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Is there a limit to the number of revision rhinoplasties i can have? i was happy with the results of my original rhinoplasty, but i've had to schedule a revision rhinoplasty because i'm having trouble breathing through my nose. now i'm getting scared that

6 doctors weighed in across 6 answers
Dr. Richard Arden answered

Specializes in Otolaryngology-Head and Neck Surgery

It : It is difficult for me to know what the exact nature of your breathing problem is. If a functional revision rhinoplasty is being recommended one possibility is that you have internal and/or external valve collapse. To correct this often requires cartilage grafting to stabilize the internal framework support. When this is done, unless one is careful with proper graft placement and thickness, it has the potential to add some degree of fullness to the nose that can be seen externally. In general, you don't want to trade form for function as this often leads to patient dissatisfaction, you want both. One potential compromise to help your breathing without risking change to your nasal appearance that you are happy with would be to perform inferior turbinate reduction and correct any septal deviation of significance if this hasn't already been done.Theoretically, there is no limit to the number of rhinoplasties a patient can get, but there is a practical and sensible limit ( think about michael jackson). The more surgeries you have the more scar tissue that is formed and the less predictable future outcomes become (i.e., point of diminishing returns). Good-luck with your endeavors.

Answered 10/3/2016

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Dr. Thomas Lamperti answered

Specializes in Facial Plastic Surgery

There : There is no strict limit to the number of rhinoplasty surgeries one can have, though there can be diminishing returns after a while. There are many possible causes to breathing problems after prior rhinoplasty surgery. Outward external or internal valve collpase is one area that may be affected. Internal septum or turbinate factors may also be at play. A thorough examination to assess what is causing your symptoms is kep to getting a good result. Your surgeon should be able to explain how your nose will change externally (if at all) after surgery so make sure this is clear to you beforehand.

Answered 10/3/2016

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Dr. Benjamin Cilento answered

Specializes in Facial Plastic Surgery

Hi, : Hi, there is no absolute limit to the number of rhinoplasties but with each operation the risks become greater and the perfect outcome more elusive. If you are having problems breathing due to a previous rhinoplasty it is reasonable to have an operation to correct this... And this operation could in fact change the outward appearance of your nose... There is always a balance that you must strike between aesthetics and function. Usually, it is possible to keep an aesthetically pleasing appearance while keeping an open airway...

Answered 10/3/2016

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Dr. Evan Sorokin answered

Specializes in Plastic Surgery

Revisions have risk: Every surgery has risk. With each surgery there is more and more scar formation and injury to blood supply and healing. Thus you want to minimize revisions as much as possible.

Answered 10/4/2016

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Dr. Anthony Sclafani answered

Specializes in Facial Plastic & Reconstructive Surgery

Yes and No: Rhinoplasties become progressively more difficult and more unpredictable with each prior surgery, as the changes made and the scar tissue that develops after each surgery adds more uncertainty. You should always approach this surgery (whether first time or revision) with the thought that it will be your last rhinoplasty. Seek care from a board certified facial plastic or plastic surgeon.

Answered 3/26/2013

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Dr. David Sherris answered

Specializes in Facial Plastic Surgery

Revision ok: Revision rhinoplasty is ok if an experienced surgeon and you consider the benefits greater than the risks. It is commonly done for breathing problems after primary rhinoplasty.

Answered 12/14/2014

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