Considering revision rhinoplasty?
Maybe you’re unhappy with a prior rhinoplasty – or more than one.
We get it. Realizing that a surgery you’d been looking forward to didn’t turn out as planned can be heartbreaking.
Dr. Jason meets many patients who are disappointed with their previous rhinoplasty results – whether it’s a botched nose job or simply an aesthetic adjustment that missed the mark.
In fact, UCLA Professor Jason Roostaeian is one of the most sought after revision rhinoplasty experts in Los Angeles. He’s routinely asked to speak about natural looking revision rhinoplasty at plastic surgery conferences worldwide.
Am I a good candidate for revision rhinoplasty surgery?
We understand how hard it can be to trust a new surgeon to perform a revision rhinoplasty, especially if you’ve had multiple nose surgeries. No matter if you’ve had one, two, or many unsatisfactory surgeries elsewhere, know this: there is hope.
While every case is unique, Dr. Jason’s exceptional skill in performing revision rhinoplasty in Los Angeles has helped patients – even those with as many as 7 prior surgeries – finally achieve the nose they’ve been longing for.
Dr. Jason routinely corrects a variety of nose job mistakes, including:
- Excessive dorsal resection aka “saddle nose” deformity
- Nasal airway obstruction
- Valve collapse
- Inverted V deformity
- Tip over rotation
- Pinched nasal tip
- Excessive alar resection
Natural looking revision rhinoplasty results
Dr. Jason Roostaeian specializes in achieving the most natural looking revision rhinoplasty results. Patients routinely travel from all over the U.S. – and from across the globe – to have Dr. Jason perform their revision rhinoplasty in Los Angeles.
Some of the clear giveaways of a poorly executed “nose job” are that it looks too scooped, too pinched, too upturned, or too diferent from what’s ethnically typical. Dr. Jason is careful to avoid these mistakes during his primary rhinoplasties – and he’s also very adept at correcting these mistakes made by other surgeons.
You deserve a functional, natural looking nose that fits with your features. Contact Dr. Roostaeian for a consultation to see what’s possible.
UCLA revision rhinoplasty consultation
Coming in for a consultation with Dr. Roostaeian is the best way to determine whether revision rhinoplasty surgery is right for you.
During your meeting, you’ll have the chance to explain your concerns and ask as many questions as you need, without being rushed or feeling obligated to book a procedure. Dr. Roostaeian prefers to listen and get to know patients first, which helps him guide you to a solution that works best for you. Together, you’ll discuss the look you’re trying to achieve, and you’ll be able to view standardized before and after photos of Dr. Jason’s previous results that are similar to your aesthetic goals.
All consultation fees may be credited to any subsequent service performed by Dr. Jason. To book a consultation, please complete the form and we will contact you within two business days.
Alternatively, you may call 310.825.8827 to speak with Lili to make an appointment.
book a consultation
Dr. Jason and our staff at the UCLA Plastic & Reconstructive Surgery Suite are ready to get you started on your journey. Whether to answer questions, schedule a consultation, or simply to listen, we're ready when you are.
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Everything you need to know about revision rhinoplasty
Frequently Asked Questions (FAQs)
PREPARING FOR REVISION RHINOPLASTY SURGERY
During your consultation, Dr. Roostaeian will listen to your goals, answer any questions, and help you determine the best treatment plan for you. If you decide to reserve a date for your rhinoplasty, Dr. Jason’s surgery coordinator, Lili, will also schedule you a pre-op appointment to take place about a week or two prior to your surgery.
As with any surgical procedure, you must be physically and mentally fit for nose job surgery. To ensure patient safety, Dr. Jason only operates on patients who have achieved facial maturity, do not smoke, and who have received anesthesia clearance by their primary physician.
Am I a good candidate for a 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
How do I find the best rhinoplasty surgeon?
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:
- 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.
- 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.
- 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]
- 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.
How much does revision rhinoplasty cost?
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.
What types of botched nose jobs can be fixed?
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
- Nasal airway obstruction
- Valve collapse
- Inverted V deformity
- Tip over rotation
- Pinched nasal tip
- Excessive alar resection
How soon can I get a revision rhinoplasty?
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.
How many nose jobs can someone have?
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.
How do I prepare for rhinoplasty surgery?
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
undergoing revision rhinoplasty surgery
When you arrive for your nose job surgery, the UCLA Surgery Center nurses will prepare you for your operation. Dr. Roostaeian will stop in to answer any remaining questions you may have, and to make surgical markings for the OR.
Once you have received the anesthesia and are comfortably sleeping, Dr. Jason will perform the rhinoplasty as discussed during your previous meetings – either an open or closed procedure. He generally begins by addressing any dorsal concerns, followed by the nasal tip and finally, any nostril adjustments that need to be made.
Dr. Jason will explain to you during your consultation that sometimes, a surgical plan may need to be slightly amended depending upon what is revealed in the operating room. He will make adjustments as needed in order to achieve the results that you’ve agreed upon.
Will I have local or general anesthesia during my revision rhinoplasty?
Typically, Dr. Roostaeian performs rhinoplasty surgery using general anesthesia. Local anesthesia with IV sedation is also possible, though rare. During your pre-operative appointment, Dr. Jason will review your options and help you decide on an whether to use local vs general anesthesia to best suit your needs.
Is revision rhinoplasty an outpatient procedure?
After your nose job, you will not need to stay overnight in the hospital. Revision rhinoplasty surgery with Dr. Jason Roostaeian is outpatient surgery, which means that once you’re cleared by the UCLA Surgery Center recovery team (usually after a few hours), you may go home or to your aftercare location.
How long does rhinoplasty surgery take?
Although each case is unique, revision rhinoplasty surgery takes about 3 – 5 hours, averaging about 3 1/2 hours for a revision procedure. The duration of nose job surgery varies greatly depending on the complexity of your case. When Dr. Roostaeian needs to use cartilage from the rib or ear, expect longer surgery times. Prior to your surgery, Dr. Jason will let you know the approximate duration.
What's the difference between closed vs. open rhinoplasty?
During your consultation, Dr. Roostaeian will explain in detail the difference between closed vs open rhinoplasty. In general, closed rhinoplasty signifies that all incisions are concealed on the inside of the nose. Open rhinoplasty also includes a very small incision across the skin that separates your nostrils, called the columella. The resultant scar is virtually imperceptible once fully healed. The open approach affords Dr. Roostaeian better exposure to the nasal anatomy, and in particular to the nasal tip.
The decision to perform your rhinoplasty closed vs open all depends on what your individual needs and goals are. During your consultation, Dr. Jason will be able to advise you on the best option for you.
What's the difference between septoplasty vs. rhinoplasty?
Patients often wonder what is the difference between rhinoplasty vs septoplasty, and which is required to meet their goals. Dr. Roostaeian performs both rhinoplasty and septoplasty, often in conjunction. A rhinoplasty changes the size and/or shape of the nose (a nose job), while a septoplasty corrects a deviated or misshapen septum – the cartilage that divides the nostrils internally. A septoplasty may be covered in part by your insurance.
Can I combine a revision rhinoplasty with other procedures?
What are the main rhinoplasty surgery risks?
Is a nose job painful?
After a nose job with Dr. Roostaeian, you may experience mild to moderate discomfort, with one day of bed rest. Many patients find that the pain following a rhinoplasty is less than they expected. Dr. Roostaeian will prescribe pain medication which you should take if needed, though many patients find that over the counter drugs like acetaminophen and ibuprofen are sufficient to control discomfort.
Some patients require splints in the nose that can cause nasal obstruction and discomfort for the first week following surgery until they are removed.
What is a "scarless" nose job?
Dr. Jason Roostaeian performs two types of rhinoplasty surgery: open and closed. There are no external scars with a closed procedure, which is why it is sometimes referred to as a “scarless nose job.” An open rhinoplasty leaves tiny, inconspicuous scar between the nostrils which is often virtually invisible over time.
Revision rhinoplasty recovery
Prior to your nose job procedure, Dr. Roostaeian will go over what you can expect after your surgery and answer any questions you may have. Before being discharged from the UCLA Surgery Center, you will receive detailed post-op instructions from the staff, as well as information about your follow-up appointment with Dr. Jason. If at any time you have a question or concern after your surgery, our staff is available to assist you. Dr. Jason cares deeply about providing the highest standard of care for his patients, and will closely monitor your healing process.
As with any surgical procedure, recovery from a revision rhinoplasty proceeds in stages. While everyone’s healing process is different, you may expect the immediate recovery period to take about one to two weeks, followed by an activity restriction. Full healing and results will be apparent around the 3-4 month mark, while your scar (if applicable) and swelling will continue to improve for 6 months to one year.
When will I see my final revision rhinoplasty results?
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.
When can I exercise or work out after a nose job?
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.
What does a revision rhinoplasty scar look like?
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.
What is revision rhinoplasty recovery like?
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.
How much time off work should I take after a revision rhinoplasty?
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.
Rhinoplasty Patient Testimonials
my nose is beyond what i could imagine
To say this man is a genius is an understatement. I knew how skilled he was based on his specialty, education, residency, etc. However, I am completely blown away by the final product of my nose.
I had a septoplasty and rhinoplasty a week ago and at one week post-op, the results of my nose are beyond what I could have ever imagined. . .
A Truly Skilled Surgeon
Dr. Roostaeian is absolutely wonderful. He is incredibly kind and thoughtful, and a truly skilled surgeon. My daughter had rhinoplasty and everything went perfectly. Her nose looks wonderful and she breathes better. He is such a perfectionist, and cares so much about his patients and his work.
– Jennie B.
Dr. JAson is Extremely Talented
I recently went to Dr. Suh at UCLA for my chronic sinusitis and was then referred to Dr. Roostaeian for the extensive nose reconstruction that would be required. Both surgeons worked great together and I couldn’t be happier with the results.
Dr. Roostaeian rebuilt both of my nostrils and fixed my crooked and deviated septum.
– Sean R.
REVISION RHINOPLASTY: It Was A Miracle!
HE IS MIRACLE WORKER!!!!!!! I had over 6 surgeries on my nose and each one made my nose MUCH WORSE ..one Dr. cut alot of skin away. I gave up…I could NOT BREATHE at all through my nightmare-nose and I was resignation that I will never breathe normally.Also it looked like I was in a huge accident. I had so much scar tissue ….but I got lucky. . .
– Mom B.
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