Thousands of people in NYC and the New Jersey area choose some form of nose surgery each year. Whether it’s for nose function or form, Rhinoplasty and Septoplasty are procedures patients rely on to improve their nose. Because it can be hard to find a surgeon with the proper training, some patients choose the wrong practices, resulting in problematic outcomes.
All surgeries, including plastic surgery, present a risk for complications that can result in an unnatural appearance, disfigurement, breathing difficulties, discomfort, or asymmetry. When a patient suffers from bad results from nose surgery, a revision rhinoplasty can offer correction and improve nose function and aesthetics.
Dr. Oleh Slupchynskyj is one of the few Double Board-Certified facial plastic surgeons practicing in NYC and New Jersey. He specializes in Rhinoplasty Surgery in NYC and New Jersey, and he can resolve the problems associated with an unsuccessful procedure.
He has worked extensively with all ethnic groups, and as a Revision Rhinoplasty surgeon, he has great knowledge of facial balance, harmony, and structure. With his focus on the head, neck, and face, he is well respected in the field and has been published multiple times on the topic of Rhinoplasty.
To learn more about Revision Rhinoplasty, please call Dr. Slupchynskyj at (212) 628-6464 to schedule a consultation.
Revision Rhinoplasty Consultation
This visit is the first meeting between you and Dr. Slupchynskyj. During this time, he will evaluate your health and candidacy for Revision Rhinoplasty. Then, we divide the consultation into two parts, the initial nose surgery, and planning for Revision Rhinoplasty.
Initial Nose Surgery
To deliver a successful Revision Rhinoplasty procedure, Dr. Slupchynskyj will require information about the first surgery. He must understand what went wrong to create a plan of correction. He will ask about any complications or problems you experienced, the nature of the problem, and what steps were taken to resolve the issue.
He can glean some answers from this discussion, but a complete evaluation on your nose will present a clearer picture.
Planning for Revision Rhinoplasty
Dr. Slupchynskyj will require a complete list of the supplements and medications you currently take. During your consultation, he will offer his surgical plan to improve your appearance; he may suggest multiple procedures to gain the best result and help you realize the appearance you envisioned before the first surgery.
He will also answer any questions and address any concerns you may have. He understands that this is not your first experience with rhinoplasty and that you want to get it right this time. He will provide a complete account of how he can help you and what he will do to accomplish optimal results.
Revision Rhinoplasty Procedure
Dr. Slupchynskyj tailors your Revision Rhinoplasty to your unique nose anatomy and the specific problem from the initial surgery. The most common Revision Rhinoplasty procedures are Auricular Cartilage Grafts and Pinched Nose Tip Revision.
Auricular Cartilage Grafts
The challenge of Revision Rhinoplasty from a reconstruction standpoint is the selection of implant material for grafting and the technique used for repair. Many patients seeking Revision Rhinoplasty received Septoplasty Surgery previously, which removed a sizable amount of septal cartilage.
Auricular Cartilage Grafting is the time-tested approach for generations of plastic surgeons who use the patient’s cartilage for reconstructing the nasal passage, because of its long-lasting survival benefit, its abundant availability in the neck and head area, its resistance to resorption and infection, and its softness and pliability after implantation. However, careful planning must be undertaken to get the maximum benefits from the auricular cartilage.
Your Revision Rhinoplasty Surgeon must have a firm grasp of the external ear’s anatomy and be able to manage the cartilage supply to provide you with maximum benefit from your Revision Rhinoplasty.
Pinched Nose Tip Revision
Patients seek relief from a pinched nose tip for many reasons, but the most common is they have difficulty breathing because of a nasal valve collapse. This problem is more than a functional issue because the complication is aesthetic as well. The patient can experience varying degrees of collapse and not realize it. This problem is a result of an overzealous reduction of cartilage common with Rhinoplasty procedures in the 1980s but is still present today.
Pinched nose tip may also be a result of injury or trauma, and in rare cases, the problem has been present since birth.
To correct a pinched nose tip, Dr. Slupchynskyj adds back cartilage to the lower and upper lateral cartilages while rebuilding the nasal tip. He performs reconstruction of the nasal tip with a cartilage shield graft or a strut graft. These grafts are taken from the ear, septum, or both. Either area may provide adequate cartilage for rebuilding the pinched tip.
Dr. Slupchynskyj can choose an open or closed rhinoplasty approach, but advocates an open Rhinoplasty for better access and visibility of the tip structures and lower lateral cartilage for optimal grafting. When the functional portion of the surgery is complete with the nasal passages open, Dr. Slupchynskyj will then implement the aesthetic portion of Revision Rhinoplasty.
To learn more about Revision Rhinoplasty, please call Dr. Slupchynskyj at (212) 628-6464 to schedule a consultation.
Revision Rhinoplasty FAQs
What is Revision Rhinoplasty?
Rhinoplasty is considered one of the most complex Facial Plastic Surgery procedures requiring a highly skilled and experienced surgeon. After having their Rhinoplasty done, not everyone sees the results they initially desired, for multi-factorial reasons, making Rhinoplasty a highly revised procedure–from 10-15% on the national average–in Cosmetic Surgery. The procedure to correct a poor or undesirable Rhinoplasty result is called Revision Rhinoplasty, or Secondary Rhinoplasty. To ensure a patient is pleased with the results, an experienced New York Revision Rhinoplasty Surgeon should be sought. Dr. Oleh Slupchynskyj, a Board Certified Manhattan Facial Plastic Surgeon has more than 18 years of experience performing Revision Nose Surgery on patients who underwent their Primary Rhinoplasty with another doctor and received less than satisfactory results.
Who Is a Suitable Candidate for Revision Rhinoplasty?
Patients who are unhappy with the results of a Rhinoplasty procedure because of functional problems, aesthetic issues, or both. These issues may be breathing issues, a caved in or collapsed nose appearance or a pinched nose effect.
The patient must also be in good health, and be at least six months removed from initial surgery to allow post-surgery swelling to resolve. This restriction may be ignored if functional difficulty poses a health risk.
How Long Is Revision Nose Surgery?
Because Dr. Slupchynskyj tailors Revision Rhinoplasty to each patient, surgery duration varies. On average, the procedure last from two to three hours.
What Anesthesia Is Required for Revision Rhinoplasty?
Again, each Revision Rhinoplasty procedure is tailored to the individual patient, so there is some flexibility with Anesthesia. Typically, it is performed as an outpatient procedure under local anesthesia with light sedation.
Should an “Open” and “Closed” Technique be Used?
Revision Rhinoplasty New York Surgeon Dr. Slupchynskyj is experienced with both Open and Closed Rhinoplasty, and will assess each patient as to which technique would best benefit them to achieve the results they desire. Endonasal, also known as “Closed” Rhinoplasty, is a technique where incisions are only made on the inside of the nose, resulting in invisible scars. This Closed approach limits direct visualization of the nasal anatomy therefore compromising the results. The Closed approach is not recommended for nasal tip work and should be reserved for simpler cases such as a dorsal hump reduction.
External or “Open” Rhinoplasty is a more advanced technique that is used for complex cases which may involve bridge augmentation, tip alternation, or Revision Surgery. With the open technique, a small incision is made between the nostrils on the outside of the nose.
What if my nose looks too small or unnatural? Can this be corrected?
This is a very common concern for New York / Manhattan / NYC Revision Rhinoplasty patients. This error is a result of another surgeon removing too much cartilage and excessively reducing the bony part of the nose during the initial Rhinoplasty. Dr. Slupchynskyj has years of experience with patients who come to him from elsewhere and are displeased with a nose that appears scooped out, upturned, too pointy or down turned due to poor Primary Rhinoplasty. Dr. Slupchynskyj can rebuild noses with grafting techniques and customized silastic implants, with which he has extensive experience.
What kind of situations require Revision Rhinoplasty?
People seek Revision Rhinoplasty when they are dissatisfied with their Primary Rhinoplasty results. This can be either aesthetic (appearance) or functional (breathing). Some patients come to Dr. Slupchynskyj experiencing both. The underlying cause of many poor results in Primary Nose surgery is that of surgical error: under-resection, where not enough cartilage is removed, or over-resection, when too much is removed during a Primary Rhinoplasty. Other common issues are asymmetry and abnormal scarring.
How long is recovery time?
Dr. Slupchynskyj’s patients are typically ready to go back to work within 7 days after surgery. He recommends that the patient take about 2 weeks from exercise and other strenuous physical activities in order to avoid accidental injury to the nose. Revision Rhinoplasty is performed as an outpatient procedure, thus requiring no overnight stay.
What are the risks of Revision Rhinoplasty Surgery?
After performing thousands of Revision Surgeries with no complications, Dr. Oleh Slupchynskyj is well versed in the best practices to avoiding risks. During your initial consultation, Dr. Slupchynskyj reviews any risks associated with Revision Rhinoplasty with you. Complications of Primary and even Revision Rhinoplasty Surgery happen when a surgeon removes too bone or cartilage, when an implant is improperly placed, or if the wrong type of implant was used.
How many revisions are possible?
While less surgery is always preferred, Dr. Slupchynskyj has worked with patients who have had one or many more revisions with other doctors, with less than satisfying results. If there are severe deformities or there is trouble breathing, revision may be a recommended option. Dr. Slupchynskyj will consult with you to discuss your individual situation and explain all risks, likelihood of success to achieve your desired result, and your next steps.
How much does Revision Rhinoplasty cost?
Revision Rhinoplasty costs will vary significantly depending on the number and complexity of changes that need to be made, as well as the technique being used. During a comprehensive consultation, Dr. Slupchynskyj will discuss all aspects of the surgery, including how much it will cost. It is important for patients to consult with their insurance providers to determine if part of the cost may be covered under their plan.
How can I be sure I’m choosing the right surgeon?
Revision Rhinoplasty is a highly complex procedure only a few surgeons truly specialize in. First, the surgeon you choose should specialize in Facial Plastic Surgery and specifically Rhinoplasty versus that of General Plastic Surgeons who perform Body Plastic Surgery (Breast Augmentation, Liposuction). Second, this surgeon should be Double Board Certified by both The American Academy of Facial Plastic and Reconstructive Surgery and The American Board of Otolaryngology. Your surgeon should have not only the training and expertise to create excellent aesthetic Revision Rhinoplasty results; it is essential they be properly trained, skilled and experienced in maintaining the integrity and functionality of the nose. Only a Double Board Certified Facial Plastic Surgeon can do both.