Dr. Paul S. Nassif – Facial Reconstruction and Ethnic Rhinoplasty Beverly Hills
A Rhinoplasty Do-Over
Thousands of people make the decision to have a nose job, or Rhinoplasty, each year. Due to the rising costs of safe plastic surgery procedures, some people seek out less costly options which yield diminished or adverse effects. Unfortunately, some people remain dissatisfied with their appearance after a proper surgery. All plastic surgeries pose a risk for complications that can result in an asymmetrical, painful or difficult breathing, and a disfigured appearance. When a person experiences ill results with his first nose job, a Revision Rhinoplasty can restore self-confidence and a pleasing appearance.
Dr. Paul S. Nassif, a pioneering Los Angeles Revision Rhinoplasty Specialist, offers hope to patients suffering from an unsuccessful Rhinoplasty. Dr. Nassif travels the world performing nearly impossible facial reconstructions. Working within a variety of ethnic groups, this Revision Rhinoplasty Specialist gained an intricate understanding of the variances in shape and structure of many noses. Furthermore, Dr. Nassif has been features in the most prestigious publication in the country including People, USA Today, The Los Angeles Times, and the Wall Street Journal.
Revision Rhinoplasty Consultation
You may recall the consultation from your first surgery. This is the initial meeting between you and your physician. During this time the physician will assess your current health and candidacy for the procedure. When this occurs for Rhinoplasty revision, the consultation will be split into two major sections, the previous procedure and the forthcoming procedure.
Dr. Nassif will need information about the first Rhinoplasty you received. He needs to have an understanding of what went wrong in order to form a plan of correction. If you experienced any problems or complications, tell him about the nature of the problem and how it was, or wasn’t, resolved. If you don’t have any information about the first procedure, be honest about it. The physician is here to fix the situation, not scorn you for not having paperwork.
This part of the consultation is similar to a traditional Rhinoplasty consultation. However, Dr. Nassifwill need to know more about how many previous procedures you have had. You will need to bring a complete list of medications and supplements you take to the consultation. This is an open discussion between you and Dr. Nassif. During your consultation, Dr. Nassif will make suggestions about ways to improve your appearance; he may suggest additional procedures to gain the best effect to achieve your facial desires.
The procedure varies depending upon the specifics of the revision. In cases involving botched surgeries, Dr. Nassifwill need to correct the affected areas. Some people will need to have the sunken effects from an unstable nose corrected.
The incisions will be made to the interior of the nose in order to hide any scars. If your previous surgery left visible scars, he will work to remove them or contour the nose with the scars hidden in the nose’s natural creases at the face.
If you’re receiving a revision to further enhance your appearance, the procedure type greatly depends upon the agreed upon goals in the consultation. A small incision on the dorsal, or back, aspect of the nares can increase the amount of flare. Dr. Nassif uses tiny sutures to place the nose in the proper position.
The recovery process for a Rhinoplasty revision remains similar to the recovery of an initial Rhinoplasty. In addition to these steps, Dr. Nassif may choose to increase the amount of bandages or splints to keep the nose in the proper shape for a time longer than the initial Rhinoplasty. Please visit our Rhinoplasty procedure page for more information about your Recovery.
Revision Rhinoplasty Frequently Asked Questions
Will this procedure cost the same as my first procedure?
This depends upon who completed the primary surgery and where it was conducted. In most cases, a revision costs more than the initial Rhinoplasty due to the increased amount of work involved. Dr. Nassif may need to remove difficult scar tissue, hide visible scarring, or change the entire layout of the nose. Furthermore, any permanent sutures placed during the primary Rhinoplasty may need to be removed or replaced.
Will insurance cover my cost of the revision?
The tricky world of insurance premiums, co-payments, and deductibles can confuse anyone. However, most insurance policies follow a standard payment for medically necessary procedures. This means a revision rhinoplasty for obstructed airways, or initial Rhinoplasty-associated upper respiratory problems, will usually be covered. In revisions completed solely for cosmetic appearances only, insurance doesn’t routinely provide coverage. Insurance policies vary greatly from person to person, so please check with your underwriter before undergoing your procedure.
Why did my first procedure fail?
There are a number of reasons someone decides to go in for a second surgery. Some of the initial surgeries result in unsatisfactory appearances. Others experience medical complications that cause problems to develop. Some of the common problems with a Rhinoplasty include the following:
• Deviated Septum- The dividing wall between the nostrils becomes positioned in a manner that obstructs airflow.
• Perforated Septum- A hole, or an opening, within the septum which makes a whistling or wheezing sound when a person breathes.
• Asymmetrical-The nose didn’t heal properly and isn’t proportioned equally on both sides of the face. It may appear crocked or pinched. This condition is usually caused by scar tissue within the nose from the initial Rhinoplasty.
• The new nose has a change that’s too subtle or dramatic compared to a person’s desired outcome.
I’ve had several nose jobs, but it just doesn’t fit me. My other plastic surgeon wants me to see a psychologist. Why?
The demand for a perfect body in society leads to some people developing an addition, an unhealthy obsession, with any measures necessary to obtain a specific image. Some people spend upwards of one-third of their day obsessing about their current body image. This condition is known as Body Dysmorphic Disorder (BDD); it affects approximately one to two percent of the general population. The prevalence increases in patients seeking plastic surgery. This seems like a minor problem, but people living with this disorder have a tendency to engage in risky or violent behaviors. Often times, they experience repeated dissatisfaction with their plastic surgery outcomes.
When a physician decides to ask a patient to be screened for BDD, he wants to place the patient’s health and mental status above the immediate needs of the plastic surgery. If you have encountered this, please understand it doesn’t reflect judgment upon you. The doctor is here to help you, and will proceed with your consultation and procedure once you have been determined to be an ideal candidate for surgery. We want your experience with Dr. Nassif to exceed your expectations, but we need to take care of the whole person, body and mind.
It’s been six months since my first nose job. It’s terrible! Can I schedule a consultation and surgery now?
You need to wait a minimum of one year after your first Rhinoplasty before attempting a revision. The swelling and healing process from the initial procedure can last up six months, and the nose needs time to adjust to its new position. It would be pointless to get a revision if waiting a few extra months corrects the problem areas.