Revision Rhinoplasty Gallery

This is a young woman who had a rhinoplasty by another surgeon one year prior. She disliked her nasal profile, mainly that her bridge was lowered too much. We discussed a formal revision rhinoplasty, but she elected for a non-surgical rhinoplasty for the time being. Voluma XC was used to restore her dorsal height. It also gives the illusion of pushing her nasal tip down, even though this area was untreated. She was sore for a couple of days, but otherwise was absolutely thrilled with her result.

For more information about a non-surgical rhinoplasty, check out this blog post from our archives: What you need to know about non-surgical rhinoplasty.

This is a woman in her thirties who had suffered many nasal fractures that led to severe nasal obstruction. She underwent a couple of operations on her septum by other physicians but still suffered from bilateral nasal obstruction. Her nose had collapsed on itself with a moderate saddle nose deformity that is best seen on the side views. Her breathing was so poor that her blood oxygen levels were lower than they should have been.

Her nose was reconstructed using cartilage from her rib cage. We reinforced her septum then rebuilt the collapsed section. Her nasal aesthetics were much improved and her breathing was dramatically better.

Post-operative photos were taken almost two years following her surgery.

For more on the saddle nose deformity, check out this blog post.

This patient in his twenties had undergone three septoplasties by other surgeons to try to correct his deviated septum. You can see in his pre-operative views that his nose is significantly twisted and is poorly projected. He could not move air at all through the left side of his nose.

Surgery involved releasing scar tissue and then taking cartilage from his rib and using it to straighten his septum and open his nasal passages.

His breathing improved immediately, although his chest was sore for a couple of weeks. He was extremely pleased with the improvement we achieved- he could breathe through the left side of his nose for the first time ever!

Post-operative photos were taken at four months.

This patient in her forties had a cosmetic rhinoplasty through a closed approach in 1999. Over time she developed difficulty breathing on both sides of her nose, but it was worse on the left. She also disliked the appearance of her nose. She thought it was pinched and overly rotated.

Surgery involved completely rebuilding her nose to improve its appearance, fix her breathing, and bring it more into balance with her other facial features. She needed cartilage grafting from her ear and from her rib.

After she recovered, her breathing was much improved. She absolutely loves her new nose- she says it is like the nose she was always meant to have. Post-operative photos were taken five months after the revision procedure.

This patient her her forties had suffered from nasal obstruction for years. She had an operation to straighten her septum in 1999 but continued to have difficulty so she had a second operation in 2011. She subsequently developed a bump on her nose and came to talk to me about it. Her breathing had gotten much worse as the bump developed.

While her main concern was this new bump on her nose, I determined that instead of a bump growing up, the bottom of her nose was collapsing. This is called a “saddle nose.”

To correct the saddling, cartilage from a cadaver was used to rebuild the bottom portion of her nose. At her first post-operative visit, she was breathing better than she had in years. These post-operative pictures were taken a month after her revision surgery. Her nose is still a little puffy, but you can see how the saddle nose has been nicely corrected.

This patient is in her mid-thirties and had undergone two previous cosmetic rhinoplasties by another surgeon. Her previous goals had been to refine her tip and remove a small dorsal hump. Unfortunately she developed breathing difficulty as she healed from her first surgery. The lower part of her nose had collapsed which caused her to have to pull her nostrils open to be able to breathe.

On the frontal view you can appreciate the pinched appearance of her lower nose. The base view shows the degree of collapse.

Surgery involved releasing scar and taking cartilage grafts from her septum to rebuild the lower portion of her nose. Following surgery, her nose looks less pinched and she can breathe for the first time in eight years!

This patient in her fifties had a septoplasty and rhinoplasty back in the ’80’s and developed a number of problems associated with the techniques used at the time. Her nose was short and under-projected. She couldn’t breathe through either side of her nose. It had essentially collapsed. Dr. Schmidt rebuilt her airway and her septum with cadaveric rib cartilage.

Post-operatively, her nose is much better supported. Her projection is much better. Most importantly, she can finally breathe!