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Revising the Revisions

Dr. Lipton is an accomplished plastic surgeon, double board-certified in both plastic surgery and in oral and maxillofacial surgery. This double focus and extensive range of surgical experience and training give his patients comfort knowing they are in the hands of a true specialist.

That degree of training and experience isn’t always the case with other surgeons. That could be why Dr. Lipton has many patients coming to him to perform revision rhinoplasty after having previous nose surgery done elsewhere. Rhinoplasty is a complicated, delicate surgical procedure, and it demands a combination of surgical expertise and an eye for aesthetic appeal.

If you’re unhappy with your nose surgery, Dr. Lipton can help.

What is revision rhinoplasty?

When Dr. Lipton sees a patient desiring revision surgery, the person can be coming to us for many reasons. Revision rhinoplasty can be needed for functional reasons, as the previous surgery has somehow occluded the nasal passages. It may be for cosmetic reasons such as the bridge sagging. Some people may have had as many as five or six prior surgeries.

Revision rhinoplasty demands expertise because it is often more complicated than the original procedure. Tissue and cartilage grafts can be necessary to provide the required mass needed for the procedure. Sometimes Dr. Lipton basically needs to rebuild the patient’s nose.

How is this done?

As is the approach he takes with every surgery, Dr. Lipton treats each case of revision nose surgery as a completely unique situation. Some of these surgeries can be straightforward, where the patient simply wants some additional bone or cartilage removed from the nasal bridge. Maybe the tip remained more bulbous than they were hoping.

Or they can involve a complete rebuilding of the nose. In these cases, the previous surgeon removed too much tissue, cartilage, or bone, leaving the patient disfigured. Revising these prior mistakes can require surgeries lasting up to four hours. These surgeries may require tissue grafts harvested from the ear, ribs, or temple regions to restore the necessary amount of cartilage, bone, and fascia. In these types of revisions, the skin and soft tissue can be a limitation due to previous scarring and a developed resistance to expansion. In these cases, it’s important to have realistic expectations.

In these revisions, Dr. Lipton often finds the open method to be necessary because it allows better access to the structures that may need grafting or rebuilding. Open rhinoplasty is done through an incision on the skin under the nose between the nostrils. If that sort of access isn’t needed, Dr. Lipton will use the closed method where all incisions are made inside the nose.

It’s important with all cosmetic surgeries to do your research into your surgeon, but this is even more the case with rhinoplasty. Dr. Lipton is a double Board Certified Plastic and Oral and Maxillofacial Surgeon. That’s the kind of experience needed for these procedures.

If you’re unhappy with a previous nose surgery, there’s no reason to live with it. Call Dr. Lipton at (972) 420-0023 and schedule a consultation to get things right this time.

Posted in: Rhinoplasty

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Location

Stuart Lipton, MD
591 West Main Street
Lewisville TX 75057
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972-420-0023