Rhinoplasty surgery, or nose job, is one of the most technically challenging facial plastic surgeries. Not only does it involve the anatomical limits of the nose, a prudent surgeon should also take into consideration the patients’ motives and expectations, their gender and ethnicity, and even their facial features.
While there is no specific number after which nose surgery becomes too risky, take note that revision rhinoplasty procedures are technically more challenging than primary nose surgeries because of the presence of scars, which makes the skin thick and harder to work with.
And the more nose surgeries you receive, the more difficult it is to achieve good results. Other common side effects include increased infection and higher complication rate, which could result in long-term or permanent deformity.
If you have suboptimal results after a nose surgery, a good amount of improvement can be still achieved with the right surgical planning and honest communication between you and your plastic surgeon.
When choosing your plastic surgeon, board certification is just one of the most important factors that can help you achieve good cosmetic results and avoid breathing or function-related problems.
Another important prerequisite is to choose your surgeon who regularly performs revision rhinoplasty, which is way more complicated than initial nose surgeries. In fact, some doctors offer this as their “niche” procedure due to its level of difficulty.
Dr. Karan Dhir, one of the leading Beverly Hills plastic surgeons, says proper patient selection also plays a crucial role in the success of revision rhinoplasty. To be considered a good candidate, you must have realistic motives and expectations, physically fit, and emotionally and psychologically stable.
The celebrity surgeon says that your underlying anatomy will also determine your candidacy. If there is significant scarring and other barriers that could make it near impossible to achieve good results or “acceptable” amount of improvement, the best approach is to leave the nose alone.
Aside from careful patient selection, Dr. Dhir highlights the importance of good communication between you and your surgeon.
3D computer imaging is particularly helpful in improving patient-doctor communication. This technology will allow you to preview the results and discuss your “options” to the point that you can “design” the possible outcome together with your plastic surgeon.
According to studies, 3D computer imaging technology can lower the revision rate of rhinoplasty: however, this potential benefit only applies to patients with realistic goals and they have full understanding of the surgery’s ramifications.