For revision rhinoplasty, a Los Angeles board certified plastic surgeon Dr. Vladimir Grigoryants offers advanced procedures to improve the shape of the nose. Many patients who turn to Dr. Grigoryants for revision rhinoplasty complain of a persistent hump, pinched or wide nose, crooked nose, and droopy or overly rotated nosed following trauma or previous rhinoplasties. Revision rhinoplasty is one of Dr. Grigoryants' specialties. Dr. Grigoryants performs revision surgery not only to improve the shape of the nose but also to improve breathing. He performs most rhinoplasty procedures using an endonasal (closed) technique. With this technique, Dr. Grigoryants places all incisions inside the nose. In some patients, however, open rhinoplasty would need to be performed to better reconstruct the nose.
How soon after primary rhinoplasty, should revisions rhinoplasty be performed?
It is best to undergo revisoin rhinoplasty once most swelling after previous surgery is gone. For most patients, Dr. Grigoryants prefers to wait at least 18 months before performing revisions rhinoplasty. Even at 12 months, many patients still have swelling in the tip of the nose, which may feel hard to touch. Patients with thick skin may have more and longer lasting swelling.
How can I prepaire for my rhinoplasty consultation?
To better prepare for surgery, Dr. Grigoryants will ask you to provide him with an operative report from your previous surgeon(s). Dr. Grigoryants would need to know what technique was used, whether permanent sutures or cartilage grafts were used, and how much septal cartilage is remaining in the septum. That information should be present in the operative report. Initial consulation can be done via email. Please email your current face photographs (front, side, and bottom views ) and your operative report to email@example.com
Will any grafts be used ?
Revision rhinoplasty frequently requires cartilage grafting to reconstruct the nose depending on what was in previous rhinoplasty. Dr. Grigoryants uses patients' own cartilage to rebuild the nose. He does not use any foreign material. The best source of cartilage is the nasal septum. If there in sufficient amount of nasal septum left, then an ear cartilage may need to be used for revision rhinopasty. Dr. Grigoryants will discuss with your these options during your consultation.
PatientsVisit our before and after photo gallery to view more rhinoplasty results performed by Dr. Grigoryants.