Revision Rhinoplasty or Redo Nose Job


A Rhinoplasty is commonly referred to as a nose job. Rhinoplasty is a cosmetic surgery procedure designed to improve the shape and appearance of the nose. A nose job or rhinoplasty can be accomplished by several different approaches, including a non surgical rhinoplasty and a surgical rhinoplasty. A surgical rhinoplasty can be performed by either an open rhinoplasty, where a virtually invisible incision is made on the columella (the part of your nose between your nostrils), or by a closed rhinoplasty approach where no incision is visible. The type of rhinoplasty that will be right for you will depend on many factors, all of which will be discussed during your consultation at our Beverly Hills office. When performed by a skilled facial plastic surgeon with a keen eye for aesthetics, a rhinoplasty can help achieve balance and symmetry of one’s facial features. The nose is the central feature of your face. As such, it is often one of the first things people see when they look at us if it is out of balance with the rest of our face. A well balanced nose for a face is seldom noticed. It is only when a nose is crooked, too big, too small, or has an unnatural shape to it that the nose is noticed. With a nose job or rhinoplasty, Dr. Aharonov can improve the appearance of a patient’s nose in a variety of ways, thereby creating harmony with the rest of the face and bringing the nose back into balance. As well as its cosmetic value, the nose has an important functional component. It is extremely important when undergoing a rhinoplasty or nose job to have a skilled facial plastic surgeon who has specialized training in the form and complex functions of the nose. In addition to being one of the leading Beverly Hills Plastic Surgeons specializing in rhinoplasty surgery, Dr. Aharonov is a Board Certified Otolaryngologist. This means that he has additional years of specialized advanced training in nasal function and nasal surgery. Dr. Aharonov also did a fellowship for an additional year that focused on revision rhinoplasty and primary rhinoplasty. This ensures that you get the most optimal cosmetic result, while maintaining or improving your breathing capacity. All of our Los Angeles California patients have been extremely happy with the results of their rhinoplasty.

See What Your New Nose Will Look Before Your Rhinoplasty

Beverly Hills Plastic Surgeon Dr. Aharonov utilizes state of the art computer imaging techniques to help you visualize how  your new nose will look after a rhinoplasty or nose job. During your rhinoplasty consultation, you will discuss the areas of your nose you wish to improve, and how these improvements will affect the overall look and balance of your face. Working together, you and Dr. Aharonov will come up with a realistic, individualized expectation of your rhinoplasty. Dr. Aharonov is one of only a few Beverly Hills Plastic Surgeons who has this latest advance in imaging software.

Dr. Aharonov believes rhinoplasty surgery should be individualized. This specialized computer imaging software allows you and Dr. Aharonov to communicate, and decide on the look that is right for you. During the rhinoplasty consultation, Dr. Aharonov can also go over actual rhinoplasty patient results, and how they compared to the before rhinoplasty surgery imaging software results.

Revision Rhinoplasty:

Revision rhinoplasty is a specialty that requires an extremely advanced knowledge of nasal function and anatomy and a high level of skill to execute the appropriate techniques. Dr. Aharonov is both an Otolaryngologist and a Facial Plastic and Reconstructive Surgeon and is a revision rhinoplasty expert in the Beverly Hills and Los Angeles areas. Dr. Aharonov is known for creating noses that are natural and fit in harmony with the rest of the face.

Revision rhinoplasty is a surgical procedure designed to repair both form and function of a nose that has previously been operated on. Many people have difficult breathing from their nose or are dissatisfied with the cosmetic appearance of their nose as a result of prior nasal surgery. In fact, many patients have had several unsuccessful nasal surgeries, even as many as six or seven prior procedures. Because rhinoplasty is one of the most difficult of all plastic surgery procedures, and is often performed by surgeons with little experience and training in the intricacies of the nose, there is a large need for secondary surgeries. Further, this procedure tends to be an even more complicated procedure than primary rhinoplasty, making it essential that patients find a sufficiently qualified and experienced surgeon. Good candidates include physically healthy men and women who are realistic in their expectations and are unhappy with the results of a prior rhinoplasty procedure.

Rhinoplasty revision often takes place in an outpatient surgical facility, and may be performed with either general anesthesia or a combination of local anesthesia and sedation. Dr. Aharonov prefers using IV sedation by a Board Certified Anesthesiologist for all of his primary rhinoplasty and revision rhinoplasty patients. Dr. Aharonov believes this is a much safer and more comfortable type of anesthesia. Revision rhinoplasty tends to take longer than primary rhinoplasty, which can take one to two hours to perform. Incisions may be confined to the inside of the nose (closed rhinoplasty) or may involve an additional small incision under the tip of the nose (open rhinoplasty). There are times when open rhinoplasty is preferred because it can offer better exposure and an overall better results. Other times, however, closed rhinoplasty is the better choice.

Once the incisions are made, the skin of the nose is separated from the underlying bone and cartilage. What occurs next will depend upon the particular case. Cartilage may be repositioned or missing structures may be replaced. Often times patients have weakly supported or buckled cartilages from their prior rhinoplasty leaving the nose weak and fragile. These cartilages will need to be supported and repaired. When the desired result is achieved, the skin is then redraped over the new framework and the incisions are closed. Revision rhinoplasty procedure tend to involve less pain and bruising than primary rhinoplasty. Any discomfort that patients do experience can be controlled with pain medication. The splint and stitches are typically removed within six to seven days. Bruising and swelling will occur and, though much of the bruising will have faded by about the tenth day, it can take up to a year for all of the swelling to fully fade. The majority of the swelling will subside within a few weeks, but there will be a low level of swelling that will fluctuate depending on other factors. Most patients are able to return to work in about a week, though more strenuous activities will need to be avoided for two to three weeks. Patients should avoid bumping or jarring the nose or getting a sunburn for eight weeks.

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Revision rhinoplasty before and after photos. This patient needed reconstruction of her tip cartilages to improve the look and the function of the nose.

View more before and after rhinoplasty photos

Revision Rhinoplasty Frequently Asked Questions

Procedures List