It should be said initially that the first time is the best time to get the best result with rhinoplasty surgery. If you’re not happy and seek a revision rhinoplasty, then it is even more essential that you find a plastic surgeon who can understand your goals clearly and give you the best opportunity to achieve them.
Revision rhinoplasty is even more challenging than the primary rhinoplasty procedure. Michael Jackson – God rest his soul had far too many surgical procedures on his nose.
Without reviewing Jackson’s medical record, which I do not have access to. All I can do is comment on what appears to be his result prior to his death. His nose was far too thin and up. It is said that he had implants put in the nose for support. There are also rumors he had an external prosthesis to cover open wounds of the nose. I cannot comment on these. Again, because I have no access to his medical record or operative reports.
My opinion of his result is that it was far too overdone and an exaggeration. It did not possess the hallmarks of the best aesthetic relationships within the nasal structure. At some point, he should have been told – no more surgery. However, whoever did the surgeries is an enabler. Which unfortunately happens to many wealthy celebrities. This is a tragedy.
Revision Rhinoplasty
So, the answer to the question is no. When you have your surgery by the right person. We do many second, third, and fourth revision procedures. We take great time and effort to evaluate the needs of the patient who seeks revision rhinoplasty. Photographic analysis, a detail internal and external examination including measurements. Reviewing wish pictures of noses that the patient likes is essential.
Many of the photos they share undergo Photoshop manipulation. Therefore, we discuss in detail the restrictions that their anatomy presents that would preclude the exact replication of any photo that they share. Oftentimes I will need cartilage grafting to facilitate the revision process, as many revision patients have had most or all their available cartilage put to use and therefore unavailable.
The revision process is very challenging. However, we can achieve it with careful planning. Also, a detail examination, discussion, and generous use of cartilage (usually bank) when put to use judicially. We have one of the most extensive before and after galleries for rhinoplasty, primary, revision, and ethnic including Asian.
The best time to achieve the best result is the first time. That’s why it is essential that you make the best decision the first time. In summary, revision rhinoplasty can be very successful in the right hands provided a realistic vision is articulated and the surgeon has a plan and skillfully carries it out.
THOMAS TREVISANI, MD
BOARD-CERTIFICATION PLASTIC SURGEON
MEMBER OF THE AMERICAN SOCIETY OF AESTHETIC PLASTIC SURGERY
