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.

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Our office is now open!

Your health (and ours) is our highest priority so we are making a few changes to our reopening so that you can feel safe and confident coming in to see us. We are of course following all federal and local guidelines such as wearing masks and conducting phone screenings prior to your appointment but we are also implementing the following:

      Increasing the frequency of cleaning and sterilization to not only include exam rooms but also the waiting room, restroom, all doors, counters, etc.

      Offering multiple hand sanitizer locations throughout the office

      Reducing the number of appointments per day as well as our office hours, to limit the number of people in the office, including staff members

      Minimizing patient overlap to allow for proper social distancing

      Testing all surgery patients for COVID-19 at their pre-operative appointments

      Asking patients to leave family members or friends at home, unless they are coming with their primary caregiver. Please leave children at home as well

 

How can you help?

      Come alone to your appointment, unless you need your primary caregiver with you

      Please wear a mask or face covering to your visit and keep it on unless you are asked by Dr. Kearney or an RN to remove it

      Postpone your visit if you have traveled by air or experienced symptoms in the last 14 days

      Use a pen from the holder marked “clean” and put it in the one marked “used” when you’re done

      Use the hand sanitizers in our office

      In the rare case there is someone at the front desk when you come in please take a seat until we call you and maintain proper distance throughout your visit

      Take advantage of our virtual consultations or follow up appointments if it makes you feel more comfortable

Please bear with us as we work to return to our new “normal” and feel free to call or email with any questions. We look forward to seeing you again soon!

Sincerely,

Dr. Kearney and staff

858.677.9352

https://www.kearneymd.com/