Steven Pearlman, MD,FACS
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Steven Pearlman, MD,FACS
Plastic surgeon | Views: 17680

Friendname: drpearlman
Business Name: Pearlman Aesthetic Surgery
Website: www.mdface.com
Location: 521 Park Avenue
New York, NY 10065
United States
Telephone: 212.223.8300
Languages Spoken: English

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Ask An Expert > Steven Pearlman Message Board > Are the risk for a second rynoplasty any greater than the first?
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Gretna, LA
Are the risk for a second rynoplasty any greater than the first?
considering a 2nd because, I have a nostrile that is partially collapsed, there is also a deviation with my columella, sort of a concave convex thing going


Plastic surgeon
Southlake, TX
United States
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Maybe.  August 19, 2009 9:33 PM

It depends on technique. I would suggest open technique for what you describe. The risks may or may not be more (but not by much) for the secondary.
What is for sure however is that it is more difficult to get a good result due to scarring, and the possibility that you may not have a lot of cartilage left. This may require a graft from the ear.
In experienced hands however, you should get improvement with minimal risk. The main risk will be recurrence of cartilage warping or graft visibility.

Plastic surgeon
New York, NY
United States
View My Professional Profile
Revision rhinoplasty is not necessarily riskier, but its harder to get right  February 23, 2010 10:06 AM

Each subsequent nasal operation gets more difficult to perform and getting ideal results may be less. However, if you have surgery by a doctor skilled in revision surgery the results are usually very rewarding. I warn my patients that we aren't necessarily going to get ideal results, but their noses usually look and work much better than they did before revision surgery.



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