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Frank Agullo, MD En Español

Rhinoplasty Revision

Your nose is a key feature on your face.  If you had a rhinoplasty procedure done, and are unsatisfied, then rhinoplasty revision may be what you are looking for.

Did you get a nose job but are unhappy with the results? Rhinoplasty corrective surgery is a term used to describe a rhinoplasty revision, mainly from a nose job that heals improperly. Your nose is a prominent feature of your face. Those who seek rhinoplasty surgery in El Paso are already unhappy with the size or shape of their nose prior to getting a nose job. So when a botched nose job makes your nose look worse – instead of better – it can lead to a significant decrease in self-esteem.

Both men and women can have noses that are too big or small, or that have noticeable bumps, crooks, misshapen appearance or that need reconstruction from a previous break. Whatever the reason for wanting a nose job revision in Southwestern Texas, Dr. Frank Agullo’s surgical team can provide effective nose job revisions. This award-winning plastic surgeon can give you a glimpse of your rhinoplasty revision prior to the procedure, using an advanced 3D Vectra system. This is an accurate “before” and “after” whereby the machine can physically show you what your nose might look like after he performs the rhinoplasty correction.

What does rhinoplasty revision accomplish?

Although every person’s nose and circumstances are unique, there may be common problems that can be addressed by getting a nose job revision. Dr. Agullo can assess the damage done to your nose by previous surgeries, if this is the case. Or, perhaps you had an accident or health issue that caused your nose to become asymmetrical, uneven or undesirable when you look in the mirror. Whatever the case may be, it is best to schedule a consultation with him to hear his recommendations for your case.

Some people with extreme cases must go through a more complex nose job adjustment. The rhinoplasty requires a cartilage graft from the patient’s ribs or ear cartilage, which is used to build up the tip and build up the dorsum of the nose, especially in cases when the tissues have been damaged too severely and there is not much left for the plastic surgeon to work with. Rest assured, this is only done when there are no other alternatives. Only the most experienced and talented plastic surgeons can perform a complex rhinoplasty revision with rib graft, and Dr. Agullo of Southwest Plastic Surgery is one of the most trusted plastic surgeons in the country.

Rhinoplasty Revision can also:

  • Improve nasal asymmetry
  • Refine nasal tips
  • Increase tip projection
  • Adjust tilts, crooked or misshapen noses
  • Restyling a nose from previous breaks or improper healing
  • Fix uneven bridge, tip or nose structure
  • Rib graft for complex rhino revision
  • Fixing of drooping, upturns, turndowns
  • Correct disproportioned nostrils
  • Narrow alar flare
  • Improve breathing by correcting nasal airway
  • Repair of septum perforation

As a word to the wise, always read reviews about a rhinoplasty surgeon prior to getting one done. Rhinoplasty revisions are highly specialized and not every plastic surgeon has significant experience to perform these. In other words, all nose jobs are not created equally! You will live with your rhinoplasty for the rest of your life!

El Paso Rhinoplasty Revision Expectations

Very often, the thought of rhinoplasty revision is a sensitive subject. A patient may feel awkward, embarrassed or angry about their botched nose job. Dr. Frank Agullo is very compassionate. As we mentioned, the Vectra 3D imaging system is a great tool to give you an accurate “before and after” look at what your nose will look like after it heals. Not only will you have peace of mind that the look of your nose will be improved, but that you have a true professional plastic surgeon to perform your nose job the right way.

Once Dr. Agullo assesses the damage done by any previous rhinoplasty, he can determine which procedure is best for you. You will most likely undergo one of the following nose job correction techniques:

  • Open Rhinoplasty Revision: In this procedure, the nose job surgeon will be able to look at the inner structures of your nose with maximum precision. In complex nose job corrections, this procedure yields the best results. Open rhinoplasty revisions require an extra incision along the inside of the nose and on the columnella, which is reserved only for complicated nose reconstruction.
  • Revision Rhinoplasty with Rib Grafting: When the nose no longer has enough cartilage to perform a “normal” nose job, then a plastic surgeon must extract the cartilage from another source. 99% of the time, it comes from a rib, which requires extra healing time. Your chest may be swollen and sore for a few days, as well as your face from where the reconstruction of the nose is done.

Dr. Agullo will determine which type of rhinoplasty revision surgery in El Paso that is recommended for you, based on the damage done and on the condition of your nose.

Preparing for Rhinoplasty Corrections in El Paso

Getting ready for a rhinoplasty revision may be more stressful than with other types of surgery. People who have gone through a bad experience with another plastic surgeon often feel nervous, and this is normal. Dr. Frank Agullo has completed hundreds of successful rhinoplasty revisions, making him one of the most trusted nose job specialists in the U.S. He is board certified and highly recognized as one of the Albuquerque and El Paso area’s leading plastic surgeon for rhinoplasty. He has the experience and credentials to help make your nose look good again. To give you peace of mind, Dr. Agullo will explain everything in full detail, as well as showing you before and after pictures of what you can expect your nose to look like after the rhinoplasty revision is complete.
Preparing your body is essential prior to rhinoplasty surgery in Texas. For optimum results, make sure to avoid tobacco smoking anytime within a few weeks before and after your surgery. Eating healthy and taking vitamins will build up your immune system.

Before a corrective nose job surgery, you should:

  • Not use any tanning beds and avoid the sun’s UV rays.
  • Lessen the chance of infections or blood clots by quitting smoking.
  • Avoid using aspirin or prescription medications which contain blood thinners, such as Motrin, Advil or Ibuprofen, and the like. Even certain herbal supplements should be avoided, such as green tea.
  • Reschedule if you become sick with any type of illness, flu, skin infection or even the common cold.
  • Schedule time off from work to heal from soreness and swelling, especially if a rib graft is part of your rhinoplasty revision.
  • Find a relative or friend who can help you get to and from the hospital or clinic. It will take a few hours to perform the nose job, and you will be unable to drive after having anesthesia.
  • Not eat or drink after midnight the night before your surgery.

Most patients who receive a rhinoplasty revision surgery will undergo general anesthesia. Southwest Plastic Surgery uses some of the area’s best anesthesiologists on our team to ensure your safety and comfort.

How Long Will it Take to Recover After a Complex Nose Job?

For at least two weeks to three months following rhinoplasty, you will experience swelling, soreness and changes in the way your face feels. Rest assured that your swelling will subside and then you will adjust to the appearance of your new nose. These adjustments can take time.

The surgeon may tape the nasal bridge and supratip to lessen swelling. The tape adds needed pressure to your nose to help push out any trapped fluids, which can reduce swelling. It also encourages the tissue to decrease in volume and size on the swollen portion of your nose. This is often done within the first couple of weeks after nose job surgery and up to six months thereafter.

After your nose splint comes off, you will notice that your nose may be bruised, swollen and tender. It may feel as if you got into a fight! Be patient, because by the end of the second week, it will go back down to a normal size, at least one that is comfortable enough for you to go out again in public.

Of course, everyone is different and this depends on how complicated your rhinoplasty revision will be. Healing varies from one individual to the next. It can take as much as a year for some people to see their final nose shape, so bear this in mind when you schedule your surgery. Do you have any major social obligations?

As a side note, some rhinoplasty patients complain about having a stiff upper lip or struggle to make normal facial expressions, such as smiling or laughing. Try not to be too concerned, as this is common and will work itself out after the swelling diminishes. You can apply ice packs to your face and nose to help with swelling.

What are the risks of having a rhinoplasty revision?

Again, having a trustworthy plastic surgeon in the U.S. is the most important aspect of achieving a successful outcome. First-time rhinoplasty patients may not be quite as gun-shy about going through this rather common procedure, but second-timers are more fearful. They may be worried about their noses looking worse, instead of better. Dr. Frank Agullo is an accredited member of The American Society of Plastic Surgery and has won various awards for his outstanding work. He will do his best to restore your faith in the plastic surgery industry.
Other risks are associated with people who smoke or drink alcoholic beverages, or who use pharmaceuticals or illegal drugs. Hiding these habits from your doctor is a big no-no. Do not be too embarrassed, as your life depends on it.

Some risks of rhinoplasty revisions include:

  • Not liking the way your nose looks
  • Blood clot
  • Infection
  • Adverse reactions to the anesthesia
  • Strokes
  • Severe soreness or swelling
  • Pain and discomfort

Ask your doctor if you have any known health concerns.

How Much Does it Cost to Get a Nose Job Correction?

Pricing varies depending on the extent of the treatment or surgery. You can see a list of the approximate prices of each procedure on our current fee schedule. Dr. Agullo charges a consultation fee of $100, which is applied to the cost of your treatment. Generally speaking, cosmetic plastic surgery is considered “elective” and is not covered by most insurance plans. The prices listed on our fee schedule represent the minimum cost of the procedures, including anesthesia and surgical facility fees, medical tests, garments, and recovery products. The cost of prescription medications, however, is not included. The exact price of each procedure can only be determined after a thorough consultation. All fees must be paid in full prior to the scheduled treatment.

Is getting a rhinoplasty revision worthwhile? Most patients unanimously agree that it is. Not only will it improve your self-esteem and confidence, it can make you feel “normal” again after a bad experience, so that you can go on with your life and put your best face forward.


Schedule a risk-free evaluation with Dr. Frank Agullo today.