Oftentimes, the patient is initially happy with the results and may even go 10 or 15 years without experiencing any issues. Without a strong structural support of the nose, what may follow is a progression of deformities and breathing complications. For this reason, Dr. Bared believes in building a solid foundation for both the initial and revision nose job.
If you are unsatisfied with the aesthetic outcome of a previous surgery, having difficulty breathing, or have sustained a trauma to your nose, Dr. Bared possesses a broad scope of knowledge and experience to conduct a reparative procedure with keen precision.
What makes revision rhinoplasty extremely complicated is having to face the unknown; a surgeon has no way of knowing the state of the anatomy until he or she goes in. Dr. Bared uses an open rhinoplasty approach which allows him to see everything that was done by the previous surgeon.
Dr. Bared prefers to utilize cartilage grafts to give the nose its new, aesthetic shape while being able to withstand the contraction of the overlying skin envelope. If ear cartilage is used, an incision is placed within the skin crease behind the ear. If rib cartilage is used, the incision is typically made in the right chest.
Rhinoplasty itself involves manipulating the bone and sculpting the cartilage with acute precision. Dr. Bared strategically places cartilage grafts in the nose to provide support and preserve the long-term aesthetic results.
In order to optimize your results, Dr. Bared:
Rhinoplasty is performed under general anesthesia to promote your comfort and safety during the procedure.
The procedure is generally performed as an outpatient. You will see Dr. Bared in the office the day following your surgery. He will prescribe you with antibiotics that you will take orally, and recommend that you use ice packs to reduce any swelling and pain.
Plan for one week of downtime from work or school. It may also be best to stay indoors to avoid excessive sweating while the cast is in place. You should begin to notice the initial swelling from the surgery subside over the next 10 days.
After your cast is removed, your nose will appear wide for some time. This type of swelling along with contraction of the skin is normal and expected after a rhinoplasty procedure.
It is important to maintain close follow-up with Dr. Bared during the recovery process as measures can be taken to improve the healing of the nose.
Rhinoplasty results take time to manifest as the skin needs time to heal and the swelling to subside.
Final results will be revealed over time.
