“I cannot thank Dr. Pearlman enough for fixing my nose, both aesthetically and functionally. I was a complicated case and two previous surgeons extensively damaged my nose over the course of three surgeries. Given what I had been through physically and emotionally, I did not trust anyone else except Dr. Pearlman to perform a fourth surgery. I was not only impressed by the surgical results of Dr. Pearlman’s other patients, but also the videos of his revision rhinoplasty surgeries using rib grafts. It has only been a few months after my surgery, and I am very pleased with the results. Dr. Pearlman is a highly skilled and talented plastic surgeon. I admire his dedication to his practice as well as to teaching others, learning new techniques, collaborating with peers and being at the forefront of the latest advances in surgical and non-surgical procedures. Dr. Pearlman and his staff are professional, knowledgeable, helpful and courteous.”
What is revision rhinoplasty?
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.
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
Before and After Gallery
The Benefits of a Revision Rhinoplasty from Dr. Pearlman
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.
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.
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 authority
Dr. Pearlman in New York City is among the area’s best revision rhinoplasty veterans and has studied this procedure in depth. It is he who other nose surgeons 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.
FAQs Revision Rhinoplasty
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 veteran in revision rhinoplasty.
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. Dr. Pearlman also uses rib cartilage with minimal scars as well.
What are the choices for grafts in revision rhinoplasty?
Dr. Pearlman prefers 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.
How soon after my primary can I have my revision?
Noses heal for a full year following rhinoplasty. Therefore, Dr. Pearlman prefers 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.