Kirk Lozada, MD, Facial Plastic Surgery
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Revision Rhinoplasty Specialist: A Second Chance for the Perfect Nose

Posted by Kirk Lozada, MD.

Revision Rhinoplasty Specialist: A Second Chance for the Perfect Nose
Revision Rhinoplasty is performed to correct or improve upon the results of previous nose surgery.

The art of rhinoplasty, or nose reshaping surgery, is complex and requires a skilled hand, a keen eye, and an understanding of facial symmetry. When the outcome of an initial surgery, which may be a primary rhinoplasty, is less than satisfactory, secondary or even tertiary rhinoplasty can provide a second chance at the perfect nose. Dr. Kirk Lozada, a leading facial plastic surgeon in Philadelphia, specializes in these challenging procedures and has helped many patients achieve the results they desire.

Why consider a Revision Rhinoplasty?

Revision rhinoplasty, also known as secondary or tertiary rhinoplasty, is performed to correct or improve upon the results of a previous nose surgery. Reasons for revision include dissatisfaction with the nasal appearance, difficulty in nasal breathing, or a combination of both. Additionally, persistent nasal deformities, like a collapse or a crooked nose, or a nasal tip deformity, often require a secondary procedure. Previous rhinoplasty procedures could also lead to nasal airways being compromised, causing breathing issues, which a secondary rhinoplasty could address.

Planning for a Successful Revision Rhinoplasty Outcome

Planning for a successful outcome is key to achieving the desired results. Dr. Lozada’s detailed evaluation of your nasal tissues helps determine which areas of the nasal septum and surrounding structures need to be addressed and the strategies to correct them. For a safe procedure, several consultations might be required in order to get a better understanding of the procedure and its potential surgical outcomes.

It is important for patients, who are ideal candidates, to have realistic expectations and prepare for an unknown outcome as well as a longer recovery time than the initial surgery. Patients should understand that revision rhinoplasty will not necessarily result in perfect symmetry due to the complexity of these procedures, but with an experienced revision rhinoplasty surgeon like Dr. Lozada, it can result in improved appearance and breathing.

Patients should understand that revision rhinoplasty will not necessarily result in perfect symmetry.

Previous Surgery Considerations

Dr. Lozada, as a true rhinoplasty expert, will consider several factors from your previous surgery. These include the techniques used by the original surgeon, the changes made to the nasal structure, and the time elapsed since the surgery. A thorough assessment of these factors is vital in determining the best surgical plan for revision.

Finding the Right Surgeon to Perform a Revision Rhinoplasty

Not all plastic surgeons are skilled or comfortable performing revision rhinoplasty. It’s important to find a surgeon like Dr. Lozada, who is experienced in this field, understands the complexity of the procedure, has experience performing revision rhinoplasties in men and women, and can empathize with your concerns and desires.

Assessing Previous Surgery Results

An accurate assessment of the previous surgery results is essential for planning a successful revision rhinoplasty. This involves evaluating the aesthetic and functional improvements of the nose. Dr. Lozada utilizes the latest imaging technology to accurately visualize the current state of your nose and project the potential outcome.

Understanding the Risks of Previous Surgery

All surgeries carry some risks. However, with a revision surgery, the risks may be higher due to factors like scar tissue, reduced Septal cartilage, or compromised blood supply from the previous surgery. Dr. Lozada will discuss these risks with you, allowing you to make an informed decision.

Pre-Surgery Consultation with Dr. Kirk Lozada

Dr. Kirk Lozada with rhinoplasty patient

The pre-surgery consultation with Dr. Kirk Lozada is an opportunity to establish open communication and understanding. It is important for the patient to trust their surgeon and express any fears or concerns they may have so that Dr. Lozada can offer detailed information regarding the procedure, potential complications, and the recovery process. This is essential for the successful outcome of your nose job, or rhinoplasty surgery, as it is commonly known.

Good communication between patient and surgeon is key for a successful revision rhinoplasty outcome, as it allows the surgeon to accurately assess expectations and make sure they are met during the surgery. As such, it is essential that patients feel comfortable enough to communicate openly with their doctor in order to ensure a positive result from their revision rhinoplasty experience.

Preparation for Surgery

Proper preparation is crucial for successful revision rhinoplasty. Dr. Lozada will provide you with instructions to optimize your health and minimize potential complications. This may include lifestyle changes, avoiding certain medications, and ensuring you have a support system in place for post-operative care.

Surgical Procedures for a Revision Rhinoplasty

Revision rhinoplasty requires a delicate balance between artistry and medical expertise. It may involve various techniques, such as cartilage grafting, nasal bone reshaping, or nasal valve reconstruction. The exact procedures will depend on the specific needs of your nose, which Dr. Lozada will discuss with you in detail, specifically focusing on addressing persistent nasal deformities.

How to Correct Structural Imbalances in the Nose with Cartilage Grafts and Other Techniques

One common nasal issue that requires revision rhinoplasty is a structural imbalance in the nose. Dr. Lozada often utilizes cartilage grafts to correct this issue. The grafts, usually taken from the septum or ear, are used to strengthen the nasal structure, improve symmetry, or build up areas that may have been over-reduced in the initial rhinoplasty procedure.

Reshaping Nasal Bones and Cartilage to Achieve Desired Look and Functionality

Reshaping the nasal bones and cartilage is another crucial aspect of revision rhinoplasty. Dr. Lozada may perform osteotomies (controlled fractures of the nasal bones) to narrow a wide nasal bridge or straighten a crooked one. Similarly, the nasal cartilage may need to be reshaped to improve the tip definition or the nasal profile, achieving both functional improvements and a satisfying cosmetic surgery outcome.

Treatment of the nasal valve

Post-rhinoplasty Nasal Obstruction is a common condition that affects patients who have undergone a nose job. It occurs when the flow of air through the nose is restricted due to changes in the anatomy or structure of the nasal passageway. This can be caused by swelling, scarring, or alterations in the septum after the rhinoplasty surgery.

In order to treat post-rhinoplasty nasal obstruction, a thorough evaluation of both the aesthetic and functional aspects of your nose are necessary. This includes assessing current symptoms such as difficulty breathing, snoring, or dry mouth during sleep. After diagnosis, Dr. Lozada may recommend corrective techniques such as cartilage grafting, turbinate reduction, or septal reconstruction to improve airflow and correct any structural imbalances. In addition to these treatments, lifestyle modifications such as avoiding allergens and irritants can also help reduce symptoms associated with post-rhinoplasty nasal obstruction.

Post-Surgical Care for a Successful Recovery from Revision Rhinoplasty

After the procedure, your post-surgical care is just as important as the surgery itself. Dr. Lozada will provide detailed instructions to ensure a smooth recovery. These may include the use of cold compresses to minimize swelling, sleeping in a head-elevated position, and avoiding strenuous activities.

To conclude, revision rhinoplasty presents an opportunity to correct unsatisfactory results from previous nose surgery. While it is a more complex and challenging procedure, with a specialist like Dr. Kirk Lozada at the helm, you can rest assured you’re in capable hands. With his surgical expertise, patient-centric approach, and commitment to achieving the best possible outcome, you can look forward to a successful second chance at the perfect nose.

Frequently Asked Questions

How do I know if I’m a candidate for revision rhinoplasty?


If the results of your initial rhinoplasty are unsatisfactory, you may benefit from revision rhinoplasty. Signs that you may need a revision include difficulty breathing, an asymmetrical nose shape, or deformities in the nasal tip. If you are unhappy with the aesthetic outcome, then it is worth speaking to a specialist about whether you might benefit from revision rhinoplasty.

Dr. Kirk Lozada & Brooke Carrero, RN

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