Revision Rhinoplasty in Beverly Hills – Dr. Richard W. Fleming

Revision rhinoplasty restores the form and function of the nose in patients who are unhappy with the results of their primary rhinoplasty. The goal of secondary rhinoplasty is to produce more graceful, natural-looking results.

Rhinoplasty is one of the most popular cosmetic procedures, both in the United States and around the world. As such, many plastic surgeons promise they can repair the mistakes made by their predecessors.

Unfortunately, many of these surgeons only have general training in rhinoplasty. They lack the highly specialized expertise needed to create flattering rhinoplasty results on patients, regardless of unique nasal anatomy.

At The Beverly Hills Institute, plastic surgeon and rhinoplasty super specialist Richard W. Fleming, M.D., FACS sees a high volume of revision rhinoplasty patients. In fact, two-thirds of our rhinoplasty patients have had previous nasal surgery. Dr. Fleming’s volume of rhinoplasty and revision rhinoplasty surgeries has won him membership in the highly selective Rhinoplasty Society.

Every revision rhinoplasty Dr. Fleming performs is carefully calibrated to ensure that the patient’s nose will complement his or her facial features.

Who Makes a Good Candidate for Revision Rhinoplasty?

Many plastic surgeons take a “one size fits all” approach to rhinoplasty. They attempt to produce a very small, thin nose even on patients with otherwise strong features. This kind of over-correction can lead to both aesthetic and functional problems. You may need revision rhinoplasty if you’re experiencing any of the following issues:

  • your nostrils appear retracted or overly narrow.
  • the tip of your nose looks “pinched” or turns upward at an unnatural angle.
  • your nasal bridge appears overly thin or “scooped out” (concave).
  • you’re experiencing breathing problems.
  • you’ve developed a deviated septum.
  • your primary rhinoplasty didn’t create the look you wanted.

All secondary rhinoplasty candidates are encouraged to bring photos of their original nose and examples depicting the nasal shape they initially hoped to achieve. Dr. Fleming will personalize your procedure so that your secondary rhinoplasty results reflect your preferences.

Why Choose Dr. Fleming for Your Revision Rhinoplasty?

that have already been weakened by surgery. Though it is absolutely possible to create a robust, functional, and beautiful nose via secondary rhinoplasty, this procedure requires the skill and artistry of an experienced rhinoplasty expert.

With over 25 years performing rhinoplasty and extensive training in the field of otolaryngology (head and neck surgery), Dr. Fleming is one of California’s most highly qualified revision rhinoplasty specialists. Dr. Fleming is certified by the American Board of Otolaryngology, as well as the American Board of Facial Plastic and Reconstructive Surgery. He has completed in-depth training and residencies focusing specifically on head and neck surgery.

Dr. Fleming was also one of a handful of plastic surgeons who helped pioneer the “open” rhinoplasty technique (which permits superior access to the interior of the nose), and he’s perfected several advanced methods of restoring nasal volume following over-correction.

How is Revision Rhinoplasty Performed?

In most cases, the primary objective of revision rhinoplasty is to rebuild the nasal bridge and/or tip. To accomplish this, Dr. Fleming uses cartilage grafting to provide structural support for the nose and replace cartilage that has been removed. During cartilage grafting, Dr. Fleming removes donor cartilage from the septum, the ears, less frequently, the rib. Dr. Fleming may also harvest fascia from under the scalp to cover implanted cartilage and act as a permanent soft tissue filler. This fascia supports the survival of the graft because it facilitates blood supply to the area.

Wrapping tiny cartilage fragments in fascia gives Dr. Fleming a graft that can be precisely molded and contoured. Many general plastic surgeons do not go to this length to ensure a nose that looks both natural and beautiful while balancing other facial features.

To perform revision rhinoplasty, Dr. Fleming frequently makes a tiny external incision in the nasal columella to gain access to the nasal interior. He then makes several small incisions inside the nose to permit tissue manipulation. Once the procedure is complete, the nasal tip is carefully aligned and affixed with sutures. Revision rhinoplasty usually takes between one and a half to three hours to complete, and it’s performed while the patient is sedated or asleep.

Revision Rhinoplasty Recovery

The recovery period that follows revision rhinoplasty is similar to that of primary rhinoplasty, so most patients will already know what to expect while they heal. However, secondary rhinoplasty recovery times can vary depending on the amount of correction required. Small revision rhinoplasties will only produce mild inflammation and soreness and therefore require a shorter healing period. More complex revision rhinoplasty procedures may require a slightly longer healing period than primary rhinoplasty. (This is especially likely to be the case if your first rhinoplasty was performed using the closed technique.)

Initially, your nose will be supported with a splint and bandages to keep it properly aligned. During the first week after your procedure, you must leave this dressing in place and use prescribed pain medications and nasal ointments as directed. You should also sleep face-up with your head slightly elevated and consume soft foods to lessen stress on your nasal area. Using a cool compress is also recommended to reduce swelling.

Patients can generally return to work seven to ten days after having secondary rhinoplasty. However, it’s important to avoid more strenuous activities, like bending, lifting, and vigorous exercise, for at least two weeks. Any activities that might damage the nose, such as contact sports, should be avoided for six to eight weeks after surgery.

The results of revision rhinoplasty become fully evident between six months to one year after surgery. By this time, tissues will have settled into place, and any scarring below the nose will fade and become difficult to see.

Arrange a Revision Rhinoplasty Consultation at The Beverly Hills Institute in California

If your first rhinoplasty didn’t produce the results you hoped for, you don’t have to live with them. Dr. Richard W. Fleming has achieved excellent results via secondary rhinoplasty. To learn more about what sets his work apart, contact The Beverly Hills Institute online or by phone at (310) 278-8823. Our experienced team will make you feel at home while you pursue your personal cosmetic goals.