performed by Dr. Oleh Slupchynskyj.
Rhinoplasty is considered one of the most complex Facial Plastic Surgery procedures requiring a highly skilled and experienced surgeon. After having their Rhinoplasty done, not everyone sees the results they initially desired, for multi-factorial reasons, making Rhinoplasty a highly revised procedure–from 10-15% on the national average–in Cosmetic Surgery. The procedure to correct a poor or undesirable Rhinoplasty result is called Revision Rhinoplasty, or Secondary Rhinoplasty. To ensure a patient is pleased with the results, an experienced New York Revision Rhinoplasty Surgeon should be sought. Dr. Oleh Slupchynskyj, a Board Certified Manhattan Facial Plastic Surgeon has more than 18 years of experience performing Revision Nose Surgery on patients who underwent their Primary Rhinoplasty with another doctor and received less than satisfactory results.
If you are unhappy with the results of your first Rhinoplasty and/or have trouble breathing post-operatively, are physically healthy and have realistic expectations, you may be a good candidate for this procedure. Because post-surgical swelling can exist after your Primary Rhinoplasty as long as 6 months and up to 1 year, it is advised that Revision Surgery be performed after this healing phase. If however, there are complications impairing function, for instance, a consultation is suggested, as this complication may need to be addressed immediately.
How long does Revision Nose Surgery take?
Depending on your specific requirements and the complexity of them, procedure times will vary. Generally speaking, Revision Rhinoplasty procedures typically take anywhere from 2 to 3 hours.
What kind of Anesthesia is used for a Revision Rhinoplasty?
Typically, as with a Primary Rhinoplasty, Revision Rhinoplasty is performed with Local Anesthesia combined with light sedation. Dr. Oleh Slupchynskyj and his Anesthesiologist(s) will review your medical history and discuss all questions and options with you.
Should an “Open” and “Closed” Technique be Used?
Revision Rhinoplasty New York Surgeon Dr. Slupchynskyj is experienced with both Open and Closed Rhinoplasty, and will assess each patient as to which technique would best benefit them to achieve the results they desire. Endonasal, also known as “Closed” Rhinoplasty, is a technique where incisions are only made on the inside of the nose, resulting in invisible scars. This Closed approach limits direct visualization of the nasal anatomy therefore compromising the results. The Closed approach is not recommended for nasal tip work and should be reserved for simpler cases such as a dorsal hump reduction.
External or “Open” Rhinoplasty is a more advanced technique that is used for complex cases which may involve bridge augmentation, tip alternation, or Revision Surgery. With the open technique, a small incision is made between the nostrils on the outside of the nose.
What if my nose looks too small or unnatural? Can this be corrected?
This is a very common concern for New York / Manhattan / NYC Revision Rhinoplasty patients. This error is a result of another surgeon removing too much cartilage and excessively reducing the bony part of the nose during the initial Rhinoplasty. Dr. Slupchynskyj has years of experience with patients who come to him from elsewhere and are displeased with a nose that appears scooped out, upturned, too pointy or down turned due to poor Primary Rhinoplasty. Dr. Slupchynskyj can rebuild noses with grafting techniques and customized silastic implants, with which he has extensive experience.
What kind of situations require Revision Rhinoplasty?
People seek Revision Rhinoplasty when they are dissatisfied with their Primary Rhinoplasty results. This can be either aesthetic (appearance) or functional (breathing). Some patients come to Dr. Slupchynskyj experiencing both. The underlying cause of many poor results in Primary Nose surgery is that of surgical error: under-resection, where not enough cartilage is removed, or over-resection, when too much is removed during a Primary Rhinoplasty. Other common issues are asymmetry and abnormal scarring.
Dr. Slupchynskyj’s patients are typically ready to go back to work within 7 days after surgery. He recommends that the patient take about 2 weeks from exercise and other strenuous physical activities in order to avoid accidental injury to the nose. Revision Rhinoplasty is performed as an outpatient procedure, thus requiring no overnight stay.
What are the risks of Revision Rhinoplasty Surgery?
After performing thousands of Revision Surgeries with no complications, Dr. Oleh Slupchynskyj is well versed in the best practices to avoiding risks. During your initial consultation, Dr. Slupchynskyj reviews any risks associated with Revision Rhinoplasty with you. Complications of Primary and even Revision Rhinoplasty Surgery happen when a surgeon removes too bone or cartilage, when an implant is improperly placed, or if the wrong type of implant was used.
How many revisions are possible?
While less surgery is always preferred, Dr. Slupchynskyj has worked with patients who have had one or many more revisions with other doctors, with less than satisfying results. If there are severe deformities or there is trouble breathing, revision may be a recommended option. Dr. Slupchynskyj will consult with you to discuss your individual situation and explain all risks, likelihood of success to achieve your desired result, and your next steps.
Revision Rhinoplasty costs will vary significantly depending on the number and complexity of changes that need to be made, as well as the technique being used. During a comprehensive consultation, Dr. Slupchynskyj will discuss all aspects of the surgery, including how much it will cost. It is important for patients to consult with their insurance providers to determine if part of the cost may be covered under their plan.
How can I be sure I’m choosing the right surgeon?
Revision Rhinoplasty is a highly complex procedure only a few surgeons truly specialize in. First, the surgeon you choose should specialize in Facial Plastic Surgery and specifically Rhinoplasty versus that of General Plastic Surgeons who perform Body Plastic Surgery (Breast Augmentation, Liposuction). Second, this surgeon should be Double Board Certified by both The American Academy of Facial Plastic and Reconstructive Surgery and The American Board of Otolaryngology. Your surgeon should have not only the training and expertise to create excellent aesthetic Revision Rhinoplasty results; it is essential they be properly trained, skilled and experienced in maintaining the integrity and functionality of the nose. Only a Double Board Certified Facial Plastic Surgeon can do both.