Piazza Center for Plastic Surgery and Advanced Skin Care
7900 Farm to Market Road 1826, Bldg 2, Suite 206
Austin, TX 78737
Phone: (512) 288-8200
Monday–Thursday: 8 a.m.–5 p.m.
Friday: 8 a.m.–2:30 p.m.
The emotional impact of a failed rhinoplasty can sometimes be devastating. After looking forward to changes based on your aesthetic goals, you can be left disappointed in the appearance and function of your nose. This can negatively affect self-esteem, and some patients can experience embarrassment, insecurity, and even depression.
Women and men disappointed in the results of previous rhinoplasty procedures come to our Austin, Texas practice for revision rhinoplasty with Dr. Antunes. While restoring the appearance of a damaged nose may appear simple, the challenge is considerable—typically far more complex than the initial rhinoplasty.
Why Choose a Revision Rhinoplasty Specialist?
Revision rhinoplasty surgery is the most complicated procedure in facial plastic surgery. No other procedure requires as much experience or combines art and science as much as revision rhinoplasty. Mastering this procedure takes time, dedication and skill. It requires a thorough understanding of the nasal structures and how they endure the healing process, in addition to a heightened attention to detail.
A true specialist puts an extensive amount of planning into a revision rhinoplasty procedure. Dr. Antunes spends a great deal of time evaluating the appearance and structure of the nasal tissues, the strength of the cartilage, and the areas of cartilage removed during the previous operation. He also evaluates the skin thickness and quality and the presence and degree of scar tissue on the nasal tissues.
Dr. Antunes takes a lot of pride in his revision rhinoplasty work. He understands the importance of harmony between the nose and the face and how much work it takes to repair a nose after a rhinoplasty that was not successful. He has advanced surgical training in this procedure and his commitment to excellence will clearly show why he is uniquely qualified to perform your revision rhinoplasty.
Meet Dr. Antunes
Board-certified facial plastic surgeon Dr. Marcelo Antunes dedicates his practice exclusively to aesthetic procedures for the face. He can help you look your best and be confident in your appearance.About Dr. Antunes
Do You Need Revision Rhinoplasty?
Revision rhinoplasty (also known as secondary rhinoplasty) reshapes the nose following prior failed nasal surgery. This is usually done due to persistent cosmetic irregularities, breathing difficulties, or both. There are many reasons why a rhinoplasty can fail to achieve the desired result. Some of these factors are related to the surgeon, such as substandard technical performance or lack of experience. In some cases, patients don’t comply with a surgeon’s post-op instructions or they heal poorly.
Dr. Antunes uses both closed and open approaches for primary rhinoplasty, but typically performs revision rhinoplasty using an open approach. Patients undergoing revision surgery usually have already had much of the septum removed and require an alternative source for cartilage grafting—typically the ear or rib cartilage. If the previous rhinoplasty procedure was performed through an open approach, Dr. Antunes uses the same incision on the columella. The incisions typically heal extremely well and over time become nearly invisible.
During the procedure, he elevates the skin and soft tissue of the nose from the cartilage and bones to allow for their sculpture to create the new shape. The biggest challenge in revision rhinoplasty is the presence of scar tissue from the previous procedure, which varies from patient to patient. Dr. Antunes tailors the procedure based upon the patient’s goals, specific nasal anatomy, facial structure, and unique features. Typically, cartilage grafts will be required to restructure the nasal support system. A successful revision rhinoplasty improves nasal harmony in relation to other facial features.
A revision rhinoplasty procedure can take from 3 to 5 hours. Dr. Antunes uses general anesthesia or local anesthesia with sedation, depending on the case and the patient’s preference.
Recovery & Results
Dr. Antunes places a cast on the nose and uses dissolvable stitches on the inside of the nose and regular stitches on the skin between the nostrils. Some patients may have thin splints on the inside of their noses to help secure the septum midline. He doesn’t pack the nose after surgery, minimizing discomfort during the recovery. You should have someone drive you home and remain with you during the first 24 hours after the procedure.
Nasal congestion and pressure is normal during the first few days after the operation. Discomfort varies from patient to patient, but most patients experience mild pain that can be controlled using prescribed medication. Dr. Antunes schedules several follow-up appointments during the first couple of weeks after the surgery. He removes the cast 7 days after your surgery and most patients can return to work after a week. Expect to take at least 2 weeks off from other activities, such as exercising. You may have bruising around the eyes, but it can be easily camouflaged with makeup.
As one of the nation’s leading facial plastic surgeons, Dr. Antunes takes great pride in performing revision rhinoplasty because it demands technical expertise and an artistic eye. Request a consultation using the online form to meet personally with Dr. Antunes to discuss your concerns. You can also call The Piazza Center at (512) 288-8200 to schedule an appointment.