About Revision Rhinoplasty
When you thought your initial rhinoplasty would give you the dramatic enhancement you wanted, but in reality, you are unhappy with the shape of your new nose or struggling to breathe through your nose. Nasal augmentation should have significantly improved the overall appearance of your face. By augmenting specific elements of your nose and more, your primary rhinoplasty should have been sufficient in creating the look you wanted. If your first rhinoplasty did not meet your expectations, we invite you to have a consultation with our double board-certified plastic surgeon, Dr. Geoffrey Keyes.
Corrective facial plastic surgery procedures, including rhinoplasty, with our Los Angeles, CA practice, may be performed to rectify obstructed breathing and reshape your nose for a more harmonious appearance. In addition to fine-tuning your appearance, Dr. Keyes knows that the ability to breathe with less congested is of the utmost importance. Although corrective surgery is complex, there are three basic procedures that are involved in the reconstruction of the nose. Those procedures help to improve the nasal tip, bony framework, and repair a twisted or deviated septum. Arrange an appointment with Geoffrey R. Keyes, M.D., F.A.C.S. in Los Angeles, CA to discover more about revision rhinoplasty and your opportunities for achieving better results.
"This review may be a little early as I just got my cast off my nose today...but I am over the moon. I don't know how Dr. Keyes does it, and I'll admit I was skeptical while the cast was on as the cast and tape can distort things. I was actually a nervous wreck. But when that cast came off today, it reduced me to happy tears. He did everything I wanted and more. My nose is now straight, and it looks amazing. Even swollen I love it! I can breathe through my left nostril for the first time and it feels so good. I seriously feel like a new person. I'm so excited to see how it progresses over the next year. Dr. Keyes was the only consultation I had, and for a second it crossed my mind, did I jump the gun on this? Do I need a second opinion? Something in my gut trusted him. And I'm so glad my gut was right. His reviews and his before and after photos on his website speak for themselves. I am so thankful to Dr. Keyes and Kimberly. They're so easy to reach and they care about you just as much before the surgery as they do after. They are wonderful. Couldn't recommend them more. I am so happy. Thank you Dr. Keyes and Kimberly. From the bottom of my heart!"- S.B. / Yelp / Nov 05, 2019
"I started considering rhinoplasty when I was 16, I am 28. I hated my nose, the shape and the size. I tried for many many years to love as it was. But to be honest, I always knew one day I would take the step. Los Angeles has a big offer of plastic surgeons, and is hard to know who is good and who is the best. After some months of research, I narrowed my options and had two consultations with two different surgeons. From the very first second I knew Dr.keyes would be my surgeon. I am a really hypochondriac person, and Dr.keyes and Kimberly made me feel confident, safe and comfortable during the whole process. The day of the surgery I was really nervous and everyone made it really easy for me. Post op is painless, just uncomfortable. Dr Keyes and Kim were available for me 24/7in case I had any question or concern. That really makes a difference. I am one month post op and even swollen, I looooove my nose, it changes your life. It is natural, fits my face and I could not be any happier. If you are thinking about having a rhinoplasty, Dr.Keyes and Kimberly are the team you are looking for, thank you both!!"- S.R. / Yelp / Feb 04, 2020
"I am in love with my new nose - I started considering rhinoplasty when I was 16, I am 28. I hated my nose, the shape and the size. I tried for many many years to love as it was. But to be honest, I always knew one day I would take the step. Los Angeles has a big offer of plastic surgeons, and is hard to know who is good and who is the best. After some months of research, I narrowed my options and had two consultations with two different surgeons. From the very first second I knew Dr. Keyes would be my surgeon. I am a really hypochondriac person, and Dr. Keyes and Kimberly made me feel confident, safe and comfortable during the whole process. The day of the surgery I was really nervous and everyone made it really easy for me. Post op is painless, just uncomfortable. Dr Keyes and Kim were available for me 24/7in case I had any question or concern. That really makes a difference. I am one month post op and even swollen, I looooove my nose, it changes your life. It is natural, fits my face and I could not be any happier. If you are thinking about having a rhinoplasty, Dr.Keyes and Kimberly are the team you are looking for."- S. / RealSelf / Feb 04, 2020
"Rhinoplasty - I'm scheduled to have rhinoplasty with dr Geoffrey Keyes in LA. I had my consultation and I had my pictures taken and then photoshopped by the dr to show me what he can do with my nose. He is nice and very straight forward and gives his honest opinion on what realistically can be done. I told him I want a really small Barbie nose . He said he can give me that but it also all depends on what happens in the OR , but I told him to go as small as my body will allow. I'm also interested in lip lift and fillers so I'm going to call tomorrow to see if that can be done as well."- M. / RealSelf / Feb 02, 2020
"In November 2019 I had rhinoplasty revision surgery & a facelift with Dr. Keyes and Kimberly. I had consultations with other very experienced & highly regarded surgeons but did not feel the connection that you need to have with the surgeon and staff.Dr. Keyes is very well regarded and President of the Rhinoplasty Society so I trusted him completely and listened to his guidance, he does what is best for his patient and will not try to "sell you" which is very common with a lot of Los Angeles surgeons. He also officially sets the Standard for Safety in Plastic Surgery. You are putting your life and looks in a surgeon's hands it's important to feel safe and confident! Dr. Keyes and Kimberly were patient, caring and went beyond the call of duty at every step of the way. I received a call from Dr. Keyes the night before the surgery and he and Kimberly his surgical assistant were both available and in contact all the way through. They are the best in the business and have been working together for decades and it shows!It has been two months since my surgery and I feel and look better than at any point in my life I am absolutely in awe of Dr. Keyes' aesthetic, surgical, safety and communication skills. I am thrilled with my decision! So much so that I have booked a breast augmentation in a couple of months and I will not be nervous. Dr. Keyes and Kimberly are so talented and caring I am so lucky to have found them. Truly a life changing experience. I cannot recommend and thank them both of them enough!"- L.M. / Google / Jan 18, 2020
Revision nose surgery requires methodical planning, analytics, and superior surgical skills, which are all qualities Dr. Keyes possesses. For several decades, Dr. Keyes has been correcting the effects of previous nose surgeries, which were performed by other doctors. With a primary focus on rhinoplasty, Dr. Keyes has been able to restore thousands of patients’ ability to breathe and re-establish balance, symmetry, and beauty of the nose for a renewed sense of confidence and elevated self-esteem.
Prior to initiating revision rhinoplasty, Dr. Keyes will learn more about your situation to understand your individual desires and aesthetic goals before designing a course of action. During the actual procedure, Dr. Keyes will choose either a closed or open nose surgical approach. While employing the open technique (the most common approach), Dr. Keyes will detach the skin from the cartilage and bone, allowing for increased visibility. Next, Dr. Keyes will shape your nose as decided upon during the consultation. The closed technique is much less invasive and typically chosen for simpler repairs. Sometimes during revision rhinoplasty, a cartilage or bone graft is required to help strengthen and reconstruct the framework of your nose. Just like the first surgery, our post-op surgical team will bandage the area and send you to recovery until it is appropriate for your discharge.
What to Expect
Rhinoplasty revision is typically completed as an outpatient procedure under general anesthesia. The amount of time your surgery will take depends upon the type of repair and the technique employed. After the surgery, you will be asked to wear a nose splint for about a week and could be asked to arrange a follow-up appointment to remove the splint and stitches. This will also allow Dr. Keyes to check up on your recovery. Since revision rhinoplasty can typically be more difficult than the initial surgery, you can expect the recovery to be more lengthy. You could also experience heavier swelling, deeper bruising, and more discomfort than your initial rhinoplasty.
Frequently Asked Questions
How much does a revision rhinoplasty cost?
Your cost for revision rhinoplasty will vary depending on how much reconstruction is required. In your consultation, Dr. Keyes will understand your concerns before examining the results of your original rhinoplasty. When a surgical plan is developed, he can more accurately estimate your costs. Dr. Keyes will also go over the forms of payment we accept at our practice.
How long should I wait after my original rhinoplasty?
It is crucial to allow your nose time to heal following nose surgery. In most patients, it may take more than one year for swelling to subside so you can see the final shape of your nose. When your nose is fully healed from rhinoplasty, you need to take some time to decide how you much you like or dislike the appearance and then schedule an appointment at Geoffrey R. Keyes, M.D., F.A.C.S.
How common are revision rhinoplasty procedures?
Nose surgery is a popular cosmetic surgery and many people are pleased with their outcomes. In a few patients, revision rhinoplasty is necessary to correct large cosmetic flaws or functional issues caused by the first surgery. If you're unhappy at all with your nose surgery by Dr. Keyes or another plastic surgeon, visit us for a consultation to get more information on revision rhinoplasty.
How can I ensure that I will receive better results with a revision procedure?
It's very important to do research when selecting a plastic surgeon to do a revision rhinoplasty. Dr. Keyes is a skilled plastic surgeon with more than 40 years of experience in nose surgery with a unique interest in secondary surgery. He understands the complexities of the nasal structure and advanced techniques needed to complete a second rhinoplasty (and avoid collapsing your nasal structure).
Will I need cartilage grafting?
In some cases, cartilage grafting might be needed. Dr. Keyes will remove cartilage and/or bone from another part of your body, like the ribs, and transfer it to rebuild the structure of your nose. Usually, this is only required in serious cases or when the cartilage was damaged in the original rhinoplasty. Cartilage grafting will strengthen your nasal structure so you do not have trouble breathing after your revision rhinoplasty. Dr. Keyes will discuss if cartilage grafting may be needed in your initial consultation.
Let's Revise Your SUrgery
Geoffrey R. Keyes, M.D., F.A.C.S. is dedicated to ensuring that you are given the appearance you desire, even more so if you had a less-than-desirable experience following your first surgery. At your consultation, we will work to gain understanding about your needs and aesthetic goals before talking about your choices to provide you with optimal results. If you're considering secondary rhinoplasty surgery and are ready to schedule your consultation with Dr. Keyes, call our Los Angeles, CA practice right away.
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