Revision Rhinoplasty in Cleveland, Ohio
Revision rhinoplasty requires a surgeon experienced with improving not only the cosmetic appearance, but the structure and function of the nose. Those considering revision rhinoplasty in Cleveland, Ohio should carefully evaluate their surgeon’s training and credentials. Dr. Brian Harmych specializes in rhinoplasty and revision rhinoplasty and is one of the only double board-certified and fellowship-trained facial plastic & reconstructive rhinoplasty surgeons in Cleveland, Ohio. He offers extensive knowledge and expertise for correction of the cosmetic outcome as well as the functional outcome, restoring nasal breathing.
Dr. Brian Harmych is a fellowship-trained rhinoplasty specialist, double board-certified by the American Board of Facial Plastic and Reconstructive Surgery & American Board of Otolaryngology – Head and Neck Surgery. Unlike most plastic surgeons, Dr. Harmych takes a focused approach, specializing only in surgical procedures of the face, head and neck. As a rhinoplasty expert, a significant amount of Dr. Harmych’s practice is dedicated to nasal surgery, rhinoplasty and revision rhinoplasty. Rhinoplasty is the most common procedure performed by Dr. Harmych.
About 5-13% of all patients who have had a rhinoplasty, or nose job surgery, will require a revision rhinoplasty or secondary rhinoplasty. Complications can be caused by too much or too little cartilage removal or failure to preserve nasal breathing. This is more likely when a cosmetic surgeon, without dedicated training in nasal surgery and rhinoplasty, unintentionally disrupts nasal breathing for sake of improving the appearance of the nose. In some cases, the postoperative nasal breathing problems may bother patients more than the original cosmetic problem for which they have undergone rhinoplasty in the first place.
Poor rhinoplasty results and postoperative deformities are often due to the normal healing process but may be caused by the lack of skill, knowledge or experience of the rhinoplasty surgeon performing the initial rhinoplasty surgery. While the abnormalities requiring revision rhinoplasty can be subtle, the rhinoplasty operation required to correct them is often much more difficult and time-consuming than the primary rhinoplasty.
Who is a Candidate for Revision Rhinoplasty Surgery?
Healthy men and women who have had a primary rhinoplasty and are not satisfied with the postoperative appearance or who are experiencing difficulty breathing through the nose may be candidates for revision rhinoplasty.
How is Revision Rhinoplasty Surgery Performed?
Revision rhinoplasty is usually performed under deep sedation or general anesthesia because of the increased level of complexity and time required. While primary rhinoplasty procedures are often done using closed technique, revision rhinoplasty is more likely to require open technique, using a small incision under the tip of the nose. Although, in some cases revision rhinoplasty may be performed using a closed technique, without an incision under the tip of the nose. These approaches allow access to the cartilage and bone responsible for the shape and function of the nose. These structures are carefully tailored to achieve the desired appearance and function. If too much cartilage has been previously removed or damaged it may be necessary to use cartilage from the ear, or elsewhere, in order to reconstruct the nose. As each nose is unique in both appearance and function, the revision rhinoplasty procedure and technique are tailored to each patient’s individual aesthetic and functional needs. Sutures are used to close the incisions and a small external splint is placed. Internal splinting is occasionally required during revision rhinoplasty.
What is the Recovery like from Revision Rhinoplasty Surgery?
The procedure is done on an outpatient basis with most patients returning to the comfort of their own home a few hours after surgery. Patients are encouraged to be up and about on the day of surgery. Prescription pain medicine is usually required for about 3 days. Bruising and swelling is more common in revision rhinoplasty and may last 2-3 weeks. Activity is restricted for 2 weeks with additional avoidance of contact sports for one month. A splint over the bridge of the nose and a few small sutures near the nostril opening are removed one week after surgery and most patients are able to return to work and social activity at that time. Full recovery time from revision rhinoplasty is considerably longer than for primary rhinoplasty. The majority of swelling resolves within 2-3 weeks. Subtle swelling that is usually only noticeable to the patient may persist over the bridge and nasal tip for up to one year.
Can I view Dr. Harmych’s Revision Rhinoplasty Before and After photos?
Yes. During your private consultation you will have the opportunity to view some of Dr. Harmych’s revision rhinoplasty photographs. Dr. Harmych also offers computerized imaging to help patient’s visualize the anticipated results of surgery and help guide the consultation.
Does Dr. Harmych perform many revision rhinoplasty procedures?
Yes. Dr. Harmych’s practice is solely focused on surgery of the face, neck and nose. Dr. Harmych does not perform breast, body or abdominal surgery. In fact, a substantial proportion of all surgical procedures performed by Dr. Harmych are rhinoplasty and revision rhinoplasty. Many of these patients also suffer from nasal breathing problems as a result of prior rhinoplasty surgery. Dr. Harmych also specializes in functional rhinoplasty, or rhinoplasty to fix nasal breathing problems.
Those considering rhinoplasty or revision rhinoplasty should carefully evaluate their surgeon’s training and credentials. Dr. Brian Harmych is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery and is one of the only fellowship-trained Facial Plastic & Reconstructive rhinoplasty surgeons in the Cleveland area. He has the knowledge and expertise to offer the best cosmetic result while maintaining nasal function. Schedule a free consultation with Dr. Harmych and learn more about your options for Rhinoplasty or Revision Rhinoplasty in Cleveland, Ohio.