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About revision rhinoplasty

Rhinoplasty is one of the most popular facial plastic surgery procedures—however, the surgery is technically complex and truly requires a specialty in rhinoplasty for consistently excellent results. Unfortunately, rhinoplasty is often performed by surgeons who are not rhinoplasty specialists and patients can be left with subpar outcomes. If you have had a rhinoplasty and are unsatisfied with your results, you may be a candidate for a revision rhinoplasty in Scottsdale

It can be a scary or uncomfortable ordeal for a patient to proceed with a revision surgery after already having a bad experience elsewhere. That is why it is important to take your time and find a specialist who has the training, experience, and skill to perform your revision surgery. Dr. Starkman’s background is specifically in rhinoplasty and revision rhinoplasty surgery. Patients have come to see him from all over the country for evaluation of their nose concerns. He particularly enjoys the detailed preoperative communication and planning with his patients.

Dr. Starkman will take all the necessary time through discussion and photographic imaging to ensure that a realistic plan is made.

As a facial plastic surgeon who has made a reputation as a rhinoplasty specialist, Dr. Starkman sees patients from all regions who are dissatisfied with their surgery performed elsewhere. Approximately 25% of Dr. Starkman’s rhinoplasty surgeries are revision rhinoplasty.

Scottsdale Revision Rhinoplasty Specialist

The best opportunity for perfect results with rhinoplasty is during the first procedure, as Scottsdale revision rhinoplasty is far more complex than a primary (first-time) nose surgery. Every rhinoplasty is unique because every nose is unique, and revision rhinoplasty further complicates the surgery because of the work done by the previous operation. For complex revision rhinoplasty surgery, Dr. Starkman will often deconstruct and rebuild the entire nose.

Revision Rhinoplasty Scottsdale

In order to maintain support and structure to the nose, Dr. Starkman uses grafts from the patient’s own body during their operation. Options for support grafts are:

  • Septal grafts (nose)
  • Auricular grafts (ear)
  • Costal grafts (rib)

Dr. Starkman is an expert at using costal (rib) grafts for complex revision cases in which an extra amount of graft support is required, and is one of the few rhinoplasty surgeons in Arizona who performs costal cartilage grafting. To receive one of the best revision rhinoplasty Scottsdale has to offer. 

Ideal candidates for revision rhinoplasty

You could be a great candidate for revision rhinoplasty if you want to alter or repair the effects of your initial rhinoplasty. Revision surgery is often done to address form and functionality concerns with your nose. It is important that you have realistic expectations before undergoing a revision procedure, and that you understand it could be significantly more complicated than your initial rhinoplasty. These factors should lead you to seek only the best facial plastic surgeon to ensure your outcome is ideal. Common problems Dr. Starkman has treated with Revision Rhinoplasty include:

  • Breathing problems
  • Asymmetic nose
  • Widened nose
  • Nasal hump
  • Crooked dorsum
  • Inverted-V deformity
  • Upturned nasal tip
  • Pinched nasal tip
  • Bulbous nasal tip
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Surgical technique during revision rhinoplasty

Prior to performing your revision nose job, Dr. Starkman will meet with you during a consultation to determine your personal requests and goals before creating a treatment plan. In almost all revision rhinoplasty cases, Dr. Starkman uses the open technique to give him full leverage over the nasal structures.

During the open technique, Dr. Starkman will separate the skin, cartilage, and bone, which allows for maximum visibility. Dr. Starkman will then reshape the nose to the desired position. In most cases of revision rhinoplasty, a bone or cartilage graft may be used to help reconstruct and strengthen the architecture of the nose.

A Rhinoplasty Educator

Dr. Starkman has been a regular invited speaker at Facial Plastic Surgery conferences on a regular basis, lecturing on his techniques regarding rhinoplasty surgery. With revision rhinoplasty, an equal amount of creativity and skill are required to reverse poor outcomes into beautiful results. Dr. Starkman enjoys sharing his techniques and results with other rhinoplasty surgeons, and also learning from others at educational conferences. A dedication to academic Facial Plastic Surgery ensures the latest and most reliable techniques are available at Starkman Facial Plastic Surgery.

What to expect following revision rhinoplasty

The duration of your revision nose job depends on the extent of reconstruction and the technique used. Upon the completion of the procedure, you will be required to wear a nose splint for a few days and will be asked to schedule a follow-up appointment to remove the stitches and splint. This will also allow Dr. Starkman to check on your recovery progress.

Due to the fact that revision surgery is most often more complex than your first nose surgery, the recovery time may be expanded. You may experience some substantial bruising and swelling, as well as discomfort or pain for approximately two weeks.

FAQ

How much does a revision rhinoplasty cost?

The cost of a revision rhinoplasty varies based on the amount of reconstruction needed. During your consultation, Dr. Starkman will listen to your goals before evaluating your previous nose surgery. As soon as a surgical plan is formed, he will be able to more accurately determine your costs. Dr. Starkman can also discuss payment options and information on low-interest financing to make your revision rhinoplasty easier to afford.

How long should I wait after my original rhinoplasty?

It's important to give your nose time to heal after a rhinoplasty. In many cases, it can take over a year for inflammation to fully subside and the final shape of your nose to be visible. After your nose has completely recovered from rhinoplasty, you should take some time to assess how you feel about its new appearance. If you are displeased with your final outcome, please schedule a consultation at Starkman Facial Plastic & Laser Surgery in Scottsdale.

How common are revision rhinoplasty procedures?

Rhinoplasty is a very popular plastic surgery, and most patients are happy with their results. However, some rhinoplasties may require a second surgery to complete the procedure or to repair flaws. In a small number of patients, revision rhinoplasty is needed to improve major cosmetic concerns or functional problems created during the original surgery. If you are unhappy in any way with the results of your primary rhinoplasty, schedule a consultation to learn more about revision rhinoplasty.

How can I ensure that I will receive better results with a revision procedure?

It is extremely important to do research when choosing a plastic surgeon to perform your revision rhinoplasty. Dr. Starkman exclusively performs facial plastic surgery, and he specializes in rhinoplasty and revision rhinoplasty. He understands the advanced techniques and extra skill required to perform a revision rhinoplasty without weakening the structure of your nose. He will also be able to explain your most reasonably expected outcome.

Will I need cartilage grafting?

For most revision rhinoplasty procedures, cartilage grafting is necessary. This is performed by taking bone and/or cartilage from another part of the body and using it to restructure your nose. Typically, this is only needed in severe cases or if the cartilage was jeopardized during the initial rhinoplasty procedure. Cartilage grafting may be used to help support the structure of your nose so you don't have breathing trouble after surgery. Dr. Starkman will discuss the possibility of cartilage grafting during your consultation.

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Revision rhinoplasty at a glance

Average Cost: $9,000 - $14,000
Recovery Time: 1 – 2 Weeks
Average Procedure Time: 2 – 5 Hours
Post-op Follow-up: 1 Week
Procedure Recovery Type: Out-Patient

Refine, repair, renew

Dr. Starkman is dedicated to making sure you get the results you deserve, especially if you had a poor experience with your first rhinoplasty procedure. At the time of your consultation, he will ask questions about your concerns and cosmetic goals before discussing your potential options for a pleasing aesthetic outcome. If you are interested in revision rhinoplasty, schedule a consultation at Starkman Facial Plastic & Laser Surgery in Scottsdale, AZ at your earliest convenience.

A MESSAGE FROM DR. STARKMAN CONCERNING COVID-19

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A MESSAGE FROM DR. STARKMAN CONCERNING COVID-19

We are excited to announce that we have resumed seeing patients on a limited basis for select visits and procedures. The majority of our new patient consultations and follow-up checks will be done via telemedicine to minimize patient traffic to the office.

Patient safety has always been our number one priority, and we are implementing the following policies to meet and exceed safety standards for our patients. We greatly appreciate your compliance and understanding.

  1. Dr. Starkman and all clinical staff will wear N95 masks and eye protection for the entirety of each patient’s visit.
  2. Patient appointment confirmation must be completed 24 hours prior to the appointment.
  3. Patient screening will consist of a screening questionnaire and a temperature check. Any patient with risk factors or a fever will be rescheduled.
  4. We are instituting a “No Waiting in the Waiting Room” Policy. Patients will be immediately screened and escorted to their private exam room.
  5. Surgical-grade air recirculators have been installed in each patient room to recycle each room’s air every 4 minutes.
  6. Guests, children, or visitors other than the patient will be limited.
  7. Pre-operative COVID-19 testing will be obtained 4-5 days prior to any scheduled procedure.
  8. Patients will enter our main entrance and exit out of our side exit. The one-way flow of traffic will allow for a comprehensive cleaning of the waiting room prior to the next patient.

We appreciate the understanding and patience of all of you. We can’t wait to see you all again. Dr. Starkman and Staff

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