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Rhinoplasty Revision

Rhinoplasty Revision

Secondary – or Revision Rhinoplasty is common when there are concerns about the appearance of the nose or breathing function after a previous Rhinoplasty.

There are many reasons people of all ethnicities, genders and ages decide to have Rhinoplasty Surgery.  Regular or Primary Rhinoplasty is done for either cosmetic or functional reasons – to reshape the nose and/or to correct a nose with breathing problems caused by a deviated septum, fracture or disease.  Sometimes the results of this surgery are not satisfactory.  This can occur for various reasons causing many patients to come to DAVinci Plastic Surgery for Revision Rhinoplasty.  With considering any surgery, it is most important to choose a surgeon who is qualified with expert training, many years of experience with many surgeries and also who does them regularly.  This is especially true for Rhinoplasty surgeries – which are very complex, difficult procedures and which require not only skill but an artful eye as well. Dr. Davison has specialized training in Ear, Nose and Throat surgery – he is board-certified in Otolaryngology, Head and Neck Surgery as well as facial plastic and general plastic surgery. This gives him the added expertise in both the functional and cosmetic needs his patients require.


If you are concerned about any or all of the nose problems listed above, you are physically healthy, have realistic expectations, then you are probably a good candidate for Rhinoplasty surgery. Teen girls should be age 15 or older and teen boys should be 18 or older since it is important that growing is completed.  This will be determined during your personal consultation with Dr. Davison or Dr. Pinell.


The initial consultation with your surgeon is critical!  It should always be face to face with the surgeon during which time he/she listens closely to your concerns.  Dr. Davison and Dr. Pinell believe this time spent with you is critical. It is during the consultation that he comes to fully understand your concerns, evaluates them correctly and is then able to make the recommendations and develop the surgery/treatment plan that is right for you. Dr. Davison and Dr. Pinell invest the time in each patient – to sit down and talk to you face-to-face.

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Revision Rhinoplasty is frequently performed using an open approach – but often can be efficiently accomplished using the closed technique – which usually requires shorter time under anesthesia and produces less swelling. Your surgeon will determine which approach is best suited to your needs and advise you of this during your consultation.

If he does an open procedure, your incisions will be made on the inside of the nose with an additional small incision made on the underside of the nose between the nostrils.  For a closed procedure, incisions are made inside the nose only.  Open Rhinoplasty is done for more complex cases. If more work is needed on the tip of the nose an open approach is required. If cartilage is needed for reconstruction, it is borrowed from behind the ear and used to restore nasal form and function.  This incision is well camouflaged.

Revision Rhinoplasty Surgery is more challenging than Primary Rhinoplasty for several reasons:

  • Altered geography of the nose due to cartilage removal in the first surgery
  • Needed cartilage is not available & has to be borrowed
  • An extra incision is needed to accomplish borrowing cartilage
  • Operated nasal lining turned to scar tissue after primary surgery
  • Risk of telangectasias (little spider veins) is common in Revision surgery
  • Revision Rhinoplasty is very detailed and complex – nasal form has to be restored – breathing mechanisms have to be repaired
  • Revision Surgery time is increased due to these & other problems
  • Few surgeons are highly specialized/experienced in nasal revision surgery

Revision Rhinoplasty may have its own set of special considerations – but it can also be the most rewarding surgery!


What anesthesia will be used during my Rhinoplasty surgery?
Local anesthesia and sedation or general anesthesia are used for your surgery. This will be discussed during your consultation.

Can anyone have Rhinopolasty surgery?
Good candidates are men and women of all ages, who are in good health and who have realistic expectations. Fully grown teens can have Rhinoplasty surgery.

How long will my Rhinoplasty surgery take?
This varies depending upon the techniques used and whether or not you are having a combination of procedures done.  Simple procedures can take as little as 45 minutes while more complex ones take up to 3 or more hours.

Where will my Rhinoplasty surgery be performed?
Dr. Davison or Dr. Pinell will perform your surgery in a state-of-the-art out-patient surgery center.  It is fully accredited and equipped with all the necessary technologies to perform all surgeries and handle any situation.

Where are incisions placed for Rhinoplasty surgery?
This is determined by the procedure chosen for you – either “open” or “closed” Rhinoplasty.  For the closed technique incisions are confined to the inside of your nose.  With the open procedure, incisions are made on the inside of the nose and a small one is made on the underside of your nose – between the nostrils. Open Rhinoplasty is used for more complex cases.

Will I have scars?
Yes. The incisions do result in scars – but with the closed technique – the incisions are confined to the inside of your nose and are inconspicuous. The open technique requires one small incision at the underside of your nose, but it is well-concealed and fades into a fine line over time.

Is Rinoplasty a painful surgery?
Our patients tell us they experience mild discomfort – but rarely call it painful.  You may feel like you have a stuffy nose – this is common.

Will I be able to drive myself and stay alone after my surgery?
No.  You will need a responsible adult to drive you to and from your surgery and stay with you overnight and for a couple of days if possible.

What can I expect during recovery?
Some swelling and bruising are normal and to be expected.  You will need to stay in bed the first day after your surgery – with your head elevated on 2-3 pillows.  Patients usually feel better within 1-2 days.

What is nasal packing?
This is the practice of packing the nose with cotton – but is rarely necessary.

When will I be able to return to work and normal activities?
Patients generally are presentable and able to return to work within 1 week after their surgery.  You may be able to resume light exercise after about 1 week also.  You will be restricted from strenuous exercise and sports for at least 3 weeks.  Lifting, bending, stooping and straining should also be avoided.

Does insurance pay for Rhinoplasty surgery?
If your surgery is performed strictly for cosmetic reasons – insurance will not cover it. If you are having surgery for medical/functional problems – i.e. broken nose that now hinders proper breathing – insurance may cover that cost.  You need to check with your insurance provider.

Can I get financing for my Rhinoplasty surgery?
This may be possible.  Check with our front office staff about this.

Schedule Your Consultation at DAVinci Plastic Surgery

The initial consultation with your surgeon is critical! It should always be face to face with your surgeon, during which time he/she listens closely to your concerns. Dr. Davison and Dr. Pinell believe this time spent with you is critical to both you and him/her. It is during the consultation that your surgeon comes to fully understand your concerns, evaluates them correctly, and is then able to make the recommendations and develop the treatment plan that is right for you. Dr. Davison and Dr. Pinell invest the time to sit down and talk to you face to face.

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3301 New Mexico Ave. Suite 236

Washington D.C.