Revision Rhinoplasty Surgery in Utah

One key concept that it is important revision rhinoplasty patients understand is that a revision rhinoplasty is several-times more complex than the original nose job. Once your nose has had any surgery performed on it, the nose will have varying amounts of scar tissue throughout the nose. This scar tissue may be minimal or quite extensive. Also, based on how the original nose job was performed, your nose may have had much of its natural tissues (alar/ tip cartilages, septum, bridge for example) removed. As you can understand, a surgery to improve the cosmetic appearance after an unsatisfactory nose job is complex, but the need to often rebuild and replace tissues that were removed in the original nose job adds even further to the surgical complexity.

Dr. Mobley brings over 25 years of nasal surgery experience to every nose job he performs. He borrows the best techniques from all of the current rhinoplasty “styles”; mixing endonasal techniques, modern “open structure” rhinoplasty, as well as some of latest techniques and powered instrumentation for preservation rhinoplasty. To provide some scale, the routine surgical maneuver of opening the nasal skin can take about 5 minutes in a primary rhinoplasty but can sometimes take up to 30-45 minutes in a revision due to the scar tissue now present in your nose. Revision rhinoplasties are inherently more complex, more time consuming, and require the multi-decades experience Dr. Mobley bring to every nasal surgery he performs.

One key concept that it is important revision rhinoplasty patients understand is that a revision rhinoplasty is several-times more complex than the original nose job. Every surgical maneuver performed during revision rhinoplasty is more time consuming (due to scar in the nose from the original nose job) and complex (due to altered anatomy of the nose from the original nose job). The amount of OR time required, and the increased complexity of a revision rhinoplasty translates into a higher cost to successfully perform these operations.

To fully understand the costs of cosmetic surgery, you must understand the guiding principles of Dr. Mobley’s medical practice: quality, safety, and a respect for the cost. Three main components contribute to your final revision rhinoplasty fee: the OR fee, anesthesia fee and surgeon fee.
When you combine all 3 fees (surgeon, facility, and anesthesia), the final out-the-door cost for a revision rhinoplasty will be more than a primary rhinoplasty. For revision rhinoplasty, it is more likely that the final cost will be anywhere from $12,000-$18,000 based on the complexity and time of your individual case. The average cost of a revision rhinoplasty is usually around $15,000.
Remember, you can very likely find a lower fee, but at Mobley MD we pride ourselves on the fact that

Dr. Mobley performs more rhinoplasties than just about any other surgeon in the Mountain West. Keep in mind, Dr. Mobley is one of the top rhinoplasty expert surgeons in the USA. Last year alone, he performed over 200 nasal surgeries and a large percentage of these were revision rhinoplasties. Dr. Mobley is Castle-Connolly “Top Doctor” and Vitlas.com “Top Doctor”. There are no regrets, when you choose the best.

Dr. Mobley wants to make cosmetic surgery available to as many people as possible. For that reason we have  partnered with CareCredit to provide lending services. When you come in for your consultation we will be more than happy to go over all your financial options with you.

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Most patients will feel somewhat drained for the first 3 days. Patients can return to work after 3 days if they wish but most patients feel more comfortable after one week when their cast is removed. About 20% of patients will get more noticeable bruising and when this does occur, bruising can take 10-14 days to fade. Stitches and the outside nasal cast are removed after one week and if internal nasal splints were needed (more common in complex cases or revisions) they are removed by Dr. Mobley after two weeks. Your nasal swelling will continue to subside over the next several months.

In my experience, many of my patients are pleasantly surprised by the minimal amount of discomfort they have in the postoperative period. In my practice, we very rarely use packing – one of the most uncomfortable facets of facial plastic surgery; my patients greatly appreciate this. Medicine for pain is always provided. Most patients take this for 3-7 days following surgery.

If you do light (office) work, particularly if you work from home, you could return to these activities four to five days after the operation. If you do more physical work, seven to ten days is more appropriate.

During your consultation, I will use computer morphing software to give you an idea of how your nose will look after the operation. I will also show you before and after photos of patients that have undergone similar types of cosmetic changes to help give you realistic expectations of what can be achieved from surgery.

When choosing a surgeon to perform your revision rhinoplasty, it is crucial to choose a surgeon well versed in all of the modern “styles” of rhinoplasty. Dr. Mobley’s 25-plus years of experience encompasses rhinoplasty techniques from all of the modern styles. This ranges from traditional endonasal rhinoplasty (working through the nostrils) to open structure approach (where the skin is partially lifted open). “Open structure” revolutionized rhinoplasty and is the under-pinning of many other techniques that reduce the likelihood of complications following a nose job. Dr. Mobley also embraces many of the techniques, and advanced instrumentation, for preservation rhinoplasty. With all revision surgeries, regardless of what techniques and styles are combined and utilized- the goal is simple- to create the most natural looking nose that fits your face and is in artistic balance with your other facial features and proportions. Also, and this is paramount- a constant emphasis on the preservation (and often restoration in cases of revisions) of anatomy- alar cartilages, septum and dorsum combines to create the most favorable results for a nose that looks natural and maintains, (and often improves) nasal function and airflow.

Every type of surgery has risks. It’s my ethical responsibility to educate you on these risks so you can make the best possible decision for yourself while weighing these risks against the benefits of surgery. My training helps me to minimize these risks to the best of my ability, but I cannot eliminate them entirely. Common risks include stiffness in nasal tip, irregularities of bone or cartilage, damage to the nasal skin, and damage to the internal linings of the nose.

The risks above are the most common ones that I think you should be aware of, but they are not a complete list of all possible risks. When I see you during your consultation and we begin to formulate your surgical treatment plan, I’ll review with you not only these common risks but also the less likely complications that may occur.