Despite thorough planning and top surgical skill, some rhinoplasty patients will require additional rhinoplasty Seattle surgery. Even the most expert plastic surgeons cannot control the healing process that noses will undergo in the days, weeks, and months following surgery. Optimal appearance and function may not always be completely achievable in one operation. This is the reality of Revision Rhinoplasty.
When unexpected changes happen in the healing process, plastic surgery specialists like Dr. Javad Sajan perform revision rhinoplasty on Seattle patients to improve reduced airway function or cosmetic issues that arise following the initial rhinoplasty procedure.
The operation is only a part of your rhinoplasty surgery experience. What follows is the complex healing process that your body accomplishes. Remember that the first rhinoplasty made alterations to the skin, bone, and cartilage of your nose. Over the succeeding months, your body's cells heal and adapt to those structural changes. (And your nose will continue to change throughout your life, just as every other feature about you changes.)
Tissue cells regenerate as a natural and ongoing maintenance process, always remodeling and replacing themselves. But not all tissue restoration occurs as the normal replacement of sloughed off cells. Tissue that has been injured in any kind of accident or altered by surgical procedures can form fibrous (scar) tissue that is different from regenerated tissue cells. Scar tissue tends to be less elastic or pliable. It may build up in irregular formations that affect the appearance of the nose and/or create an obstruction in the nasal airway.
There is no blueprint for exactly how a body's tissues (skin, cartilage, and bone) will heal.Post-surgery swelling will come and go; skin may sharply contract and alter the nostril openings. Grafted material may be a bit too thin or pliable for healthy respiratory function. Obstructions may form.
If any of these conditions occurs following your primary rhinoplasty, consult with Dr. Sajan about the possible benefits of revision rhinoplasty.
Revision rhinoplasty is typically done on an outpatient basis in our state-licensed surgery center. You will be given either general anesthesia or a combination of local anesthesia and intravenous sedation. The complexity of your revision procedure will determine the type of surgical approach Dr. Sajan will use. Some of the complexity may still be unknown until the start of surgery when Dr. Sajan can directly see the shape, distortion, and condition of the nasal structure.
A closed rhinoplasty approach, with incisions done on the inside of the nose, enables Dr. Sajan to cause less trauma during revision surgery, preserve an optimal amount of circulation in the tissues, and facilitate a shorter recovery period for you. However, an open approach (with incisions made to the columella (the vertical strip of skin separating the nostrils) to access the underlying nasal structure, may be necessary.
Dr. Sajan will discuss the steps of surgery with you along with any pre- and post-operation steps you may be required to take, the expected healing process and possible time frames, and your follow-up appointments.
The nose is a structural and functionally complex marvel of anatomy and revision rhinoplasty is an extremely delicate and complex surgery. Dr. Sajan is internationally recognized for his expertise in reconstructive and revision surgery. When you are considering revision rhinoplasty in Seattle, contact Dr. Sajan's office to book a consultation.
A rhinoplasty is one of the most delicate of all facial plastic surgeries. It is imperative that the procedure is performed by a highly-skilled plastic surgeon who has performed many, many of these surgeries. An eye for balance, harmony, and structure are critical in this procedure. Dr. Sajan has garnered a reputation for excellence in plastic surgery and educates other plastic surgeons on various advanced surgical techniques.
A correctly-performed rhinoplasty will enhance your other facial features, and will not be too large, too small, or re-sculpted to the point of appearing unnatural. If you are unhappy with the appearance of your nose, seek the help of Dr. Sajan. His skills go beyond performing an initial rhinoplasty, as he is often called upon to perform a revision rhinoplasty to correct problems from an earlier surgery performed by another surgeon. It is important to have a nose job performed by a plastic surgeon of this caliber.
A correctly-performed rhinoplasty will look natural, rather than leaving you looking like you have a surgically-altered facial structure. To create the most appealing nose for your facial structure and other features requires artistry and vision - and we invite you to discover those qualities in our acclaimed plastic surgeon.
Beyond his high-level surgical skills, our Seattle rhinoplasty surgeon is known for his warmth and kindness and the personal, one-on-one care he provides his patients.
Most people know this procedure by the name "nose job." This is a delicate surgery to create a more alluring facial appearance, or to restore breathing function, or both. The actual surgical technique will vary based upon the needs of the patient. Issues such as a droopy nose tip, hump on nose bridge, bulbous tip, overlarge nostrils, an uneven nose structure, or deviated septum can be corrected via rhinoplasty.
To be a candidate for this delicate facial surgery, you should be in good general health. Most patients (unless the surgery is performed to address a breathing problem) should have reached age fifteen or sixteen, when the nose has stopped growing.
Typically, a rhinoplasty is performed with the patient under general anesthetic or IV sedation. The idea is to provide comfort for the patient and make it possible for the surgeon to completely focus on creating the nose structure that will be a true enhancement for patient's other facial features.
The recovery time varies from person to person, but as a general rule, you will need ten days to two weeks for the initial healing phase, and for swelling and bruising to fade to a point where you will be comfortable returning to work or school. Your activities will be limited for longer, including avoiding vigorous physical activity such as exercise or sports for about four weeks.
An open rhinoplasty refers to a surgical technique in which the nose structure is accessed through the "columella," the section of the nose that separates the two nostrils. In a closed rhinoplasty, the surgical incisions are made within the nose. The choice between the two is based upon the extent of the required correction.
You may need prescription pain medication the first few days after the procedure, but after that, just over-the-counter painkillers are sufficient and are not needed for long. Rather than being very painful, the initial recovery involves discomfort, as your nose is swollen and often has nasal packing, so you will have to breathe through your mouth. You will need to sleep with your head elevated, which could be an annoyance, but can help speed healing and reduce swelling and bruising more quickly.
Your new nose structure will be planned far in advance of the actual surgical procedure. In your initial consultation, Dr. Sajan will show you visually what your new nose will look like when healed and show you images of other patients who have a similar facial structure and how they appear now. It can take several months (or longer) for the final appearance to be revealed, but even in the early stages of healing, the appearance is typically far more attractive than your original nose.
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