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A female asked:

Are there more risks with doing a revision rhinoplasty than with the original surgery? i keep reading how revision rhinoplasty is such a complicated surgery, even more than a first rhinoplasty. does that mean it also has more risks?

5 doctor answers5 doctors weighed in
Dr. Thomas Lamperti
Facial Plastic Surgery 21 years experience
You're : You're right that revision rhinoplasty is generally more complicated than the original surgery. In the right hands i wouldn't say that it is more risky, per se. The surgery may be more involved and may require harvesting cartilage from other locations (ear, rib), though.
Dr. James Ridgway
Specializes in Facial Plastic Surgery
This : This is a very good question for several reasons. If there are major changes necessary, than a greater reconstructive component may be necessary, then there will be more time required for surgery. Additionally, you are not dealing with pristine tissues and tissue planes so additional difficulties are encountered when operating through scar tissue. If the changes are minor, then there are small risks. Often these risks (primary versus revision) become nearly equal when you have a provider who specializes in revision procedures. All the best, james m. Ridgway, md.
Dr. Richard Fleming
Plastic Surgery 51 years experience
A : A revision rhinoplasty is more complicated and challenging but there are not more risks. The key to achieving the best possible result is t select a surgeon who is a specialist in revision rhinoplasty.
Dr. Tanveer Janjua
Facial Plastic Surgery 30 years experience
Revision Rhino: Revision rhino is always more risky than primary surgery as there is more scar tissue build up and the blood supply is not as good as it used to be. Not all rhinoplasty surgeons do revision rhinoplasty. It is a risky but sacred field where few endeavor and even fewer get great results.
Dr. Barry Cohen
Plastic Surgery 34 years experience
Revision: Rhinos are usually harder. They should be very problem focused and specific in treatment. Good results can be obtained.

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Last updated Oct 4, 2016

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