Revision/Secondary Rhinoplasty

Before & After Gallery Revision/Secondary Rhinoplasty

About The Procedure

Dr. Hodgkinson is well experienced in correcting a rhinoplasty, or nose reshaping surgery, that has previously gone wrong this is called secondary rhinoplasty. He sees a large number of patients coming to his clinic after a nose surgery that has been performed elsewhere has led to contour deformities or an unsatisfactory result.

An expert who has been published in major scientific journals discussing the very topic of secondary rhinoplasty, Dr. Hodgkinson often rectifies a common error that results in the over-resect or removal of too much tissue from the nose during an attempt to reshape it.

Dr. Hodgkinson has presented internationally his correction process, which involves the use of bone and autogenous tissues (your own tissue not silicon) to repair over-resection cases in the bridge of the nose.

revision secondary rhinoplasty
Before and 6 months after Secondary Oriental Rhinoplasty

Dr. Hodgkinson will use the ear and the olecranon or elbow area as a donor site for the surgery which in most cases is performed under a light general anaesthetic. Very occasionally he uses rib cartilage.

A secondary rhinoplasty often involves complicated grafting, and underlying scarring or loss of tissue meaning that the results will be less predictable than primary surgery. Dr. Hodgkinson will always aim for improvement, but all patients must understand that realistic expectations will need to be in mind due to the unique problems secondary rhinoplasties present.

The technique of a revision or secondary rhinoplasty

Rhinoplasty is a very popular cosmetic procedure that does not exist purely to change the aesthetics of someone’s face.

Dr. Hodgkinson uses the grafting technique in instances where too much tissue has been removed by a previous surgeon, requiring cartilage or bone to be grafted from other parts of the body. A similar procedure is used when someone has experienced a severely broken nose. Dr. Hodgkinson will use the ear and the olecranon or elbow area as a donor site for the surgery which in most cases is performed under a light general anaesthetic.

revision secondary rhinoplasty
A before and after of a secondary rhinoplasty procedure as performed by Dr. Hodgkinson.
Note improvement of the bridge with a bone graft.

If you have previously undergone the rhinoplasty procedure and are experiencing adverse effects as a result of the surgery, Dr. Hodgkinson is a qualified and trusted cosmetic surgeon who has performed many.

The risk of Injectables into the nose

When looking to correct an over-resect, some surgeons will inject the tip of the nose with fat or fillers. This is an unstable solution that will eventually see a loss of shape and form, requiring it to be repeated continually. This technique can also lead to further destruction of the tissues making the problem far worse in the long run and in severe cases, even causing blindness due to fat embolism.

As a result, Dr. Hodgkinson does not advocate for this technique, instead opting to use tissue from behind the ear (posterior auricular fascia) to create a pad that can be placed under the skin on the tip of the nose. This creates a soft and natural contour which is also suitable for use in the saddle of the nose to correct a contour deformity in this region as well.

By using the patient’s own tissues, the risk of an adverse tissue reaction is removed.There will be no visible scarring at the donor site behind the ear as the incision can be placed in the crease.

Dr. Hodgkinson has previously demonstrated that this technique is clinically sound, and leads to excellent long term results in a number of cases. His results have been published in the peer reviewed Plastic Surgery literature.

Dr Hodgkinson’s experienced team put a significant focus on the pre and post-care of a patient for any procedure. This results in lower risks, with the team proudly responsible for safe cosmetic surgery journeys across their range of procedures. It is ensured that all patients with be completely comfortable with all elements of their procedure, with all questions answered and complete care from the initial stages through to the healing process and beyond.

revision secondary rhinoplasty
Before and after 6 months of rhinoplasty as performed by Dr. Hodgkinson.

How do I know if I need a secondary rhinoplasty?

The results of a rhinoplasty procedure that has been performed correctly should last a lifetime and should only be performed once. The correct aesthetic of a nose job should be appropriate and individualised for each patient.  While rhinoplasty is a procedure that aims to reshape the nose to provide a pleasing appearance. There are some cases where patients are dissatisfied or experience issues with a nose job that create the need for a revision. This is often obvious when the nose is not in harmony with other facial features, especially in profile view, this may result no matter how much care is taken in the operation, as healing differs from patient to patient.

Well-performed rhinoplasty procedures should also be ethnically appropriate and individualised to the other facial features, appearing natural without any visible evidence of surgery. The “nose job look” stereotypically features a nose reduced in size and too small for the face. Some surgeons think a “standard” nose looks good on all patients but Dr Hodgkinson believes there is one nose just right for each patient and it differs from patient to patient.

revision secondary rhinoplasty
Before and 6 months after Secondary Asian Rhinoplasty with Bone Graft

Why you must be selective of the surgeon performing your revision procedure

Secondary rhinoplasty is for expert nose surgeons only.

Revision rhinoplasty is much more difficult, time-consuming and less predictable, with a risk of the ‘cookie-cutter’ look if left to the hands of an inexperienced surgeon who can create a desirable look for both men and women.

Dr. Hodgkinson is not only experienced in the revision procedure, but also uses a method that involves the patient’s own tissue. This helps avoid long-term complications such as extrusion and infection of foreign material if left in the nose. Healing in the nose is very unpredictable, and slight asymmetries are very common after about three to six months. You should be aware that a minor touchup procedure may be required after your first rhinoplasty. Secondary rhinoplasty results are even less predictable.

Dr. Hodgkinson will always aim for improvement, but all patients must understand that realistic expectations will need to be in mind due to the unique problems secondary rhinoplasties present.

Why you should choose Dr. Hodgkinson for your secondary rhinoplasty

As mentioned earlier,  expectations for secondary rhinoplasty procedures need to be downplayed due to the complexity and unique issues that can apply. This being said, Dr. Hodgkinson is extremely experienced in all facets of this procedure and the Cosmetic & Restorative Surgery Clinic in Double Bay features all of the latest equipment and a team with the expertise, experience, and understanding to help find the best solution and outcome for you.

With over 30 years of experience in facial cosmetic plastic surgery, Dr. Hodgkinson has lectured about the rhinoplasty procedure all over the world. As an expert in aesthetic rhinoplasty and Asian rhinoplasty, Dr. Hodgkinson has performed thousands of rhinoplasty surgical procedures and is unparalleled in his expertise, experience, and communication skills. He is well known for his ability to artistically assess all of their facial features to determine which is the correct path forward to craft a nose that is attractive, harmonious, and appears natural to the face.

revision secondary rhinoplasty
A before and after rhinoplasty with olecranon bone graft as performed by by Dr. Hodgkinson

If you think you may be in need of a secondary rhinoplasty, book an appointment with Dr. Hodgkinson at which he can assess your situation and the previous work that has been done, while presenting the options for your path forward.

He will answer any questions you may have while ensuring that you understand the possibilities available to you so you understand the potential outcomes and will not have to undergo a revision process again. Speak with us today about making a time to have your current rhinoplasty assessed and the potential future options available to you discussed. You may be unsure or unaware of the possible options available to you, we’ll be able to clear this up and help you down the best path for your situation.