Revision rhinoplasty is considered to be, if not the most, one of the most difficult of all plastic surgery procedures. In order to be skilled at revision rhinoplasty the surgeon must have first achieved a good mastery of both primary rhinoplasty and functional nasal surgery. Only then is the surgeon comfortable in rebuilding the nose for a second or third time to correct or improve upon prior work. For this reason, it is extremely important to choose a surgeon wisely. A properly informed patient will seek out a plastic and reconstructive surgeon or facial plastic surgeon who dedicates a large portion of his or her practice to rhinoplasty and revision rhinoplasty.
Most importantly, it is the task of the rhinoplasty surgeon to have a detailed discussion with a person regarding the risks, benefits and alternatives before proceeding with revision rhinoplasty. Although many unhappy rhinoplasty patients will seek out skilled rhinoplasty surgeons for revision surgery and have tremendous improvements following surgery, others may have expectations that cannot reliably ever be achieved. The plastic surgery office consultation is the time to determine if revision surgery is appropriate and should be pursued. Surgeons with extensive experience in revision rhinoplasty are not only masters of this surgical technique, but also at selecting patients that they will have the greatest chance of improving.
