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
"So happy with rhinoplasty results - two weeks post op! - I'm only two weeks post op from my nose surgery so technically I should wait to write this review until the final result, but I can't wait. I am so happy with my results. Dr. Keyes is an expert rhinoplasty surgeon, and he did a remarkable job on me. I was classified as "a hard nose" because I already had a nice nose, but I was always self conscious because it was slightly crooked and pinched in the center which also gave me breathing issues. He knew exactly what I needed from the moment he saw my nose, and he delivered. My nose is so natural and beautiful now, I can't believe it's only going to get better. Hard to imagine! Not to mention my breathing is amazing. Feels like I have an invisible breathe right strip on. It's an incredible feeling.Kimberly, his partner is also lovely. Like all the other reviewers say, she is there every step of the way answering questions and concerns. Both of them couldn't be easier to reach. Kimberly is warm and friendly and makes you feel totally comfortable. All in all I feel lucky to have found them, and I am so thankful. Will report back with an update a couple months from now. Thank you Dr. Keyes and Kimberly!"- P. / RealSelf / Nov 11, 2019
"Dr. Keyes and Kimberley, his surgical assistant, are the best in the business. These days it is tough to find a surgeon especially because you can find a lot of flashy pictures on social media that might make you interested in visiting a surgeon, but when it comes down to it it's all about skill. Dr. Keyes has been president of the rhinoplasty society and speaks around the world on surgical techniques. Kimberley is SO kind and caring, you will certainly be in great hands with these two. When it comes down to picking a surgeon, it is key to find a surgeon that has the credentials, bedside manner, and experience and that is Dr. Keyes and Kimberley! I'm only 4 months post-op and I can't wait until my final results. This is the place to go for your next procedure, 100%. Wish I could give more than 5 stars!"- J.S. / Yelp / Oct 29, 2019
"Kimberely and Dr. Keyes are the best! - Prior to Dr. Keyes I had seen three different ENT’s; two scoped my nose, one wanted a CT scan and I had a couple of surgeries that were of no help.My primary care physician suggested I go see Dr. Keyes, because he was able to help one of her other patients.I was NOT thrilled on the idea to go see a "plastic surgeon".I called and talked to Kimberley, Dr. Keyes Director of Patient Services. She is absolutely AMAZING! She answered all of my many questions and I called more than once!I met with Dr. Keyes and told him about the issues with my nasal passages. He listened, asked a few questions and then examined my nose.After a little prodding, he said there were three items wrong with my nose. He described the details of the nose functions and then explained what needed to be done to mine.I was impressed. It made sense and I went through with the surgery.I wish I would have gone to him FIRST!THANK YOU Dr. Keys and Kimberley! You two are the best!"- N. / RealSelf / Oct 14, 2019
"3 months post-op and loving so far! - Dr. Keyes and Kimberley are literally the BEST of the best. I've been waiting to write my formal review (and will be doing so when I have more time to rave about them) but honestly I've been getting a ton of compliments and couldn't wait! They are the dream team! More formal review to come :)"- R. / RealSelf / Oct 13, 2019
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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