Dr. Jumaily is an expert in rhinoplasty with extensive training and experience in primary and revision rhinoplasty. Dr. Jumaily carefully analyzes the problems with the nose and the prior surgery and formulates a plan to address these issues. The most advanced techniques in rhinoplasty are used including septal cartilage, ear cartilage, rib cartilage, diced cartilage, temporalis fascia, cadaveric donor cartilage depending on the needs of the patient. We do not use synthetic or plastic implants in rhinoplasty due to the risk of complications.
Reasons for Revision Rhinoplasty
It is very frustrating and stressful to undergo a procedure and be dissatisfied with the result. There are many factors why a patient may not be happy with the results of a rhinoplasty. It is possible that the surgeon did everything right and as planned but the tissues did not heal the right way. Rhinoplasty is an art but unfortunately, we are not working on marble or stone which stay exactly the way you sculpt it for years, but rather we are working with skin, muscle, fat, and cartilage which are dynamic living tissues that swell and scar and warp. There is a certain level of uncertainty that goes with the process. A good surgeon minimizes this uncertainty. Another reason for dissatisfaction is unrealistic patient expectations. A rhinoplasty gives you a better version of YOUR nose, it does not create a new nose. We work with your skin, fat, cartilage, and facial angles and we improve them. Occasionally, the patient expects something in their mind that is not possible which is why we have to educate the patient about what is possible. Also, It could be that the surgeon did not have the skills to achieve a good result. Surgeons like all professionals have skills on a spectrum and some are better than others.
The first step of the process is the consultation process. During your consultation, Dr. Jeff Jumaily will ask you about your reasons for wanting to undergo revision rhinoplasty and the specific issues with your nose you would like to address. Dr. Jumaily will carefully examine your nose and, evaluate your current health, and go over your medical history to help determine if revision rhinoplasty is the right choice for you. He can answer any questions you may have about the procedure and go over the expected cost of your revision rhinoplasty in Beverly Hills and let you know about the payment options available to you.
What to Expect
You can expect to experience some bruising and swelling around the area following your revision rhinoplasty. The bruising will last for around two weeks. The swelling following revision rhinoplasty may be more significant than the swelling following primary rhinoplasty. While a majority of the swelling will subside after several weeks, there will be some residual deep tissue swelling that can persist for around one to two years.
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Is Revision Rhinoplasty Right for Me?
Not every patient is a candidate for revision rhinoplasty. We often see patients in consultation and their nose is the best it can be and revision has a higher risk of causing more problems than it fixes. It is important, to be honest, and not do surgery unless there is a clear benefit. In consultation, we offer our sincerest and honest opinion to ensure the patient does not waste their time or material and emotional resources unnecessarily.
Schedule a Consultation Today
If you are unhappy with the results of your primary rhinoplasty and are looking for a skilled and experienced facial plastic surgeon to perform your revision rhinoplasty, contact our office today to schedule a consultation with Dr. Jumaily. He can formulate a personalized surgical plan in order to provide you with your ideal results from your revision rhinoplasty in Beverly hills.
Revision Rhinoplasty FAQ’s
I had a Bad rhinoplasty, what do i do?
It is very frustrating and stressful to undergo a procedure and be dissatisfied with the result. There are many factors why a patient may not be happy with results of a rhinoplasty. It is possible that the surgeon did everything right and as planned but the tissues did not heal the right way. Rhinoplasty is an art but unfortunately we are not working on marble or stone which stay you sculpt it for years, but rather is skin, muscle, fat, and cartilage which are dynamic living tissues that swelling and scar and warp. There is a certain level of uncertainty that goes with the process. A good surgeon minimizes this uncertainty. Another reason for dissatisfaction is unrealistic patient expectations. A rhinoplasty gives you a better version of YOUR nose, it does not create a new nose. We work with your skin, fat, cartilage and facial angles and we improve them. Occasionally, the patient expects something in their mind that is not possible which is why we have to educate the patient about what is possible. Also, It could be that the surgeon did not have the skills to achieve a good result. Surgeons like all professionals have skills on a spectrum and some are better than others.If you are not happy with a result, go to your original surgeon and get their opinion, they may agree with you. If you still trust them, they may do your revision at low or no cost. Occasionally that is not option due to surgeon not being available, or they are unable or unwilling to do the revision. In that case, see another surgeon for an opinion.
Why did I get an Upturned Pig-like Nose After Rhinoplasty, and what do I do?
The nose is often taped after rhinoplasty and the swelling also gives it the appearance of too much rotation (upturned). After 1-2 weeks usually it starts to return to normal. Give it some time as it takes weeks to months for nose to healsIf the nose remains upturned after 6 months, then it is likely not just swelling. A revision rhinoplasty is often needed to drop the tip slightly to a more natural (less pig-like) position.
How Much Does Revision Rhinoplasty Cost?Out of all procedures, revision rhinoplasty is likely the most difficult one to name a price without seeing the patient. The reason is that revision rhinoplasty is very complex and there could a few issues to be addressed to complete reconstruction of the nose with rib cartilage. Generally, revision rhinoplasty costs more than primary rhinoplasty due to the increased complexity and scarring. The exact cost can be determined at the time of consultation.
Major Risks of Revision Rhinoplasty Using Rib Cartilage?
The risks are not very different from the risks of primary rhinoplasty. However, these same complications have a higher chance of occurring in a revision cases. Due to the scarring and prior work done, there is a higher chance of asymmetries, etc. However, in good hands, these risks can be still be very small and a significant improvement can be expected.Rib harvest specifically has the risk of scarring on the chest (under the breast) but in rare case, the lining of the lungs (pleura) can be nicked which causes an air leak into the chest. Often, this is fixed immediately and no harm is done. If the leak is large, a tube is placed until the hole is healed which can be frustrating.
What is the Revision Rhinoplasty Recovery?Overall it’s the same as the primary rhinoplasty with 1 week of having a cast and sutures. The bruising will last 5-14 days. The major difference is that revision rhinoplasty has more swelling and that swelling takes longer to resolve than primary cases. So expect the nose to take 1-2 years to fully heal (but you will see the improvements after a few weeks).
Is Correcting a Crooked Nose a Difficult Procedure?The short answer is yes. Crooked noses occur due to malposition of the bone or cartilage or both. Occasionally the nose appears crooked because of natural asymmetries in the face and where the nose attaches to the face. These are not always easy to change. If it is cartilage or bone then significant improvement can be achieved.
Revision Rhinoplasty SwellingRevision rhinoplasty has more swelling than primary surgery and that swelling takes longer to resolve than primary cases. So expect the nose to take 1-2 years to fully heal (but you will see the improvements after a few weeks).
Can Uneven Nostrils Be Fixed?Uneven nostrils can be presents before rhinoplasty but sometimes it occurs after rhinoplasty especially if the tip projection is changed significantly. Often nostril asymmetry is difficult to notice by an observer and can only be seen close up with head turned back. That is why we often tolerate this if it is hard to see. If it is noticeable, a revision can be done to make it more symmetric.
What are the Possible Risks of Using Ear Cartilage in Revision Rhinoplasty?Ear cartilage is commonly harvest from one or sometimes both ears to be used in the nose. Harvesting ear cartilage is often safe and does not lead to any ear deformity. The incision is placed in the back of the ear and is invisible when it heals. There is some discomfort, swelling and bruising after surgery but that resolves quickly. If not done correctly, the shape of the ear can change. Another risk is a hematoma but this is avoidable with the right technique. Infection is possible but uncommon.
How Do I Know if I Have an Infection After Revision Rhinoplasty?Infection are often associated with redness swelling and pain. It is uncommon to have infection after rhinoplasty but it is possible. If pain increase, and you see more redness and swelling, an infection is possible, and you should see your surgeon and take antibiotics as soon as possible.
Should I Go for Revision Rhinoplasty Because of Hanging Columella?If it bothers you, it is usually amenable to a minor revision to tuck it up slightly. It can be determined after a full exam.