Nose Surgery Repair, New Jersey
Revision Rhinoplasty, or Secondary Nose Job, is nasal surgery done to correct a poor outcome in appearance or function of the nose from a previous surgery. It may be due to the unforeseen complications such as infection or nasal injury in the immediate postoperative period. In other cases, it might be due to inexperience of the primary surgeon, or the use of techniques that aren’t the standard of care. It may be that there is still a bump on the nose, or that too much of the hump was taken down. Sometimes the nose is crooked, or the nasal tip does not look right. Maybe your nostrils are asymmetrical and too large. In any case, repair of the nose in these instances is especially complex and requires a surgeon with special expertise in this part of plastic and reconstructive surgery. Dr. Undavia has coauthored many articles, most recently on the nasal tip and revision rhinoplasty. He has extensive training as a dual board certified fellowship trained facial plastic and reconstructive surgeon.
During your consultation, Dr. Undavia will thoroughly examine the inside and outside of your nose. It is important to address both the structure and function of the nose in revision rhinoplasty. As surgery has already been done to alter the structure of your nose, revision rhinoplasty can be much more complex than primary rhinoplasty. Therefore, Dr. Undavia will discuss with you if any additional maneuvers or grafts will be needed to help correct the outward deformity and the internal structure. Computer imaging will be used to help show you a realistic goal for your surgery.
Revision rhinoplasty is done under general anesthesia and on an outpatient basis. A tiny incision is typically hidden in between the nostrils. The remainder of the incisions are hidden inside the nose. As the nasal deformity is corrected, cartilage sometimes needs to be replaced or repositioned to help achieve the best possible results. Suture techniques can also be used to address the nasal tip. After surgery is complete, an external nasal splint is placed to help protect the nose for 5 days. If there are external sutures, they will also be removed in 5 days.
There is some swelling and bruising that comes down shortly after surgery. Dr. Undavia will see you the day after surgery, as well as 5 days after to inspect your nose. Typically, weekly visits are needed for a few weeks to keep the inside of the nose clean, so that you can breathe better. While most of the swelling is gone with the first few weeks of surgery, there is a minimal residual amount of swelling that can persist for many months following surgery. Light exercise can be started around 2-3 weeks, but full impact exercise, including contact sports should be avoided for 6 weeks, as this time is crucial for the structural components of the nose to settle in. Contacts can be worn, but glasses should be used with caution, as they can exert asymmetric pressure on the nasal bones. Ask Dr. Undavia for your options if you wear glasses.
Choosing Your Doctor
Experience matters in nasal surgery. Rhinoplasty is the most difficult plastic surgical procedure to achieve consistently good results. In revision rhinoplasty, the ability to achieve the best results is even more difficult. It is very important that you choose a doctor that not only does this operation often, but that has had the training to handle all of its intricacies. As a dual board certified plastic surgeon, Dr. Undavia focuses exclusively on the face and neck. His training in both otolaryngology and facial plastic surgery has made him the doctor that other doctors approach for help in patients who have had previous nasal surgery. During training, Dr. Undavia focused heavily on Rhinoplasty and Revision Rhinoplasty. He understands the implications on structure and function from every surgical decision in nasal surgery after having published in numerous peer reviewed journals, educational materials and presented his work nationally.
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