Revision Rhinoplasty

rhinoplasty | San Diego, CARhinoplasty is a complicated, delicate surgical procedure. That may explain why Dr. Kearney sees many patients who have had nose surgery elsewhere, but the surgery either was flawed in its execution or the patient simply wasn’t satisfied with his or her results.

Now it’s up to Dr. Kearney to put his surgical expertise to work with revision rhinoplasty.

What is revision rhinoplasty?

The reasons patients come to Dr. Kearney for revision rhinoplasty are varied. Revision rhinoplasty can be needed for simple breathing, as the previous surgery has somehow occluded the nasal passages. It may be for cosmetic reasons such as the bridge sagging. Some people may have had as many as five or six prior surgeries.

Revision rhinoplasty demands expertise because it can be even more complicated than the original procedure. Tissue and cartilage grafts can be required to provide the required mass needed for the procedure. Sometimes the nose needs to, in effect, be rebuilt.

How is this done?

As is the case with all of his cosmetic surgeries, Dr. Kearney treats each case of revision nose surgery as a completely unique situation. Some of these surgeries can be straightforward, where the patient simply wants some additional bone or cartilage removed from the nasal bridge. Maybe the tip remained more bulbous than they were hoping.

Or they can involve a complete rebuilding of the nose. In these cases, the previous surgeon removed too much tissue, cartilage, or bone, leaving the patient disfigured. Revising these prior mistakes can require surgeries lasting up to four hours. These surgeries may require tissue grafts harvested from the ear, ribs, or temple regions to restore the necessary amount of cartilage, bone, and fascia. In these types of revisions, the skin and soft tissue can be a limitation due to previous scarring and a developed resistance to expansion. In these cases, it’s important to have realistic expectations.

In many revision rhinoplasties, the open method is preferred because it allows better access to the structures that may need grafting or rebuilding. Open rhinoplasty is done through an incision on the skin under the nose between the nostrils. If that sort of access isn’t needed, Dr. Kearney will use the closed method where all incisions are made inside the nose.

It’s important with all cosmetic surgeries to do your research into your surgeon, but this is even more the case with rhinoplasty. Dr. Kearney is a double Board Certified Plastic Surgeon: in Plastic Surgery with the American Board of Plastic Surgery, and in General Surgery with the American Board of Surgery. That’s the kind of experience needed for these procedures.

Are you unhappy with a previous rhinoplasty? You don’t have to live with it. Call Dr. Kearney at (858) 677-9352 and set up a consultation for revision surgery.

Comments are closed.

After careful consideration and at the request of our state, and concern for the health and safety of our patients, we are cancelling all non-essential appointments and surgical procedures starting on 3-20-20. Please take note below of the ways that we are available to you over the next couple of weeks:

  • Appointments:Dr. Kearney will still be seeing a small number of post operative appointments over the next couple of weeks as well as any patients that require immediate attention or medical care, by appointment only. We are calling and emailing all patients who currently have appointments scheduled in the next 2 weeks to notify them and reschedule
  • Phone: We will be working remotely and able to answer questions as well as schedule future appointments and surgeries by calling our main number: 858.677.9352. Please note, however, that we will have reduced hours over the next couple of weeks so be sure to call during these times: M-F 9:30 a.m. to 3:30 p.m. If you have an urgent matter outside of these hours and need to speak to Dr. Kearney please call 619-270-4935.
  • Answering machine: Please do NOT leave important messages on the after hours greeting during the next 2 weeks as they may not be checked in a timely manner. Instead, we ask you to call or email during the above hours and we will get back to you as soon as possible.
  • Email: We will have access to email and our patient scheduling system and will be available to check and respond to emails M-F from 9:30 a.m. to 3:30 p.m. If you reach us outside of these hours please allow 24-48 hours for a response. You can continue to email the patient coordinator you’ve been in contact with or simply use [email protected]
  • Virtual consultations: Can’t come in for an appointment right now? No problem! Dr. Kearney is able to offer phone consultations during the next couple of weeks. Simply email us at [email protected] or call 858-677-9352 during the above hours and we will let you know the simple steps to take.

We apologize for any inconvenience the above changes may cause and are hoping things return to “normal” as soon as possible. Please stay safe and healthy and let’s all try to remain as positive as possible during this time of uncertainty.

We appreciate all of you and look forward to seeing you again very soon!

Sincerely,

Dr. Kearney and staff

858.677.9352

www.kearneymd.com