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Despite thorough planning and top surgical skill, some rhinoplasty patients will require additional rhinoplasty 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.

What's Happening to Your New Nose?

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 Surgery

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.

Expert Care

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.


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