Revision Rhinoplasty

If you’re unhappy with the results of your first rhinoplasty or are experiencing functional problems because of the procedure, a revision rhinoplasty can help achieve your original goals.

About revision rhinoplasty

Revision rhinoplasty (secondary rhinoplasty) is more complex than the first rhinoplasty procedure and requires more skill. This is why this surgery requires a facial plastic surgeon such as Dr. Jason Bloom, who has specific training and experience in the area of revision rhinoplasty. In most cases, revision rhinoplasty can provide the shape, support, and/or function that was the intended outcome of the original procedure. If you’re considering revision rhinoplasty, it’s important to be aware that you’ll need to wait at least one year after your initial rhinoplasty to ensure that all the swelling has subsided.

What problems can be corrected?

An “overdone” appearance
Asymmetry
Incomplete shaping
Lack of cartilage and support
A crooked nose
A low-hanging/drooping columella
Unattractive projection
Breathing problems
A nasal tip that’s too wide, too narrow, or upturned

Before & After

Professional journal publications

“A Patient Seeking Aesthetic Revision Rhinoplasty and Correction of Nasal Obstruction Offering Your Patients an In-Office Face Lift”. Published in Aesthetic Revision Rhinoplasty (2009)
“Auricular Cartilage Graft”. Published in Operative Techniques in Otolaryngology (December 2008)
“Five Techniques That I Cannot Live without in Revision Rhinoplasty”. Published in Facial Plastic Surgery (August 2008)

What to expect during your consultation

During your consultation with Dr. Bloom, he will go over what bothers you about your nose and why your previous rhinoplasty didn’t work out.

3D photographs will be taken of you, as well as Canfield Vectra 3D imaging. Dr. Bloom will use the information you give him and combine it with his own expertise to show you what your results may look like.

This is an important step in the process, because it puts you and Dr. Bloom on the same page, and you will understand more clearly what to expect regarding the procedure and recovery.

Why undergo rhinoplasty a second time?

You’re unsatisfied with the outcome of the first procedure
The first rhinoplasty didn’t improve your breathing problems (or created new ones)
Scar tissue has developed from the original rhinoplasty
The nose did not heal properly from first procedure
Your original rhinoplasty results were damaged by trauma (injury)

Dr. Bloom’s technique

Revision rhinoplasty is accomplished using either an open approach (the incisions are created across the columella) or a closed approach (the incisions are made within the nose). The open approach is typically used for revision rhinoplasty procedures. Revision rhinoplasty can involve adding cartilage, bone, or other tissue to the interior of the nose to achieve the shape and structure necessary for the desired result and function. If the nose is still too large after the initial rhinoplasty, Dr. Bloom can reduce bone and/or cartilage and re-sculpt the bridge.

Recovery

Revision rhinoplasty typically takes between 1-2 weeks, during which time you will experience some swelling, bruising, soreness, and a sensation of congestion. You may need to wear a splint for a week, and if cartilage or bone were added, you will have other recovery instructions.

Elevating the head is very important to reduce swelling, and physical activity will need to be avoided until you are advised otherwise by our team.

Why choose Dr. Bloom for revision rhinoplasty?

Dr. Jason Bloom, MD, FACS is a double board-certified facial plastic and reconstructive surgeon serving the Bryn Mawr and Philadelphia area. His practice, Bloom Facial Plastic Surgery, offers a comprehensive facial rejuvenation experience and a positive, friendly, and high-energy atmosphere. Not only is rhinoplasty one of our main services; Dr. Bloom is also an assistant professor at Penn and Temple, and a consultant, author, teacher, and trainer within the industry. If you’re looking for an exceptional revision rhinoplasty surgeon, Dr. Bloom is the ideal choice for you. We invite you to contact us to schedule a consultation.