Rhinoplasty uses without question the most challenging facial procedure. It’s challenging because the vision for the result must be clear in the surgeon’s mind. Anatomically and technically it’s also very challenging requiring the greatest degree of knowledge, experience, skill, and training. Vision is essential. The revision rhinoplasty process compounds the challenge. Not only are we dealing with the original anatomy but we are now dealing with altered anatomy scar tissue and a complex state of healing.

In the early postop, after primary rhinoplasty, it’s difficult to gauge what the outcome will be. I take pictures of the patient on the table which will demonstrate the result. Swelling and variables of healing then come into play and it may take a year or more for the result to manifest itself.

Revision Rhinoplasty

We received calls from patients who have had their rhinoplasty surgery done elsewhere and are unhappy with what they see. Generally waiting is a good idea. Thick skin and resolution of swelling may mask what really is going to occur. Occasionally it’s obvious that the immediate result was structurally inadequate and, in that case, early revision and intervention may the indicated. I have done this with great results. One of the biggest mistakes people make with respect to rhinoplasty, primary or revision, is to cut corners and based their decision on cost.

The best rhinoplasty surgeons in this country and world know their worth and charge accordingly. I urge potential patients to look at the galleries on each website before making a decision. You should look over many cases they consistently identifiable improvements. Remember everyone’s different and results vary. But the structural shape should be pleasing to the eye. Rhinoplasty is challenging and revision is even more challenging.

THOMAS TREVISANI, MD

BOARD-CERTIFIED PLASTIC SURGEON

MEMBER OF AMERICAN SOCIETY OF AESTHETIC PLASTIC SURGERY