In general revision rhinoplasty is about restoring good nasal breathing (function) and correcting one or more persistent deformities (aesthetic form) after previous nasal surgery. Houston rhinoplasty surgeon, Dr. Cilento realizes that there is an extra layer of emotion tied to revision rhinoplasty because the normal happy primary rhinoplasty story has been replaced by one of disappointment mixed with guilt and quite often discomfort from nasal obstruction and even pain.
What are the Benefits of a Revision Rhinoplasty from Dr. Cilento?
Improved Nasal Breathing
Quite often after a rhinoplasty there is compromised breathing to a loss of structure that comes with cartilage removal or cutting. Dr Cilento is an expert at reconstructing the structure that both restores normal breathing.
Dr. Cilento has spent twenty years studying, teaching and writing about bad rhinoplasty outcomes. He has the knowledge, experience, and skill to restore natural-looking results in noses that look irregular.
Improved Self Esteem
Because the nose is the central feature of the face it can have a profound effect on our self-esteem when there is an irregularity that detracts from our overall appearance. Having this corrected can help to restore a person’s lost self-confidence.
A well-known expert
Houston Rhinoplasty surgeon Dr. Ben Cilento is a recognized expert in advanced techniques of revision surgery. It is not uncommon for other surgeons to refer to Dr. Cilento from all over Houston and all over the world to solve some of the more difficult post-operative complications. Revision rhinoplasty can be very intimidating to unprepared or inexperienced surgeons. This is because there are hundreds of maneuvers, grafts, and suturing techniques described to change the shape of the nose. Dr. Cilento has intimate knowledge of all of these techniques having taught residents as a professor during his time in the Navy. Since leaving the military he has also continued as an oral examiner for the American Board of Facial Plastic and Reconstructive Surgery and as an active reviewer for many major technical journals on facial surgery.
Why is Revision Rhinoplasty More Expensive than Primary Rhinoplasty?
The added complexity of revision rhinoplasty comes from several factors. After primary rhinoplasty, there is a layer of scar tissue that replaces the various dissection planes that allow for easy surgical technique. The more surgeries that one has undergone, the harder the next surgery becomes. There is also a more difficult post-op period with prolonged swelling and a higher risk of complications. These factors work together to drive up cost and prolong OR time. It is also the reason that so many surgeons choose to send their complicated cases to Dr. Cilento.
How long after my first surgery should I wait until my revision
It is customary to wait for 9 months to a year after your last surgery before contemplating most revision maneuvers. The reason for this may surprise you. The normal healing process continues after surgery for up to 18 months and can cause significant changes until it is over. These changes have to be accounted for when planning for the revision rhinoplasty that you’ve been thinking about.
Will I need cartilage grafts? If so where do they come from?
During a revision rhinoplasty, Houston rhinoplasty surgeon Dr. Ben Cilento often uses cartilage and fascia grafts from the septum and behind the ears to help support and cushion the nose after surgery. After a revision rhinoplasty, these sources of material are quite often exhausted even as the need for such material is increased when doing a revision rhinoplasty. Dr. Cilento uses the latest techniques to reconstruct the nose and all of these techniques require access to the right materials. Some of these materials can be harvested from the patient and some can be obtained from outside sources. Rib cartilage is a common material to use. This can be obtained from the patient’s ribs via a small incision in the crease of the breast or chest muscle. It can also be obtained from a cadaver through donation. This “cadaveric” rib has been used for 30 years with excellent outcomes and few complications. Ear cartilage is also used quite frequently and is harvested from the back side of the patients ear. It does not change the shape of the ear and does not leave a visible scar. In addition to these grafts, Dr. Cilento sometimes uses alloderm (also a donated product) to help soften irregularities. Various products are also used depending on the type of irregularities that I am correcting.