Revision rhinoplaty, or revision “nose job”, refers to the surgical changes to a nose that has already undergone surgery in the past. Revision rhinoplasty is much more complex, difficult, and less predictable compared to a primary rhinoplasty (having a nose reshaping for the first time).
Complications are frequently caused by too much or too little cartilage removal or failure of a surgeon to be knowledgeable about functional nasal breathing. Many rhinoplasty surgeons ignore nasal function for sake of improving the appearance. In some cases, the postoperative nasal breathing problems may be more distressing than the original cosmetic problem for which they had undergone surgery in the first place. Poor results and postoperative deformities are often due to the normal healing process but may be caused by the lack of skill, knowledge or experience of the rhinoplasty surgeon performing the initial operation.
Who is a Candidate for Revision Rhinoplasty?
Healthy men and women who have already had a primary rhinoplasty and are unhappy with the postoperative appearance, or who are experiencing difficulty breathing through the nose may be excellent candidates for revision rhinoplasty. During a consultation, an experienced Facial Plastic and Reconstructive Surgeon like Dr. Sanjay Keni will work with you to help determine the best course of action that will deliver the most appealing results.
What is the Recovery like from Revision Rhinoplasty?
Dr. Sanjay Keni uses only the most advanced revision rhinoplasty techniques. As each nose is unique in both appearance and function, the procedure and technique are tailored to each patient’s individual aesthetic and functional needs. Revision rhinoplasty is usually performed under general anesthesia because of the increased level of complexity and time required.
Revision rhinoplasty generally requires an open technique, using a small incision under the tip of the nose. This allows enough access to the cartilage and bone responsible for the shape and function of the nose. These structures are carefully adjusted to achieve the desired appearance and function. If too much cartilage has been previously removed or damaged, it may be necessary to use cartilage from the ear or elsewhere in order to reconstruct the nose. As each nose is unique in both appearance and function, the revision rhinoplasty procedure and technique are tailored to each patient’s individual aesthetic and functional needs. Sutures are used to close the incisions and a small external splint is placed. Internal splinting is occasionally required during revision rhinoplasty.
Revision rhinoplasty is performed on an outpatient basis. Most patients return home a few hours after surgery. Length of recovery time depends on the complexity of the procedure and varies from patient to patient. Prescription pain medication is usually only required for the first few days. Mild discomfort and the majority of bruising and swelling lasts 7 to 10 days. Most patients are able to return to work, school, or other daily activities within about one week. Avoidance of contact sports is recommended for about one month after surgery. Dr. Sanjay Keni reduces bruising and recovery time with the use of homeopathic and herbal options. Detailed postoperative and aftercare instructions will be provided to each patient.
Those patients considering revision rhinoplasty, or revision nose reshaping, should carefully evaluate their surgeon’s credentials and training. Dr. Sanjay Keni is one of a few fellowship trained Facial Plastic and Reconstructive rhinoplasty surgeons in the Illinois area. Dr. Keni is double Board certified Head and Neck Surgeon, with extensive knowledge and skill, enabling him to deliver the best cosmetic results while safeguarding proper long-term breathing function.
“Dr. Keni used sound conservative treatment after a thorough exam. I would highly recommend him for exceptional treatment.”
“Very satisfied with overall visit, would definitely recommend to others.”
“Very friendly, kind, and would definitely recommend to family and friends.”
“Dr. Keni spent the time to listen to me and did a thorough exam. He explained the results of my tests and discussed with me what would be the next steps of my treatment in words that I was clearly able to understand.”
“My experience was very professional very helpful in understanding exactly what my condition was and how to treat it.”
“As I was leaving the office I made it a point to let the receptionist know how happy I was with my experience there and how comfortable everyone made me feel. It was a relief to finally work with such an efficient team of specialists.”
“Dr. Sanjay Keni was absolutely awesome….I would highly recommend him to anyone in need of his services. He was very knowledgeable and articulate…almost can’t wait to see him at my follow up appointment in 10 days.”
“Excellent experience. I was impressed with the Doctor’s thorough examination, apparent knowledge and professional, friendly demeanor.”
“He is very personable, listens and asks [a lot] of questions to detail the problem. Did a complete exam. Made it clear to contact him or office if any further problems. Liked him and will continue to see him in the future.”
“Dr. Keni is truly a professional . He clarified my problem and is treating it accordingly. His bedside manner is comforting.”
“I really felt comfortable with Dr. Keni. He was able to address and alleviate my concerns. The office is easily located, parking is plentiful, front office staff awesome. I look forward to the follow-up appt.”
“Very thorough, [you’re] in good hands, excellent Doctor.”
“Great doctor addressed all my concerns and provided right direction.”
“I am very pleased with my eye surgery. Dr. Keni was very caring and realistic helping me to make the best decision for my face. I am grateful.”
“In addition to providing exceptional care, Dr. Keni is kind and gentle. Highly recommend him.”
“I was very happy.”
“Doc was personable, attentive to my concerns and provided options.”
“I was totally impressed with Dr. Keni’s professional attitude – friendly but concerned about my condition. His examination was gentle but thorough and I was at ease. I am already recommending him to my friends!”
“Very personable, professional and informative. Glad I went to him.”
“My wife and I both enjoyed our visit with Dr. Keni. A true down to earth professional that takes a little extra time to answer questions. Excellent, Excellent!”
“Dr. Keni is very professional and very thorough in his examination and treatment. I feel confident in his care.”
“I have nothing but good things to say about the doctor and office staff.”
“Dr. Keni is good. He gave me good advice. Has a pleasant personality.”
“Highly satisfied, office staff friendly and efficient. Dr. Keni was pleasant and friendly, reviewed my medical info and discussed [the] reason for my visit today. Dr. Keni explained all procedures performed, as well as… [the] consultation reviewed.”
“Demeanor: friendly and professional.”
“Very professional! I was impressed with his care and resolving my problem… The doctor really knows his stuff.”
“Excellent all around. Dr.Keni was professional, knowledgeable, and he saw me in a timely manner. I would highly recommend his services to family & friends.”
“Wonderful doctor. Takes his time to talk to a patient and fully address [my] problems … I would highly recommend Dr. Sanjay Keni to any and all of my friends if they inquired about who I see and where I go to.”
“I had a lifestyle lift done [at Keni Plastic Surgery] last Thursday and I can see the results. I had no idea to expect. I had radiation to my neck eight years ago and it really damaged that area. I could not stand to look at my neck. Dr. Keni told me he thought he could make improvements and I trusted him. Because radiation is so hard on the skin it makes it really difficult to fix. Other plastic surgeons said the procedure would not have worked out well. But, Dr. Keni had a great idea and GOOD LORD my neck is so pretty now. I could see it after the surgery and I am glad I had it done. For any women or men that have had to go through some sort of radiation in the neck area, all I can say is “WOW!” It is fixable.”
~ Marjoire T.
“Dr. Keni and his team are fantastic. I love bringing in my BFF’s for Botox Happy Hour!”
~ Vanessa H.
“I highly recommend Dr. Keni for anyone looking for facial plastic surgery. He is so responsive, caring, and is truly a brilliant surgeon. I rave about Dr. Keni and his team to everyone I know.”
~ Rebecca R.
“Dr. Keni was enthusiastic and attentive. He described my problem in terms I could understand and treated me respectfully.”
~ Maria C.