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Dr. Gerzenshtein

Jacob Gerzenshtein, MD, FACS,
A Board Certified Plastic Surgeon

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Revision Rhinoplasty

When do splints come out after revision rhinoplasty surgery?

That depends on the type of nasal splint in question. External splints are used almost always, because some type of nasal bone reshaping is done as part of the revision rhinoplasty more often than not. When only nasal tip work is done, they may not be employed. When used they routinely stay on for two weeks. Internal splints are not used routinely. Typically, they are used in cases of the deviated nose or septum, where the partition of the two sides of the nose was reset. When used they are removed between postoperative day five and seven.

After revision rhinoplasty, does someone need to help me get around, and keep me company at home?

The ability to function in the face of normal post-operative pain, and swelling depends on the individual patient undergoing revision rhinoplasty. As a rule, however, a friend or family member should remain with the patient for at least the duration of the first post-operative night.

Is financing available for revision rhinoplasty?

It is possible to get financing for any surgical procedure, cosmetic or reconstructive. The details depend on your surgeon.

Is revision rhinoplasty very painful?

Congestion, inability to breathe through swollen air passages, the taste of blood are all problems that most revision rhinoplasty patients are bothered by more than pain. Pain is normal with any surgery, and is no worse with revision rhinoplasty.

What are the risks or complications involved in revision rhinoplasty (nose reshaping)?

Any surgical procedure carries with it three types of problems. The first is related to anesthesia; general, and less commonly local. The second category is common to all surgical procedures. This is the risk of bleeding, infection, loss of soft tissue, loss of skin, numbness, etc. The third is specific to the particular surgery being performed. In the case of revision rhinoplasty, this would be asymmetry, changes in appearance over time, etc.

Do I need a CAT scan or an X-ray before undergoing revision rhinoplasty?

Though some surgeons will only get an imaging study when there is a breathing problem, most complicated, and secondary revisional revision rhinoplasty patients will need the so called CAT scan. In short the answer depends on the patient.

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