Following are some common questions asked by those considering revision rhinoplasty:

Question: I have had four revision rhinoplasties. My doctor said that I can’t have any more and I just have to live with my nose the way it is. Is this true? How many revisions can I have?

Answer: It is always better to have fewer surgeries. However, in well-trained hands, it is not as important how many surgeries you have had before; what is more important is what your nose looks like now, and can a skilled revision rhinoplasty surgeon improve it. Some of Dr. Becker’s patients had as many as 7 or more revisions elsewhere before they went to see him. Dr. Becker was still able to make improvements for these patients.

Sometimes a nose may be virtually beyond repair. However, this is relatively rare.

Revision surgery is different from primary rhinoplasty. Revision surgery requires specialized training and expertise. It is important to find a surgeon who specializes in revision rhinoplasty.

Question: A doctor told me there is too much scarring in my nose, and that he or she can’t do anything more for me. Is this true?

Answer: We hear this from many patients. While scar tissue in noses that have had prior surgery can complicate matters, improvements are usually still possible. It is true that sometimes, a nose may be beyond repair. However, in Dr. Becker’s experience this is uncommon.

Question: My nose is too small. Can you make it bigger?

Answer: Yes, if a patient’s nose has been over-operated and now looks too small, Dr. Becker can generally improve it. He also can generally fix noses that are too short, too long, too narrow, too wide, twisted, and so forth.

Question: Do I have to stay overnight in the hospital?

Answer: No, this is outpatient surgery. Dr. Becker’s patients typically go home after surgery; or, when they are from out-of-town, they stay at one of a number of fine hotels in the area.

Question: Is there a lot of pain or nausea?

Answer: Not typically. Time after time, Dr. Becker’s patients are surprised at how little pain and how little nausea there is. After-surgery pain is usually well-controlled with a mild narcotic. We are especially proud of our anesthesia team, who provide expert anesthesia that keeps after-surgery nausea to a minimum.

Question: What is recovery like?

Answer: We suggest that patients take a week off from work. Patients tell us that recovery is uneventful. There is little pain and little nausea. Your main job after surgery is just to rest.

Most surgeons provide their patients with detailed after-surgery instructions.

Question: What is the recovery period?

Answer: The “recovery period” is approximately one week. It takes just a few days to recover from anesthesia. There is typically some swelling and some slight bruising that is dramatically reduced by 1 week. Patients wear a small nasal bandage for 6 days.

After removal of the small nasal bandage (or “splint”), most patients are presentable in public. Most of Dr. Becker’s patients return to work the very next day after nasal splint removal. As noted in the patient instructions, there are restrictions on activity for a few more weeks after that. And of course, there is continued healing and reduction of swelling that continues to take place, quickly at first and then gradually for at least a year.

Question: I live far away, how do I arrange to see you and to have surgery?

Answer: You can contact Dr. Becker’s office and arrange an appointment. Many patients come for an initial visit and schedule surgery at the end of this initial visit. They then return for their surgery. Occasionally a patient may wish to come into town for consultation followed by surgery the next day. This is possible but obviously must be arranged in advance.

Question: The tip of my nose looks pointy, twisted and abnormal. Can you fix my nasal tip?

Answer: Yes, it has been Dr. Becker’s experience that significant improvements are possible in this relatively common problem.

Question: Ever since my rhinoplasty, I can’t breathe well through my nose. Can you fix this?

Answer: Yes. Unfortunately, this is a common complaint. Fortunately we are usually able to substantially improve nasal breathing. A number of the patients in the Photo Album had this problem. Many times, patients request improvement in breathing and appearance

Question: Do you do Computer Imaging?

Answer: Yes. Computer imaging is a very helpful way to communicate surgical goals. It is important for the surgeon to know what the patient wants to accomplish, and the patient must know what the surgeon envisions as a goal for the surgical result. Computer imaging is extremely useful to communicate this information, and we therefore perform computer imaging on virtually all patients prior to surgery.

Question: I’m not sure what I need to have done, I just know I don’t like it!

Answer: We understand! Some patients know how they want their nose to look, but other revision rhinoplasty patients are frustrated, angry, and even a little scared. They know they don’t like their nose, but they are upset and confused and just want someone to help them! We understand this and will take the time to work with you to help you have a happy outcome.

Question: I am scared!

Answer: We understand! You have had a bad experience, so it is okay to feel that way. It is important for you to be confident in the surgeon you choose to perform your revision rhinoplasty. Dr. Becker is proud of his surgical results, but he also wants his patients to feel at ease. Dr. Becker’s staff plays an important role in helping his revision rhinoplasty patients feel more at ease before and after surgery.

Question: How do I know if I am a candidate for revision rhinoplasty?

Answer: If you have had a rhinoplasty and do not like the way your nose looks, and if you are in good health, then you are eligible for a revision rhinoplasty consultation. The next step is to meet with a skilled surgeon to see if surgery can meet your expectations. In Dr. Becker’s practice, Dr. Becker talks to you in detail and examines you. Then, he explains his realistic expectations for your surgery and will let you know if he thinks you are a good candidate.

Question: Do you do surgery on all ethnic groups Caucasian, African-American, Asian, and other ethnic noses?

Answer: Yes. Please see the Question: How does the surgeon go about figuring out what is wrong and then how to fix it?

Question: How do you do a rhinoplasty?

Question: Where are the incisions?

Question: Will insurance cover my surgery?

Question: Do you do a lot of this kind of surgery?

Question: I have heard that Dr. Becker teaches rhinoplasty to other board-certified doctors? Where do they come from?

Question: Is this outpatient surgery?

Question: Is there any nasal packing?

Question: What kind of advanced technology and modern techniques does Dr. Becker use to achieve faster healing and more precise surgery?

In the operating room, Dr. Becker uses the Becker/Toriumi Rhinoplasty Instrument Set, manufactured by Medtronic Corporation and especially designed for minimally traumatic rhinoplasty surgery.

Ask Dr. Becker a question about revision rhinoplasty or make an appointment for a consultation, by calling 856-589-NOSE (6673) or emailing us at info@revisionrhinoplasty.com.