Also called “secondary rhinoplasty,” this procedure is performed by Dr. Balikian to counteract a primary rhinoplasty performed by a previous surgeon with unsatisfactory results. Dr. Balikian is specifically trained in secondary rhinoplasty. It takes great skill, knowledge and attention to detail to perform Revision Rhinoplasty, which is often considered the most difficult of all plastic surgeries. Given Dr. Balikian’s expertise and focus on the face, you can be confident you are in excellent hands.

Rhinoplasty should bring the nose into harmony with the rest of the face. By achieving a more harmonious look, it often produces dramatic improvements in the facial appearance. However, if your first surgery has left you wanting a better result, it may be time for a consultation to consider your options. Dr. Balikian believes in correcting parts of the nose that bother the patient while maintaining their individual look. You should look like yourself, just better.

Your Revision Rhinoplasty Consultation

As a facial plastic surgeon, Dr. Balikian is adept at performing the rhinoplasty completely from the inside of the nose (endonasal rhinoplasty) or with a small imperceptible incision at the base of the nose (external rhinoplasty). Most often during Revision Rhinoplasty, the surgery will be performed by the open approach to allow the most precise results. He will discuss these options with you after examining your nose during your consultation.

Whether you believe you still have a bulbous tip, wide nose, large nostrils or any other deformities, Dr. Balikian will discuss what he sees and give his honest advice on what can be done. He is experienced with cosmetic rhinoplasty. He also performs a large number of ethnic rhinoplasty surgeries and has a keen eye towards maintaining ethnicity if desired.

Previous Surgery: Dr. Balikian will be thorough in discussing your previous surgery and reviewing your previous surgeons operative note to learn exactly what was done. Even if no paperwork is available, Dr. Balkian will perform a thorough exam of your nose inside and out which will allow him to determine what was done, and what needs to be done to correct it.

Revision Surgery Plan: Dr. Balikian will diagnose all areas on your nose that will improve with correction. Both functional (breathing) and cosmetic concerns will be addressed and a well thought out plan will be created and discussed with you in detail. Often he will discuss the need for cartilage grafts that can be either ear cartilage graft (auricular) or rib grafts.

Dr. Balikian uses computerized imaging during your consultation to help establish your goals and meet your expectations. This helps him create the natural look and end result that you want.

Dr. Balikian always gives an honest assessment of what you need and what you do not need during your consultation. With an artistic eye, and a wealth of tools to treat any nose, Dr. Balikian can create the nose both you and he want.

Functional Improvement in Breathing

If breathing difficulties are a major reason for seeking Revision Rhinoplasty, you will want a surgeon with expertise in functional rhinoplasty. In this surgery all of the anatomic factors that affect our breathing are diagnosed and addressed during surgery. This often includes repairing a deviated septum, internal and external valve collapse, and turbinate hypertrophy. Procedures that Dr. Balikian will consider include septoplasty, spreader grafts, strut grafts and turbinectomy. He will discuss all options during a thorough consultation. Through structural rhinoplasty techniques that build the support architecture of the nose, Dr. Balikian can improve your ability to breath.

Recovering From Revision Rhinoplasty Surgery

After the surgery, Dr. Balikian will immediately place a splint over your nose to help it retain the new shape as it heals. The surgery is performed as an outpatient procedure, meaning you can go home the same day. Dr. Balikian is unique in that he does not require patients to have their nose packed during surgery, which makes the recovery much more comfortable.

You can expect some swelling and bruising after the surgery is completed, but these symptoms are normal and subside over time as you heal. While you are recovering, it is important that you take time from your normal schedule to rest and relax.

Good Candidates For Revision Rhinoplasty

Dr. Balikian will carefully review your candidacy for revision rhinoplasty during your consultation. In this time, he will discuss the details of the surgical process and ask you questions about your medical history to make sure that you are a good fit. It is important that you are open and honest about your medical background so Dr. Balkian can help guide you on the proper course of action. Ideal patients should be in good physical health and have realistic expectations. It is important for patients to realize there are some limitations to revision surgery. Choosing whether a revision is warranted is a choice for both the patient and the surgeon.

Richard V. Balikian, MD, FACS

Double Board-Certified Facial Plastic Surgeon
Artistry. Excellence. Compassion

Trust Your Face to a Facial Plastic Surgeon

Dr. Balikian is an experienced, double board certified, facial plastic surgeon. He is double board certified both in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery. Dr. Balikian belongs to a very select group of elite cosmetic surgeons with at least six years of specialized surgical training exclusively in aesthetic and reconstructive surgery of the face and neck.

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Contact Our Office

We understand how important it is for you to look and feel your best in your own body. That is why we offer innovative plastic surgery services to help you achieve your ideal look. If you are interested in learning more about Revision Rhinoplasty, contact our office to schedule your consultation with board-certified facial plastic surgeon, Dr. Richard Balikian.

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Beyond Ecstatic with my Results.

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Everybody at the facility were so amazing and kind. Dr. Balikian is the best Plastic Surgeon and I honestly don’t think anyone could have done a better job. I use to be so self-con·scious about my nose and hated my side profile and now all I hear is how perfect my nose is. I am beyond ecstatic with my results and no longer care if I’m being stared at.