We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.
How Many Revision Rhinoplasty procedures is Too Many?
Rhinoplasty revisions are extremely challenging. In the cosmetic world they may be one of the most difficult things we do. It is impossible to say without a close examination and history if there are things that can be improved. While a board-certified plastic surgeon is always a good place to start, it is reasonable at your third surgery to go to someone with world renown experience. People like Jack Gunter in Texas or Nick Tabbal in NY - there are literally just a handful of "super experts" that you may want to consider. Dr. Williams spent time training with Nick Tabbal in Manhattan years ago and has nothing but positive things to say about his revisions. This is not to say that any plastic surgeon cannot make things better but each subsequent surgery creates more scar tissue, weakens support and vascularity of your nasal structures and can create more problems if you don't get a home run. In our Tri-Valley practice in Dublin we routinely see and operate on Rhinoplasty revisions however we are not above referring out very challenging ones (3rd, 4th, 5th revisions).
Clinical Context
With each revision, the nose has less healthy tissue to work with — scar replaces normal layers, blood flow to the skin becomes less predictable, and cartilage that could be used for grafting may already be used up. These changes make surgery technically harder and can limit how much improvement is realistically possible. Because of this, many surgeons suggest seeking a surgeon with significant revision experience by the second or third procedure, and expectations should be discussed candidly before agreeing to another operation.
