Learn About Revision Rhinoplasty in New York City with Dr. Andrew Jacono.
What Is Revision Rhinoplasty?
Revision Rhinoplasty often requires advanced techniques, including cartilage grafting. Watch Doctor Jacono on CBS as he chronicles a patient’s revision rhinoplasty journey.
Revision rhinoplasty corrects the results of a previous, unsatisfactory nose job. Dr. Jacono believes that this procedure should address not only aesthetic issues but functional problems, like breathing difficulties.
Many patients request a smaller nose. Prior surgery may leave behind a nasal hump (polly beak deformity), a droopy tip, and wide nostrils. Each patient has a unique facial anatomy, so all revision nose jobs must be individually tailored.
During revision rhinoplasty, Dr. Jacono uses the body’s natural bone and cartilage to restructure the nose. He does not use synthetic implants, like silicone, Gore-Tex, or Medpore, which run the risk of becoming infected.
He usually harvests cartilage from the ribs or ears, but in severe cases where a collapsed “saddle nose” is present, he uses calvarial bone from the skull to restructure it.
Patients from all over the world travel to have surgery with Dr. Jacono because he is the best revision rhinoplasty surgeon in New York. His specialized background in facial plastic and reconstructive surgery makes him uniquely qualified to perform outstanding revision rhinoplasties.
What Is the Difference Between Secondary and Primary Rhinoplasty?
Primary rhinoplasty corrects nasal issues in patients who have not had a prior surgery. It is easier to perform than secondary rhinoplasty, as revision cases have the added burden of working with scar tissue.
Secondary rhinoplasty focuses on correcting the results of a prior rhinoplasty. Some patients undergo more than one secondary rhinoplasty if their nose has been severely deformed by surgical or physical trauma.
Is Nose Surgery Complicated?
Rhinoplasty is one of the most difficult cosmetic surgical procedures. Not all surgeons are equipped to perform a great nose job, which is why some patients opt for a revision procedure. Secondary rhinoplasty is even harder to perform, often requiring advanced techniques like cartilage grafting.
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When Should You Have a Secondary Nose Job?
Any patient who is unhappy with the results of a previous rhinoplasty is a good candidate for this surgery. However, all clients should be fully healed from prior surgery before undergoing another rhinoplasty. Typically, the wait time is around 12 months, though some patients heal quicker than others.
Revision Rhinoplasty Recovery
While a primary nose job heals in about a year, a revision rhinoplasty can take two years to heal. It can take even longer if a patient has had multiple nose jobs.
Recovery times are longer because the procedure causes more swelling. There are ways to mitigate swelling, one of which is through injections of a steroid called Kenalog (also known as triamcinolone). Because revision rhinoplasties sometimes require cartilage grafts, patients should know that the nose may look bigger before swelling subsides.
Revision Rhinoplasty Cost
The cost of a revision rhinoplasty can be double or more than the cost of primary rhinoplasty. This is because:
- Can take up to three times as long to perform.
- Require cartilage grafts from the ears, ribs, or both.
- Require advanced clinical knowledge and ability.
There are fewer surgeons who have been trained in revision rhinoplasty than in primary rhinoplasty.
Why Choose Dr. Jacono for Your Revision Nose Job?
Dr. Jacono is a dual board-certified facial plastic surgeon with over twenty years of experience. He has extensive training in revision procedures and delivers the best, most natural-looking results possible.
Please contact our offices in New York City or on Long Island to see if you are a candidate for surgery with Dr. Jacono.
Revision Rhinoplasty Before and After Photos
Revision Rhinoplasty Before and After- Patient 1:
This patient had a prior rhinoplasty with another surgeon. She was left with a wide, droopy tip and a bump on her lower bridge. Dr. Jacono performed a revision procedure with an alar base reduction.
Revision Rhinoplasty Before and After- Patient 2:
This patient underwent a prior rhinoplasty with another surgeon. She was left with a droopy nasal tip and a bump on her lower bridge. Dr. Jacono performed a revision, which required cartilage grafting from the patient’s ears and nasal septum.
Revision Rhinoplasty Before and After- Patient 3:
This patient underwent a rhinoplasty with another surgeon and was left with an over-projected tip. Dr. Jacono reshaped the cartilage grafts and used fascia from the patient’s scalp to thicken her skin.
Revision Rhinoplasty Before and After- Patient 4:
This patient had a previous rhinoplasty with another surgeon. He was left with a pinched, asymmetric nasal tip. Dr. Jacono performed a revision surgery with cartilage grafts from the patient’s ears and nasal septum.
Revision Rhinoplasty Before and After- Patient 5:
This patient had a previous rhinoplasty with another surgeon. She was left with a poorly defined nasal tip and a bump on her lower bridge. Doctor Jacono performed a corrective procedure to reshape the tip and the slope of the bridge.
Closed Revision Rhinoplasty Before and After- Patient 6:
This patient had a previous rhinoplasty with another surgeon. She was left with a droopy nasal tip and a hump on her nasal bridge. Dr. Jacono lifted the tip and created a smoother bridge.
Revision Rhinoplasty Before and After- Patient 7:
This patient underwent a prior rhinoplasty with another surgeon. She was left with alar retraction (lifted nostrils) and a hanging columella. Dr. Jacono lifted the columella, balanced the tip, and performed rim grafts to reduce the size of the patient’s nostrils.
Revision Rhinoplasty Before and After – Patient 8:
This patient underwent a rhinoplasty with another surgeon. She was left with an over-projected nasal tip and an overly reduced bridge. Dr. Jacono performed an open rhinoplasty, fixed the tip, and performed a cartilage graft on the bridge.
Revision Rhinoplasty Before and After- Patient 9:
This patient underwent a rhinoplasty with another surgeon. She was left with a collapsed nasal tip. Dr. Jacono performed an open rhinoplasty and grafted ear cartilage to the patient’s tip.
Revision Rhinoplasty Before and After – Patient 10:
This patient had a prior rhinoplasty. She was left with a distorted nasal tip, a hanging columella, and wide nostrils. Dr. Jacono performed a corrective rhinoplasty, reshaped the patient’s tip, and reduced the size of her nostrils.
Revision Rhinoplasty Before and After- Patient 11:
This patient underwent a rhinoplasty with another surgeon and was left with a collapsed middle nasal bridge. Dr. Jacono refined her tip and used ear cartilage grafts to balance her bridge.
Revision Rhinoplasty Before and After- Patient 12:
This patient had a prior rhinoplasty with another surgeon and was left with an under-projected nasal tip. Dr. Jacono performed a revision nose job, an extended tip graft, and an alar base reduction to balance the nostrils.
Revision Rhinoplasty Before and After- Patient 13:
This patient underwent a prior rhinoplasty with another surgeon, which resulted in a pinched, collapsed nasal tip. Dr. Jacono lifted the nasal tip and reduced nostril-flaring with an alar base reduction, using septal cartilage for the tip graft.
Revision Rhinoplasty Before and After- Patient 14:
This patient had a rhinoplasty with another surgeon and was left with a parrot-like nose with a droopy tip and columella. Dr. Jacono balanced the tip and created a more natural feminine bridge.
