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521 Park Avenue, New York, NY 10065
Tel 212-223-8300
Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Revision Rhinoplasty

Looking and breathing better

Revision rhinoplasty is about restoring form and function through surgery to correct aesthetic and functional complications from one or more prior rhinoplasties, or surgery to correct less than ideal results from previous nasal surgery.

The Benefits of a Revision Rhinoplasty from Dr. Pearlman

Improved Functionality

Revision rhinoplasty restores structure and strength to the nose to improve nasal airflow. Form and function are directly correlated, so improving nasal function also enhances the appearance of the nose and vice versa so you can breathe easier after the procedure.

Natural-Looking Results

Dr. Pearlman has spent decades studying, teaching and writing about unsatisfactory rhinoplasty results. He has the knowledge, experience, and skill to restore natural-looking results in noses that look overdone. Even patients who have had multiple nose surgeries by other doctors achieve more desirable-looking noses after Dr. Pearlman performs revision.

Increased Confidence

The nose is a central feature of the face and can have a profound effect on a person’s overall appearance. The majority of patients experience an enhanced self-image and significantly increased confidence after improving this influential facial characteristic.

A Trusted Expert

Dr. Pearlman is a revision rhinoplasty expert and has studied this procedure in depth. It is he who other nose specialists often ask for advice. Dr. Pearlman uses his expertise to achieve significant improvement for his patients, and he has lectured around the world to educate other surgeons on ideal surgical techniques.

How Do I Know if I Need a Revision Rhinoplasty?

Your nose may have one or more of the following:

  • Pinched tip
  • Pulled up nostrils (notched)
  • Deep creases above the nostrils
  • Tip "knuckles" (bossae)
  • Upturned nasal tip (pig nose)
  • "Scooped out" profile
  • Collapsed bridge
  • Narrow bridge
  • Crooked nose
  • Nasal length discrepancies
  • Difficulty breathing
  • Other abnormalities
I’m Ready for a Revision Rhinoplasty

Actual Patients of Dr. Pearlman

Before & After Photos )

FAQs

Answers to frequently asked questions about the procedure

Q: Is revision rhinoplasty more complicated than primary?

Revision rhinoplasty can be a simple shave or complex reconstruction of the nose. It's important to address all aspects of the nose to restore a more attractive, functional and natural looking nose. Since we are reshaping or substituting for warped, over-resected cartilage and bone, it's more difficult to perform. That's why you should seek a specialist in revision rhinoplasty.

Q: What is a graft?

Grafts are materials, usually from your own tissue, such as cartilage, that is taken from one place and put in another for support of nasal structures. When properly removed, you won't miss the cartilage from the source. We often remove septal cartilage to fix a "deviated septum." When ear cartilage is taken, after a few months no one will be able to tell. I also use rib cartilage with minimal scars as well.

Q: What are the choices for grafts in revision rhinoplasty?

I prefer your own cartilage to foreign materials for grafts in revision rhinoplasty. Preferences include nasal septal cartilage, ear cartilage, and rib cartilage - in that order. The choice depends on how much cartilage you need, how strong, and what needs to be done to the nose.

Q: How soon after my primary can I have my revision?

Noses heal for a full year following rhinoplasty. Therefore, I prefer to wait a year before revision rhinoplasty. It's important for all the swelling to go down and scar tissue to soften. Sometimes, when the issue is a nasal tip that is too full, this resolves by itself since it can actually take a year or more for all the swelling in the nasal tip to go down.

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