REVISION RHINOPLASTY

A good candidate for a revision rhinoplasty with Dr. Roostaeian is someone seeking to change the size, shape and/or functional capabilities of their nose. They have reasonable complaints with nasal appearance and/or breathing, along with realistic expectations of the result. As with most facial procedures, successful nasal surgery is dependent on physical and emotional maturity along with good communication between the doctor and patient.

In addition, Dr. Jason will only perform a rhinoplasty on patients who meet the following criteria:

• Are in good health
• Have reached facial maturity (about age 16)
• Do not smoke
• Are able to avoid any blood-thinning medications for several weeks
• Have been cleared for surgery by a primary care physician
• Have reasonable expectations and aesthetic goals

When searching for the best revision rhinoplasty surgeon to perform your nose job, it is critical that you choose a plastic surgeon who specializes in revision rhinoplasty. Dr. Roostaeian advises you to consider several other key factors:

1. Credentials and Certifications: Research your prospective nose surgeon online – not just on their website, but on industry credentialing sites such as www.surgery.org, which lists board certified plastic surgeons. Do not choose a cosmetic surgeon who is a member of the ABCS – they do not receive the extensive training and oversight that plastic surgeons do. Look for plastic/cosmetic surgeons like Dr. Roostaeian, who are ABPS and ASAPS members.
2. Before and After Photos: The doctor you choose to perform your revision rhinoplasty should be happy to show you an extensive array of standardized before and after photographs. Scrutinize them carefully, making sure the lighting is consistent and the various views are shown with detail. View enough revision rhinoplasty pictures to determine whether or not the work is of high quality, with an aesthetic that matches your personal goals. Dr. Jason strives to provide patients with the highest quality of standardized rhinoplasty photographs so you can feel confident in your choice. Click here to view Dr. Jason’s gallery of before and after rhinoplasty photos.
3. Office and Surgery Facility: Before choosing an aesthetic surgeon to perform your nose surgery, closely evaluate the office staff, as well as the surgery facility. All of the staff should be helpful and friendly, and pleased to provide you with detailed information about their operating rooms and equipment. Dr. Jason and his staff are proud to be affiliated with UCLA, world renowned for state-of-the-art surgical facilities and patient care. Click to learn more about our top-ranked hospital.[LINK]
4. Personal Connection: Seeing eye to eye with your revision rhinoplasty surgeon is just as important as assessing their operating skills. Plastic surgery is a very personal endeavor, and Dr. Jason strongly believes in creating a connection with all of his patients prior to heading into the OR. 

Click to read Dr. Jason’s blog post How to Find the Best Plastic Surgeon.

Nose job costs vary considerably from patient to patient. A revision rhinoplasty with Dr. Roostaeian may be covered partially or in full by your insurance if you have nasal airway obstruction. Any aesthetic refinements to your nose, however, are not covered by insurance and require additional fees. The exact cost of rhinoplasty surgery will depend on the complexity of your procedure, and you will receive a written quote following your consultation.

Note that due to the inherent complexity involved, revision rhinoplasty is often more expensive than primary rhinoplasty surgery.

Dr. Jason Roostaeian is skilled at fixing a variety of botched nose jobs. During his Los Angeles revision rhinoplasties, Dr. Jason commonly addresses the following concerns:

• Excessive dorsal resection aka “saddle nose” deformity
• Asymmetry
• Twisting/Curving
• Nasal airway obstruction
• Valve collapse
• Inverted V deformity
• Tip over rotation
• Pinched nasal tip
• Excessive alar resection 
• Irregularities

When your nose surgery doesn’t go as planned, it can be hard to wait for revision surgery. However, Dr. Jason recommends patients wait at least one year before undergoing revision rhinoplasty. This will ensure that all of the swelling has completely subsided and the scar tissue has softened a bit.

If you are eager to begin the revision rhinoplasty process, Dr. Jason is happy to consult with you. Together, you’ll discuss the possibility of finally  having a beautiful, functional nose that improves your facial harmony.

Dr. Jason Roostaeian is exceptionally experienced at fixing botched nose jobs in Los Angeles. No matter if you’ve had 2, 3, 4 – or more – previous rhinoplasty surgeries, Dr. Jason will most likely be able to help you.

Contact Dr. Jason Roostaeian at 310-825-8827 or book a consultation online to see if revision rhinoplasty surgery is right for you.

When preparing for a nose job procedure, follow all instructions issued by Dr. Roostaeian, his office, and the staff at the UCLA Surgery Center. These guidelines include, but are not limited to:

• No food or drink prior to surgery
• Shower/cleanse the area prior to coming in for surgery
• Avoid certain drugs and supplements before and after surgery
• Arrange transportation
• Ensure you will have help around the house for the first few days
• Obtain prescription and non-prescription medications ahead of time, including pain meds
• Choose to wear loose, comfortable clothing
• Plan out sleeping and resting arrangements (Which side of the bed is easiest to navigate to/from? Do I have enough pillows to make sleep/rest comfortable?)
• Have frequently used items handy – you won’t be able to lift, strain, or bend your head right away

It takes about a year to to see the final revision rhinoplasty results after surgery with Dr. Roostaeian. Although much of the swelling and bruising subsides over the course of the first several weeks and months post-op, some slight swelling can remain for about 6 months to a year. If you’ve had an open rhinoplasty procedure, your scar will continue to fade over the course of a year or so.

Many post-operative patients are anxious to get back to their exercise and work out after a nose job. However, for the first 2 weeks following a rhinoplasty with Dr. Roostaeian, you want to avoid getting your blood pressure or heart rate elevated with any strenuous activity, as it can cause bleeding. After 2 weeks you can gradually begin exercising and increase your regimen as tolerated. Avoid any activities that require sudden movements of the head or that can allow any inadvertent contact with your nose. In addition, movements that require putting you face down or below the level of your heart can worsen your swelling and prolong your recovery period.

As always, consult with Dr. Jason if you have any questions about your post-nose job healing process.

There are two types of nose job surgery procedures: open and closed. Which type of technique Dr. Roostaeian performs depends upon your anatomy and your aesthetic goals. With a closed procedure, there are no external scars. An open rhinoplasty leaves a tiny, inconspicuous scar between the nostrils which is often virtually invisible in time.

Please visit Dr. Jason’s revision rhinoplasty gallery to view examples of nose job scars.

While each patient heals at a different pace, here is a general idea of what recovering from a revision rhinoplasty in Los Angeles is like:

24 hours: After leaving the UCLA Surgery Center, Dr. Roostaeian advises patients to relax in bed for the first day, taking pain medications (either over the counter or prescription, if needed) as necessary to allow for comfortable rest.

48 hours: You may take a shower after about two days, taking care to keep as much water away from your cast as possible. Most patients make the switch from prescription to over-the-counter pain medication a couple of days following their rhinoplasty surgery.

1 week: While every patient’s recovery from rhinoplasty is unique, in the first week following the procedure you will typically have nasal bandages in place and can expect some bruising around the eyes and swelling of the nose. The bruising may be concealed with make-up. 

About one week after your nose job surgery, Dr. Jason will see you for a post-op appointment. At this time, he will remove your cast, and examine your nose to ensure it’s healing properly. He will also remind you of any ongoing activity restrictions, show you how to tape your nose, and advise your to schedule your 3 month follow-up appointment.

2 Weeks: During the second week after your rhinoplasty procedure, any bruising will likely resolve, and swelling should begin to subside. Continue to engage in mild daily activities, including walking, but avoid any increase in heart rate for 2 weeks. If your job does not involve strenuous activity, you may return to work provided Dr. Jason has cleared you. 

4-6 Weeks: Much of the swelling will be gone at this point. With Dr. Jason’s permission, you may resume all strenuous activities about 4-6 weeks after your rhinoplasty surgery. 

3 Months: The nasal swelling will be substantially diminished. You will also return for another follow-up visit at this time, during which Dr. Jason will assess your healing process and take post-operative photos.

6 months to 1 year: Open rhinoplasty surgery scars will continue to lighten and mature over a period of 6 months to a year. Any remaining swelling will resolve and your final results will become apparent.

While everyone heals at a different pace, there are general guidelines to help determine how much work or school you’ll miss after a revision rhinoplasty in Los Angeles. To promote proper healing, Dr. Roostaeian recommends taking a week off after rhinoplasty surgery, while the nasal bandages are still in place. Most patients are able to work from home or do homework after a few days of rest. If your work requires significant physical activity you want to wait at least 14 days to prevent any increases in your blood pressure that can lead to bleeding while your nose is still in the early stages of healing.