Reasons for Revision Rhinoplasty

Rhinoplasty was the fourth most popular cosmetic procedure performed in 2009, with 138,258 operations performed according to the American Society for Aesthetic Plastic Surgery (ASAPS). NewBeauty reports that as many as 15% of those patients will seek out a revision procedure to address their dissatisfaction. While the reasons may vary from patient to patient, it is not uncommon for the person to seek out a different plastic surgeon the second time around.

The Archives of Facial Plastic Surgery recently published a study that examines the patient reasoning for revision rhinoplasty and how their perceptions may differ from that of the second surgeon to perform the surgery.

Of the 104 patients seeking revision rhinoplasty that were studied, the top aesthetic complaints were having a crooked middle third of the nose and an asymmetrical tip. The most common functional complaint was the blockage or breathing problems.

While 79% of the doctors shared the same concerns as their patients, 55% of them identified issues that did not coincide with their patients’ reasons for dissatisfaction.

The researchers concluded that this discrepancy could be attributed to the surgeon’s more systematic view of the nose as opposed to the patient’s less critical analysis of its anatomy. The researchers also suggest that surgeons may base their criticism of another doctor’s work off of a personal bias, whereas patients have a more subjective opinion.

It is important for a plastic surgeon to respect the requests and concerns of their patient, as long as it does not interfere with their health. Even if the surgeon identifies additional flaws that can be addressed with revision rhinoplasty, it is up to the patient as to whether or not to surgical address said issues.

If you are a Bakersfield resident that is considering revision rhinoplasty, I urge you to schedule a consultation at the California Institute of Cosmetic & Reconstructive Surgery.

To Your Health & Beauty,

Vipul R. Dev, M.D.


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