Washington Univesity Facial Plastic Surgery Center
Washington Univesity Facial Plastic Surgery Center
Revision Rhinoplasty
The nose is a three-dimensional structure at the center of our face. It impacts our lives minute by minute, performing the critical function of breathing and giving us the sense of smell.

Rhinoplasty is a technically difficult and complex surgical procedure. The shape of the nose is determined by the bone and cartilage skeleton and the skin that envelopes these structures. All of these elements interplay with one another to create the overall appearance of the nose.


When we have surgery on the nose, the interplay between all of these structures is altered and another force -- the healing process -- is introduced into the equation. Any aberration in the healing process or failure to recognize the intricate interrelationship between these structures results in a less than optimal result. Attention to detail and proportion are critical to achieving the best result with rhinoplasty. Likewise, close monitoring and appropriate intervention with the healing process is critical.

Why Consider Revision Rhinoplasty?
Dr. Branham has established a reputation for correcting or “revising” surgeries in which other doctors’ procedures have not met their clients expectations or have compromised nasal functionality.

If you have had a suboptimal result with rhinoplasty you have experienced this firsthand. You may be frustrated and upset that your expectations were not met regarding your appearance or function. Obviously, the best chance to achieve the best result in rhinoplasty is with the first or primary procedure.

However, this does not mean that you won’t benefit from a secondary or revision rhinoplasty. In contemplating your options, it is important to find a surgeon that you trust and who understands your goals for surgery. Just as critical is the experience and expertise of the surgeon in performing revision rhinoplasty.

Many times, tissue has been removed at the time of surgery that needs to be restored. This may require using cartilage from the ear or a rib to restore form and function. Sometimes man-made materials that are biocompatible can be used to replace these tissues. The decision on what to use is dependent on your individual condition and the surgeon’s recommendation.

Undergoing revision rhinoplasty does not mean that the experience will necessarily be worse than prior procedures. It does require more patience and time for the healing process. It also requires the surgeon to be more diligent in following the healing process. Your surgeon may recommend steroid injections or other means to modify the healing process.

It is normal to experience some anxiety when contemplating revision rhinoplasty, but in most cases, our experience in dealing with difficult nasal surgical cases, both cosmetic and reconstructive, can help alleviate this fear. We approach every patient with the expectation that whether it is your first or subsequent procedure – it will be your last and best.
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In the News
In the News
The latest info on health and beauty - including interviews featuring Drs. Branham and Checcone.  Read more.
Photo Gallery
Photo Gallery
View our photo gallery of rhinoplasty procedures. here.