Revision Rhinoplasty

Some patients have inquired about scar tissue formation after rhinoplasty and revision rhinoplasty. Specifically, they ask if the nose permanently becomes bigger because of scar tissue development under the skin following nasal reshaping? In most cases, the nose will not enlarge significantly following rhinoplasty or revision rhinoplasty. In fact, in…

The answer to this question is - yes. In fact, it is the rule of thumb that rhinoplasty and revision rhinoplasty patients will experience some degree of numbness and/or tingling of their nose for upwards of several months following surgery. Usually the heralding sign of normal return of sensation is…

I have heard this question asked on several occasions by my own rhinoplasty patients as well as those out there in cyberspace. The answer is - yes. It is quite normal to see a slight increase in swelling of the nose following removal of the cast after rhinoplasty or revision…

I just saw one of my revision rhinoplasty patients in follow-up today and it reminded me to post a quick note on management of the narrow nasal tip following prior rhinoplasty. This particular patient had prior rhinoplasty performed by a different plastic surgeon years ago. He was unhappy with the…

About every 3-4 months or so, I see a revision rhinoplasty patient who needs to have the entire nasal tip reconstructed. The following patient is a great example of exactly this type of rhinoplasty procedure. If you look at this particular patient, the tip of his nose looks as if…

This is a question often asked by rhinoplasty & revision rhinoplasty patients. The answer to this in my patient population is usually around 1-2 months out. Most people feel presentable in the public eye around 10-14 days out from surgery but still don't quite appreciate the changes made to the…

I had the pleasure of speaking at the University of California, San Diego School of Medicine, Division of Plastic Surgery Grand Rounds this past Saturday. It was a great meeting of the minds with many local and regional plastic surgeons getting together to exchange ideas. I spoke about rhinoplasty pearls…

Dr. Hilinski was invited to be a featured speaker at the upcoming University of California, San Diego, Division of Plastic & Reconstructive Surgery Symposium this coming Saturday. Dr. Hilinski was asked to present his personal approach regarding rhinoplasty and revision rhinoplasty to an audience of San Diego plastic and reconstructive…

I see this exact question or some variation of it posed on forums all the time. The answer to this is actually fairly straightforward. The challenge is finding a rhinoplasty surgeon who fulfills all of the desired qualifications. Given the fact that rhinoplasty, or nose reshaping, is hands down the…

I was seeing a preoperative rhinoplasty patient today in the office and we got on the topic of stopping blood thinners prior to her scheduled surgery. She raised the question of whether or not this was considered a high risk operation in terms of bleeding. I counseled her that rhinoplasty…