In a recently published study, rhinoplasty surgeons across the country were surveryed on their rates of revision rhinoplasty. That number is ~20%, meaning about 1 in 5 patients undergoing a primary rhinoplasty will undergo a revision surgery. There are a number of possible reasons for revision rhinoplasty surgery.
Rhinoplasty is commonly called the most challenging procedure in all of surgery. And while it can be a technically demanding procedure at times, the need to balance the forces of healing and the patient’s aesthetic goals with what is surgically achievable increases the difficulty level many-fold. A fantastic result on the table will not always heal in predictable ways.
Besides unintended results, revision rhinoplasty can occur when there is a disconnect between the patient’s aesthetic and that of the surgeon. In his/her eye, a surgeon may have performed an impeccable surgery and delivered a nose that is pleasing to him/her, but far from what you consider ideal. Reviewing photo-imaging and photo-morphing with your surgeon prior to surgery is an excellent way to communicate your goals and to ensure you two are on the same page. Looking at a surgeon’s before and after pictures is another great way to get a sense of your surgeon’s aesthetic.
Lastly, having realistic goals and expectations about surgery is critical before any procedure and especially for rhinoplasty. Rhinoplasty is not about perfection, but about improvement.
