Revision Rhinoplasty

Occasionally plastic surgery does not achieve the exact results you had hoped for. You must remember, however, that surgery isn't a means of achieving perfection. However, if you are unhappy with the appearance of your nose after having undergone previous rhinoplasty surgery, Dr. Randal Haworth offers revision (or secondary) rhinoplasty. As a top rhinoplasty surgeon in Beverly Hills known for his technical and aesthetic precision, Dr. Haworth has extensive experience with revision patients who can expect notable improvement but still must have realistic expectations as to the end result.

Among the traits possessed by the world's top rhinoplasty specialists is an advanced understanding of the nasal anatomy and functionality as well as an exceptional surgical skill to perform both primary and revision rhinoplasty properly. Dr. Randal Haworth says, "Even though a high level of technical skill is needed to translate intention into form with rhinoplasty surgery, an artistic vision with keen aesthetic sensibility is necessary to allow a result to transcend from good to great. This is why I am so passionate about performing rhinoplasty - I consider it a constant challenge, prompting me to always critically evaluate myself and become better at what I do."

Best Candidates for the Procedure:

The most appropriate candidates for revision rhinoplasty are:

• At least 14 years old for young women, 16 for young men
• Patients who have a congenitally crooked nose or one that has been deviated because of trauma
• Those who suffer from nasal obstruction from an anatomical problem of the nose
• Those who need to correct a cleft lip-nasal deformity
• Those with unsatisfactory, unnatural-looking results from a previous rhinoplasty that can may include (but are not necessarily restricted to) a pinched tip, irregular profile, collapsed sidewalls ("Inverted V Deformity"), "Saddle Nose deformity", crooked appearance, asymmetrical retracted nostril shape, etc.
• Those with unsatisfactory functional results in breathing or nasal airflow due to tissue damage or undesirable healing
• Those needing to get the results of a previous rhinoplasty improved while having realistic expectations of the results
• Those with nasal skin which is neither too thick or too thin

General Information About The Procedure:

Dr. Haworth is exceptionally gifted and experienced in creating and applying every form of cartilage grafts including columella struts, lateral crural strut, caudal septal extension, spreader, tip shield, alar battan, dorsal, and alar rim grafts. Indeed, some of the most complicated revision procedures require utilization of most if not all of those aforementioned grafts, including crushed cartilage to maximize smoothness of the final result.

When evaluating any potential revision rhinoplasty patient at his Beverly Hills office, Dr. Haworth will review certain salient details of your previous procedure to determine what may have been done and what went wrong so that he can correct the underlying mistakes. Often times, the cornerstone of this revision rhinoplasty procedure usually requires strengthening weakened underlying cartilage and consequently the support it provides - being one of the top revision rhinoplasty specialists in Beverly Hills and Los Angeles, Dr. Haworth uses a variety of different techniques to achieve this goal.

The majority of revision rhinoplasty procedures are performed using the open rhinoplasty technique because of the increased visualization and control it affords the rhinoplasty surgeon. However, there are certain few specific instances in which Dr. Haworth will use the closed technique, depending on the specific problem and whether it is minor or not. Dr. Haworth is an expert at strengthening the weakened underlying structure of the nose to not only to make the nose look great but to make it function as well (to maximize breathing ability).

Typical Recovery Time:

By the end of the second week, you'll look and feel much better. Most patients are back at work about one to two weeks after surgery. If you need it, special camouflage makeup can mask most bruising that remains.