Although patients undergo rhinoplasty with the expectation to improve their appearance, sometimes, a less than desirable outcome can occur. There are a wide variety of reasons that may cause a patient to be displeased with a previous rhinoplasty procedure completed by another physician. As an internationally recognized expert in revision rhinoplasty, Houston facial plastic surgeon, Dr. Russell Kridel, can help correct these issues. Referred to as “THE Nose Doc” around the U.S., patients, including other doctors and their family members, come to Houston from around the world to have revision rhinoplasty by Dr. Kridel. He is known for his outstanding surgical skill, expertise, and experience specifically in revision rhinoplasty.
General Rhinoplasty Info
Revision & Dr. Kridel
Dr. Kridel has published numerous scientific papers and textbook chapters on revision rhinoplasty. He has developed surgical techniques specific to revision rhinoplasty that are now taught in medical schools, and has a special set of medical instruments named after him that surgeons use for nose surgery. Dr. Kridel is also invited annually as a featured speaker at plastic surgery conferences around the world. After having unsuccessful rhinoplasty surgery somewhere else, patients want the peace of mind of having revision rhinoplasty performed by a surgeon that is recognized by other surgeons as one of the country’s best.
Revision rhinoplasty is a far more complex procedure that needs special expertise to correct because the anatomy inside the nose may have been significantly altered by the original surgery. Prior to any surgery, there are layers of tissue planes that have natural separations between the different types of nasal tissues. During rhinoplasty, a surgeon can easily dissect or separate the layers to get to different structures. After this first surgery, these planes no longer exist, making any subsequent surgery more difficult. In some cases, a graft may be used to restore this lost structure.
Revision Rhinoplasty Reviews
"After a few very unsuccessful rhinoplastys, Dr. Kridel was able to reshape my nose into one nobody would ever question me not being born with. It looks completely natural, which I had convinced myself would never be possible. I wished I would have seen Dr. Kridel in the beginning. To compliment Dr. Kridel, he has a staff of folks that I feel really cared about every inch of my treatment. If you are reading this and considering Dr. Kridel --- look no further. Dr. Kridel is truly the best facial artist."- J.L. / Office Visit / Dec 08, 2014
"After two unsuccessful rhinoplasties, with the 2nd leaving me with a deviated septum, I was skeptical about another. I did my research and read many great things about Dr. Kridel so I sent my photos in and scheduled a consult. I was even more confident after meeting him and his staff. I knew he was the one I wanted to perform my final surgery. Post op, I am very happy with my results, especially my profile. I can breathe again too."- T.E. / Office Visit / Dec 09, 2014
"Couldn’t imagine a better nose. I love it. I have more confidence and genuinely pleased with my appearance. After my first rhinoplasty, I was very disappointed with the results and afraid to try again. 5 years later, I decided to start researching a revision rhinoplasty doctor. Dr. Kridel came highly recommended and seemed to be the obvious choice. Even though his fees are higher, I had a higher confidence level in the success. Surgery went great and I could not be more pleased. My nose looks great! It is also so natural and fits my face. Thrilled I went with Dr. Kridel."- A.Z. / Office Visit / Dec 10, 2014
"Dr. Kridel is not only a very proficient and skilled surgeon, he is a kind and generous human being. In my case, he undertook a difficult procedure which few others had dared to attempt or would have been able to attempt.In my opinion, he is the leading practitioner of revision rhinoplasty, i.e. that kind of nasal surgery aimed at repairing damage done by trauma due to accidental injury or previous surgeries.On the business side, he stated a fee and stuck to it, despite the fact that my surgery ended up taking 6 grueling hours of painstaking surgical dexterity.I am eternally grateful to him and recommend him highly to any patient considering cosmetic or therapeutic surgery with him."- R.R. / Vitals / Jan 23, 2011
"A few years after I had my first rhinoplasty (by another surgeon in the Houston area), i started to notice that the tip of my nose was turning to the side. Apparently a strut inside buckled and the cartilage was twisting on itself. I did not do my homework and I returned to my first plastic surgeon and had him go in to fix it. BIG MISTAKE! Not only did he mess up the appearance of my tip (he drooped it down), but he also stopped the flow of air through one nostril. I was soooo upset! I lived with frustration and regret for a full year while I waited for the swelling to subside so I could have it fixed. Over that year, I did some indepth studying up on rhinoplasty and REVISION rhinoplasty (yes there is a big difference!!!). I learned that I should have looked for a FACIAL plastic surgeon as opposed to a general plastic surgeon. I also learned that I should have found a surgeon who speciialized in REVISION nose surgery. THANK GOODNESS I FOUND DR. KRIDEL!!!!He not only fixed the appearance of my nose, he also fixed the breathing. I am sooooo happy!!! It is still a little swollen (2 months out), but even swollen it is better than how it looked prior. I can't wait to see it 1 year out."- Anonymous / Vitals / Dec 21, 2009
Revision Rhinoplasty Technique
As with primary rhinoplasty, there are two common surgical techniques used on a secondary nasal surgery, open rhinoplasty and closed rhinoplasty. The vast majority of revision rhinoplasty surgeries are performed using the open rhinoplasty technique because of the significant amount of anatomical change inside the nose after the first nose surgery.
Revision Nose Consultation
Facial Plastic Surgery Associates prides itself on the thoroughness of its rhinoplasty consultation sessions. Similar to the experience for primary nose surgery consultations, revision rhinoplasty patients can expect to be with us for at least 2 hours. We will discuss with you your previous surgery or surgeries, current circumstances, including any breathing issues, and your postoperative desires. Patients will also be asked to bring a copy of their previous rhinoplasty medical records for the surgeon to review. The clinical staff can also provide a medical record request form that can be submitted if desired.
During/After Revision Surgery
Revision rhinoplasty surgeries share many similarities with primary rhinoplasty surgeries performed at Facial Plastic Surgery Associates. However, revision rhinoplasty generally takes about an hour longer because of the added degree of complexity.
The cost for revision rhinoplasty surgery is higher than primary rhinoplasty because the surgery is far more complex. Costs will vary depending on the degree of this complexity, including any functional corrections that need to be made to obtain your optimal aesthetic goal. Costs for primary rhinoplasty surgery can range between $5,000-$9,500 while revision surgeries range from $9,000 to $12,000.
FPSA Associate, Dr. Angela Sturm, also performs revision rhinoplasty surgery, however her fees tend to be in the lower portion of this range. She completed her advanced fellowship training in facial plastic surgery with Dr. Kridel, and was hand selected by him to join the practice a few years ago because of her surgical skill and dedication to the highest standards of patient care. Dr. Sturm utilizes similar revision rhinoplasty surgical techniques as Dr. Kridel.
Plan Your Procedure
- Average Cost
- $9,000 - $12,000
- Recovery Time
- 2-4 Weeks
- Average Procedure Time
- 5-6 Hours
- Post-op Follow-up
- 1 Day
- Procedure Recovery Location
Revision Rhinoplasty FAQs
Cause for Revision Rhinoplasty
As a result of a previous rhinoplasty surgery, patients may have an aspect of their nose that they do not care for. From an aesthetic standpoint, surgery may have created a bump or depression, or a drooping or collapsed appearance. Nose function could also be an issue stemming from the first surgery. This may include difficulty breathing, a deviated septum or nasal valve collapse. Revision rhinoplasty can correct these issues and create a nose that not only looks natural, but functions properly.
Choosing a Revision Doctor
Revision rhinoplasty surgery has an even higher degree of complexity than primary rhinoplasty. Therefore, it is important to find a reputable and suitable rhinoplasty surgeon, one that has extensive experience and success performing revision rhinoplasties. With Dr. Kridel, patients are in the hands of a revision rhinoplasty expert who is recognized by other physicians and patients for his expertise.
Sometimes, following a rhinoplasty surgery a patient may find it difficult to breathe. This can result from a problem that existed prior to the first surgery or one that was created from having the nose altered. Dr. Kridel often does revisions to correct a dysfunctional nasal airway. What is required in some cases can be the correction of a deviated or crooked septum, which is the partition between the nostrils, and trimming of the turbinates. A graft may also be needed to resupport the tip.
Patients who have already had surgery on the septum may require a revision surgery to improve breathing. Dr. Kridel must consider and remove scar tissue, which makes this a difficult procedure. However, even more serious, is a septal perforation or hole in the dividing partition. This can happen with a previous rhinoplasty or septoplasty surgery that was performed elsewhere. Some of the signs of a septal perforation are bleeding, crusting, nasal obstruction, and drainage. A perforated septum is hard to repair because it represents not one hole, but three holes – a hole through the septal cartilage and a hole in each side of the membrane that covers the septum. Dr. Kridel pioneered the technique to successfully close a septal perforation and is considered the leading expert to perform this surgery.
As with primary rhinoplasty, insurance does not cover revision rhinoplasty surgery because it is considered an elective, cosmetic procedure.