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Revision Rhinoplasty

Revision Rhinoplasty in Houston, TX

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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 surgeons, Dr. Russell Kridel and Dr. Sean Delaney, 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. Dr. Sean Delaney previously trained under Dr. Kridel and has extensive experience in revision nasal surgery as well. Together, they are known for their outstanding surgical skill, expertise, and experience specifically in revision rhinoplasty.

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 Considerations

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 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. 

Expected Cost

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 $8,000-$10,000 while revision surgeries range from $10,000 to $12,000.

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Average Cost  
$10,000 - $15,000
Recovery Time  
2-4 Weeks
Average Procedure Time  
5-6 Hours
Post-op Follow-up  
1 Day
Procedure Recovery Location  
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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 and Dr. Delaney, patients are in the hands of revision rhinoplasty experts who are recognized by other physicians and patients for their expertise.

Dysfunctional Airway

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 and Dr. Delaney often perform 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 nasal tip.

Septal Perforation

Patients who have already had surgery on the septum may require a revision surgery to improve breathing. Dr. Kridel and Dr. Delaney must address scar tissue and altered anatomy, 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. Dr. Kridel and Dr. Delaney have published extensively on the subjective of Septal Perforation Repair.

Insurance Coverage

As with primary rhinoplasty, insurance does not cover revision rhinoplasty surgery because it is considered an elective, cosmetic procedure.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.