Revision Rhinoplasty

This revision rhinoplasty patient was recently in the office for a follow-up evaluation and was a great example of how to create a more pleasing, feminine profile view. She had surgery by a plastic surgeon in the Beverly Hills area and was unsatisfied with her original outcome. She then sought…

Perhaps one of the most difficult procedures to perform in the world of rhinoplasty and revision rhinoplasty is lengthening the short nose. By 'short nose' I am referring to a nose that is overly rotated or turned up. In rare cases a short nose can be congenital, meaning it is…

As part of my normal preoperative consultation for planned rhinoplasty and revision rhinoplasty I will to to emphasize the importance of taking care of the incision line following surgery. I thought I would post a quick blog entry regarding this since, as they say, pictures are worth a thousand words.…

I happen to perform fascia grafting as part of rhinoplasty and revision rhinoplasty on a fairly regular basis. I do this type of grafting mostly in rhinoplasty patients with thin skin. In this patient population, anything done to reshape the nose can cause unwanted visible contour irregularities post-operatively because thin…

My practice happens to see quite a variety of ethnic rhinoplasty patients on a regular basis. I would say that the two most common issues I see in ethnic rhinoplasty patients are insufficient bridge height and excessively wide nostrils. These particular case example of ethnic rhinoplasty highlights the latter issue…

Rhinoplasty and revision rhinoplasty patients commonly ask what their ear is going to look like following nasal reshaping procedures where a portion of the ear is used for grafting purposes. In my practice, which emphasizes rhinoplasty and revision rhinoplasty, ear cartilage grafting, or auricular cartilage grafting, is done on a…

"I had a rhinoplasty procedure nearly 3 weeks ago and now my nose looks wider than it did preoperatively. Is this normal or should I be worried?" This question or a variation of this question is often asked on online rhinoplasty forums. The reality is that many rhinoplasty and revision…

This patient was recently seen in the office for follow-up evaluation after a revision open rhinoplasty procedure that I performed. I thought he was a good case example to discuss some of the nuances of bridge and tip reshaping in a male, ethnic revision rhinoplasty patient. This patient was originally…

Many patients online have inquired about whether or not they can undergo alar base reduction (narrowing) following rhinoplasty. The answer is - yes. In many cases of rhinoplasty and revision rhinoplasty, patients can benefit from having the base of the nose narrowed at the same time other areas of the…

Many rhinoplasty candidates inquire about the appearance of the columella scar following an open rhinoplasty approach. As I tell most patients considering an open rhinoplasty, the scar generally heals quite nicely with minimal visibility. In fact, we intentionally create a geometrically broken line incision so that we fool the naked…