Back To a Natural, Harmonious Nose Line!
Your Final Rhinoplasty Journey to the Perfect Nose
TOP TIER Revisional Rhinoplasty
TOP TIER Revisional Rhinoplasty carefully identifies the reasons why previous surgeries have failed,
to focus on creating the perfect nose shape for you. Make your last rhinoplasty a success with TOP TIER.
- #IdealNoseShape
- #NaturalNose
- #BalancedProfile
SURGERY INFORMATION
Procedure Time
1 hour and 30 minutes to 2 hours
Anesthesia
Sedation
Hospitalization
Not required
Stitch Removal
Twice (at 5 to 7 days and at 12 to 14 days after the procedure)
Office Visit
2 to 3 times
Recovery Time
1 to 2 weeks for normal daily activities
Procedure Time
1 hour and 30 minutes to 2 hours
Anesthesia
Sedation
Hospitalization
Not required
Stitch Removal
Twice (at 5 to 7 days and at 12 to 14 days after the procedure)
Office Visit
2 to 3 times
Recovery Time
1 to 2 weeks for normal daily activities
TOP TIER SHORTS
TOP TIER
TOP TIER Revisional Rhinoplasty
Based on a Thorough Analysis of the Previous Surgery
Accurate Diagnosis and a Satisfying Nose Shape!
Revision rhinoplasty may be necessary if your post-surgical results differ from your desired outcome, or if you notice unnatural changes such as a crooked appearance, an upturned or pinched tip, altered nostril shape, or an overly sharp or harsh look.
Flawless Final Rhinoplasty
TOP TIER Revisional Rhinoplasty
CHECK POINT
Nose revision surgery01
Thorough Analysis of Prior Surgical Complications
Rhinoplasty has a high rate of revision, with many patients requiring 2–3 revision surgeries or more. Common reasons for revisions include the initial surgeon failing to diagnose the condition accurately, insufficiently understanding the patient’s facial features, or inadequate surgical planning. At TOP TIER Plastic Surgery, we carry out in-depth consultations to fully assess the patient’s condition. Using 3D CT scans and advanced camera techniques, we precisely diagnose the issues from previous surgeries. Based on this analysis, we create a tailored surgical plan to achieve a successful revision.
Nose revision surgery02
Restoring Damaged Nasal Structures
The high rate of third or fourth revision rhinoplasty, compared to other procedures, is often due to previous surgeries failing to restore the proper nasal structures, opting for temporary solutions instead. At TOP TIER Plastic Surgery, we prioritize fully restoring the damaged nasal structures, even if it requires more time during the procedure, in order to create a stable and long-lasting nose that maintains its form over time with minimal distortion.
Nose revision surgery03
Reusing Existing Cartilage and Autologous Tissue
In rhinoplasty revisions, it’s often possible to reuse the cartilage from the initial surgery, yet many procedures still involve harvesting new autologous cartilage for various reasons. At TOP TIER Plastic Surgery, we make every effort to reuse the existing cartilage as much as possible, avoiding unnecessary cartilage extraction to ensure a safer and more efficient surgery.
Flawless Final Rhinoplasty
TOP TIER Revisional Rhinoplasty
CHECK POINT
Nose revision surgery01
Nose revision surgery01
Thorough Analysis of Prior Surgical Complications
The high rate of third or fourth revision rhinoplasty, compared to other procedures, is often due to previous surgeries failing to restore the proper nasal structures, opting for temporary solutions instead. At TOP TIER Plastic Surgery, we prioritize fully restoring the damaged nasal structures, even if it requires more time during the procedure, in order to create a stable and long-lasting nose that maintains its form over time with minimal distortion.
Nose revision surgery02
Nose revision surgery02
Restoring Damaged Nasal Structures
The high rate of third or fourth revision rhinoplasty, compared to other procedures, is often due to previous surgeries failing to restore the proper nasal structures, opting for temporary solutions instead. At TOP TIER Plastic Surgery, we prioritize fully restoring the damaged nasal structures, even if it requires more time during the procedure, in order to create a stable and long-lasting nose that maintains its form over time with minimal distortion.
Nose revision surgery03
Nose revision surgery03
Reusing Existing Cartilage and Autologous Tissue
In rhinoplasty revisions, it’s often possible to reuse the cartilage from the initial surgery, yet many procedures still involve harvesting new autologous cartilage for various reasons. At TOP TIER Plastic Surgery, we make every effort to reuse the existing cartilage as much as possible, avoiding unnecessary cartilage extraction to ensure a safer and more efficient surgery.
Addressing Nasal Issues Caused by Previous Surgery Failures
TOP TIER Revisional Rhinoplasty Process
When the Nose Looks Unnatural
If surgery is performed without considering the overall facial shape, it can result in an overly high nose tip or bridge, giving an awkward, “Pinocchio” or “Avatar”-like appearance. This can potentially age your appearance and make your facial features appear too strong.
Plan
Following a thorough analysis of your facial features, we determine the ideal implant dimensions, bridge angle, and tip position to create a naturally harmonious nose line that complements your unique appearance.
When Nostrils Become Asymmetrical or the Nose Tip Becomes Crooked
If the cartilage at the nose tip is improperly sutured or incorrectly placed, the support for the nose tip weakens, leading to instability. In addition, if too much cartilage is grafted or a crooked septum is not corrected before performing septal extension, issues like nostril deformities, asymmetry, or a crooked nose tip can arise.
Plan
We will correct any distortion in the nose tip cartilage and restore its support and direction with properly placed grafts. If the septum is crooked, it will be corrected to create beautiful nostrils and a balanced nose tip
When the Nose Tip Becomes Shortened or Upturned
After surgery, severe scar tissue can form due to inflammation, or capsular hyperplasia and contraction may occur. As well, an improper surgery can weaken the supporting structure of the nose, leading to a shorter or upturned nose tip compared to before the surgery.
Plan
We will address the issue by carefully removing scar tissue and performing dissection to elongate all nasal tissues—skin, cartilage, and mucosa.Through cartilage grafting, we will rebuild a stable support structure for the nose tip, resolving the problem effectively.
When the Nose Tip Appears Pinched
This can occur if the nose tip cartilage is too tightly sutured during surgery, or if the tip, which is small and has thin skin, is elevated excessively.
Plan
We will reposition the nose tip cartilage or use cartilage grafting to spread the tip cartilage. As well, dermal grafts can be used to reinforce the area around the nose tip, effectively solving the issue.
When the Nose Tip Droops
If the nose tip is raised without considering the patient’s skin and cartilage condition, or if the direction of the cartilage support is incorrect, the tip can sag over time, leading to an unnatural appearance. This can cause the nose tip to descend, leading to cartilage protrusion into the nostrils that may appear in the form of scar tissue.
Plan
During revision surgery, we will carefully remove any scar tissue from the nose tip and adjust the strength and direction of the cartilage support This ensures the nose tip remains stable, soft, and natural-looking, preventing it from sagging over time.
When the Implant Warps or Its Edges Become Visible
Most cases of an implant warping occur when the underside of the silicone implant does not match the shape of the nasal bone, causing it to shift to one side. This results in one edge of the implant becoming more pronounced. Additionally, if the implant is too thin or too wide compared to the nasal bone, the edges will become more noticeable.
Plan
1. We will precisely shape the underside of the silicone implant to ensure it fits snugly against the nasal bone, , preventing it from shifting. Alternatively, an implant that better matches the width of the nasal bone can be used.
2. The implant height will be lowered if necessary, or the existing implant capsule can be used, wrapping it with dermis and fascia to make the implant’s edges less visible.
BEFORE & AFTER
Please note that post-treatment issues, such as bleeding, infection, and inflammation, may vary among individual patients.
AFTER
Revisional Rhinoplasty
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AFTER
Revisional Rhinoplasty
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AFTER
Revisional Rhinoplasty
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BEFORE
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BEFORE
Revisional Rhinoplasty -
BEFORE
Revisional Rhinoplasty
