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Revision Rhinoplasty

(Revision Nose Reshaping Surgery, Revision Nosejob, Revision Plastic Surgery of the Nose)

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Sample photos of Revision Rhinoplasty results of Dr. Pearson's. View more photos here

Every year, half a million people who are interested in improving the appearance of their noses seek consultation with facial plastic surgeons. Some are unhappy with the noses they were born with, and some with the way aging has changed their nose. For others, an injury may have distorted the nose, or the goal may be improved breathing. But one thing is clear: nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance.

Before & After Photos

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Sample Patient 1

Sample Patient 2

Sample Patient 3

Sample Patient 4

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Revision Rhinoplasty Overview

GOALS Improve nasal appearance (size, shape, symmetry, proportion, balance) or nasal breathing or restore an injured nose to its pre-injury state
PROCEDURE Revision Rhinoplasty / Revision Nose Reshaping Surgery / Revision Nosejob
ANESTHESIA Local anesthesia with sedation or general anesthesia
LENGTH 2-3 hours
AFTER PROCEDURE Sutures are removed after a few days, splints are removed after 7 days.
RECOVERY Resume normal activities after a couple of days, return to work in 7-10 days, resume full activity and exercise at 3 weeks.

Dr. Pearson's practice offers Revision Rhinoplasty, as well as cosmetic, functional and reconstructive rhinoplasty.

Revision rhinoplasty entails operating on a nose that has previously undergone rhinoplasty. Revision rhinoplasty presents an already challenging operation with an additional complement of issues. Nasal surgeons without advanced rhinoplasty training and substantial experience often will not undertake such revision cases.

Featured Videos - Rhinoplasty

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Why Should You Choose Dr. Pearson to Perform Your Revision Rhinoplasty?
In the field of plastic surgery, rhinoplasty is regarded as the most technically challenging of all operations. Whether rhinoplasty is sought for cosmetic, functional or reconstructive reasons, your choice of a qualified facial plastic surgeon is of paramount importance. Dr. Pearson is trained in both facial plastic surgery, and ear, nose, throat surgery, which provides you as the patient with the highest level of training and expertise. Furthermore, Dr. Pearson is an expert in the field and has written numerous surgical book chapters and articles covering various aspects of this complex operation.

Which Nasal Attributes Can Revision Rhinoplasty Change or Improve?
Revision Rhinoplasty can change:

  • Nasal asymmetry and deviation
  • Nose size, in relation to the other facial structures
  • Nose width, at the bridge
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip, that is large or bulbous, drooping, or too upturned
  • Nostrils that are large, wide or upturned

Candidates for Revision Rhinoplasty Surgery
Some of the indications that you may be a good candidate for rhinoplasty:

  • Your nose is off-center or crooked
  • Previous injury has made your nose asymmetrical
  • Your nose appears too large for your face
  • There is a bump on the nasal bridge when viewed in profile
  • Your nose seems too wide when viewed from the front
  • The nasal tip droops or plunges
  • The tip is thickened or enlarged
  • Your nostrils are excessively flared

You may be a candidate for Revision Rhinoplasty if you are dissatisfied with the appearance of the size or shape of the nose. If you experience breathing difficulty and the structure of the nose is determined to contribute to this problem, you may be a candidate for Functional Rhinoplasty. If you have recently sustained an injury to your nose which has affected its appearance, you may be a candidate for Reconstructive Rhinoplasty.

Rhinoplasty Surgery
The nose is a complex three-dimensional structure composed of multiple tissue types including bone, cartilage, skin, mucosa, and muscle. Rhinoplasty entails making surgical changes to the nasal tissues in order to affect the size, shape, and/or function of the nose. In many cases, the goals of rhinoplasty are neither entirely cosmetic, functional or reconstructive but some combination of these.

Possible Non-Surgical Alternative Treatments
For subtle improvements, non invasive methods may be considered to improve the appearance of the nose. For those who do not wish to consider surgery, injectable fillers may be employed by Dr. Pearson to improve nasal appearance. Call us for a consultation to learn if you may be a candidate for a non-surgical nasal treatment.

Recovery after Rhinoplasty Surgery
Following rhinoplasty, you can expect a few days of swelling and soreness which is well controlled with oral pain medications. Any nasal packing is removed after 1 day. Any external nasal sutures are removed after a few days. Internal and external nasal splints are typically removed after 7 days. By then, much of the nasal swelling is resolved and nasal breathing is improving. The nasal bones heal over several weeks. You can resume most normal activities after a couple of days, except for intense exercise, which may be resumed at about 3 weeks. Most people are able to return to work in 7-10 days. Contact sports should be avoided for at least 6 weeks.

Rhinoplasty Publications by Dr. Pearson

Dr. Pearson is a Rhinoplasty specialist and a published author who has written numerous articles and plastic surgery textbook chapters on this topic. Learn more here.

  • Quatela VC, Pearson JM. Management of the Aging Nose. Rhinoplasty The Experts' Reference. Ed. Sclafani, AP. Thieme. 2015.
  • Quatela VC, Pearson JM. The Underprojected Nose / Ptotic Tip. Master Techniques in Rhinoplasty and Nasal Reconstruction. Ed. Azizzadeh B, et al. Philadelphia, Elsevier. 2011
  • Sclafani AP, Pearson JM. Nasal Grafts & Implants. Advanced Therapy in Facial and Plastic and Reconstructive Surgery. Ed. Thomas JR. PMPH-USA, Ltd. 2010
  • Quatela VC, Pearson JM. Management of the Aging Nose. Facial Plast Surg. 2009 Oct;25(4):215-221.
  • Romo T 3rd, Pearson JM. Nasal implants. Facial Plast Surg Clin North Am. 2008 Feb;16(1):123-32
  • Romo III T, Patel A, Pearson JM. Local Mucosal Flaps for Closure of Septal Perforations. Grabb’s Encyclopedia of Flaps, Volume I: Head and Neck, 3rd Edition. Eds. Strauch B, et al. Philadelphia: Lippincott Williams & Wilkins, 2009. 221-224.
  • Romo T 3rd, Pearson JM, Lin HS, Patel A, Presti P, Abraham MT, Yalamanchili H.  Rhinoplasty, Postrhinoplasty Nasal Obstruction. e-medicine article. http://emedicine.medscape.com/article/841574-overview. October 12, 2007.
  • Romo T 3rd, Yalamanchili H, Presti P, Pearson JM. Septal Perforation: Surgical Aspects. e-medicine article. http://emedicine.medscape.com/article/878817-overview. July 24, 2007.
Rhinoplasty Experts Reference

Rhinoplasty: The Experts' Reference

Management of the Aging Nose

Master Techniques in Rhinoplasty

Master Techniques in Rhinoplasty and Nasal Reconstruction

The Underprojected Nose / Ptotic Tip

Encyclopedia of Flaps

Grabb’s Encyclopedia of Flaps
Local Mucosal Flaps for Septal Perforation

Management of the Aging Nose

Facial Plastic Surgery
Management of the Aging Nose

Facial Plastic surgery clinics - nasal implants

Facial Plastic Surgery Clinics of North America

Nasal implants

Advanced Therapies in Facial Plastic and Reconstructive Surgery

Advanced Therapy in Facial and Plastic and Reconstructive Surgery

Nasal Grafts & Implants

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American Academy of Facial Plastic
& Reconstructive Surgery

American Board of Facial Plastic
& Reconstructive Surgery
American College of Surgeons


Dr. Pearson sees patients from around the world including the following Southern California locations: Beverly Hills, Brentwood, Burbank, Culver City, El Segundo, Glendale, Hawthorne, Hermosa Beach, Hollywood, Huntington Beach, Laguna Beach, Long Beach, Los Angeles, Malibu, Manhattan Beach, Marina del Rey, Newport Beach, Orange County, Pacific Palisades, Palos Verdes, Playa del Rey, Playa Vista, Rancho Palos Verdes, Redondo Beach, Rolling Hills, Rolling Hills Estates, San Pedro, Santa Monica, Seal Beach, South Bay, Torrance, Venice, Ventura, Westchester, West Hollywood, Woodland Hills