilage from your ear, nasal septum, or even a rib.

Scar Tissue: Scar tissue forms after the initial surgery. It acts like glue, making separating and identifying structures more difficult during revision surgery.

Additional Trauma: Incising the skin and elevating skin flaps to access to the nose for small changes may result in increased trauma and scarring.

Recovery Time: Undergoing revision surgery will require another lengthy recovery period of approximately 3 to 12 months.

Non-surgical rhinoplasty can provide aesthetic improvements, often better than surgical revision, without the accompanying risks and potential complications. You won't have to endure an invasive procedure or lengthy recovery, and your results can be tailored to your unique vision, right down to the millimeter.

Non-Surgical Rhinoplasty in San Francisco

May 2011

Am I a Good Candidate for Non-Surgical Rhinoplasty Revision?

The majority of people interested in rhinoplasty revision are candidates for non-surgical rhinoplasty. The two main categories of candidates may appear to be on opposite ends of the spectrum, but dermal fillers happen to be a great non-surgical option for most.

Minimal Revision: These patients have a good surgical outcome, but require slight improvements, such as correction of indentations and asymmetry. Using fillers may be more appropriate than surgery for these small refinements.

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Extensive Revision: These patients have what appears to be a nose or nasal tip that is too large, round or warped. The nose may even appear wider or more bulbous than before the initial surgery. The patient's initial thought is that they need a more thorough surgical reduction. However, many of these bulbous noses look big because they lack support and tip definition. Adding filler to specifically define the tip can improve the shape of the nose and sometimes make the tip look smaller.

Dr. Mabrie is happy to meet with you to discuss your options for revision rhinoplasty at his San Francisco office. Request a consultation online or call (415) 689-6634 to schedule your appointment.

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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If you've had or are considering rhinoplasty, San Francisco facial plastic surgeon Dr. David Mabrie can help you to understand your non-surgical options for refining your nose. Request a consultation online or call us at (415) 689-6634 today.

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Mabrie Facial Cosmetic: David C. Mabrie, MD
166 Geary Street
Floor 1300

San Francisco, CA 94108
Phone: (415) 445-9513
Monday–Friday 8:30 a.m.–6 p.m.