Revision rhinoplasty

Reasons to have a revision rhinoplasty

Perhaps you have had prior nose surgery in the past and are not totally pleased with the results. Or your nose looked great for the first year or two after surgery but then gradually took on a pinched or unnatural appearance. Or maybe you breathe worse after your surgery than before. These are all common scenarios that Dr. Lamperti has encountered in patients who turned to him to help correct their nasal problems.

Trust your nose to a rhinoplasty expert

Revision rhinoplasty is more complicated than having a primary procedure for several reasons. The natural tissue planes were disrupted during the original surgery and replaced with scar tissue, making dissection more difficult.  Often the natural supporting framework of the nose was compromised, necessitating reconstruction and structural supplementation.  Additionally, many such patients have already undergone a septoplasty, limiting the amount of septal cartilage that can be used for surgery.  Dr. Lamperti is able to use cartilage from either the patient’s ear or rib to complete the surgery if needed.

Formulate a shared surgical goal

Thomas Lamperti, MD finds revision rhinoplasty surgery to be among the most personally rewarding procedures he does. A key to revision rhinoplasty is obtaining a shared, realistic goal with the patient.  Very often the lack of appropriate communication with the original surgeon is what led to the less than optimal results.  Dr. Lamperti uses computer based imaging software to morph his patients’ photos to give them an idea of what he thinks is realistically possible given their skin type, anatomy, and overall facial features.  Dr. Lamperti’s patients understand that the morphed images are not a guarantee of results but a simulation of a shared surgical goal.

Structure-based surgical approach to revision rhinoplasty

Dr.  Lamperti often performs revision rhinoplasty using a small, nearly imperceptible, incision across the bridge of tissue between the nostrils (the columella).  This open surgical approach affords an excellent view of the cartilages of the nasal tip and allows for more precise surgical maneuvers.  This is especially important in revision cases where the underlying cartilage has been compromised.  Many of the problems encountered as a result of prior rhinoplasty can be attributed to inadequate support of the underlying nasal framework. Correcting these problems focuses on re-establishing the proper nasal support using a variety of techniques including cartilage grafting.

Before and After Revision Rhinoplasty Example Photos

Below are a few examples of Dr. Lamperti's revision rhinoplasty patients' before and after photographs:

Revision rhinoplasty patient 1 frontal

Revision rhinoplasty patient 1 profile

Revision rhinoplasty patient 3 frontal
Revision rhinoplasty patient 3 profile

Revision rhinoplasty 2 patient 2 profile
Revision rhinoplasty patient 2 oblique view
Revision rhinoplasty patient 4. Middle pane shows Dr. Lamperti's preoperative morphing simulation
Revision rhinoplasty patient 5 oblique view
Revision rhinoplasty patient 5 frontal
Revision rhinoplasty patient 7 profile
Revision rhinoplasty patient 11 pinching invetsed V nose repair frontal
 Revision rhinoplasty before and after showing hanging columella and alar retraction repair  Revision rhinoplasty patient 14 before and after profile montage