Revision Rhinoplasty In Boise, ID
Trust your nose to a Facial Plastic Surgeon
Price Range: $10,000 – $12,000
Average Procedure Time: 4 – 5 hours (variable, especially if ear or rib grafting is required)
Recovery Time: 2 weeks
Introduction
Revision Rhinoplasty
Revision rhinoplasty, also called secondary rhinoplasty, is performed to correct deformities, functional issues, or refine the appearance following a previous primary rhinoplasty. It is a significantly more complex procedure that requires additional operative time, planning, and technical skill due to its unpredictability and higher revision rates.
Dr. Gray specializes in revision rhinoplasty, with expertise in using rib or ear grafts for cases needing extra structural support. He is one of the few rhinoplasty surgeons in Idaho who performs rib cartilage grafting for complex revisions.
In all revision rhinoplasty cases, Dr. Gray uses advanced open structure techniques. This allows for full access the nasal framework, and the procedure often requires rebuilding of the support system of the nose. Dr. Gray’s facial plastic surgery background emphasizes re-shaping, re-orienting, and supporting the nasal framework. This is critical for the best long-term functional and aesthetic result.
Repair & Restore
Nasal form and function go hand in hand. A nose that looks good tends functions well, and a nose that functions well tends to look good.
In revision rhinoplasty, the key is building a solid foundation to the nose with a focus on rebuilding structure.
How is Revision Rhinoplasty Performed?
Dr. Gray performs rhinoplasty in Boise under general anesthesia for optimal patient comfort and safety.
In the majority of rhinoplasty cases, Dr. Gray uses advanced “open” techniques. This does require a small incision beneath the nose, allowing for access to the nasal framework that forms the shape of the nose. The “structure” technique means that we are not simply removing things from the nose. Rather, Dr. Gray’s facial plastic surgery background emphasizes re-shaping, re-orienting, and supporting the nasal framework. This is critical for the best long-term functional and aesthetic result. The resultant scar is typically imperceptible within three months for the vast majority of patients.
A crucial component of successful rhinoplasty is a thorough septoplasty. By straightening the septum, we create the foundation for a straight, symmetric nose. Any existing humps are carefully removed, and the nasal bones shifted using surgical tools.
To refine the nasal tip, we employ strong cartilage grafts, reshaping and reorienting existing tissue without the need for removal.
Following surgery, an external nasal compressive dressing and cast is applied to support the bones and help with nasal swelling. These are removed during a follow-up visit one week later.
Gallery
Before & After Photos →How Much Does Revision Rhinoplasty Cost in Boise, ID?
The cost of a Revision Rhinoplasty in Boise, Idaho by Dr. Gray starts at $10,000 however the range can be variable. The price starts higher and more variable than primary rhinoplasty (never operated on before) because of the significant increase in technical difficulty, the longer time required, and the possibility of several grafts to harvest or use for structural material to rebuild a nasal framework.
The final price determined by the degree of nasal deformity and grafting techniques that Dr. Gray anticipates using. Dr. Gray’s pricing includes surgeon fees; however, anesthesia and facility fees can be variable.
The best way to find out how much it will cost for you is to come in for a personalized visit and let Dr. Gray exam your nose and create your surgical plan once an in-depth consultation process is complete.
Dr. Gray uses standardized photography and imaging software to create a simulation of realistic rhinoplasty result. However, revision rhinoplasties tend to have more unpredictable healing. Our team will be able to provide a detailed quote detailing the price breakdown for your procedure and offer financing options where appropriate.
Why choose Dr. Gray for your revision rhinoplasty?
Choosing a qualified facial plastic surgeon is critical for excellent results. Given that Revision Rhinoplasty is considered one of the most challenging facial plastic surgeries, it is imperative that you make an informed decision.
At Gray Facial Plastic Surgery, we take a specialized approach that sets us apart. While many plastic surgery practices offer procedures for the entire body, we focus exclusively on one area: the face. We believe that this singular, undistracted focus allows for true mastery of the field.
In the U.S., general plastic surgeons rarely offer revision rhinoplasty surgery (outside of their own revisions). Revision rhinoplasty techniques require advanced reconstructive training in the nose, typically acquired through years of exposure in residency, fellowship, and beyond with complex nasal cases and the skillset of rib grafting.
Dr. Gray is one of the only Fellowship-trained Facial Plastic and Reconstructive Surgeons in Idaho with dual training in Otolaryngology – Head and Neck Surgery (ENT). This training pathway allows for the highest level of specialization regarding both the functional and cosmetic aspects of nasal surgery.
REVISION RHINOPLASTY FAQs
Candidates for revision rhinoplasty are individuals who have previously undergone rhinoplasty but are dissatisfied with the results or have experienced functional issues. It is important to have realistic expectations and be in good overall health to undergo the procedure.
Common issues Dr. Gray treats with revision rhinoplasty include:
- Breathing problems
- Asymmetry
- Widened nose
- Nasal hump
- Crooked dorsum
- Inverted-V deformity
- Upturned nasal tip
- Pinched or bulbous nasal tip
Improved nasal breathing
Nasal obstructions can result from septal deviation, turbinate hypertrophy, or valve collapse. Dr. Gray customizes rhinoplasty to address each patient’s specific breathing issues.
Aesthetic enhancement
Rhinoplasty can improve the nose’s appearance, addressing concerns like a hump, crookedness, bulbous tip, or wide nostrils, leading to a more balanced facial harmony.
Boost in self-confidence
Enhancing the nose’s aesthetics can increase self-esteem and positively impact overall well-being.
Correction of nasal deformities
Rhinoplasty can correct deformities such as a twisted nose or saddle nose, improving both nasal airflow and function.
Correcting unsatisfactory results
Revision rhinoplasty can fix asymmetry, irregularities, or other concerns from a previous surgery for a more natural and balanced look.
Improved facial symmetry
By correcting nasal asymmetry or disproportion, rhinoplasty enhances overall facial symmetry and balance.
Revision rhinoplasty is performed to correct or improve the results of a previous rhinoplasty. It is often more complex due to altered nasal anatomy and scar tissue from the initial surgery.
Like any surgery, revision rhinoplasty comes with risks, including bleeding, infection, scarring, changes in sensation, and asymmetry. It also has a higher revision rate compared to primary rhinoplasty. It’s essential to discuss these risks with Dr. Gray and follow all pre- and post-operative instructions to reduce the chances of complications.
In most revision rhinoplasty procedures, cartilage grafting is required. This involves taking bone or cartilage from another area of the body to reshape and support the nose. It’s typically needed in more severe cases or when cartilage was compromised during the initial surgery. Cartilage grafting helps maintain proper nasal structure to prevent breathing difficulties post-surgery.
Dr. Gray will discuss the need for cartilage grafting during your consultation.
Dr. Gray believes in complete transparency with procedure pricing. Dr. Gray’s revision rhinoplasty fee is located on our Procedure Pricing Page.
Revision rhinoplasty fees are higher than primary rhinoplasty fees for the complexity of surgery, need for additional grafts, and additional time required to rebuild the nasal framework.
Patients typically recover from a Revision Rhinoplasty in 2 weeks, with average social downtime 7-10 days.
The final result of a Revision Rhinoplasty can take up to 12-24 months. It is important to understand this and be mentally prepared prior to making this decision.
Consultation:
The process starts with an initial consultation with Dr. Gray to discuss goals, evaluate the nasal structure, and determine the procedure’s feasibility. For cosmetic concerns, this is the time to identify the ideal nose shape for surgery.
Preoperative Preparation:
Preparations include obtaining medical clearances, following pre-op instructions, and stopping certain medications or supplements as directed by Dr. Gray.
Day of Surgery:
On the day of surgery, the patient is under general anesthesia or sedation. Dr. Gray makes incisions, reshapes the nose, and performs the necessary modifications.
Recovery:
After surgery, the patient begins recovery, focusing on managing discomfort and swelling while following post-operative care guidelines.
Postoperative Appointments:
Follow-up visits are scheduled to monitor healing, remove sutures or nasal packing, and track recovery progress over the first week, weeks later, and months after surgery.
Advanced Rhinoplasty Techniques
Cartilage Grafting Material in Revision Rhinoplasty
A significant portion of the septal quadrangular cartilage can be harvested for use during rhinoplasty, while leaving an “L-strut” intact to support the nose. This L-strut must be at least 1.5 cm wide to adequately support the bridge and tip. The remaining cartilage can then be utilized for grafting. However, in revision rhinoplasty, this cartilage is often unavailable, as it may have been used in previous surgeries.
Most rhinoplasties require the use of cartilage grafts, ranging from minimal to extensive amounts. For most facial plastic surgeons, septal cartilage is the preferred choice, while many plastic surgeons opt for ear cartilage due to less familiarity and training in performing nasal surgery.
Ear cartilage is a highly versatile source for grafts in both rhinoplasty and revision rhinoplasty. Incisions can be made either in front of or behind the ears, and cartilage can be harvested. When performed correctly, there should be no noticeable cosmetic changes to the ears after the procedure and a scar that is barely perceptible.
Dr. Gray is one of Idaho’s few surgeons who uses rib cartilage in revision rhinoplasty.
Large, strong cartilage can be harvested from ribs 5, 6, 8, 9, or 10 when a substantial amount of material is needed for revision rhinoplasty. This cartilage is often used to augment the bridge or lengthen the tip. In many cases, when a patient prefers not to have a rib donor incision, frozen or irradiated cadaver rib cartilage may also be utilized, and recent data suggests that there are equivalent results when compared to autologous (self) rib cartilage. When carefully carved in a concentric manner, the risk of warping is minimal.