Our beautiful 51 year old patient is seen 7 YEARS following tertiary revision rhinoplasty surgery. Tertiary means that two other surgeons operated on her nose before we did. She had repair of a persistently deviated nasal septum, and was provided a straighter and less distracting nasal appearance. Seven years after her surgery, you can see that she looks un-operated and she is breathing very well.
Our beautiful 44 year old patient is seen 16 months following tertiary revision rhinoplasty - that means after her third rhinoplasty. Her first two procedures were performed by another surgeon. Our patient had nasal obstruction and she was unhappy with her persistently wide nasal appearance and bulbous nasal tip appearance. During her surgery, it became clear that her previous surgeon removed too much tip cartilage. She required tailoring of her remaining tip cartilages, and total tip reconstruction with alar batten grafts. These are also called "lateral crural extension grafts" since they replace or strengthen the nasal tip while opening the external nasal valves. Our patient also required repair of her "poly-beak", which is an excessively high dorsal septum above her tip. The top of her nasal bones were rasped, and osteotomies were performed to achieve narrowing of the upper 2/3 of her nose. She additionally required cartilage spreader grafts on both sides to reconstruct her internal nasal valves. You can see a natural looking nasal appearance that breathes better.
A prospective revision rhinoplasty patient should be carefully evaluated in-person for candidacy. The results of revision rhinoplasty surgery will be the centerpiece of our patient’s face. The esthetic endpoint of successful surgery is to allow our patient’s nose to blend in, and become less distracting—not to transform the centerpiece into a masterpiece. Our patients must accept that the goal of revision rhinoplasty surgery is improvement, not perfection. Your revision rhinoplasty consultation is the first, and best time to determine whether your goals may be achieved through additional surgery. During the consultation we determine, to the best of our ability, that if all goes as planned, our patients will be pleased with the outcome of revision rhinoplasty. We may observe while taking a history, that revision rhinoplasty may be suitable from an esthetic standpoint, but careful listening, questioning, examining, and computer imaging may be necessary to ensure that our patients have realistic goals and expectations.
Our lovely patient is seen six months following revision rhinoplasty and otoplasty surgery to set back her outstanding ear appearance. After her first rhinoplasty, she was dissatisfied with a persistent dorsal hump and bulbous, droopy nasal tip appearance. She also was insecure about her ear appearance when her hair was in a ponytail. You can see a natural-looking ear appearance, and ears that don't stick out so far. Her otoplasty was performed with conchal setback sutures, and Mustarde sutures in both ears. Her nasal dorsal hump was removed, along with a nasal mole, and tip-plasty was performed.
Our 27 year old patient is seen 1 year after functional and cosmetic Revision Rhinoplasty Surgery. She was not happy with her nasal appearance and breathing after rhinoplasty was performed elsewhere. Her repair consisted of septoplasty, tip-plasty with rotation, residual hump removal, and repair of her internal nasal valves for a better breathing, and less distracting nasal appearance.
Our gracious patient consulted with us since she was unhappy with her nose after her primary rhinoplasty. She was mostly concerned by the crooked appearance of the lower third of her nose and hanging columella. Photos were taken one year following her revision surgery.
© 2024 Eric M. Joseph, M.D. Telephone: (973) 325-1155
22 Old Short Hills Road, Suite #112 Livingston, NJ 07039