Eye Lift or Blepharoplasty
Your eyes are often the first things that people notice about you and are an important aspect of your overall appearance. Over time, the previously smooth eyelid skin stretches leading to wrinkles, and underneath, the muscle weakens which can lead to visible fat pads. In some people, the eyebrows descend with aging (a condition called brow ptosis), causing a heavy upper eyelid with skin redundancy. If severe enough, this can impair peripheral vision making it difficult to see without having to strain your forehead. Still others experience primarily fat loss throughout the aging process, which can lead to a hollowed-out look. Age, heredity and sun exposure all contribute to this process.
Whether it is loose or baggy eyelids, hooding, or a hollower-out look, an eye-lift or blepharoplasty with or without a browlift can help restore a more youthful appearance and turn back the clock. Frequently, these procedures are paired with fat transfer or filler injection to help restore volume.
Surgery to improve the appearance of the eyelids is called blepharoplasty. The goal of blepharoplasty is to give the eyes a more youthful look by removing excess skin, bulging fat, and lax muscle from the upper or lower lids. If the sagging skin obstructs peripheral vision or if you need to constantly raise your eyebrows to be able to see, blepharoplasty can eliminate the obstruction and expand the visual field.
Excess skin and fat are removed from the upper lid through an incision hidden in the natural eyelid crease. If the upper lid is droopy, the muscle that raises the lid can be tightened. The incision is then closed with fine sutures.
Blepharoplasty can also be done on the lower eyelid. Here, fat that has started to become visible can be removed or repositioned through an incision on the inner surface of the lid (transconjunctival blepharoplasty). Laser resurfacing or a chemical peel can be performed at the same time if desired, to smooth and tighten the lower lid skin.
If there is excessive skin or very loose skin in the lower lid, the incision is made just below the lashes. Fat can be removed or repositioned through this incision, and the excess skin is removed. The incision is then closed with fine sutures.
Blepharoplasty will not elevate a drooping brow or remove wrinkles in the crow’s feet area. A procedure to elevate the brows may be appropriate, instead of, or in addition to upper lid blepharoplasty.
Correction of mild to moderate brow ptosis can be accomplished through incisions directly above the brows, in the forehead creases, at the hairline, or even hidden inside the hairline if done endoscopically. various techniques with you and will help determine which one is suited best for you.
The endoscopic brow lift is performed through small incisions hidden behind the hairline, using an endoscope and special instruments. The muscles that pull the brow down and crease the forehead skin are relaxed, allowing the brow to be restored to its former youthful position. A corneal brow lift can achieve the same results through a larger incision well behind the hairline. Dr. Burchhardt will discuss with you which technique is suited best for you depending on your brow position, anatomy and goals.
Neck Lift and Face Lift
Aging, gravity, and environmental factors can detract from the previously youthful contours of the lower face and neck. Throughout time, our skin loosens and forms wrinkles, we progressively loose baby fat leading to hollowed out features, and our tissues descend leading to jowls, deep facial lines, loose tissue draping our jaw line and into the neck.
Neck and face Lift surgery helps re-create a defined, youthful neck and jawline by targeting the deep lines and loose tissues in our lower face, jawline and neck. By re-positioning the muscle and skin, it provides a natural look.
A necklift can correct some or all of the following:
- “Bands” in the neck
- Loose tissue underneath the chin that appears as a “double chin”
- “Jowls” or the redundance of tissue along the jawline
- Loose skin in the neck or lower face
Good Candidates for Neck Lift and Face Lift Surgery
Ideal candidates for neck and face lift surgery are in good health overall and have realistic expectations about the results that can be achieved. During your consultation, you and Dr. Burchhardt will discuss your goals to determine whether a face lift and/or neck lift is right for you. Frequently, fat transfer to restore lost volume or brow lift and eyelid lift are combined to achieve a comprehensive facial rejuvenation.
Neck lift surgery is performed as an outpatient procedure under general anesthesia. Dr. Burchhardt places the incision around and in the hairline and in the creases around the ear, so that the incision is well hidden and that your natural hairline is not displaced – you can still wear your hair any way you want. An incision under the chin may be used to remove excess fat from the area and to tighten the front of the neck. Dr. Burchhardt repositions the underlying tissues, which may include tightening the platysma muscle that causes banding. She then re-drapes the skin over the tightened muscle, removing any excess skin to restore the youthful contours of your jawline in a natural look that never appears stretched. Dr. Burchhardt performs both deep plane and mini-face lifts depending on the individual’s goals.
Chin Implant or Chin Augmentation
The chin plays a prominent role in facial aesthetics. When the chin is unbalanced in relation to the rest of the face it can create disharmony. For example, a chin that is set back or “weak” can make the nose look disproportionately large, or it can cause poor neck contours and premature aging. A chin implant augments the chin to provide a more balanced facial contour and can improve the neck line by softening the transition from jowl to chin. Chin augmentation can be performed on its own in the office, but it is also frequently paired with rhinoplasty or a facelift.
Dr. Burchhardt offers chin implant procedures done either in the office with numbing injections or in the operating room depending on the patient’s preference. A small incision is made underneath the chin in a nonvisible area. Dr. Burchhardt uses either a silicone implant or a mesh implant that is selected for its appropriate size and inserted to sit on the chin bone. A dressing and tape will remain in place for about 5 days, after which most people go back to work.
If you have always been bothered by your nose shape or simply wish to improve your facial harmony, rhinoplasty may be able to achieve the look you have always desired. Cosmetic nose surgery is a highly popular technique to recontour the nose, and the results can potentially enhance your entire facial appearance. Many patients pursue rhinoplasty to address long-held insecurities about their nose, but the procedure can also repair a previously broken nose and/or a deviated septum. As a fellowship trained facial plastic surgeon, Dr. Burchhardt is specially trained in nasal surgery and an expert in reshaping the nose into a more aesthetically pleasing shape. Frequently, Dr. Burchhardt pairs rhinoplasty with septal reconstruction and turbinate surgery to concomitantly help improve nasal breathing. She is also an expert in reconstructive nasal surgery and septal perforation repair.
Rhinoplasty is a facial plastic surgery procedure designed to reshape the nose to create a more favorable and proportional facial aesthetic. It is one of the most popular surgical procedures in the United States and is performed hundreds of thousands of times per year. Dr. Burchhardt’s approach to rhinoplasty involves re-shaping the existing nasal tissues into an improved shape and position, while keeping these structures well supported to create a natural look that will last and supports nasal breathing.
Every person has unique reasons for considering rhinoplasty, some of which may include:
- To make the nose and facial features more proportional
- To reduce the size or width of a nose that appears large or wide
- To correct a hump, bump, or an overly arched or “Roman” nose
- To improve the angle between nose and upper lip
- To reshape a nose tip that appears crooked, pointed, bulbous, or boxy
- To perform secondary surgery following a previous rhinoplasty
- To treat nasal birth deformities or defects
What Can Rhinoplasty Address?
During your consultation, Dr. Burchhardt will ask you about your goals and expectations for surgery. Depending on your anatomy, rhinoplasty can improve a number of issues concerning:
- The nasal bridge— nose surgery can achieve more harmonious facial features by correcting bumps in the nasal bridge, straightening a crooked bridge, or making the nasal bridge thinner or wider.
- The nasal tip— rhinoplasty can reshape the nasal tip to appear wider or narrower, as well as raise or lower the angle of the tip.
- The nostrils— when nostrils appear overly prominent or slight in comparison to the rest of the facial features, surgical enhancement can increase or decrease the size in relation to your facial proportions for a more balanced aesthetic.
- The septum— a deviated septum often causes breathing problems; however, nose surgery can effectively repair and realign the septum to help improve airflow through the nasal passages.
Who is a Candidate for Rhinoplasty?
Ideal candidates for rhinoplasty are typically those who are in relatively good health. During your consultation with Dr. Burchhardt, she will perform a facial analysis as well as an examination of your nasal airway. She often uses images to help explain the process based on your facial proportions and to help her gain an understanding of your treatment goals. Together, you will arrive at a plan for what aesthetic changes are achievable and most beneficial based on your facial proportions as well as your aesthetic goals.
Dr. Burchhardt is also a specialist in revision rhinoplasty for patients, who are interested in correcting a previous nose surgery that resulted in complications, breathing obstruction, or dissatisfaction over the years.
How is the Rhinoplasty Procedure Performed?
Rhinoplasty is an outpatient procedure with a recovery of about 1 week. Dr. Burchhardt will make a tiny incision between your nostrils with all other incisions inside the nose. You will have splints in your nose for about 5-7 days and a tape and cast on the outside, but no painful nasal packing is used. Bruising may occur and last for a few days to up to a week. Even though subtle swelling from rhinoplasty takes up to a year to fully resolve, most of the swelling goes down within 2-3 months and you will already notice a difference in your nasal shape as soon as the cast comes off.
What are Botox and Dysport?
Botox and Dysport are an injectable treatment for facial lines and wrinkles. The formula used in these botulinum injections stops muscles in the face from contracting, as contracting muscles are responsible for the appearance of facial lines.
Who is Botox/Dysport Right For?
Botox/Dysport is suitable for adults with frown lines, forehead lines, or crow’s feet as a treatment. Candidates must be in good health and understand the limitations of Botox injections.
Botox is not a permanent solution for facial lines or wrinkles, as the body naturally absorbs and processes the injection over time. However, repeat injections can keep the face looking smooth.
There’s also a benefit to having regular treatments in the form of rewards programs called Alle and Aspire. Alle is a rewards program offered through Botox that allows you to earn points with each treatment you undergo.
You can then use those points to spend on other treatments, which aren’t limited to Botox. For example, you can use these on other facial treatments and injectables, like dermal fillers such as Juvederm Voluma, Volbella and Ultra among others
How Do Botox Injections Work?
Botox/Dysport injection is an in-office procedure at ChicagoENT with minimal discomfort and no down time. During your consultation with facial plastic surgeon Dr. Burchhardt, she will make recommendations on the appropriate dosage and treatment areas based on your desired changes. If you choose, you will receive a numbing cream application as a topical anesthetic, and then Botox/Dysport is simply injected with a very small syringe into the treatment area. Dr. Burchhardt personally performs all the injections. The results last around 3-4 months for most people. If you participate in rewards programs such as Alle and Aspire, you can collect points to receive discounts on future treatments.
Buccal Fat Removal
What is Buccal Fat Removal?
Buccal fat removal is a procedure that decreases the size of your cheeks and can create a more contoured look. The fat under the cheek is called the buccal fat pad and removing it can decrease the appearance of “chubby cheeks” or “baby fat.” It is a single procedure that can make a person’s face look slimmer and create a more contoured look.
Who is a Good Candidate for Buccal Fat Removal?
Like most cosmetic fat removal procedures, buccal fat removal is for healthy patients who are not overweight. . As we age, we loose fat in our faces. In fact, restoring fat back into the face through fat transfer or injectible fillers are coming anti-aging procedures as high cheeks, plump lips, and contoured jawlines give a person a youthful appearance.
However, some people retain more prominent cheeks due to large buccal fat pads and may feel that their cheeks are too large or too round. In these cases, buccal fat removal isan excellent way to reduce their size. The procedure is not suitable for you if you have a naturally thin or narrow face.
How Does it Work?
Buccal fat removal is an outpatient procedure that can be done under local anesthesia or under sedation. During the procedure, your surgeon will create small incisions inside the cheeks so that there is no scar on your face.
The sutures used to close the incision are absorbabe and dissolve naturally over time. Any scars will be well hidden inside the mouth.
The recovery process after having buccal fat removal only takes a few days. Most people can return to their normal activities within a day, although you should stay away from strenuous workouts for 2 weeks after surgery.
After subtle swelling subsides, you will start to notice more chiseled cheeks and contour. Buccal fat removal may be combined with neck liposuction and/or chin implant to create a more defined jaw line.
Dorsal Hump Reduction
What is a Dorsal Hump Reduction?
A dorsal hump reduction is a procedure designed to reduce or eliminate a dorsal hump on the bridge of your nose. The dorsal hump is a natural bump or hump on the nose composed of excess cartilage and bone, usually most prominent on side or profile view
Some people are unhappy with the shape of their nose with a dorsal hump, making them seek this cosmetic procedure to attain the desired nose shape.
Who is Right for a Dorsal Hump Reduction?
Some people naturally have a dorsal hump, which is also called an aquiline nose, Roman nose, or hook nose. This nose shape can give you a very distinct appearance.
However, if you’re not satisfied with the shape of your nose, undergoing a dorsal hump reduction may be the right decision. There are many kinds of rhinoplasties designed to change the appearance of common nose shapes. If you’re unhappy with the shape of your nose, a rhinoplasty or dorsal hump reduction may be the answer.
How Does It Work?
A dorsal hump reduction can be performed in several ways, depending on both the surgeon and the patient. It’s usually an outpatient procedure that uses general anesthesia to put patients to sleep.
Through a “closed rhinoplasty” technique, the surgeon removes excess cartilage and bone through incisions inside the nose. “Open rhinoplasty” involves a tiny incision at the narrowest part of skin between your nostrils with all the other incisions inside the nose. This incision heals with a virtually invisible scar and can allow for improved visualization of the structures inside the nose. Dr. Burchhardt does both open and closed technique depending on the patient’s case and the desired outcomes.
Dorsal hump reduction is one of the most common reasons people undergo rhinoplasty. At the same time, any tip changes can be made in addition to correcting any nasal breathing issues or nasal obstruction if need be.
What is a Fat Transfer?
A fat transfer is also called a fat graft. It is a procedure where fat is removed from one part of the body to smooth out grooves and irregularities on another part of the body. For example, fat transfers are commonly used to smooth out facial features and restore volume lost from the aging process It is sometimes referred to as a more permanent alternative to filler injection.
Who is a Fat Transfer Best For?
As we age, our fat pads in the face thin out, giving us a hollowed-out look or deflated cheeks, thinned out lips, and deep lines. Re-introducing volume back into the face to round out any harsh angles or fill deep lines, helps create a more youthful appearance. Injectible filler is a frequently used method, as is fat transfer. In contrast to the commonly injected hyaluronic acid fillers such as Restylane or Juvederm line of filler, fat transfer is a more permanent alternative. While most fillers get resorbed over the course of 6 months to 2 years, the transferred fat stays with you, giving you a long-lasting result. The fat can fill in grooves around the nose and mouth and below the eyes as well as fill in deflated cheeks, thus restoring a youthful face
How Does It Work?
A fat transfer is usually performed as an outpatient procedure. In addition to a local anesthetic, general anesthesia or sedation is frequently used, but in select patients the procedure can be done with just local numbing and takes as little as 1 hour to complete.
During the procedure, fat is taken from the lower abdomen or the thigh with tiny incisions to minimize scarring. Next, your surgeon removes fat using liposuction in small amounts.
After removing the fat, it’s processed, removing impurities from the and isolating the fat cells and its growth factors.The processed fat is then carefully injected into the selected areas on theface.
Your surgeon may massage and mold the area of the transferred fat to smoothen it out and help shape the area. The transfer area usually doesn’t need any bandaging, and the small incisions of the donor area are closed with sutures. Full recovery can take anywhere from one to three weeks, depending on how extensive the transfer is. Swelling and bruising in the face can be normal for up to 1 week depending on the area. During the healing period, the transferred fat starts to integrate with your native tissue. Final results usually appear after around 6 weeks.
What is Filler? What is Filler?
Filler is an artificial material that is injected to help restore volume in the face. There are many different types of fillers that consist of different material that ranges from permanent to non-permanent filler, which dissolves with time. The most commonly injected type of filler consists of hyaluronic acid filler and includes the Juvederm and Restylane line. These fillers consist of a a gel-like material that is injected into the skin to enhance a patient’s facial appearance. Our bodies naturally have hyaluronic acid, but we loose this substance throughout the aging process, leading to deflated-looking skin. Hyaluronic acid helps draw in water which further aids in plumping up our skin.
Fillers can add volume to cheeks, plump up lips, and soften creases around the eyes, nose, and mouth. They are sometimes even used to create add on to a small chin, contour a jawline, can can even reshape a nose through a liquid rhinoplasty. When combined with a botox or dysport injection, filler injection is used to perform a “liquid facelift,” which is essentially a rejuvenation of the entire face through restoring lost volume and smoothening out lines.
Who is a Good Fit For a Filler Injection?
Filler is for anyone looking to either subtly shape their facial features, enhance lips or cheeks or to camouflage lines such as nasolabial folds, marionette lines or jowls. There are many different types and classes of filler, and it is important to be appropriately counseled on the best option for your specific needs. Hyaluronic acid fillers such as Juvederm or Restylane are not a permanent treatment, as the substance will eventually dissolve into the body. Within the Juvederm and Restylane line of fillers, there are several different types of product, each designed for a specific need and area in the face. For example, we want a very soft and pliable filler product in the lips and around the mouth so that it looks natural when we move that area through smiling, speaking etc. In contrast, the areas under the eyelids or the cheeks need a much firmer filler, as here the filler is injected much deeper and will sit on your facial bone to help shape your face. Then there are yet other types of fillers such as Radiesse or Sculptra that are more permanent fillers and are only suitable for select parts of the face. Sculptra can also be used to lessen the appearance of deep lines in your hands.
Repeat treatments can maintain your results. At ChicagoENT, we participate in rewards programs like Alle and Aspire for repeat treatments. You can earn points with each treatment to use towards future treatments with these programs, including non-dermal filler treatments like Botox and Dysport.
How Do Filler Injections Work?
There are many kinds of fillers on the market. Different filler types are best suited for different areas of the face. Before each treatment at ChicagoENT, you will have a consultation with facial plastic surgeon Dr. Burchhardt, who will help you navigate the different options to find the best filler that’s suited to your needs. Then, once you decide what kind of treatment to get, Dr. Burchhardt will perform the injection at that same visit.
You’ll have a topical anesthetic cream applied to the area that’s being treated before having the filler carefully injected into the skin with a syringe. Some kinds of fillers last longer than others, with most lasting anywhere between 6 months to 2 years.
What is Neck Contouring?
Neck contouring refers to various surgical procedures that sculpt the skin around the chin and neck. It may include liposuction, a neck lift, chin implant, and/or non-surgical procedures like Botox/Dysport injections or filler placement.
Who Should Consider Having Neck Contouring?
Neck contouring is for anyone looking to remove excess fat or skin around their chin and neck. Neck contouring can also make the jawline appear more defined and is a popular procedure especially among younger patients
For younger patients, neck liposuction is recommended to remove excess fat. This may be combined with a cervicoplasty or platysmaplasty that tightens the muscle underneath the chin to help define the jawline. For patients with a small chin, a chin implant may be done. Neck contouring is frequently done together with buccal fat removal to achieve a more slender look. After a certain age, a neck lift is better suited for treating sagging skin, as this involves a tightening of the tissue in addition to removing excess and loose skinIn some cases, Botox or Dysport injections can help reduce visible neck lines though are usually not as effective as the surgical procedures. If you’re seeking a more defined jaw line through neck contouring or are interested in a neck lift in the Chicago area, a consultation with facial plastic surgeon Dr. Burchhardt at ChicagoENT can help you review all the treatment options. Through 3-D image simulation, Dr. Burchhardt can show you morphed images of yourself that can show what type of changes are possible with the various treatment options.
How Does a Neck Contouring Work?
One of the most common neck contouring methods is liposuction paired with a platysmaplasty. This procedure can be done under local anesthesia or with the patient asleep under general anesthesia. Liposuction involves removing excess fat along the jaw line. Platysmaplasty involves making a small incision well hidden underneath the chin and tightening that muscle to create a sharper jaw line. If a chin implant is added, it is placed through this same incision. The incision is closed with sutures that are removed 5-7 days later. Once healed, this scar is well hidden and barely noticeable.
A neck lift usually includes a cervicoplasty or a platysmaplasty. A cervicoplasty focuses on removing excess skin, where a platysmaplasty focuses on tightening loose neck muscles. In order to lift and reposition tissue and skin that has started to sag from aging, a neck lift involves making incisions behind the ear as well so that the excess skin can be removed. To remove jowls, a lower face lift is frequently added.
Recovery from neck contouring with liposuction and a platysmaplasty takes about 1 week, but it can vary from person to person.
What is Neck Liposuction?
Neck liposuction is a technique used to remove excess fat from the neck. Liposuction can remove fat from all over the body, but neck liposuction is common to tackle excess fat, specifically underneath the chin and along the neckline
Who Should Consider Having Neck Liposuction?
Liposuction is for patients who are at a healthy weight but have excess fat deposits. It is not a method of weight loss.
If you’re self-conscious about a double chin or excess fat around the neck that obscures your jawline, undergoing neck liposuction can help you achieve that contoured neck line. The procedure is, however, best suited to adults between the ages of 20 and 50.
Liposuction cannot treat sagging skin – only a neck lift can address jowls or loose skin. But younger patients are great candidates for liposuction by removing excess fat only, allowing the skin to hug the jaw bone. Younger patients also tend to heal better from liposuction, minimizing the risk for irregularities after the procedure.
How Is Neck Liposuction Performed?
Neck liposuction is usually a relatively quick, outpatient procedure. It can be performed using general anesthesia, but it can also involve only using local anesthetic.
During the procedure, ChicagoENT’s facial plastic surgeon Dr. Burchhardt will make small incisions behind the ears or under the chin to conceal any scarring. Then, she will insert a device called a liposuction cannula into the incision. The device operates like a vacuum, sucking out fat in a controlled area to refine the jawline.
After the procedure, patients will need to wear a chin strap for a few days, but most people can return to regular activities after a weekNeck liposuction may be combined with a chin implant for those with a weaker chin or with a platysmaplasty to help tighten the tissue underneath the chin. Some patients elect to undergo buccal fat removal as well, which removes the “baby fat” from the cheeks, adding to a more contoured look.
What is an Otoplasty?
Otoplasty is a procedure that can change the shape or positioning of the ears. It can reduce the size of the ears and make them protrude less. Some patients with torn ear lobes from piercings or streteched out lobes from gauge earrings may seek ear lobe repair while others may want to reduce the size of large earlobes.
Who is a Good Candidate for an Otoplasty?
If you’re considering an otoplasty, they are best for those that are healthy and for children over the age of five. By this age, a child’s ear cartilage is hard enough to retain its shape and the ear is considered at about 90% of its adult sizeIt is also usually at this age that teasing and bullying can start in schools, which may warrant a parent to choose an otoplasty for their child.
If you are unsatisfied with your appearance due to the size or positioning of your ears, and you’re in good health, otoplasty may be right for you. Likewise, if your child is unsatisfied with their ears or they are being teased, otoplasty may be an option.For children undergoing the procedure, it is important that the child understands what the procedure entails.
How Does It Work?
An otoplasty is often performed as an outpatient procedure. For adults, the procedure is usually done under local anesthesia, whereas children receive general anesthesia so that they will be asleep throughout the surgery. It is still an outpatient procedure, and they can go home afterwards.
ChicagoENT’s facial plastic surgeon Dr. Burchhardt will make a tiny incisions on the back of the ear, so that any scarring is hidden.
In some cases, you may need to have an incision made on the front of the ear. In those cases, the incision is made along natural folds in the ear to minimize visible scarring. The ear usually also heals very well so that scars are usually hardly noticeable.
Through the incision, your surgeon removes and reshapes cartilage depending on the needs of the patient. Permanent sutures hold the reformed cartilage and keep the shape of the ear. The incisions are closed with sutures, which may be dissolvable for small kids or in adults might be removed 5-7 days later. Downtime is usually minimal, and patients return to normal activities within a few days. It is usually best to avoid heavy exercise or contact sports for a few weeks after the procedure.
What is a Revision Rhinoplasty?
A rhinoplasty is a cosmetic procedure that changes the appearance of the nose. The nose is a complex structure that is subject to gravity, changes with aging, and if a prior rhinoplasty was done, scar contracture can occur. The nose is not only a very visually noticeable structure in the middle of our face, but it also serves the very important function of breathing. Unfortunately, in some cases, patients may not be happy after a previous primary rhinoplasty due to cosmetic deformities that either were not fully addressed in the previous surgery or even may have resulted from the surgery. Other issues might be breathing difficulty from nasal valve collapse, lack of support or from scar contractures. In these cases, a revision or secondary rhinoplasty can repair the appearance and/or the function of the nose.
Who is a Revision Rhinoplasty Suited For?
Patients may choose to undergo revision rhinoplasty to address either a lingering or new cosmetic deformity or to address nasal breathing difficulties after having previously undergone rhinoplasty. Revision rhinoplasty is one of the most technically challenging procedures, so if choosing to undergo a revision rhinoplasty, it is important to carefully select an experienced surgeon who specializes in rhinoplasty.
Revision rhinoplasty frequently requires re-supporting the framework of the nose through cartilage grafting. If you’ve had a previous septoplasty, additional cartilage material may be used from the ear, or the rib. The latter may be a part of your own rib or that of a donor. During your consultation with ChicagoENT’s facial plastic surgeon Dr. Daniela Burchhardt, you will receive an in-depth analysis of your nasal passage as well as the aesthetic appearance of your nose. She will be able to guide you on realistic expectations and outcomes and together you will arrive at a treatment plan. Nasal endoscopy during which Dr. Burchhardt takes a look deeper inside your nasal passage and/or CT imaging can help provide additional information on where the nasal obstruction is and how to best address it. Photo simulation may help show you what a reasonable aesthetic outcome may be.
What is Having a Revision Rhinoplasty Like?
Every nose is different, which is even more true after having had a prior rhinoplasty. Sometimes the exact issues that are causing the suboptimal aesthetic appearance or the nasal obstruction are not fully known until the time of surgery. Therefore, revision rhinoplasty is a procedure that is very unique to each patient. But the general approach is usually through an open approach via a small incisision in between your nostrils. All other incisions are inside your nose. This approach affords the surgeon the best visibility and best access to all the structures in your nose. Frequently, cartilage grafting is needed to help reshape your nasal tissue and to provide a more aesthetically pleasing shape and/or to help provide support for improved breathing. This cartilage may come from a donor rib graft, your own rib, or from ear cartilage if there isn’t sufficient septum left in your nose.
Revision rhinoplasty is an outpatient procedure, with the patient fully asleep. Because it is a revision surgery, healing can take longer than it did during you first rhinoplasty, and swelling usually lingers for longer – up to 1.5 years or even longer depending on the thickness of your skin. That said, most of the swelling resolves by 2 months. As with primary rhinoplasty, it is important to stay away from exercise and strenuous activity for 4-6 weeks during the healing period to avoid exacerbating any swelling that may lead to permanent asymmetry.